HomeMy WebLinkAbout1000-90.-1-3 TOWN OF SOUTHOLD
Rental Permit
0658
Owner Brittany & Matthew DeFeis
Occupied as Single Family Dwelling
Located at 1165 Cedar Point Dr W Southold 90-1-3
Maximum Permitted Occupancy 8
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations :)f
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.
6/1/2022 L
o et�t Official
This Notice must be posted by the main entrance at all times
'w
Town MR Annex Tekphow(631)765-1802
375Main RoadFkkx( 1)765-9502
P.O.Aox 1179 � � -
Southold,NY 11971
BURDING DEPARTMEW FEB
d
TOWN F SOUTHOLD
.. d.,
BUILDING DEP
RENTALPERMITAPPUCATION TOWN Off" t)LITH61-D
SectionRental Permit Fee$200(Appikatkn must be renewed every two years)
Property Information:
INFORMATION:Rental Property Address:
Tax Map Number.1000 SECTION -BLOCK -LOTo
SECTION B.
OWNER
Property Owner Name:
Property Droner Legal Address; Property Owner Mailing Address;
4A ry
&Ck,,
Telephone Number(s).Daytime 9 K Evenin Emergency
Property Email Address: 611
r
Page 1 of 5
r,rt
Tom►lW (631)765-1802
54375 PAWn Road ftx(631)765-95M
P.O �
SouftW.Box 1179
NY 1197 I
w
BUILDING DEPARTMENT
Section
AgentAuthorized f a
Name of Authorized Agent of dwelling unk if any.,
Address of Authorized Agent(no P.O. es):
Mailing Address of Authorized Agent:_
Telephone Number(s):Daytime � EveningEmergency
Email4
Section D.
Managing Agent
Name of Authorized Agent of dwelling unit if any:
Address of Authorized Agent(no P.O. Boxes)-
Mailing AddressBoxes)-o t;
Telephone Number(s):Daytime Evenine Emergency
EmailAddress:
SECTION
SITE 1 ) : r 1 n in' 8 or ore rental un )
e ana ' e g ,if any:
Address of Managing'n nt(no P.Q. goz�e
Page 2 of 5
� $our
Town Hall Ararat Telepbone(63 q 765-1302
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Smabu d,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUMOLD
Mailing Address of Managing Agent:
Telephone Number ime Eveninit Emergency
Email Address:
SEMON F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 9
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 flim;Urift
(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:
Bed 1 - 11 ft, 10.5 in x 12 ft, 1 in Bath 1 -9 ft,9.5 in x 11 ft, 2 in LR- 13 ft x 19ft, 8.5 in
Bed 2-9ft,9.5inx10ft, Bin Bath 2-10ft x 10ft DR-27ft, 5 inx12ft, 1 in
Study- 19 ft, 9 in x 13 ft,7 in Bath 3-9ftx 6ft
� �Bed 4- 14ft, 11 in . 2
r,
x 2ft '''^� Kitchen- 14 ft, 2 in x 12ft, 1 in
Page 3 of
Town Heli Awwx Tel (631)765-1802
54375 Main Road Fox(631)765-9502
P:O.Boa 1179
Southold,NY 11971-0959 '''� � '
BUILDING DEPARTMENT
TOWN OF S01UTHOLD
Mailing Address of Managing Agent;
Telephone Number :Daytime, EveningEme ncy
Email Address: �.
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 ..
Number of rooms in Rental Dwelling Unit: All
Use and Dimensions of each roomn. , a ��pit- ...
� M
Page 3 of 5
'.
Town 1�M AMex d T ( )765-1802
5437 Fax(631)W-5-9502Main Road rte;
P_0.Box 1179
Southold„MY 119714W9 " � � f
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 OIlicial is required. Ifthe 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 viae la adopted by the New York State Fire Prevention and Building Code Council.
l aalaa requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
11 1 am submitting a completed Town of Southold cerfifi ation form from a licensed
architect or a licensed professional engineer.
SECTION ,
DECLARATION: Signature must be notarized and MUST be the owner of the dwel ing unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
J ): t ' _ perjury, 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 1179
Southold,NY 11971-0959 OWN
BUILDING DEPARTMENT
TOMW 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: �' �'t "
Property Owner's Signature:
d-J
ri
Sworn to before me this 16'day of
r
Official NotAry Public lignature and Original Notary Stamp
Page 5 of 5
�!rcdwvol �o% .�
rowN OF SOUTHOLD BUILDING DEPT.
631 -765-1802 2 t(o -'77
INSP CT
��.e RO
ON 1ST RO
PL13G. 0100�0000'G
ON 2ND [ ] INSULATION/CAULKING
' STRAPPING [ ] FINAL
E & CHIMNEY [ ] FIRE SAFETY INSPECTION
ANT CONSTRUCTION [ ] FIRE RESISTANT PTNET ATION
AL (ROUGH) [ ] ELECTRICAL (FI
1 [ ] PRE C/O [ RENTAL
110090
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t
for
..............5,M,/to
164�
1.
