HomeMy WebLinkAbout1000-103.-4-8 �R.
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Rental Permit
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0752
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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.
11/1/2024
�� �t Official
This Notice must be posted by the main entrance at all times cie � ce
TOWN OF SOUTHOLD E ILDI G DEPT.
631-765-1802 t D3 . - q,g
I N Ph E C T 10 N
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L]
[ . ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS: _...w�...
J
RATE INSPECTOR
-;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
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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
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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
__ __
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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:
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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
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S W TYPE OF BUILDING
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Est. Mkt. Value
RES= �_ SEAS. I VL I; FARM COMM. : IND, � CB, MISC.
LAND IMP.. TOTAL DATE REMARKS
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+ ViO
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AGE BUILDING CONDITION ' g A - ._.
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ti
Farm Acre Value Per Acre Value FRONTAGE ON ROAD 1 ,�,. a, _ _._
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Tillable 1 BULKHEAD �—
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Tillable 2
DOCKI I t
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Tillable 3
Woodland
Swampland I I
Brushland i I
House Plot
Total
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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
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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