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Home My WebLink About1000-103.-4-2 E TOWN OF SOUTHOLD Rental Permit g 0553 3 Owner Ryszard & Krystyna Wisniewski Occupied as Single Family Dwelling Located at 1455 Beebe Drive Cutchogue 103-4-2 Maximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 10/25/2021 Cod rc Official This Notice must be posted by the main entrance at all times Town Hall Annex i � �� Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1 179 iZz ;! Southold,NY 11971-0959 M BUILDING DEPARTMENT TOWN OF SOUTHOLD Y 1 7 RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) '- r Section A. Property Information: Rental Property Address: w a Tax Map Number: 1000 SECTION 103 -BLOCK d y -LOT SECTION B. OWNER INFORMATION: Property Owner Name: . �azc _F -fi Y a ncG Property Owner Legal Address: Property Owner Mailing Address: Oawa Telephone Number (s): Daytime___ Evening„ Ctvyl 4-i< 64 Property Owner Email Address: " l�'' ''' ) " Page 1&S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 a P.O. Box 1 179 Southold,NY 11971-0959eouffri 'BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: f� Telephone Number(s): Daytime Evening Emergency...... Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: C .._... For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: l Requested Maximum number of persons allowed to occupy Dwelling U t: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: r v Llv a � Page 3 of 5 ell Town Hall Annex li Telephone(631)765-1802 54375 Main Road ' Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 , �U BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold G I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) N COUNTY OF SUFFOLK) rLu _ �rT I certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 UN rli, "I 1971-0959li, I u7 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. � q Property Owner's Name: ,. ��' .... . c r � Property Owner's Signature: C, Sworn to before me this1`1 day of 0 , 20x1 ry Official o f Public Signature and Original Notary Stamp M�CWA- NLL.C E YC c OTCRY PUU .STATE O Regsrataon ro.01��6274028 uabfied in Suffolk Coue Commission 1xires Deo.24,20 f Page 5 of 5 yN � ol 5w Town Hall Annex ¢ `�" Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ; Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired or Architect or Enineer licensed home ins actor must rovid copy ot valid current cerci ication Rental Property SCTM Number: 1000-103-04-02 Rental Property Address: 1455 Beebe Drive Cu cho NY_ Owner/Name: R zard 'V`11"isiviewski Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom 1: 144 s B dmm 2; 2Q1 sq Bedroom 3:143 N.- Property Description (Include all improvements indicated on survey) 2 story frame house and 1 sto frame house with ara a and wood deck,. I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbin C de of New York State, the Fuel Gas Code of New York State, and the Energy ConservatL'na uction Code of New York State. � Anthony Portillo, R.A Print Name and Title Origure Pleaseplace professional seal. Dv%° stay TOWN ki 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND I LTI ] FRAMING /STRAPPING [ FI [ ] FIREPLACE & CHIMNEY [ ] I INSPECTION ] FIE RESISTANT CONSTRUCTION [ ] FIE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL ( I ] CODE VIOLATION [ PRE C/O CPA 07t.--- r - i a � € { g t �) rte, _ 7771 CL E �-tv S ECON15 V L OQV- PLAtf HN , € �idry 3 0G _e 0- T' C= L 0 0 V- ALlqkV s TOWN OF SOUTHOLD POOPC OWNER - STREET VILLAGE DISTRICT SUB LOT = x .; ,. ER N E ACKEAGE F = 3 TYPE OF BUILDING x 3 _ RES SEAS. VL. FARM COMM. IND CB, MISC. tr LAND INAP_ _ TOTAL ! D=ATE REMAR d � � � � � _ xtl _ ._ 40 J"a c ? - . - �,:-� 47 -77 _ . -S P .�- 4.. AGE BUILDING CONDITION g y NEW NORNAAL BELOW ABOVE _ e Farm Acre Value Per Acre Value � } Tillable 1 v Tillable 2 ' Tilleble 3 b �- =' ,- : �_ Waodland Swampland � �'— � � 7 o jr(� B, nn6 'a Ho :se Mot i Tctel ,y s � 3 l� + r— p i f i - x. , E AUM 72 4_-1_ 6 I i n. a. 85 L J j ' , 09/05/2018 I M. 61dg. E f� Foundation Bath r� Extension4 w , E Basement �# Floors , v � Jff _. �. Extension ' Ext. Walls Interior Finish Extension Fire Place Neat 7 e Porch Attic a _ 1 > _ K tb /4 I _ Porch [ Rooms 1st Floor eee_ Patio Rooms 2nd Floor f � t Garages1` +_ _ � .6� Driveway i i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 24340 . Date August 20,. THIS CERTIFIES that the building located atE/S Beebe Drive Street Moose Map No. Cove Block No.XXXX Lot No. 11 Cutehogue, N. Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated April . 6, 19 71 pursuant to which Building Permit No. 5::.'a Z dated '.' 6, 19 7.1, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is private. one family -dwelling . . . . . . . . . . . The certificate is issued to wi1.Liam. & -Nancy•HIggins (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval July. 15., 1971, -Robert A villa wCX ilding Inspector House # 1455 Beebe Drive Fire Underwriters Cert. # N 894673 `�. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23279 Date OCTOBER 12, 1994 THIS CERTIFIES that the building____-ADDITION Location of Property 1455 BEEBE DRIVE CUTCHOGUF, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17, 1.994 pursuant to which Building Permit Na. 22308-Z dated SEP IR 8 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY' DWELLING AS APPLIED FOR The certificate is issued to STEPHEN & GENEVIEVE LESKODY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building In ector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25584 Date: 03/13/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1455 BEEBE DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1997 pursuant to which Building Permit No. 24567-Z dated DECEMBER 19, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to STEPHEN F & GENEVIEVE LESKODY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inst+ for Rev. 1/81 _............ .............. ... ....._� ... ....... Town of Southold 8/14/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42235 Date: 8/14/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 1455 Beebe Dr,Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.4-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/8/2021 pursuant to which Building Permit No. 46595 dated 7/21/2021 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built"'air conditioittrig-m .9Vied for. The certificate is issued to Wisniewski,Ryszard&Krystyna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46595 7/26/2021 PLUMBERS CERTIFICATION DATED _. Autho.. _ _ ..... rized Signature