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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 � 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 rR F£= 3, r � DI � COQ N ��� - 5,117 LJ 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 t k °i Oil� f J1 J j fl � 2 �.li IIS t; 11 iii//%///��//✓ it Ir I e foL / %j/jj I air 1 /o Sent from my Whone 3 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, ......... .................................z /,/��............;i� ,E/W .............. p 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