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Home My WebLink About1000-59.-2-22 s TOWN OF SOUTHOLD s Rental Permit e g# 0999 Owner Scott McKay Occupied as Single Family Dwelling Located at 75 Birch Road Southold 59.-2-22 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 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. 10/4/2023 Code Enforcement Official This Notice must be posted by the main entrance at all times -1 jg 123 q::izal�Qzo %712ZM w �-c Gtr p y q 39 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT UL 5 20 23 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION � Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: � . Tax Map Number: 1000 SECTION _ CIC -LOT - 5q 2 2� SECTION B. OWNER INFORMATION: Property Owner Name: C-V-'A Property Owner Legal Address: Property Owner Mailing Address: (f7' C-- Telephone Number (s): Daytime Evening- Emergency Property Owner Email Address: C� Pagel of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 +"' a� x ,, BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 14 A 74 Address of Authorized Agent (no P.O. Boxes): C Mailing Address of Authorized Agent: Telephone Number(s): Daytime K( )477 Evening Kt A 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: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 so Town Hall Annex ?, Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime �veninjg 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: Requested Maximum number of persons allowed to y Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: f m Page 3 of 5 �'„R, aso Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 µ eou . : ` 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 afire safety inspection to be performed by a Code Enforcement Official from 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. STATE OF NEW YORK) COUNTY OF SUFFOLK) C , 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 So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 f 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:" l Property Owner's Signature: Sworn to before me this 501 day of SVI, � 20?3 r""�/ Official Notary Pu lic Signature and Original Notary Stamp DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified in Suffolk County My Commission Expires April 30, 20up Page 5 of 5 a, sa-mm l e TOWN OF SOUTHOLD BUILDING M 831 �7G5�-1802 ---' INSPEC ION [ ] FOUNDATION 1ST [ ROUGH PLUG. j ] FOUNDATION 2ND [ INSUTATION/CA11 [ ] FRAMING / STRAPPING [ FINAL [ FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ) CODE VIOLATION [ ] PRE C/O C'' N REMARKSM r DATE INSPECTOR Line A _ FIN t i # € 1 E Strap across 1 i E mateline each Fasten floor rims end per ; together on-site calculations. + across mateline ; E w!3/8"x8"Lags k at 32"o.c. i 7 i ' E r---; Line2 Line 1 � i 7 I N i F 1 i E i a n' 11/01/2021 F - - - � 2'-+9 m Line B `° A=(1)CSI from 2nd story studs to 1st story Studs. NOIF DESIGN 51.11 'Y SH TS FOR UPLIFT,5FEAR,SLIDING,slUl [[NG,CORNER STUDS BUILTAF COLUMN �y ry g7;R3S ID Tim PLATE LLPETRTIONS -+S0'EXT 4ffc_#s SHTG PREMIERBUILDERS NY NOTE: sRH do o Yta RaB K R�PLTCRE?7_E ILIO-DING COPIES. 25T Pa .$77758 2020 RCN4"5:2020 IECCR+.'YS-21117 NEC ZI-�PLANS€ SPECffZCRTZONS OF Tt PERMIT SET DEI2IYED FROM CONSI57EN7 000 W TM TE Pl#� CIFICRTI Z ess TEb WITtP THE T<ppRoy c Fn E WITH TURN KEY t MCKRY THE DEPT OF STATE,WHICH WERE RPPROY£il ON+1i+12020 t SYSTEM°Mtt-2O2O-02I- IF iS R YICRTION Of THE NYS WKRTiCPP LRW f2TiCLE 345 F' kT4'f PERSON, 2nd STY WIND DESIGN PLAN 2a con LtAs"55 HE IS ACTING LB TER THE OIRECTiLLN OF R LICETv'Am PRvFESSIC,PL ENG4m?, TO ALTER THIS REM IN fffidl'WAY. mu bRM I0-05-21 PE 4^=1'-0^ 33277_nt 46'-D" 3-7 I/4" Line A run endwal( s!3/ s-u 3l4" 3-9 314" I'-3" S-7 3/4" S-r through e I ® O ----1----, J❑ -----� DW `•3 1 E� Strap across Q; r. EDGES mateline each !Fasten floor rims Instal!OSB end per together on-site sheathing on calculations, across mateline wt both sides of 3t8"x8"Lags at 32" this wall `" 'OF o.c. or 1/2"thru segment ; B to EDGES bolts at 48"o.c. FI i E ----------- Line2 E N= F LtJ Y I f{ � a; t 7., , 11/01/2021 3/4" 2'-B 3/4° A=STHD14RJ s-ID v4° Line B B=HDU14 on(4)2x6 SPF#2 dQ�SEE FQGH 71IIHT ESIGN SUMMRRY 5HT5 FOR UPLff ,Zl' R 3LID G,511EAATHING,CORNER 5TUDS!BUD_T-UP COLUMN STUDS# TOP PLATE LIMITATIONS ' -4'xiD'EXT 41ALL�iTG PREMIERE BUILDERS NY NOTE �a ak o lucr®e ac PFFSCAP.LE&M-ODr.CODM Po II76H a R7t16b-�6 2020 RS77YSS? IECCNYS,2017 NEC THE PLANS fi`:SPECIF'ZCATIt i Tt PERMIT SEr P.RE DE222V�FROM F CtLNSISTENT �332A77_000 WITH T'tE PLRNS AND SPECff ICATZtNS ASSOCifiTEO WTni T}f APPROVAL ON FILE WFTH TURN KEY ! MCKRY Tt c DEPT�'STATE,tJtitCH FIERE 1 4ti4!?II2D ICER SYSTEM-M1387-2620-02L IT IS A VIIXATM4 OF THE NYS mucATION LAW ART2CLE 245 FOR ANY PERSON 1st STY WIND DESIGN PLRN is 2NU THE DIRECTION OF A LICENSED PRO ES sIONAl ENGINEER, oe DRM X10{Pa-2i PE1f4"=1'0"