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Home My WebLink About1000-126.-10-13 of SOO TOWN OF SOUTHOLD Rental Permit 1512 Owner: Druck Family 2024 Irry Trt Occupied as: Single Family Dwelling (Front House) Located at: 7125 Great Peconic Bay Blvd Laurel 126.40-13 Maximum Permitted Occupancy: 4 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: 07/10/2026 Expiration: 07/09/2028 c�� meet Official Notice must be posted by the main entOnceall ti PAAf) Dn3 (9 q4d TOWN OF SOUTHOLD—BUILDING DEPARTMENT _Zh�P N Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 b Www.sout(jqldtoWRn Zoy DE C E " E RENTAL PERMIT APPLICATION J 1.)N 2 4 20(.')6 1 D Rental Permit Fee $300 (Application must be renewed every two years) Building Department Town of Southold Section A. Property Information: Rental Pro erty A re Ky Tax Map Number: 1000 SECTION -BLOCK 0 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 011 Telephone Number (s): Daytime(09(- -7qT-rrEvening Vi/,`-"q9-'rFm'ergency_L�t- Property Owner Email Address: MkAroc�,- Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: �� -� Ew-6o.,kc For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: eL t� � m 913 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) certify under penalty of perjury, the following: 1. I 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: U Property Owner's Signature: Sworn to before me this 4 day of , 20294 Official No ary Public Signature and Original Notary Stamp CH B BONDARCHLIK NOTARY PUBLIC STATE OF VFW YORK Registration No of BC)ow%4 Qualified in SutFolk Counww h4�Cemmtscion Expirer page 4 Of 4 k� ` Y j OV1P"IV Off` SOlJTNO D �JILD�NG DEPT. Coo 631-765-1802 , llm .l,% rr.CTIU' N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL Aaj t ov, Or DATE � INSPE TO 1 } TOWN OF SO TH LD PA E Tl( rAR OWNER,,, ,, STREET VILLr�GE _ ,..,3...., SUB. = LOT FORMER OWNER I E ACREAGE i '- = r �. ., _ I W I TYPE OF BUILDING REST I SEAS, VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND € IMP. TOTAL DATE REMARKS i — r a AGE — B.U [ ING COND - _ C3N �NEW E'JIVtAI z LOW ABOVE FRONTA e ON WATER �� _L m Farm Acre I Value Per Acre Value FRONTAGE ON ROAD Tillable 1 l _ BULKHEAD/a � ' i�_ C:3 _ Tillable 2 DOCK _- Tillable 3 �.e�"—`� �•- - - Woodland Swampland Brushland House Plot ( �_ � f� � = o Toto I i e a _ s = . r �ti a 126.-10-13 front of house 4/07 t :z _ 126.-10-13 rear of house 4/07 _ M. Bldg. g Foundation Bath Extension os B ement Floors Extension s - iln t—e-n or F'n'shExt. Walls � -- z t , Extension EHre Place ;Heat Porch iRoof Type } Porch :Rooms 1st Floor Pogo - n - r y_ t = ,Rooms 2 d Floor 'Dormer 1 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . Z 12 411 . . . . .. , . Date . . . . . .$Pri,l .5. . . . . . . . . . . . . . . . . .. 19Q 4. THIS CERTIFIES that the building 0LAgQs;3ozy. 10Ai 1 Ag . . Location of Property 7015 Great Peconic, Bay, Boulevard. . Laurel House No. Street Hamlet County Tax Map No. 1000 Section . . .126. . . . . .Block . . .10. . . . . . . . . .Lot . . .913. . . . .. _ . . _ . Subdivision . . . . . . X . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .X. . . . . .Lot No. X. . . . . . . . . . . . Requirements for private one-family dwellings built prior to conforms substantially to the Apoeat io -Mding-Pers tAiteretofos'Filed-in-this-o€€iee-detect Certificate of Occu ancy Aril 2 3 19 5 7 pursuant to which Bvrlel" -Fm-rnit-No. . . Z 1Z 11 . . . . . . . . . . . -dated . , . . , , . , „ April 5. . . . . . . . 19 8.4 ,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 . . . . . . . . . two L)rivate one-family dwellings and one accessory building. * . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .DAMES F. DRUCK� 11 & MARGUERITE. K: DRUCK, HIS WIFE & /caer,lesaeeertenent} . . . . of the aforesaid building. CHRISTOPHER D. WADSWORTH & CATHY W. WADSWORTH, HIS WIFE Suffolk County Department of Health Approval . . . .no, Xe�reord, , , , , , , , , , , , , , „ „ , , , . , , „ .. UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . N 5 33 0 8 3 .