]INSPECTORXY
- 6/0
I 2 #2 30210 6/0 W1 TRANSOM ABOVE S -
1 W30 1 W21 W24
: 8024 i`F 024 CTS
i1-i s D/W
I Io,
KITCHEN821 DINING DOOM
BEDROOM 1
g/O (4) POS 11-1/4- MICRO—LAM
1 I ��� SIDE
(6) Super E woos
IN IST L� CEI€1NG '
1 �2/8
PANTRY wm
_ i •_7» I
—
3 (A) PCS j4 IDE
- _ 3 OND -
a I 6 2 6 F t 9 , (IN SEC -
2 €
f � I I4f0
. I
2f6 51D I�- FOYER
OPEN TO ABOVE
l_ `� VING ROOM
I
{
� 34` SLOPED'
BEDROOM 2 BATH 1 o A �a +T
F-Ko
I
] 3 # S
1 � _ 3f0 .
TQ THE BEST M NO1 h BELI£F 1 i
Ry Po
AND PRSINAL ENT,
I) THIS FACMRY MANUFACTURED HOME (FMH NOTE. ADDITIONAL FOOTINGS NEEDED F E 8 112002
PLAN HAS BEEN A PRO O FROM A SYSTEM IN THESE AREAS DUE TO THE tLOM IORKS DU ` E X8812 -
SET DF FMN PLANS PREWOUSLY APPROVED LARNE OP'E'NINGS IN THE MATING WALL
BY DHCR APPUCAPON Na,01399
MANUFACTURERS No.01319 EXPIRATION „ NX
DATE, Oct, 10, 1997 WHICH HAS NOT BEEN ROOF TRUSS CENTERS= 24 O.C. OA -
MODIFIED AN ANY MANNER, SNOW LOAD= 40# -- NEW ERA BUILDING SYSTEMS
0-0 Box 20
2.) THE ENERGY PORPON OF THIS FMN PIAN
SOU THHOLD, NY CYST Cu
461 SOUT'WERNAVEHAS BEEN PREPARED USING PART__._S..___ SUFFOLK COUNTY STIIIATMWRIE PA.ISM —
OF THE NEW YORK STATE ENERGY CONSERVA17ON
CONSTRUC11CIN CODE (ENERGY CODE) AND IS IN SCALE 1I4-.V DAYS 3 2a8=0
FULL COMPUANCE WITH ENERGY CODE. PERMIT
OR.BY JMI
4.-0$ SHED a-CRUCA
I - 2 ' /6
2f6
1
1 BATH
1 STUDY MRi SAT° 2 BEDROOM 4
2/6
3 Y
I
2/6\
2/e C ;
2/9
4/0- 14/0 TO BELOW
1
"A a
} I
no
MT
(2) PCS 2j 11R sMI SIDE
n�
OBIS QUOTE# -1812
B' NO FLOOD LATO °T
4.800 CAPE NEW ERA BUILDING SYSTSMS
P. ,
CUSTOM 451 g EN .
5TRATTANVUX,PkIOM
O_ SCALE t 114°-9' ; 2.8-02
PERMIT OR, Y; JM 1 NO
1Y -
rrP_ I
] 1 ' WALL LOAD
7/ A.X 16"
[ =888
2"DI
ANCH.BOL TS €
I ,
,
3 '
CONCENTRATED MAKLOAD ~
LOAD =55502 . _TpT X L F I
a
(7 L OOTINGS)
t
66°-3 7/1.5-
CONC.T LOs�'iR�
I (BSMT ONLY)
NOTE: PLACE SUPPORT COLUMN JACKS
WITH HALF OF 10'x12" SUPPORT
PLATE UNDER THE CENTER BEAM [
OF EACH UNIT.
I (TYPICAL ALL COLUMNS) '
I , m
j i FOOTINGS PER SOIL 8RG CONDITIONS � {
� l
TO THE BEST OF MY KNOWLEDGE do BELIEF AtTHIS ORAN14C IS PRONDED FOR LNMENSIONAL 1 sq ft OF VENT PER 150 sq FT
AND PROFESSIONAL JUDGMENT, FRON T AND LOAD PURI'DSES OR Y. WALL AND FOOANG SIZES& OF CRAWL SPACE AREA REQ'D.
1.) THIS FACTORY MANUFACTURED HOME (FMH) BASEMENT MODELS: RE-INFORONG FOR THE SAME PROWOEO BY OTHERS Ft MIN.
PLAN HAS BEEN APPROVED FROM A SYSTEM TOTAL HEIGHT FROM TOP � —BUILDER
--
NOTE: LENGTH AND WIDTH
SET OF FMN PLANS PREVIOUSLY APPROVED OF CONCRETE SLAB 70 TOP DIMENSIONS TO STUD ONLY R EWORKS QUOTE# Q-8812
BY DHCR APPLICATION No,01391 OF SRL PLATE = 89 112"
MANUFACTURERS No.01319 EXPIRATION ;IMPORTANT NOTE: 26'x54' FOUNDATION
DATE, Oct. 10, 1997 WHICH HAS NOT BEEN
MODIFIED AN ANY MANNER. FOUNDATION PLAN 4-BOX CAPE NEW ERA BUILDING SYSTEMS
_M1212EL P.O.BOX 269
2.) THE ENERGY PORTION OF THIS FMN PLAN NOTE: THIS DRAWING IS SUGGESTIVE ONLY. CUSTOM 451 SOUTHERN AVE.
