The URL can be used to link to this page

Home My WebLink About1000-31.-4-16.8 TOWN OF SOUTHOLD Rental Permit a 0425 Owner Michael Taylor Occupied as Single Family Dwelling Located at 375 Kayleighs Court East Marion 31-4-16.8 Maximum Permitted Occupancy 10 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. b 4/29/2021 de E orce e t fficial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD ,REN` L PERMIT APPLICATION, APR 1 2021 Rental Permit Fee$200 (Application must be renewed every two years) Section Aa Property Information: Rental Property Address: 6\s mckrl CA Tax Map Number: 1000 SECTION - -13 k,- -LOT. SECTION B. OWNER INFORMATION: Property Owner Name: . .! Property Owner Legal Address: Property Owner Mailing Address: 37Y V-Nlelk 1- - f 7s Kc\-"df( G+- 11 10C Telephone Number(s): Daytime 30.111.4 S?Evening Emergency Property Owner Email Address: Ll 1 VV-\ - Page 1 of 5 r ' Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: ear Name of Authorized Agent of dwelling unit, if any: ()CAG C,+N 0 Address of Authorized Agent (no P.O. Boxes)-; Mailing Address of Authorized Agent: Telephone Number(s): Daytime, I� �(e� �� 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): re Mailing Address of Authorized Agent:., 11_`� V - \¢7�� d�, & �h 0_ � t•'y Telephone Number(s): Daytime,01 Mf;s .Fuelling_ ________,Erhergen r � � Email Address:., WOtGv%,\ W ct1�r� �t co A 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):: Page 2 of 5 �m Town Hall Annex Telephone(631)765-1802 .54375 Main Road CA Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 971-0959 ro BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening_Emergency:: Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 4 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 d q p PY g Number of rooms in Rental Dwelling Unit: I�Z��rom `"' . f �) P r 6, Use and Dimensions of each room in Rental Dwelling Unit:, K'�- �-o x � pl� Page 3 of 5 Town Hall Annex ri 'telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 coumi BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 J vSfi k e—cAkj NOV-0e(. ILdW 5 V\.1A lie ori f XVe ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) E c e d e� od 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 Page 4 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09.59 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. I 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:: ( &6A 1�4 IV Property Owner's Signature: Sworn to before me this TA da ,202. 1 Official N ture and Original Notary Stamp vcAqcsSeddV-253& GEORGE C. LAZARIDES Notary Public,State of Nevv York No.01 L.A4930290 Qualified in Suffolk,County Commission Expires May 9,20 tel, Page 5 of 5 �o��pF SOGIyO� ��K, IS` S CT 4l" # # TOWN O UT HOLD"BIJILDING' DEPT. °`ycourm ' 765-1802 '�(,�'L j — 16st INSPECTION [ ] "FOUNDATION 1ST [ ] ROUGH PLBG. :[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] INAL 4y.,q 4--, [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ° [. ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: CIO ) ��- DATEAil-I I-W)lf INSPECTOR Bedroom #2 20.2 x 25.7 i x k C k � t � 3 .L < v, .. d. 3 r Z v t Deck 'Dining rn� Kitchen a., • �. � ,, �"'�' [ � - � - � �� ° � ° ,. � antryy Bch Bedroom #1, 5 X 40 stet"' Ren 14.5 X 9.7 29.5.,x 16.0 40 Living Fpm - r OP �lIX9 Poor WIC . 