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1000-126.-5-3.1
of so TOWN OF SOUTH OLD Rental Permit 1379 Owner: James Abbott , Mary Ann Abbott, Catherine Abbott Occupied as: Middle Cottage (Unit 2) Located at: 8810 Great Peconic Bay Blvd Laurel 126.-5-3.1 Maximum Permitted Occupancy: 5 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 arran ing for th bi-annu I inspection. Issued: 09/24/2025 Expiration: 09/24/2027 c e f fo m nt official This Notice must be posted by the main entrant at all roes s OWN F S UTHOLD Rental Permit 1378 Owner: James Abbott , Mary Ann Abbott, Catherine Abbott Occupied as: Single Family Dwelling (Roadside Unit#1) Located at: 8810 Great Peconic Bay Blvd Laurel 126.-5-3.1 Maximum Permitted Occupancy: 7 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 ar aging fo the bi-annual inspect' Issued: 09/24/2025 Expiration: 09/24/2027 co a no ement official This Notice must be posted by the main a trance t all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631) 765-95021tt as:�f ;outlalta �n . o RENTAL PERMIT APPLICATION m,.. Rental Permit Fee$300(Application must be renewed eve � �C) 1 v5o w Section A. Property Information: tA Rental Property Address: Tax Map Number: 1000 SECTION 473;0 ,Oq -BLOCK 1-26 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: tf.4m6s Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 0114 rf- - 9 Telephone Number(s): Daytime(30 qfiF�dj Evening63f.1%g-tr2a Emergency631 3�'57�7 T Property Owner Email Address: 4 3s5j ©:e G-j2 l° Y �n age 1 Town Hall Annex � �� ��� Telephone(631)765-1802 54375 Main Road P.O.Box 1179 "y Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Vet t -3ftk 14Du-se- C 70 Requested maximum number of persons allowed to occupy each dwelling uni Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room:Rik E e ( � 1 1-k 194 7 f(nS_SC 9 o�a S� 4ivR Rental Dwelling Unit Identifier: UA)CE ##o MldnL-� ltoo C:' 2 Requested maximum number of persons allowed to occupy each dwelling unit: � Number of Rooms in Rental Dwelling Unit: k, — 9P6 P Use and Dimension of each room: -5' )rt-40 2 l.0 i R/G 2 6.4 � 8 .—; c T 01 Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 0 Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening 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): Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: nL 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. ❑ 1 am requesting a fire 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. 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) 11 1 2M&s / ` 8 z�"'C , certify under penalty of perjury,the following: Z. 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: S J 6 a p Property Owner's Signature: Sworn t 6(efore me this - day of � 20 -4 - f-1Aw, Official Notary Public Signatur and Original Notary Stamp .............. sNoraarNOWY Public,StOU of New fork * aUBuc * No.oN 'el Qu0iW art Page 4 of 4 z tEOCtIcat � + ye TOWN OF SOUTI�I D UIL. ING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANJ(FAL) RATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL CODE VIOLATION [ ] PRE C/O [ TAL REMARKS: U � 't ` tE�OD OWNER STREET __ VILLAGE _ DIST. SUB. ..._ LOT a I f FORMER OWNER N E ACR. 0 S W TYPE OF BUILDING RES. ;SEAS. 1VL. FARM COMM. CB. MISC. Mkt. Value I LAND IMP. TOTAL ' DATE REMARKS I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland I Swampland IFRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH E BULKHEAD Total ,j.,, IDOCK I MA f - 1. drat I , t TRIM I 13 w , - 3 s -_� 126.