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Home My WebLink About1000-103.-4-37.2 IO"WWWN OF SOUTHOLD Rental Permit { 0915 Owner Kimberly White, Trustee Occupied as Single Family Dwelling Located at 2735 Beebe Drive Cutchogue 103.4-37.2 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 f the bi-annual inspection. 5/25/2023 "ode " forcer t oficial This Notice must be posted by the main entrance at all times Town Hall AnnexTelephone(631)765-1802 54375 Main Road °„ Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 � � O" ao e( VIA BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) w I I pr Section A. WJUDINU l;bf Property Information: '70"(" N OFSOUTHOLD Rental Property Address: Tax Map Number: 1000 SECTION 0 3 -BLOCK -LOT_ - 21 SECTION B. OWNER INFORMATION: Property Owner Name: --/-- Property Owner Legal Address: Property Owner Mailing Address: 12 C;-T- 0,14Y C-�,-- 6 Telephone Number (s): Daytime e- 3eSEvening Emergency_ Property Owner Email Address; _. ..� '�1U-� `'`,ec` �� Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road � �` Fax(631)765-9502 P.O.Box 1179 k' Southold,NY 11971-0959p ` E .rer a sa� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent:._ Telephone Number (s): Daytime__,,._,..... Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes):--., Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental pr erties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: _. , Address of Managing Agent (no P.O. Boxes):. .._ mwwwmmm ..__.....m.,wm„�_.w_ �. Page 2 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 ,'.'o, 1re ar BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency___ Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: .. ...... Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Iw_ k _www_.......... X12— r �lk +j a/`age3of5 C j2. x 7 '12- "Town Hall Annex Telephone(631)765-1802 � � �,� 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 c IQ lit Southold,NY 11971-0959 riN a x� & '111G 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. i am requesting a fire safety inspection to be performed by a Code Enforcement Official frorn the Town of Southold ❑ 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. C AIA'e - STATE OF NPWYM) COUNTY OFF � " ) I _ K �� uhf fi� 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 Annexa Telephone(631)765-1802 �R Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 n ,,w r 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. Property Owner's Name: Property Owner's Signature: Sworn to before me this 3 day of 2Q3 Oicial Notary Public Signature and Original Notary Stamp BENJAMIN VANORMER NOTARY PUBLIC $TATE OF CONNECTICUT MY COMM. EXP.0&31/2026 Page 5 of 5 M TOWN OF SOUTHOLD BUILDING I 631 -765-1802 ell .� � lob► • INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] P"L [ ] FIREPLACE &. CHIMNEY [ Vf:�FIRE SAFETY INE [ ] EIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (R „ H] [ ] ELECTRICAoo L (TI [ ] CODE VIOLN ] PRE CIO &M-t, k,,A ♦ � MYw to 4 AN( V ,OVOI r DATE ''iINSPECTOR 6 C ��t x 9 X t i ^ t+ 40 r�o�o!�Wru�ru�rrmb �is�� bed ot �� bedroom 2n ,�" �� "g/gr,��!sumr� amu�wwzp��s�ous�au�p �isin�rsr,r iRr✓�+rra rr �r w �� Y4A77r%rr WIYGIYlUYt4!>y , '�n+varvranimmmwwu!me^r+'�'�""� ( a � bedroom 1 2} �G ps�x�r�mnr�mwksrrv�m��4 h k�tcb�� deck e J} d G 1 " as ! living room dining area �1 lijE TOWN OF SOUTHOLD PROPERTY RECORD cAtb"� OWNER STREET VILLAGE DIST. SUB, LOT -21- Ij FORMER OWNER N E ACR. , i S W CODE" DATE OF ON TR T10N LAND lmp, TOTAL DATE REMARKS F c/ Z-c) 117114H u f . 7 1! Low 77, A 3 Zz, Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total A�. � I b l a x e _ i 2 103.-4-37.2 10/13/2016 t M. aidFoundation Bath Extension I Basement Floors x Extension Ext. Walls Interior Finish Extension , Fire Place Heat Iii = `fin s Pool Attic L) Deck �� ; � Patio Rooms 1st Floor z ` - - - � .._; Breezeway Driveway Rooms 2nd Floor Garage ' -� ;.. �` � 57 0. B ,`' FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . 2.1.17.4.1. . . . . . . . Date . . . . . .qunp. .?Y . . . . . . . . . . . . . . . . . .. 19 .83 THIS CERTIFIES that the building . Qn.e. .f ara ,A Y. d.wQ I I iA9 . . . . . . . . . . . . . . . . . . . . . . . . Location of Property2735. . . . . . . . .$eeb.e .7)X... ,& . ory. pd,., . . . . . . . . . Eqpt q, -; ogue House No. Street Hamlet County Tax Map No. 1000 Section . .1.Q3. . . . . . .Block . 4. . . . . . . . . . . . .Lot . . A7 . ?, Subdivision . . Suan.y. .3hA.r.e*. . . . . . . . . . . . .Filed Map No. R. 1. .Lot No. . 13. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . .Q c.t.ab e r. .29 . . . . . . . . 19 �2 pursuant to which Building Permit No. .1493.1.4 . . . . . . . . . . . dated .November. 2.2 . . . . . . . . . . . . . . 19 52. , 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 new, . . . dwe.lling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . S.tan 1s.y. .Rup.e11 0.i. (oWnerd � of the aforesaid building. Suffolk County Department of Health Approval . . . .1.2-5 D.:12 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .R6 Q 2.4.916 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1181 FORK{NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 212 8 9 5. . . . . . . . . . Date . . . . .dctober. 17, THIS CERTIFIES that the building . AccessorX Buil i aclrt . . . . . . . . Location of Property 2735 Beebe Drive Cutcho `�xe House No. Street Harmer County Tax Map No. 1000 Section . .1 Q 3. . . . . . .Block a 4 . . . . . » . . . . .Lot . 3 7: . . . . . . . . . Subdivision . . . . . . . . . .X. . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated May. . . . . . . . . . . . . . 19 8�pursuant to which Building Permit No. ,12 516 Z. . . . . . . . . . . . . dated . » . » . , July . • » . . .?6. . » » • • • 19 83 ,was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for whieh this certificate is issued is . . . . . . . . . Accessory. Building in Rear Yard . . . . The certificate is issued to . . . . . STANLEY RUBENSTE.IN . . µ . „ • . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . , . . . . . .NSA. , . . « . . . . . . . . . • . . . . • . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . » . . . , . . . • . . . . . . . , . , n . . . » . . . . . . . . . . Building Inspector Rev.1/81 some- FOL, �► Town of Southold 1/27/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38064 Date: 1/27/2016 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 2735 Beebe Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.4-37.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/19/2015 pursuant to which Building Permit No. 40300 dated 11/25/2015 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" SUNROOM AND DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Rubenstein B Fam 2012 Irr Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40300 01-26-2016 PLUMBERS CERTIFICATION DATED Auth Si ur � Fi, „�G Town of Southold 10/14/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38589 Date: 10/14/2016 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 2735 Beebe Dr, Cutchogue SCTM#: 473889 See/Block/lot: 103.-4-37.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/27/2016 pursuant to which Building Permit No. 40447 dated 2/2/2016 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: GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING PE.�Ii;.ZBA DECISION#6906 DATED 01-21-2016. AS A°-PPILIED FOR The certificate is issued to Rubenstein B Fam 2012 Irr Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40447 06-30-2016 PLUMBERS CERTIFICATION DATED _._, t i47edSignature