HomeMy WebLinkAbout1000-78.-3-52.1 fat .a TOWN OF SOUTHOLD
Rental Permit
0665
Owner Leah & Emily Monaghan
Occupied as Single Family Dwelling
Located at 3780 Main Bayview Rd Southold 78-3-52.1
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.
6/13/2022 r
e E� re (ficial
This Notice must be posted by the main entrance at all times
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Town Hall Annex Telephone(631)765-1802
54375 Main Road �J Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
"o . Iry
BUILDING DEPARTMENT �ao f
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
3780 Main Bayview Rd, Southold NY 11971
Tax Map Number: 1000 SECTION 473889 -BLOCK 78 -LOT 3 _ 52.1
SECTION B.
OWNER INFORMATION:
Property Owner Name: Emily Monaghan and Leah Monaghan
Property Owner Legal Address: Property Owner Mailing Address:
3780 Main Bayview Rd, Southold NY 11971 3780 Main Bayview Rd, Southold NY 11971
Telephone Number (s): Daytime 615-521-5011 Evening 615-521-5011 Emergency 615-521-5011
Property Owner Email Address: leahtn@gmail.com
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02('C' 10
Page 1 of 5
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Town Hall Annex ki° Telephone(631)765-1802
54375 Main Road q�� 1 1 Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Same as owner
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: Same as owner
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 properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: Same as owner
Address of Managing Agent (no P.O. Boxes):_
Page 2 of 5
Town Hail Annex Telephone(631)765-1802
54375 Main Roads Fax(631)765-9502
P.O.Box 1 179Ct
Southold,NY 11971-0959
y f3�
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: 1
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:
Requested Maximum number of persons allowed to occupy Dwelling U t:
6
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
Kitchen 14' 11"x 13' Full bath 14'4"x 6'7"
Living Room 353"x 11'3" Half bath 5'9"x 4'1"
Den 14'4"x 158" Basement 34'8"
Master BR 17'10"x 11'4"
Guest BR 14'6"x 11'4"
Children's BR 9'10"x 14'5" Page 3 of 5
Town Hall Annex wF Telephone(631)765-1802
54375 Main Road k ^� Fax(631)765-9502
P.O.Box 11795" �
Southold,NY 410
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
from the Town of Southold
Meese
see ❑ I am submitting a completed Town of Southold certification form from a licensed
attached architect or a licensed professional engineer.
letter
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
Emily Monaghan and Leah Monaghan
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
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Town Hall Annex Telephone(631)765-1802
54375 Main Road ` Fax(631)765-9502
P.O.Box 1179 uk
Southold,NY 11971-0959 � � k
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: Emily Monaghan and Leah Monaghan
Property Owner's Signature:
Sworn to be dre me is day of _. _ 202-2—,
Official Notary u lic Signature and Original Notary Stamp
aAJID PATEL
N017kA,"Y PUBLIC
STATE OF NEW YORK
No.01 PA6318967
Qualified In Kings County
rAy Cornalissien Expires
Februacy 03,2023
Page 5 of 5
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INSPEC ION
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[ FOUNDATION 2ND INSULATIOWCAI.
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[ FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PES
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REMARKS: .
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Leah Monaghan
3780 Main Bayview Rd
Southold,NY 11971
Town of Southold
Building Department
54375 Main Road
P.O. Box 1179
Southold,NY 11971-1959
Re: Rental Permit Application for 3780 Main Bayview Road, Southold NY 11971
To Whom It May Concern:
Per a phone conversation with Tracey Dwyer in the Town of Southold Building Department,
since we recently completed construction and submitted new plans and inspection certificate to
receive a Certificate of Occupancy within the last twelve months, we are not required to submit
new plans and inspection with the rental application.
If that is not correct or you have any questions, please contact me at]...c.alit igit,c ,Lit or 615-
521-5011.
Thank you,
XX
Leah Monaghan
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. Z 1.2.339. . , . Date . . .March 121 19 84, , 19 . . .
THIS CERTIFIES that the building . . . New, Dwelling. , . . µ . . . . . . . . . . . , . . .
