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Home My WebLink About1000-86.-1-4.11 HIS; TOW OF SOUTHOLD C� Rental Permit Permit No. 0002 Owner Brian & Marilyn Flanagan Occupied as Single Family Dwelling Located at 390 Shore Lane Peconic 86.-14.11 Address Village S/13/1- Maximum /B/LMaximum 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. 3/4/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD � MIR; Rental Permit V Permit No. 0002 Owner Brian & Marilyn Flanagan Occupied as Single Family Dwelling Located at 390 Shore Lane Peconic 86-1-4.11 Address Village S/13/1- Maximum /13/LMaximum 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. 3/4/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex � , �` Telephone(631)765-1802 ,� it j�lf , 54375 Main Road ; �¢ Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 �rt ",- � �II � ,,p BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION FEB 1 9 119 Rental Permit Fee $200(Application must be renewed every two years) T. Section A. Property Information: Rental Property Address: 10 Shure- 4Gne-, j��ranW� lk I17IT Tax Map Number: 1000 SECTION V606 —BLOCK- 100 JOT SECTION B. OWNER INFORMATION: Property Owner Name: b1-L RctrLa p!t `1- M4►-t j=(cct� a h Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) filerl'c�c� Telephone Number(s): Ert4n & 3! -X79- 7 1*1_1 &31-P77-7-:06 Property Owner Email Address: Y`I �F(a1 . �+ • f eQ�� i� C°(!!'j'1 B d _3 -� �_ q_� l,�- Page 1 of 4 Section C. Authorized 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): 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): 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): Email Address: Page 2 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: AicicnJunp 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 NYS licensed architect, a NYS 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. am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 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 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: Arai M Property Owners Signature: f Sworn to before me this I day of �brL,?C1C 20J 9 Official J tary Public Sign Lure and Original Notary Stamp MX'EY L., D NOTA ny PusiI....N �STATE Q='NEW'fbft Page 4 of 4 NO.,01 II:M630 90th UAIIPSV' NDN FOLK COU110Y COMMON EXIFIRES JUNE 30„Q °;k. Town Hall Annex q� ° Telephone(631)765-1802 54375 Main Road �? Fax(631)765-9502 P.O.Box 1179 ��k � Southold,NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SO OM RENTAL PERMIT APPLICATION ADDENDUM �1 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: Ljvla'tr� C /6' p 1Gt�.� °7ue15.lo 7� � - b-en .7. zl &m-A,00,5 v 35-6e'I-h p/l.rx 5 tz�-g a !c5 Ila roYre-r- 1A.(-y-Iy 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: 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: �10 S6r(?.,- �qra,, pecen it •q:yp ` TOWN OF SOUTHOLD BUILDING . „ dP7654802 ll��14SPEC TION 1„ 11 IIll::::' III*IIC TIIST lf °� P111 „ w III I""` IIS 7llll Illi) UNSUll......ATION IIC I:::--IIII° Jl i UIIMG 1`11AIll:::V91INGIIC III IIII°°� IIC IFIIIIIIPlEIPllll,,,,,,AGIIIE, & G111°°IIIIIIIIII IIC IIP°'III IIP F::111:;;;; lllI""Y 1114SIF)EC"'I"'I III.. ;III IIP°°'HIRE II III "'m III r cams rlRuc"'1 111 III' IIC IIF::11 E, II II ', III "'r "'III"' II121:111.;IIP "'rII "'1111 II` 111 llf;;; ""IIII""IIP: III' IIL..... (IP° GIIC IlfiiiilIIII„II ; ”"IIII"'l11l3IIP IP...... 'VIIIA III ;IIICODE V10111,,,,,,Al,I G IIS IIC. CAUI,,,KING ....._owl. ......... . vpw t....... ..................... ................ ........................................... �DATIE TOWN OF SOUTAOLD BUILDING DEPT. 765-1802 :2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL I l FIREPLACE CHIMNEY; [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE%RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O A p r 27 04 04: 04p .. . (� : . wr p. 3 24-1911 w "» rou ca Tr 2642, -iia-z 7a vy ..a NL N 111 44 xe � c J !C. +s.r "^� Y� 6 t9' wr,» �X- 4,� wY W n n *� N x „ F a c� � w. tuY _ K h _ atiD ��oq n zx4 cT �'cry rs I y 2'0 dol QGr _ �X-N. 2x� R/z (Ca �cG G 1 N S�•T f+T " S'-a'lee. 0 o. Zx/v N Rpr 27 04 04: 04p p. 4 ca oSZ < 7'hIo- � � rr� ._°�. .I •. a�� tl�ltl ,�•2acro9-1�,, '�- Tf,o,lS+r A" %•Y I Cn�loll tll fr��.on Q G v FCe o� o1141 _ ...... c XX �P 1 Ilk q� 11.8,, t.p ca o �_ •r e i,� dreap �Y i � Q �o n � Imo"- T� :o t.J pl rJ r.JG , x' pz vCD c, �•+r F °'tri _� _— N s � t F_ r r� N 2 x lv F-1 I(-14a a 0 8d lip's ----------------- -,Pug L� w� . . . g � r1 Uao (low" . � KOA . ..... e 13 J r'�d 131 f� c-�f , ........... i 1 � tl ao�r �wR2� j►z�b � _�f � 1111 1 �u"r 1 Parcel ID: S1000-086-00-01-00-004-011 County: S Property Address 390 Shore Ln Carrier Rte: R001 Peconic11958-1748,NY Census Tract: 1700021001 Loc: Southold Town District: 1000 Block: 100 Tax Unit: Section: 8600 Lot: 4011 Additional Lot: N Owner Info: Do Not Call: Y Mailing Opt Out: Owner: Non Owner Occupied: Y Owner Addl: Mailing Address Company: Schembri Homes Inc 22 Magnolia Ln R002 Own Ph#: -Miller Place, NY 11764 1826 Ownership: Taxes Assessments Market Total Value: $925,926 Lot Description Tax Class: 473889 Land Value: $800 Acres: 0.48 Taxes: $12,964 Imp Value: $9,200 Lot Sqft: 20909 Tax Year: 16 Total Value: $10,000 Lot Frontage Ft: 0 Exemption: N Assessment Update Date: 11/20/2017 Lot Depth: 0 Data Update Date: 4/03/2006 Irregular: N Schools SD#: 380 Southold State School Code:473805 Property Characteristics Property Characteristics -Property Class: 210 Single Family Residence Style: Land Use: Single Fam Stories: 0 Year Built: Property Indic: Single Family Residence/Townhouse Baths Total: Ext Walls: Garage: Park: Fuel: Pool: Ground Floor Sqft: Univ Bldg Sqft: 0 Sewer: Water: Deed Info Property Characteristics Deed Date: 1/09/2001 Sold Price: $266,000 Mortgage Recording Date: Deed Recording Date: 1/26/2001 Grantor: Cummins Robert E Mortgage Amount: Deed Book/Page: 12099/148 Lender: Multi APN: D 2nd Mtg: Sales Deed Categ: Grant Deed Historical Deed 1: Historical Deed 1 Deed Date: Sold Price: Deed Recording Date: 3/04/1998 Grantor: Deed Book/Page: 11881/580 Grantee: Multi APN: M Sales Deed Categ: Grant Deed Mortgage Amount: Listing History ML# Style Rms Br �Bth Status Price List Date Exp Date Title Date DOM 1606262 Victorian 8.0 4 .5 EXP $725,000 04/19/2004 07/25/2004 t r a� Prepared by:Peter Castell)and Marilyn Flanagan Exit Realty Achieve (631)543-2009 bethehousethatpeterscld@gmail.com(C)(631)874 7506 and Marilyn Fla nagan,Realtorpi")qmM cam(C)(631)879-7506 02/09/2018 2:55 PM Inrorm0-a+poy*y by third parties and not by 41ul:`p111 List g S +�exf C .7ldarq.lnc. infonn b-Copyright 2018..Multiple Listing 5arvice of Long Island,Inc FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30547 Date: 11/12/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 390 SHORE LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 4.11 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 31, 2002 pursuant to which Building Permit No_ 29110-Z dated JANUARY 16, 2003 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 SINGLE FAMILY DWELLING WITH TWO CAR GARAGE, WRAP AROUND PORCH & 'REAR: DECK AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES INC (OWNER) of the aforesaid building.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0016 11/04/04 ELECTRICAL CERTIFICATE NO. 4326 07/26/04 PLUMBERS CERTIFICATION DATED 02/09/04 CHARLES SANBERI �",,.�.� ut�h�o'ri e Signature Rev. 1/81 TOWN OF: SOUTHOLD PROPERTY RECORD CARD Mel OWNER STREET VIL1- Gla DIST. SUB- LOT I 7, FORMER OWNEh N - E- ACR. kW TYPE OF BUILDING _ ,� RES. SEAS. VL.—_ _s.FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL. DATE REMARKS - - d 0 e 9 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Y Total R TRIM Gv� 1` e - - t i 86-1-4.11 2/04 , x --H4-H =1V _ Extension 5� I - _x Extension Foundation Bots Dinette Ione �? Basement •1. Floors K. Porch Ext. Walls Interior Finish LR. , . C471 X aid - Q Fire Place Heat DR. 5 �" T e Roof Rooms 1st Floor 8R. Garage x 1 _ 8�� Type Patio Recreation Room Rooms 2nd Floor FIN. B 0. B. - - 1 Dormer Driveway Total AL KT; VkL. AtT f o,3m