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HomeMy WebLinkAbout1000-111.-4-19 V so TOWN OF SOUTHOLD Rental Permit 1534 Owner: Daniel McNeill , Sophie McNeill Occupied as: Single Family Dwelling Located at: 710 Old Menhaden Rd Cutchogue 111.-4-19 Maximum Permitted Occupancy: 8 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: 08/24/2026 Expiration: 08/23/2028 €nt Official This Notice must be posted by the main ent ce all tim s 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) 765-9502 Itlt.s:/ NN,w ,,sotttlt ldtoAN ni,. oA, RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every two bears) n n Section A. Property Information: ae atd1 + P Rental Property Address: -town Of southnld Tax Map Number: 1000 SECTION ltl .oo -BLOCK 04. On -LOT 001. - boo SECTION B. OWNER INFORMATION: Property Owner Name: Sc>49ME 4t_j&L_ Kc NE'LL Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) t't f2s41.1 AE c lZ %-I ff_Wk G" 20"► l�N 4 LA vt Lo tJb.0 p%j t.l$ LA-I L4 , K- Telephone Number(s): Daytime{I q(1 Sqo Evening Emergency 44 "7 S " S1-)Z2.9 4ogS Property Owner Email Address: • . .(� Ka<< • ��-� Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: SC Hf(gL Address of Authorized Agent (no P.O. Boxes): 5�- ff S S Mailing Address of Authorized Agent: SA-Me Telephone Number(s): Daytime *( 51�4 12-Evening Emergency 5A MC Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N ( A 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: PJ A< 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: 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, 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: `Ito IDS M wV*Ab. Requested Maximum number of persons allowed to occupy Dwelling Unit: 0 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: f-1 t 111 x 121 {Ca"aC"� ;a �11 1' 1 1 JI.7�tr1 8.6,4�aMz I rwl� Z0Mk I to Z 9 X W I I� I4Ix1b 10'i I r I IaN�NC'f M 141�121 �k Mc '� 4 t�8N M i 10 UrnL1+M (ZM l3'x c.' k 11eG ��� I►Ix 151 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 !a 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) I DA%.iV--L- 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 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: ) Property Owner's Signature: Sworn to before me this day of (T-�2 20 Z6 EMMA LEADEN Notary Public-State of New York Official NotaryPublic Signature and Original Nota Stamp N0.01LE0049174 g g Notary p Qualified in Suffolk County My commission Expires Apr 22,2030 Page 4 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) ,O e 1wt r ;+'AL- 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 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: 1L'(- h Property Owner's Signature: 5q�e4 *-" s k B R SZ4Sw m day of 20" 4 '• . rON" icial re and Original Notary Stamp «, . Page 4 of 4 cb TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 1 N S �" E C T 1 � 1N [ ] 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 (FI [ ] CODE VIOLATION [ ] PRE C/O RENTAL TOWN OF SOUTHOLD PROPERTY RECORD LpI�I� OWNER STREET VILLAGE DIST. SUB. LOTaf� i, G� 0 a, FORMER OWNERS N E _ AC�R(./ �+tr se `° S W TYPE OF BUILDING RES. , L. FARM OMM. CB. MISC. Mkt. Value ]SEAS LAND IMP. TOTAL DATE REMARKS Liz- . >` z o i On F _ � 4 AGE BUILDING CONDITION0 NEW NORMAL BELOW ABOVE , .� � = FARM Acre Value Per Value ` Acre t m' Tillable 1 Tillable 2 Tillable 3 _Woodland Swampland 'FRONTAGE ON WATER Brushland !FRONTAGE ON ROAD 3 - House Plot DEPTH - MEKD Total ? DOCK l e _ :OLOR 3 f- j $ E I x " — . yvy 'RIM— ` I ; 1 r s ki , I t ` x l t 4 # c 3 I E £ x E --_ -- LL t-1 N 111-4-19 3/03 ? I � I = L i M= Bldg. ;7 _ 5 Foundation Bath J Dinette Extension ss 7d j /� ;� ' i ?r Basement \� Floors K. f 1 J Extension I --� xt. Walls v R. `I l g r> =Interior Finish P ILR. 3 I ! re ace Heat � D?