The URL can be used to link to this page

Home My WebLink About1000-126.-4-14 of SOO TOW N OF S UTH L Rental Permit 1370 Owner: Mary McCrain Occupied as: Single Family Dwelling Located at: 8595 Great Peconic Bay Blvd Laurel 126.4-14 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. Issued: 09/12/2025F=. Expiration: 09/12/2027 code o ement c� i This Notice must be posted by the main entrance at all times ECEHE ,o TOWN OF SOUTHOLD—BUMDING DEPARV TL 2 4 2025 D � r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 PURding Deporfmont Telephone(631) 765-1802 Fax(631) 765-9502 l taps:// ° . out[loldt0w""Y. n OfSOLIVI i V'._C-* I 10 59 l CIL *' a s74 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Add r ss: �` I 0K Tax Map Number: 1000 SECTION R(0 -BLOCK -LOT 114 - SECTION B. OWNER INFORMATION: Property Owner Name: MariA M MCCmin Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) qD L Telephone Number(s): Daytime 7 q 1—)56 Evening - ) Emergency �t Property Owner Email Address: us ve,0oV jm Altl� Page 1 of 4 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 occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 certify under penalty of perjury,the following: 4� 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Y) Property Owner's Signature: °' orn to before me this y of (2i'11,1 , 2dS Official Notary Public SigKature, d Original Nota amp Page 4 of 4 a our µ TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 /a&- V/54 IIN S �" E C T 10 N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [" RENTAL D� v DATE ��5 _ � INSPECTOR �" TOWN OF SOUTHOLD BUILDING DEPT. 6 631-765-1802 1.2&- im p moSmml" ECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [p]�RENTAL REMARKS: troll nom In nt DATE E - � � �_ INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# _ / Date Owner C /h Phone Address 95-11 S PeA3 Visible Hamlet , Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property / Heating wilding interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: l GtA TOWN OF S UTHOLD PROPERTY RECORD CARD OWNER !STREET VILLAGE DIST SUB. LOT tti oil . FORMER OWNER - N E ACR. S W TYPE OF BUILDING RES SEAS. VL. t FARM COMM. CB. MICS. Mkt. Value i LAND IMP. TOTAL DATE 1 REMARKS ------------- a yE t } _ F a { _ F s f i f i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland ? FRONTAGE ON ROAD Meadowland DEPTH House Plot ' BULKHEAD Total DOCK I � i P . I COLOR &1/ - TRIM -zJ Aso r —AWN - - I - ; I ' F . � �I 3 Al a t r M. Bldg s Extension i - 3 3 � � i Extension { i Extension E I Foundation Bath i Dinette Porch - Basement F L) - Floors Iry K. Porch ° Ext. Walls Interior Finish � LR. Breezeway Fire Place ' $ Heat D L e� R Garage - Type RoofRooms ist Floor BR, m - - o k __ E, I Recreation Room Rooms 2nd Floor FIN. g - ` 16bj-,-bj0e..0 Dormer a Driveway Total _ I r�-2 7 4 i i ) FORM W0. 4 TOWN OF SOUTHOLD BUR DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6485. . . . . . Date . . . . . . . . . . . . .MAY . . .A . . . . ., 19.75 THIS CERTIFIES that the building located at .Peconic. 'bay. Blvd. . . . . . . . Street Map No. X=. . . . . . . . Block No. . . =. . . .Lot No, A= - -LA tre1. . .17 rYo. . . . .. . . . . . . conforms substantially to the Application for Building Perinit heretofore filed in this office dated . . . . . . . . . . . . . Nb. . S., 197.5 . pursuant to which Building Permit No. 771.67. . dated . . . . . . . . . . . . .'qb. . .1.Q. ., 19.75., 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 . P.rivate. aUe.family. .dWO11ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . The certificate is issued to Dominja .&. Karghertta.. . .denatare. . . . .Ownars. . . . . . • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . May. . .7. . 1.975• • by-R., -VI. 1a UNDERWRITERS CERTIFICATE No. . . .W .2243t4. . . -May. . .13. . .1975 . . . . . . . . . . . . HOUSE NUMBER , 6595. . . . . . Street . . .P(-,conic. J3ayr. kilvd. . . . . . . . . . . . . . . . . . . . Building Inspector FORM lNO.4 TOWN Of SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy 87 No. .Z ]5 7. » . . . . . . . Date . . .3uly . 17:. .19. . . . . . . . . . . . . . . THIS CERTIFIES that the building . . .gad i t i.o.n x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . 8595 Peconic Bay Blvd. Laurel House No. .Scree c »Hamlet County Tax Map No. 1000 Section . . .1.? . . . . . . .Block . . . .4 . . . . . . . . . .Lot . . .1.4 . . . . . . . . . , . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . Jun e. 2.2A 19 8 7 pursuant to which Building Permit No. . .16.19.I.Z w . . . . . . dated . . .J u. . . 8. 1987 . . . . . . . . . . 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 . . . . . . . . . .. . . ..ck, addition to. .an. existing one family dwe1IingN F . . , . The certificate is issued to . . . . ,DOMINI. . & CARQLY. SENATORS . . . + µ µ . . µ µ . + (owner,& µ )6K r. �VX of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . /A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED:__ N/A _a r ilding Inspector k Rev.1/81 0 pow, r� 1 I� f ' � I�IIv4 I fj t / / j III U6 Daum i u; l /� ul /J / III �i r/ ,w 4 t! �� //i.�1r r rri y),N;r�I�//rri%/IJ,ri�' �ir%1JJl) y l�lll�i,l f a ��G��ICIr (��CC��I��t� /.� ,��.. r r' ' � ";�il��,!!I'��I��I�I�IIIIIIIIIIIIIIIIIIIIIIII /�j�� '� rororrro r ................ .. 4 �� z � � u . �, ��1 �� `�`� i�°R ,� „� ., . .,�. �� / ��I �IV��(�f� � �f� ��/� �t `� /� fig ��//�� i %/� /, %i� �j � f , �� i � I r /////!i/%%% /�� i i� rfr'J 1��1 � �� Ili,,, I /// �� ` �' �� / � III � � r/ r��r% � , u°ul�l�� i % � 'r��' i//�ii/ iii �iii �� r/iiii��iai �� IIIIII � �i�a�; i ,��io If �Iffliii �, ��j .,,,,,��t.. ��,"i ��//�i/� ; i/�i/%%„ i,,,,, ��,/, ��l l�f �li�,��,,,, �� i„�i/% �fi ,(