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Home My WebLink About1000-103.-4-8 -;g TOWN OF SOUTHOLD Rental Permit 0752 Owner Susan A. & Thomas J. McAleer, Trustees Occupied as Single Family Dwelling Located at 1775 Beebe Drive Cutchogue 103-4-8 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. 10/13/2022 e c fFi�ial This Notice must be posted by the main entrance at all timestI sf '�j %Vy �2�e� 00 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,IVY 11971-0959Zu BUILDING DEPARTMENT TOWN OF SOUTHOLD .. 2 V '2 0 2,2 '; RENTAL PERMIT APPLICATION TOV41 OF Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCI 6 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: 2n Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime ° ° Evening Emergency Property Owner Email Address: 6 C6 M c -;� nel Page 1&S 4 S Town Hall Annex �y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �o Southold,NY 11971-0959 ourfr. BUILDING DEPARTMENT TOWN OF SO JTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: I 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 properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: hM" 4 Address of Managing Agent (no P.O. Boxes): Page 2 of 5 � w Town Hall Annex Telephone(631)765-1802 54375 Main Road60 Fax (631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 ,. . c - 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, 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: w Requested Maximum number of persons allowed to occupy Dwelling Unit: s Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: rv.i1 , .......M 1 11 'e ILI Izo NA� m) P `�e � � &-(LyAd jed v=p I L Page 3 of 5 So Town Hall Annex " Telephone(631)765-1802 54375 Main Road 40 11 11Fax(631)765-9502 P.O. Box 1179 9 �: Southold,NY 11971-0959 wenw iA' ., 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 ❑ 1 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) COUNTY OF SUFFOLK) I suss n Aer 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 as Town Hall Annex Telephone(631)765-1802 54375 Main Road NC Fax(631)765-9502 P.O.Box 1 t79 Southold,NY 11971-0959 en �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 247 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: U` v► L k ' �'us � Property Owner's Signature: Sworn to before me thisQ(p day of 24 gka Official Notar ' ublic Signature and Original Notary Stamp JANP C COHF-N Notary Public-State of New York No,oiC06333267 Qualified ire Sutioik County flyCommissit Pxp. Iim6 23 Page 5 of 5 so TOWN OF SOUTHOLD BUIL ING DEPT. 631-765.1802 NbrECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 1 DATE __ __ ext f SGIolT� TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 � �j 77 I I Nwm MA S,"'a' P Em(m;` T I A om" N ( ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ( ] ELECTRICAL (FIN [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: o n DATE - INSPECTOR �� } 3 gg 3a i a � � [ ' kL " 4 � ; . 4 M 111 c € 47 i r x i t e 2 �b x e �4 L. € 6 }} 3 14 COAC Fmr.,rn t�7 ror A, UY) 6 �� TOWN OF SOUTHOLD PXOPERTY REQ 0'a-11-D--;�L- OWNERa STREET VILLAGE DISTKK� LOT f f FORMER OWNER NA 1 I N E ACREAGE f S W TYPE OF BUILDING 'j Est. Mkt. Value RES= �_ SEAS. I VL I; FARM COMM. : IND, � CB, MISC. LAND IMP.. TOTAL DATE REMARKS z'v - $' : r *d AC _ 16 1 + ViO r ro 0 L LLL � AGE BUILDING CONDITION ' g A - ._. NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ti Farm Acre Value Per Acre Value FRONTAGE ON ROAD 1 ,�,. a, _ _._ gpi Tillable 1 BULKHEAD �— ._ Tillable 2 DOCKI I t — -- F _ f _ E� Tillable 3 Woodland Swampland I I Brushland i I House Plot Total sz q tt ',—A t 1 e t E r, %x �F t - ;_ .. A Bldg ...FGt.;rSClattOYt Extension _ e - a Besement Floors 3 Extension Ext. Walls interior Finish Extension Fire Place Heat Porch Raaf Type Porch, Roorns 1st Floor Breezeway Patio Rooms 2nd Floor -Garage � 3 9f Driveway rive ! Dormer O. B. r i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z4212. . . . . . . Date . . . . . . . . . . ..k r.il. . . . .26. . . ., 19. 71 THIS CERTIFIES that the building located at Beebe. ,Dr•&• Moose -Trawl:l- Street Map No. .140080.C*Vf#Block No. . . . . . . . . . .Lot No. 33 . . . . . . .Cutche u* . . . . SOY.- . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .Oct. . . .30, 19.70. pursuant to which Building Permit No. .50,i4z . dated . . . . . . . . . . . .0e t, . .30. . ., 19.70, 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• wne• family •dw*1 in. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .Fs • & -Frances. Forreri • • . . . . .Owners. . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .wpril• • 22, . 1.971 . • by.R•.• •villa 'Underwriters Cert # X668140 Hearse # 1775 Beebe Dr . . . . . . 50 Moose Trail Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23673 Date MAY 31, 1995 THIS CERTIFIES that the building SSORX Location Of Property 1775 BEEBE DRIVE CUTCHOGUE, N.X. , treet House No. SHamlet County Tax Map No. 1000 Section 103 Block 4 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1995 ________pursuant to which Building Permit No. 22664-Z dated. APRIL 6 1995 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 GAZEBO FOR EXISTING ONE FAMILY DWELLING IN REAR YARD AS APPLIED FOR. The certificate is issued to HILDE VI'LLEZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ildi g Inspector Rev. 1/S1