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HomeMy WebLinkAbout1000-78.-8-17.1 T �N OF SOUTHOLD Rental Permit 3 0832 Owner James Stewart & Faten Alqaseer Occupied as Single Family Dwelling Located at 1700 Cedar Drive Southold 78.-8-17.1 Maximum Permitted Occupancy 10 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. 3/13/2023 Cod n or e ent Official This Notice must be posted by the main entrance at all times Town Hail Annex Telephone(631)765-1802 54375 Main Road 1 �,' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOUTHOLD DENTAL PERMIT APPLICATION V00F= Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION .......�,,,,,_�� -BLOCK d� -LOT ` � -� SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Evening_ .� ,Emergency - Property Owner Email Address: C — �- l Gu6,s,� f'" 'C444' 5 e QU'j'Ct('4a-1A ao o r24?,C, Pagel of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Section C. Authorized Agent Information: ., Name of Authorized Agent of dwelling unit, if any: , ELL Address of Authorized Agent (no P.O. Boxes):, a ,_:° -. 112 Mailing Address of Authorized Agent: m "�= Telephone Number(s): Daytimes�,.._.__ Evening Emergency Email Address: . �� IC Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: �F-6i 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: 4 ,/-y --- Address of Managing Agent (no P.O. Boxes):,..... Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 ' Southold,NY 11971-0959 m BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Al/4 Telephone Number(s): Daytime_.—Evening Emergency ,— Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: i 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 pers Number of rooms in Rental Dwelling Unit: IV Use and Dimensions of each room in Rental Dwelling k has C� Lt i J f Page 3 of 5 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 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 19 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 JaMei S+e.1,1-� I.,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 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 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 JManager. Property Owner's Name: J °�Me S Property Owner's Signatur zc Sworn to before me this 3 day of r 20a3 BASSAM RICW 0 Notary Public-State,,,,,e 1°dew York q c S N0.01 RI632 2 V,� fied,n QUeeCounty Oficial NotaryPublic Signature and Original NotaryStamp y& My Comn;ss on Expires A,-,g 1C), 7023 Page 5 of 5 qf so C TOWN OF SOUTHOLD BUILDING D1 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION TND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY WE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EI [ ] CODE VIOLATION [ ] PREC/O [�(F REMARKS: , --------------------------- all'', ou.L11v DATE tOl TOVI INSPECTOR ^l , Town Hall Annex "; Telephone(631)765-1802 54375 Main Road �t r Fax(631)765-9502 ,1'y der^ JillN P.O.Box 1179 S J Southold,NY 11971-0959 t �. 110611111"',I BUILDING DEPARTMENT TOWN OF SO SOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit l roa sionol seal re wired or Architect or F ineer licensed Home Ins ector must rovide ----------- r9py o valid current certlIcation Rental Property SCTM Number: 1 Rental Property Address: Owner/Name: t Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description cription (Incl�udeall iimprovemen�ts indicated on survey) wA 11 !� L7tl�A� ik A Ltr I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conserva 2!on,Construction Code of New York State. Print Name and Title V atur ��""� ` '� �'44 „ 01 Please place professional seal: \ US PERM \ e § cl § Ll § S EWAR Q RESIDENCE | / »U nDL , « - § „a, CEDAR mE tzi � ■ BR • ! !ROO wc � m� «SEI [ � t. : ! � iE ) ! § _mom mg �,■,m TEL ma m : } ® OWNERS . . FATEN AMM sm/co ... ` ° GITKg • . _«» ° § q . � X sm/co e B B | i23t * � 1333 m¥ m$ § ` § !§ W 02/07 ■ _ A=, oE� COMBO� oCR wrrH � mTM BACK-UP § RAN ■ _� � AS-BUILT 2ND FLOOR PLAN 22 %300 SCALE: W6 = l' -« g& RDRAJIL PONOT f2U) EEEI � 1 STEWART RESIDENCE M NY SCREENED PORCH LR i rxFRANK _B 13'x20' 11.9- P.0,000 x311 316 ,�(316 260 SF 380 SFC=7 GRUNP09r,NY 11944 n, TEL 631-4T78624 a OWNERS 0 SW w �MIAM LLJ fat�. Ognad.can O 7.69 1 DR 1t4'z1T,Y 165 SF DUCT PANTRY ammugy a WOOD DECK 21.5,x, t [ 407 SF s /� KAT H�LBR 4 1( aw I 9763x1 { 0 W 11147 SF2 IH 1 ' 611E 02/07/202) 7 ME, 3/16=i t ] ' SMOKE AND CARBON � AS-BUILT / DEIECTOR COMBO WITH ;- 1ST.FLOOR BATEFRY BACK-UPS PLAN aw owQ,NAME AS-BUILT IST FLOOR PLAN A-200 SCALE: 3/16 = 1'-0" N0 CC REN-1AL WPERW El EWART To sroP ST YARD ° RESIDENCE S UPOLD, NY 1700 CEDAR DRIVE sN/co ARC_N_ T FRAW URLEx K PA.BOX 316 GROW.W 11944 TEL 631-477 6624 RECREATION ROOM OWNERS 30.1'x30.8' &W aw►xE 746 SF g FATEN Mom fatcadgaveer9gmml.cam I ; STORAGE EJ sR/co MECH. RM, BR 1.5 