7: : i X9.5 X" ' 11.5X9.6, ° . " • Covered Porch ® Svcol'-2 Cin C pf-�tC- O - TOWN OF SOUTHOLD PROPERTY RECO OWNER STREET VILLAGE DIST. SUB. LOT Y'r /77 � , cl e ill�alal','5 ACR. REMARKS /f AL ref TYPE OF BLD. PROP. CLAW ell-k LAND IMP, TOTAL DATE -5�/91-Z- IZOO 0,166dS 4c"f 157(occ) Lq)2oey7 �Ah/ 69- 12 L A17 L J'a eA e Lb ij- L V,g,Z �2 I?eA- ti tit s w4 13 P#- SAUo f�prxoes a P A�391 1?1,311 $fl-*-'q,I r'�— in FRONTAGE ON WATER TILLABLE .......... FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLANDI BULKHEAD HOUSE/LOT ITOTAL 0/74-1 SCTM # c;c-)- TOWN OF SOUTHOLD PROPERTY OWNER STREET VILLAGE DISI B LOT d'420n,,. i0mdS L-Z# t-!,29-01,�L ��r, /Ncx-, ACR. REMARKS A-Llo-R a4V1-t'VCAIIff'JIA tfLQ,i-0 -1* 0� TYPE OF BLD. PROP. CLASS \ 0 LAND IMP. TOTAL DATE a I tc� J-02-1 FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL 5r �. g14 �� i 31-4-16.8 1/02 BIdG. 1-7 X2�, 2>? 375 undation Pc Bath i Dinette Extension ` Basement CRAWL Floors Kit. ExtensionExt. Walls Interior Finish L.R. t 1 X z2 = 2 4.2-, _ ., Extension �r Fire Place Heat vn D.R. / Patio Woodstove BR. V/ Porch Dormer Fin. B. Deck Attic Breezeway Rooms tst Floor Garage -ZO 25 5p Driveway Rooms 2nd Floor O B. ' Pool -- a w " COLOR �r ® �� 0 TRIM ■ ■ f 31.-4-16.8 3/18/2021 O 0 I tv`- SQ. FT. Fin 'B" 1st Floor 2nd Floor TOTAL yon-- M. Bldg. X tt t �wdU * d`j � 5 tS -- —Foundation "��D CB I O a OTHER Bath to Dinette Extension LA o r } uLL COMBO Basement SLAB PARTIAL Floors Kit. Extension \ x a b 3v Finished B. Interior Finish L.R. ✓` Extension y _ FP/WBS Neat D.R. Garage I -� � �A C) Ext. Walls _ BR. Porch Dormer Baths Deck/Patic C) RoofFa m. Rm. Pool Q So C) Solar Foyer A.C./GEN Laundry - ----- 0.13Library/ Study Dock Pz�V g'� oO " Ft Town of Southold 12/9/2020 P.O.Box 1179 53095 Main Rd y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41655 Date: 12/9/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 375 Kayleighs Ct, East Marion SCTM#: 473889 See/Block/Lot: 31.4-16.8 Subdivision: ]Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/4/2020 pursuant to which Building Permit No. 44677 dated 2/7/2020 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: one family dwelling with unfinished basement, covered front porch and rear on grade wood deck as applied for. The certificate is issued to Port of Sag Hbr Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL Ref #20-00071 12-9-2020 ELECTRICAL CERTIFICATE NO. 44677 11/23/2020 PLUMBERS CERTIFICA`T'ION DATED 11/24/2020 VNiani Spo er a Au o Signature Town of Southold 12/9/2020 0.- k P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41658 Date: 12/9/2020 THIS CERTIFIES that the building POOL HOUSE Location of Property: 375 Kayleighs Ct., East Marion SCTM#: 473889 Sec/Block/Lot: 31.-4-16.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2019 pursuant to which Building Permit No. 44145 dated 9/9/2019 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 unheated pool house with sauna as applied for. The certificate is issued to Port of Sag 14br Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL, CERTIFICATE NO. 441 A,5 11/18/2020 PLUMBERS CERTHFICATION CRATED utho iz Si ture F04k47 Town of Southold 12/9/2020 P.O.Box 1179 53095 Main Rd Southold,New York 1.1971 CERTIFICATE OF OCCUPANCY No: 41657 Date: 12/9/2020 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 375 Kayleighs Ct, East Marion SCTM#: 473889 Sec/Plock/Lot: 31.-4-16.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2019 pursuant to which Building Permit No. 44117 dated 9/3/2019 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 in-ground swimming pool with onrg ade patio fenced to code as applied for The certificate is issued to Port of Sag Hbr Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44117 11/18/2020 PLUMBERS CERTIFICATION DATED A or' e Signature