HomeMy WebLinkAbout1000-78.-9-3 TOWN OF SOUTHOLD
Rental Permit
0828
Owner Maria Haig
Occupied as Single Family Dwelling
Located at 900 Cedar Drive Southold 78.-9-3
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.
1
3/6/2023
de Err) ci
This Notice must be posted by the main entrance at all times
r
ry '
Town Hall Annexe` Telephone(631)765-1802
54375 Main Road GG2
Fax(631)765-9502
P.O.Box 1179 '
Southold,NY 11971-0959
FEB2023
BUILDING DEPARTMENT RI
TO" OF SOUTHOLD
craw � . O
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: w w I)
Tax Map Number: 1000 SECTION -BLOCK -LOT "�- ......
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
900
Telephone Number(s): Daytime" - -c)4 Evening Emergency
Property Owner Email Address: ` (:vL- • `�
-'-�D0
C—
—I,
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road r �� � � 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--,--.,—,,- 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: �
Requested Maximum number of persons allowed to ccupy Dwelling Uni .,
Number of rooms in Rental Dwelling Unit:.
Use and Dimensions of each room in Rental Dwelling Unit: `
vs
Page 3 of 5
Town Hall Annex =� Telephone(631)765-1802
54375 Main Road " Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 k ^"f
BUILDING DEPARTMENT
TOWN OF SO ,iTHOLD
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 _k �M 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
Town Hall Annex �,Y Telephone(631)765-1802
54375 Main Road y,d, Fax(631)765-9502
ff
P.O.Box 1179 � �
Southold,NY 11971-0959
"Coyt m
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:
Property Owner's Signature:11 --. -�
Sworn to before me this� ay of `��� rZ� 20?�
Official Notary Pu c Signature and Original Notary Stamp
a-'tt-of New Y
Nko. �,S'136 71 M uta
fi Med a� l�, a Cou
ConvnitsionExoras 1
Page 5 of 5
V4000, (A001-
slivo
631 -765-1802
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PTBG.
C ] FOUNDATION 2ND [ ] INSULATIOWCAL
] FRAMING 1 STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INE
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TI
] CODE VIOLATION [ ] PRT C/O [ WF
REMARKS:
110
99
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1
TOWN OF SOUTHOLD PROPERTY REQ �I
VILLAGE JVa.
. LOT
FORMER OWNS �-- r �� L Wec5c�-,, N ' E AC
'7y
i S_ W TYPE OF BUILDING
e ri MC.16f61It1
1��RE , SEAS. ' VL FARM COMM. CB. MISC, Mkt. Value
LAND IMP. TOTAL DATE REMARKS
E _
Liu
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F£=
3,
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� DI � COQ N ��� - 5,117
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NEW NORMAL BELOW ABOVE + ,-s x
' � _ .� - _ '
FARM I Acre Value Per I Value
Acre = F`� �c7
-------------
Tillable 1
r
3
Tillable
Tillable B
Woodland
Swampland ' FRONTAGE ON WATER
FRONTAGE ON ROAD
Brushland 1
y
House Plot DEPTH
`BULKHEAD
Total � DOCK
I0oc,
I
RIM -
� r� I r
77
i
_ 9
3
E
I
M. Bfdg. y F axion Bath Dinette
Extension Basement Floors
,
K.
Extension
Ext. Walls ;.; Interior Finish LR.
Extension Fire Place Heat ` D4. 1
<,
_ Roof
Type
Rooms 1st Floor BR
Porch Recreation MOM Rooms 2nd Flocr; ; FIN. B
Porch Dormer
Breezeway _ Driveway
Gorage
Patio I ;
sf
0. B.
Total
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Sent from my Whone
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Horton, LisaMarie lep
From: Personal <rnhaig00@grnail.corn>
Sent: Monday, March 6, 2023 3:10 PM
To: Horton, LisaMarie
Subject: 900 Cedar drive
MAR 0 6 2023
TO'WNYF rl 19N&
ATTENTION: This email came from an external source.Do not open attachments or click on 10s 'r mown senders or
unexpected emails,
.........
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14 11 SW
FORM NO.4
r�D P(-A j
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
Nol •24)66 . . . . . bate . . . . . . . . . . . . . . e,*. . . . . .. 1967.
THIS CERTIFIES that the building located at 2/0. Cedar .Jmm -AVe. . . . . . Street
Map .V10W TOVhM No. . . . . . . . . . . .Lot No. 3 . . Southold0. X.Y.. . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . Jul y. . .1g. . 19 67. pursuant to which Building Permit No. . .3 ��
dated . . . . . . wry. . . . 4)• • 19-67., 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 . I1)rivate. .One. family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . -Eelen. Dam&. . . . . . - , . . Owner. . . ° ° • . . • . ° ` °
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval w . 94 •' �. . b ! . �. .V.'illa . .
:
Building Inspector
FORK NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. L kM. . . . . . Date . . . . . . . . . . . .47:4. . . .22. . . ., 19. 7.1.
THIS CERTIFIES that the building located at . . . .E/S. Cedar. -Dr. . . . . . . . . . Street
Map No.Bayside- Teri No. . . . . . . . . . .Lot No. . . 3 . . . . . . .SOuthOia . .N..Y. . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . My. . . 25. . , 19.70. pursuant to which Building Permit No. . . .507.1Z
dated . . . . . . . . . Noy. . . .25. . . ., 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. one. famU.;l .dwe.11ing. . . . . . . . . . . . . . . . . . . . . . . w
The certificate is issued to . . .W iUloa A. �*tty. MGray. . . . . . 0lera. . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval YoR. . . . . . . . . . . „ . . . . . . . . . . , . . , . . . .
House # 900
-7,
. . . . . . . . . .
Building Inspector
FORK LIQ 4
OF SOMHOLD
BUJIBING DEPARTIMM
T*VM alft*05 00"
Sou"d, N. Y.
.*-LD
Certificate Of Occupancy
No. Date . . . . . . . . . . . . March. . . 28 . . ., 19. 11
THIS S that the building located at . .Q907 4.DriT9. . . . . . . . . . .. . Street
9 NO. . AR'x#0e .T+ %o. . . . . . . . . . .Lot No. 3. . . . .Southold. . .N.X•. . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . . . CJS t , pursuant to which Building Permit No.6908Z. .
dated . . . . . . . . Qct. . 4. . . . .. ., 19. 73, was issued, and conforms to all of the
require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issuedis . . . . . . . . . . . .. .. . . . . . . . . . . .
The certificate is issued to William & Sett ,McayOwner
. . . . . rt , . , * , . . , . . . .. .
(owner, lessee or
tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . N.R.. . . . . . . . . . . . . . . . . . . . . . . . . . . .
No. VA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE N' . . . . . 999. . . . . Street . . . . .CedaT. ATq. . . . . . . . . . . . . ... . .. . . . . . . .
. . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . .. . . . ,
. . . . . . ��g ��ector