_ -1c` A I a [�+� ;�Extension i i Pl I Type Roof 'Rooms lst Floor 'BR, n rh \ � �� P x x roh �, _ ! f /� �-a f_ recreation Room` !Rooms 2nd Floor FIN . B. Porch Dormer ( ; B a x Z 5-7 driveway I i Garage / -3'30 1 ZC? = g { i � �o �=l QED .a5 E0 — ��� �1 ':3x � � 1 Total I E FORM NO. 4 b TOWN OF SOUTHOLD BUILDITIG DEPARTMENT Office of the Building Inspector Town Ball k Southold; N.Y. CERTIFICATE OF OCCUPANCY Not -30036 Date: 02/20/04 THIS CERTIFIES that the building NEW DWELLING Location of P oiaert-r:• 71.0 OLD ME� EN RD, CUTC-HOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 4 Lot, 19 Subdivision Filed Map No- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 2002 pursuant to which Building Permit No_ 28337-Z dated RIL 30 2002 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 01gE FAMILY DWELLING WITH COVERED FRONT PORCH SIDE PORCH WITH DECK A07'E A"TTACHED 07E CAR G GE AS APPLIED FOR. The certificate is issued to ANTHONY F & SHEILA B SEVERINO (OWNER) of the aforesaid building.. SUFFOLK COU= DEPAR W OF HEALTH APPROVAL RI O-0 0-0 0 82 PZ1O 04 ELECTRICAL CERTIFICATE NO. 1072357 12/13/02 -PLUMBERS CERTIFICATION DATED 1.2 0 02 PECONIC PLUMBING & HEAT Q A ho zed Sgrature Rev. 1/81 gytEtlt f� Town of Southold 10/24/2017 P.O.Box 1179 53095 Main Rd AAA Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39306 Date: 10/24/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 710 Old Menhaden Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: H L-4-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/15/2015 pursuant to which Building Permit No. 40110 dated 9/23/2015 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: ACCESSORY I-N-GROUND SWDAMING POQL.FENCED TO CODE, AS APPLIED F LR, The certificate is issued to McNeill,Daniel&McNeilI,Sophie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40110 05-10-2017 PLUMBERS CERTIFICATION DATED A th t' Signature. _ww of$00r��� Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47248 Date: 07/28/2026 THIS CERTIFIES that the building GENERATOR Location of Property: 710 Old Menhaden Rd Cutchogge, NY 11935 Sec/Block/Lot: 1.l l.-4-19 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/14/2026 Pursuant to which Building Permit No. 52864 and dated: 04/14/2026 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: Accessory generator as applied for. The certificate is issued to: Daniel McNeill , So hie McNeill Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52864 7/20/2026 PLUMBERS CERTIFICATION: n ri ed S ature --------------------r------------------------� / / | / / ...............................................................-- ----------------- ----- ........................... 5MOKE DETECTOR COMBINATION 5MOKE AND CARBON MONOXIDE DETECTOR HEAT DETECTOR .. .............. ............ "F- 777, r EAT-IN AREA EXIST- PORCH IE I 0.0 L L 77�7777 EMMA= --- KlTrHEN RENO, .......... , -, . �L- :mmr-- Mmr -----------T--q� r 7.77 _7 CLOSET 0 E 7 EXISTIN6 rOYER EX15T. ........... 6ARAC?F Exr,T. . ................... ------..... ------- ........................... .. .............................. wwwww .... .. ........ = SMOKE DETEGTOR GOMBINATION 5MOKE AND GARBON MONOXIDE DETEGTOR & = HEAT DETEGTOR F --U N.m ..macs. B9 EEQ. µ enI.coNr RENO, ,"'r o NRENQ- _.. _ ... u::,_. ww........�.� T/!I as ... �7C15L NAL1: � ' V P o S ' ANI A-3