12.8' 3' 121 SF sm/co i tl ( 041E 02/07/2021 i I ME, 3/16=1'-0' KlfOfNME ," SMOKE AND CARBON AS—BUILT 0 NO cooinic /� DETECTOR COMBO WITH BASEMENT BATTERY BACK—UP PLAN ° RE ; i EGRESS W,W IE wllWELL AS—BUILT BASEMENT PLAN �� A-100 SCALE: 3/16 = 1'-0" vxc•NO 9� TOWN OF S UTH LD PROPERTY RE , ' STREET VILLAGE i DISTRICT SUB, ' LOT - i FORMER OWNER e1. i ACREAGE f �6 Sir, - W TYPE OF BUILDING -, - e„ RES. SEAS. VEL FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 - � � I I '-' I s t tr AAE _ BUI RINGGO( IT1.ON� _ u ,1 1 EW ` SAL _OW ABOE FRONTAGE ON ATIsR � _ , � ' . L m �' Vju _ FRONTAGE ON ROAD = Tillable 1B.UL��,D e «. .i ' fr,_ - _ �. Tillable 2 i o ' D `� `� s s � _ �. Tillable 3 Woodland keni Swampland _ [ 1:7,/ - , - Brushland 3 _ g House Plot I 3 1 Tota E f s OT _ s ;moi 7-41 t saw mak. _ 78.-8-17.1 3/12/2021 �3 CN NA. i Bcsementt € d cr � � WIg � � au; _ Fire Place F ` - Porch RType Porch Rco.,. iso Floor Patio Ol rr s 2nd floor Garage DrivewayOt - _ 4 e e 77 t F SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET _�.; VILLAGE. DIST SUB LU i -' ACR. REMARKS TYPE OF BLD, i a� PROP. CLASS • �ti LAND GIMP- TOTAL DATE - mx i i FRONTAGE ON WATER HOUSE/LOT Ll j BULKHEAD s TOTAL 410 Town of Southold 8/6/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41322 Date: 8/6/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 1700 Cedar Dr., Southold SCTM#: 473889 Sec/Block/Lot: 78.-8-171 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/17/2019 pursuant to which Building Permit No. 43938 dated 7/9/2019 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: one Tamil ..dWqLin with un finish l basement coverred orc. dec ria ,,2cr h with roof deck and outdoor shower a PPAW for. The certificate is issued to Scott&Patricia Paskewitz of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-14-0018 7/31/2020 ELECTRICAL CERTIFICATE NO. 20-66466 8/3/2020 PLUMBERS CERTIFICATION DATED 1 7/10/2020 tan Plumbing Inc ___ ri Signature F04 Town Town of Southold 1/30/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41798 Date: 1/30/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1700 Cedar Dr, Southold SCTM#: 473889 Sec/Block/Lot: 78.-8-17.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/30/2020 pursuant to which Building Permit No. 45154 dated 9/l/2020 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: fiMlace/diinuic addition and fin ilt d laa tn.ent�tr:uc in r r t�<�ars�r�(arn it gt lam i .,-g9q i - clgm.au tz°oaarrt,to p xisting_eane fanail dwelliat as a 1� r,� p The certificate is issued to Tatelman,Jacqueline&Scot of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45154 10/13/2020 PLUMBERS CERTIFICATION DATED 10/9/2020 ma ' Plumbbt nc. -------- .... .t . ;._ Signature .............................. ........... Town of Southold 8/6/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 .............. ...... CERTIFICATE OF OCCUPANCY No: 41323 Date: 8/6/2020 .......... THIS CERTIFIES that the building IN GROUND POOL ... ....................... ..... ......................... .... . Location of Property: 1700 Cedar Dr, Southold .............. ....... SCTM#: 473889 Sec/Block/Lot: 78.-8-17.1 ........... Subdivision: Filed Map Na Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/12/2019 pursuant to which Building Permit No. 44545 dated 12/20/2019 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: Aqccssoajq o id swimming pool fenced to cc-deas4pp-liedfor, The certificate is issued to Scott&Patricia Paskewitz of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 20-68295 7/23/2020 ............ PLUMBERS CERTIFICATION DATED u Signat re jjt .%00""� TOWN OF SOUTHOLD o - BUILDING DEPARTMENT TOWN CLERK'S OFFICE IF SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE.SET OF APPROVED PLANS AND SPECIFICATIONS U TIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45034 Date: 7/27/2020 mm Permission is hereby granted to: Paskewitz, Scott & Patricia 29 Brixton Rd _................_www_._�___..��._.�.._.�............................._�w� _.._�..w....._................, _ Garden Citi/, NY 11530 �. _.W_ww.__........ . __.. .._._........_........._.......ww._. .. _..........._ _...._........ To: construct deer fence as applied for. At premises located at: 1700....Cedar...Dr, Southold.�.....�.._......._mm�._.. �.�......._..__m_...�w�w_..w�.�....._.._.... . w_..__................_ ..__. SCTM #473889 Sec/Block/Lot# 78.-8-17.1 ._______.___.� .. .ww..........� .....w................w_......mmm.,_�wvw _.�....�w_.._.._.._ �.__..._........_..__�w�w�w�.w._._ ... ..._..._...�..w.w.__. ._..M....m.���_ Pursuant to application dated . 7/16/2020 and approved by the Building Inspector. p To ex ire on 1/27/2022. Fees: ___._..._..w ... DEER FENCE $75.00 Total: $75.00 Bu for