Location of Property 3780 Main Bayview Road Southold
House No. Street .Hamlet
County Tax Map No. 1000 Section . 0 7 8. . . . . . .Block . . .3 .. . . . . . . . . . .Lot . . .52. 1M . . . . . ., .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
November 20 19 PA pursuant to which Building Permit No. 12 7 57 Z
dated Noyembg3V, 2,0 , , . , . , „ , , , , , , „ 19 83 ,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 . . . . . . . , .
. . .Np.w .1)we.3.1 i TLg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to , Joel & Judith Whittington , . . . , . . . M . . . . .
{owner,lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . .13—SO-1.89 . . . „. . . . . . . . . . .. .
UNDERWRITERS CERTIFICATE NO. , . . . . . . . . .6 3 526 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev.1181
x
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. Z.1.4369 . . . . . . . . . Date 1 . 2.9. . . . . . . . . . . . . . . . . . . . . ... 198 6.
THIS CERTIFIES that the building . . . . . . , Deck, addition . . . . . . . . . . . . . . . .
Location of Property . . . . BAYVIEW RD . SOU THOLD . . . ,
House No. Street Herrrler
County Tax Map No. 1000 Section . . . . X7.8. . . .Block . . . . . �3 . . . . . .Lot . . ?.',�. . » . . . . . .. .
Subdivision — . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . , . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . .Apr .1. .�. . . • . . • . . , 19$b . pursuant to which Building Permit No. . 1.4.7'Z 3 Z. . . . . . . . . . . . .
dated . . A.I?r,i 1 2 2 , , • , , • • , , , , , , , . . 1986 . ,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 . . . . . . . . .
.Dcek •add•ition. .to. existing. nri.e p i]�y dwelling:. . . . . . . . . . . . . .
The certificate is issued to . . . . NOEL, .4 ,JUDY .WHITTINGTON . . . , .
(owner, & &hib�r)
of the aforesaid building.
Suffolk County Department of Health Approval , . , N/A . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . N/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,
Building Inspector
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-18218 Date JULY 26 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 3780 BAYVIEW ROAD SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 078 Block 3 Lot 52.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 13 1988 _____pursuant to which
Building Permit No. 17242-Z dated JULY 20 1988
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 INGROUND SWIMMING POOL & FENCE WITH ON GRADE WOODEN WALKWAY
AROUND POOL AS APPLIED FOR.
The certificate is issued to JOEL & JUDITH WHITTINGTON
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA
UNDERWRITERS CERTIFICATE NO. N-026885 - AUGUST 10 1988
PLUMBERS CERTIFICATION DATED N A
; Z-6
Building Inspector
Rev. 1/81
�, Wftlt Town of Southold 2/19/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38107 Date: 2/19/2016
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 3780 Main Bayview Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-52.1
Subdivision: Filed Map No. Lot No. �M
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/4/2015 pursuant to which Building Permit No. 40333 dated 12/9/2015
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:
r f mounted sole;µ„pgnglon ark exptng..pm family dwelt g_ LaWjLqd for.
The certificate is issued to Whittington,Joel&Judith
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO"V"AL
ELECTRICAL CERTIFICATE NO. 40333 1/27/2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
�+ 1tEtltq Town of Southold 11/6/2020
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41583 Date: 11/6/2020
THIS CERTIFIES that the building ADDTTION/ALTERATION
Location of Property: 3780 Main Bayview Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-52.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/6/1993 pursuant to which Building Permit No. 44853 dated 6/10/2020
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:
gltgrations and a it ons g two car graZ 1&one family d ell n ..AppL�r for.
The certificate is issued to Whittington,Joel&Judith
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44853 9/29/2020
PLUMBERS CERTIFICATION DATED
_........... _--------.....
. ..,__.._µ_...
Aut mm Signature
tgIFOL't Town of Southold 12/11/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42610 Date: 12/11/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 3780 Main Bayview Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-52.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/5/2021 pursuant to which Building Permit No. 45830 dated 2/17/2021
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:
alterations ns old addit ns i,..ncud:ng ,overgd p �?,rci tc� � 1�z1,g�5ir� 1 mf�,ln _ci ltix� .. p�,lied for,
The certificate is issued to Monaghan,Leah&Emily
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45830 7/19/2021
PLUMBERS CERTIFICATION DATED 7/17/2021 Ti la Burgr
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