-5,3. 1 3113 - M. Bldg. GI � `�- Y � �`� -� 7 � caundation f Bath „t 2 ���- Dinette Extension , / - _ asement - Floors K. F U Extension txt. Walls 4b Interior Finish - LR. Extension ijrire Place IHeat 6/1/ DR. Fype Roof .� � Rooms 1st Floor f� IBR. z Porch t '"O 6 -creation Room 'Rooms 2nd Floor; FIN. B. } .a r r © a, 1010 ormer Breezeway Driveway -_ i i � f Garage i Patio '- i 0. B. SD I Total 44, E } f r -2, p. __FT1 COLOR TRIM t A/ r[c 4 IA t5 0-1 GAA 0,JU t04� 126.-5-3.1 3/13 M. Bldg. oundation Both Dinette 2- K ter_sc ' 0 Floors K. Extension Basement Extension t, Wals I Interior Finish LR. M< l 'Fire Place Heat Extension xzf( IV6) B Rooms ----lype Roof A- 1st Floor R. Porch -4— , Recreation Room Rooms 2nd Floor[ FIN. B. Porch ,Dormer Breezeway i Driveway Garage Patio L r, _147- 0. B. Total t o/q?, 1 P OWNER STREET VILLAGE, 7OWN OF SOUTHOLD PROPERTY RECORD CjWK1J- DIST.1 SUB. LOT TT - c - FORMER OWNER N E ACR, sz C S W TYPE OF BUILDING C- (J RES. SEAS. 1VL. IFARM JCOMM. CB. ---MI-S4G-;------mkt.-Y.Q(ue LAND IMP, TOTAL DATE REMARKS Zi Ki A� J77F 2 AGE BUILDING CONDITION NPV NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I Tillable 2 F- Tillable 3 Woodland Swampland I FRONTAGE ON WATER Brushland FRONTAGE ON ROAD 4 House Plot DEPTH BULKHEAD Total DOCK 2 .. .............. SCTM # . TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST, SUB. F z ACR. RE ARKS boo TYPE OF BLD. t4111"fr .PROP C LASS LAND IMP. TOTAL DATE FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL _ - = -OLOR m, e1\ FRIM I a Know � 3 f f f s ; F 7 126.-5-3.1 3/13 M. Bldg. r2 'y Foundation Both 1 ;Dinette {� e Extension i asement Floors 71`j j r- K. Extension Ext.Walls _ Interior Finish LR. Extension -ire Place =Heat ' /V v DR. ° , I TType Roof b/ Rooms 1st Floor BR. Porch -, G 0,°,2ecreation Roomy ;Rooms 2nd Floor iFIN. B t Porch ' dormer Breezeway riveway I I Garage Patio 1 E z O. B. E l 061 3 Total TOWN OF SOUTHOLD PROPERTY RECORD u KU OWNER STREET VILLAGE DIST, SUB. LOT FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM M. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE RtMARKS l AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre ? Value Per Value Acre Tillable 1 Tillable 2 } Tillable 3 I Woodland Swampland FRONTAGE ON WATER ` Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD e , Total [ —� DOCK , - I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . 7,9$92. . . . . . . . . . Date . . .KPQr 1l.6,. . . . . . . . . . . . . . . . . . . .. 1980. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- -Location of Property- . : 8810. PAcQuic_.Bay.-B1xd..- __. . . . . .t_ . +�"eZ,� Har*se No. Street� we rya% County Tax Map No. 1000 Section . . . . . 126 . . .Block . . . 5. . . . . . . . . . .Lot . . . . . 3. . . . . . . . .. . Subdivision . .ArAVr- P S. . . .Filed Map No. . ?,I . .Lot No. . 3 . . . . . . . . . . requirements for a one family dwelling built prior to conforms substantially to the AkkxUaOdIabA Certificate of Occupancy . . . . . �,Itr il. 23 . . . . . . . 1957. . pursuant to which . . . . . .Z9892 . . . . . . . . . dated . March .6 . . . . . . . . . . . . . . . . . . 19 8.0 ,was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . , . . .. Private One Family Dwelling with a Rental Cottage and a Building . . . . containing three (3) Living Units for Summer Rental; A non-conforming Multiple Residential use The certificate is issued to . . . . . . . . rraine, a . t . . . . . . . . . . . . . . . . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . .N/$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . ICl/.$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lei . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4/79 , FORM NO. 4 TOWN OF SOUTHOLD P.. BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CEERTIFICATE OF OCCUPANCY No Z 24750 Date NO'V°EMBER 20 1996 THIS CERTIFIES that the building T TI Location of Property B810 GREAT �PXCONXC BAY BLVD. LAURELL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section: 126 Block Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nf 6 1995pursuant to which Building Permit No. 23145-Z dated NBC moVEHIM 30 1995 wah issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is—ALTZRATIONS TO 'EXISTING SAL MULTIPLE SID ,S 3 �S AND DECK RIPAIRSC AS APPLIND FOR. The certificate is issued to JAMM R !VARY ABBOTT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #13705 - SEPTEMBER 29 1996 PLUMBERS CERTIFICATION DATED OCT. 30 1996 N PLUMING 6 BEATING- . ,. it rig Inspector Rev. 1/81 Town of Southold P.O. Box 1179 53095 Main Rd ` ry Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46520 Date: 09/24/2025 THIS CERTIFIES that the building ALTERATION Location of Property: 88 10 Great Pecdonic Bay Blvd Laurel Y 1 194 Sec/Block/Lot: 126.-5-3.1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/06/1995 Pursuant to which Building Permit No. 23145 and dated: 11/30/1995 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: Conversion of a seasonal three-family dwelling (roadside unit) into a single-family dwelling with deck repairs as applied for. Replaces CO Z-24750 (Dated 11/20/1996) The certificate is issued to: James Abbott Mary Ann Abbott , Catherine Abbott Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 13705 9/29/1996 PLUMBERS CERTIFICATION: Hometown Plrr, bin & 1- r tiri 10/ 1996 k"a",I I crth ire i nature �bo6t, 0 M e 77 ' &I t ,DI.•C use t 31 1 p � -7 c, 1 J�2 r� I r4 f J p G (�E -0JULG- F3�} Y FSKvcq � � � GL uSF t a t f e PALL, 4 �M .... I Tw .1 �` b L., 7 J—;h -1f! Ro0in S -717 e.0 ....... n An M �l 4j r q+- d �E e"'o 3� f, I 3 x I i 13 .... ,.�.�� .���..��a.ww,� ► Sot kb A Rfl,S AA - ): aw, F PROVIDE OPENING FOR - _ OFtNiNFORI!\ 3 EMERGENCY ESCAPE ES4fRGfNCY ESCAPE REQUIRED BY PART 714 OF L UtREO fly PAS RA N Y-STATE BUILDING CODE i �� � - REQ STATE olmetNA. G CO, - 's. a y k4 '.ATE:AN, NEW .0 k S I r3i• 3_ �< — r r_ - �` • xt + I t1 i'p&PLY F ?`[":HAtu�ervrr,y - f• # c� t D l ,r`,IO + ( - HaoYPe+tubing is roved # V 9 ^fi F?<2 . �3`c. i� "°j ¢- for vraer disu7buNng I � system;PlK.shall he cf types K ar E onfy - j PROVIDE IC1 ESCAPE AS C . ,REQUR4 Y R 7CODE, l ESN SBDIC# - C s f # E 8 ;' .STATEBUStD1 _ w.atas . G TES,*s BEFORE COYERrNG- �- _ `a e A eu�a � PLUMBER CERTIFICATION NTENT BEFORE a_1 xCf�ERT�GATE OF OCCUPANCY SOLDER USED tN WATER SUPPLY SYSTEM CANNNOT 11 EXCEED 2110 OF 1%LEAD. Grw14 f 3� - h g LFtti=SIG 2i 3 "< o?:, FTIi4C.1_h {{ # r r 4m�mrraft�ctxlr£ ! _ _ - - L ..� >gEEit6 E a� va EBEE- { vt£l{� � ,�-- 3 Pt life 4 fl-t[t)�CN 5 .. �yg� c I F m eF €tl't—1 11 r 4 �s FP SSHA�x4 r ,+-�_- i �4{a.,a hiarB-LaT hiJS 5+-ici�rh RE1-FR'ro r1AP OF A.L D7�n/NS . FFf • �' tAUR NY aN FILL IN T'r4 SU )Lk COUNTY x ` U,Gt�cSOPP(.I AS MAA5,NO Gl, d /t lU4NnllofnJD MtfPtl%M fill wp}nM}II� P=Co N�L... 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