HAS BEEN PREPARED USING PART___b -- - - THE FINAL DESIGN FOR ALL PRE—SITE sTA z p St- TTANV ,VA,1
OF THE NEW YORK STATE ENERGY CONSERVA DENOTES ADDITIONAL FOOTINGS WORK REQUIRED WITH THE SET—UP/ N'Y� #tiiJFT
CONSTRUCTION CODE (ENERGY CODE) AND IS - COLUMNS REQUIRED FOR LARGE INSTALLATION OF THE UNITS SHALL BE BCS` 7143-V DATE: 2-8-02
FULL COMPLIANCE WITH ENERGY CODE. OPENING IN MARRIAGE WALL. PREPARED BY A P.E. OR R.A. PERMIT DR.BY: JM I NO.
SCTM #
C C1 TOWN OF SOUTHOLD PROPERTY RECORD Chi: `Jl ��1 aC a,
OWNER STREET VILLAGE DIST SUB LOT
ACR. REMARKS
TYPE OF BLD,
PROP.CLASS
0
LAND'S IMP. TOTAL DATE
_i I o9 -2W4
FRONTAGE ON WATER HOUSE/LOT
BULKHEAD
TOTAL
11 Jill
� w COLOR
ti
`�� A TRIM
a
I
90-1-3 2/04
j 1 st 2nd
M. Bldg- Foundation
C s Fin. B. Bath s f Dinette
sion r l �{ S°" fl Basement PARTIAL Floors Kit.
7 '�.�
Extension Ext. Walls � Interior Finish L.R,
Extension Fire Place �y Heat y D-R.
- -
Patio Woodstove BR
Porch Dormer
Baths
Deck
Ix
1 x �. ? Dock Fam. Rm. i
60
A.C. ? �f
I
Garage
0.B.
i
Pool off- _
---- - tej
f 4.
# ° _
TOWN OF SOUTHOLD PROPERTY REC�
VILLAGE 7-
STREET DIST, SUB. LOT
rx
ycka,
'k
F=0fW%ER�QWNER N 1 E I ACR.
S
o
W TYPE OF BUILDING
4- F
RES. SEAS.EAS. VL. FARM
'COMM. CB, MISC. Mkt. Value
LAND A M!�r
AND IMP. TOTAL DATE REMARKS
-rf
IC-14
-4�
r
ia)
JA/ �v
Lfn 1 i.
45-
LJ�j
AGE s BUILDING C S DITIPN
---------------
FARM Value Pe- Valu
41c;P 7�- r
Tillable
Tillable 2 i
Tillable 3
Woodland
Swampland I FRONTAGE ON WATER
Brushlcnd FRONTAGE ON ROAD
House Plot DEPTH
'BULKHEAD
Total DOCK
COLOR
e� � ®
Ar-
t
TRIM i ,µ
e
77, d
l
— K
M. Bldg. z Foundation
- - - -e _ Y -
nth Dinette
- -— � K.
Extension az Basement Floors
- F t r — _
Ext. Walls `1 Interior Finish LR.
Extension -, __—
Extension l 'Fire Place Neat DR.
Type Roof Rooms Ist Floor � BR.
Recreation Room= Roams 2nd Floor FIS. Bpweh .
Porch
=Dormer
Driveway
Breezeway
Garage
Patio
Total
FORK NO. 4
TOWN OF SO'UTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Soutbold. N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30584 Date: IIZ23Z04
THIS CER21FIRS that the buildiag NEW DWELLING
IAxmation of Property-- 1165 W CEDAR POINT DR - SO(PTHOLD
(ROUSH NO-) (S7REZT) (HAM=)
0ounty Tax Map No. 473889 Section 90 Block I Lot 3
Subdivision Filed flop No. Lot Ab-
conform substantially to the plication for Building Permit heretofore
filed in this off-ice dated 14ARCH 144 2002 pursuent to which
Building Perwit No. 28970-Z dated DECEMBER 4, 2002
was issued, and conforms to all of the requirements of the applicable
provisions of the law- The occupancy for which this certificate is issued
in SINGLE FMILY DWELLING WTTK ATTACMM DECKS AS APPLIED FOR & AS PER
CONDITIONS OF ZRA #5143 DATED 9/5102-
The certificate in issued to DOUGLJkS & LIDIA DEFEIS
Wklhm)
of the aforesaid building.
SUFFOLK COUWfY DRPARITHIM OF Ekl= APPROVAL RIO-00-0286 09 0
ZLBL"MCZL CERITIFICATR MO- 03-6503 OIZ30/04
PL :MPI 09 0 0 REDWING PLUMBING & BEAT.
/Ator"ted Signature
Rev. 1/81
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