(8/2. /. . . . . . . . . . . .. . . . . . . . . . . . . SEE 2 ATTACHED HOUSING CODE INSPECTION REPORTS. *Accessory building constructed under Building Permit 11658Z , 5/13/821 C.O. Z1.241 issued 4/5/8 . Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . .Z12 44.a . Date . . . . . .17WXAl . 5. . . . . . . . . . . . . . . . . .. 1984. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 7015 Great Peconic, BaX. Blvd., , , .Laurel. House1. . . . . . . street . . . . . . . . . . •Hamlet County Tax Map No. 1000 Section . . . 12.6 . . . . .$lock . . .2.. . . . . . . . . .Lot . , ,013 Subdivision . . . . . X. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . .X. . . . .Lot No. , X . . . . . , . » . . conforms substantially to the Application for Building Permit heretofore filed in this office dated May. 3. . . . . . . . . . . . f 103 , pursuant to which Building Permit No. , . I.1658. .Z . . . . . . . .. . ,dated . . . . . . .1PY. .13. . . . . . . , » . . . . » 19 82 ,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 . . . . . . . . . anaccessory, storage building.. . . . . . . . . . . . . . . µ . . . . . , . . . . . . . Ile certificate is issued to MARGUERITE K. .DRUCK,. HIS WIFE & (oePover,Lessee or tenentl . . . of the aforesaid building. CHRISTOPHER D. WADSWORTH & CATHY W. WADSWORTH, HIS WIFE Suffolk County Department of Health Approval . . . .not ,required . . , . . . , , . , , . , , . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . , . . .. . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33603 Date: 03/19/09 THIS CERTIFIES that the building ALTERATION ADDITION Location of Property" � 7125 GREAT PECONIC BAY BLVD LAUREL.................. (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 126 Block 10 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBE007 pursuant to which Building Permit No. 33377-Z dated SEPTEMBER ll 2007 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES F DRUCK III & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 8652 05 02/08 PLUMBERS CERTIFICATION DATED 02/20�9 GARY BUFRINS horized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33604 Date: 03 19 0 THIS CERTIFIES that the building ADDITION Location of Property: 7125 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47889 Section 126 Block 10 Lot 13 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 2009 pursuant to which Building Permit No. 34455-Z dated FEBRUARY 24, 2009 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 AS BUILT DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES F DRUCK III & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/AIT� ELECTRICAL CERTIFICATE NO. N/A P CERTIFICATION DATED N/A r Authorized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33605 Date: 03 19 0 THIS CEErrIFIES that the building SOLAR PANELS Location of Property. µ......_ 7125 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 13 Subdivision Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 30 2006 pursuant to which Building Permit No. 32472-Z dated NOVEMBER 3, 2006 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 SOLAR PANELS INSTALLED ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES F DRUCK III & WF (OWNER) of the aforesaid building. SUFMLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3875 11 24 pL CERTIFICATION DATED N/A �thorized Signature -Rev. 1/81 Town of Southold Annex 1/28/2014 P.O.Box 1179 54375 Main Road o► Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36739 Date: 1/28/2014 THIS CERTIFIES that the building WINDOWS Location of Property: 7125 Great Peconic Bay Blvd, Laurel, SCTM#: 473889 Sec/Block/Lot: 126.-10-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 9/16/2013 pursuant to which Building Permit No. 38361 dated 9/27/2013 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: WINDOWS AND DOOR ALJ-E.J�AIJON TO A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Druck III,James&Druck,Marguerite (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _w_.A r� • 1 ...__. Vv ' 1 v, t Rpm— Is ,f w ii//i /l% PA r,