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Home My WebLink About1000-31.-4-16.8 TOWN OF SOUTHOLD Rental Permit 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. 4/10/2023 Code En ment Offival This Notice must be posted by the main entrance at all times AS -i gar INSULATION/CAULKINGTOWN OF SOUTHOLD BUILDING DEPT. hs INSPECTION , FRAMING 1 STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANTI IRE RESISTANT PENETRATION ELECTRICAL (ROUGH) (FIS CODE VIOLATION PRE C/O RENTAL �£ DATE INSPECTOR TOWN OF SOUTHOLD � ;4 Rental Permit 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 tr2e t fficial This Notice must be posted by the main entrance at all times 0j,N�, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Qum BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION, APR 2021 Rental Permit Fee$200 (Application must be renewed every two yeaq) Section A. Property Information: Rental Property Address, e.1 0- 6\S 04NI 0 Tax Map Number: 1000 SECTION -BL C , -LOT.— k. SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: CA.( Telephone Number(s): Daytime 301 64J?Evenin Emergency P mergen CyProperty Owner Email Address: tk/1 I Ke + I q Al c-, Page 1ofS ALSIP Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 t Southold,NY 11971-0959 ' 1 i BUILDING DEPARTMENT TOWN OF SOUTHOLD 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): Daytime 1�� « �� Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: W 1 l` �Ckm J 0--'t `"C� Address of Authorized Agent(no P.O. Boxes):,. 5� �O�luhr Mailing Address of Authorized Agent: 1 ?V\0�0) & yXeo Telephone Number (s): Daytime.0�M its 33 Evening _ Ernergen ;L_..� Emall Address: W\kk\Gm^ W CJW Sa�(� V�- a �e 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 Town Hall Annex Telephone(631)765-1802 .5437.5 Main Road � Fax(631)765-9502 P.O.Box 1179 Southold NY 11971-0959 4u 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: F 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 . d Number of rooms in Rental Dwelling Unit: rbm N F) P rP (ar Use and Dimensions of each room in Rental Dwelling Unit: � PU Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(63 l)765-9502 P.O.Box 1179 kms, Southold,NY 11971-0959 �>gwinA 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 � \JSk r2.G�kd pov'—oec- -dw S VX,\A i3 e o r\ f X\t ❑ 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) ;11, e. k d c., o� 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 11971-0959 BUILDING DEPARTMENT TONIN 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. 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 as 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 WA da P,.V1� 202,'j Official N ture and Original Notary Stamp Us�p�s�dir25,� GEORGE C.LAZARIDEB Notary Public,State of New York No.01 t.A4930290 QualKled in Suffolk Countbj Commission Expires May 9,20 A21 Page 5 of 5 Of SOUIyO� S c/1-I # T/OWN O S UT FIOLD BUILDING DEPT. °`ycourm '' 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. :[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] INAL [ ] FIREPLACE &'CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ , ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: CIO ) DATE INSPECTORY14 4 .1 cl... o 5x ;- Bedroom #2 20.2 x 25.7 : . 26 " . Ici Kitchen 6 :Decd D�rnng �m , mnv e "g w °. .,,i...5 a '- � :.•'.,.� - Rm 44.6, VwV_ 6a9 • -7777 � 77 Bakth (l . :-' Parlor - }. 1JJ`�1 Cry 7.f x:91: x_13. :. Dovered Porch x' ��A-0� _ TOWN OF SOUTHOLD .PROPERTY RECOI. gaoa DIST. SUB. OWNER STREET LOT 4<y- vle:716?As", te ACR. REMARKS I. WOde-Ile* /I TYPE OF BLD. ,. PROP..CLAW LAND IMP. TOTAL DATE 16/00 -7 Weg oc �Al AIV wilil"Aln, �5(000 �L Y7 4. —41 W�de,1AY7 /6�2 .�> L .4 I Vg,Z Z 4 4 e -a Ll Lw- L,�46-7 -A f Ile 9M&PdA221 7�— F R ONTAGE ON'W A TER TILLABLE FRONTAGE ON ROAD' WOODLAND ........... DEPTH MEADOWLAND BULKHEAD HO USE/LOT OTA .......... SCTM # TOWN OF SOUTHOLD PROPERTY tv OWNER STREET VILLAGE D151. ;-,�,B. LOT 1 le* �<-,,zo,--,� �V)n-ft 1 k- ACR. REMARKS TYPE OF BLD. Bmf 4-16 7-7- 6 E-;,Y)o d /zf PROP. CLASS ' LAND IMP. TOTAL DATE C)C:) 3 1 1 /arja-1 FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL e ■■■■■■■■■■■■■■■■■■■■■■■■MEN / ■■■■■■■■■■■■■■■■■■■■■■■■■■■ fl en Ix ?r r xx r nu + }A S+ MMEW, Ram] ,pyy� 1 tit J:- •k.k 3��1 au.50 nd s1 to rf ^ r 4 t h �I�e MEMMEEMMEMMEMMOMMEMOMOMMOMM ■■■■■■■■EMMMU■■■■■■■■■■■■■■ Re �,x �V.�'1-,,�i t., � ate •� A�ulu,N'r,.f.w V 4�"' � k� �'. ■■■■■�■■■��■■■■■■■■■■■■■■■■ .` fS p{,3 i7 s.s'�5L�yb b„`{ {,•,+#»,x t �xr�.i,��,iFS� rrrt i 1. 1 } ..'�s � pYf+�'°� ■■■N■■■■■■■®M■■■■■■■■■■■■■■ i ■MM■■■■■■■■■K■■■■■■■■■■■■■■ undation Basement • Fire Place L Heat 'Woodstove •• Dormer a �` i■■■■■■■■■■.�.-�.■u■■■i.��.�■■iii■■■■�1■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ .. - FoundationBasement . . :. Interior Finish not . - ' Dormer Roof Solar r 4 F01, 41.41a Town of Southold 12/9/2020 P.O.Box 1179 'l 53095 Main Rd 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. 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 2/4/2020 pursuant to which Building Permit No. 44677 dated 2n12020 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 CERTIFICATION DATED -11/24/2020 VNiam Spofier Au of Signature rt Town of Southold 12/9/2020 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 See/Block/Lot: 31.-4-16.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Pennit 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: accessM.unheated pool house with sauna as applied for. The certificate isissued to Port of Sag Hbr Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL. CERTIFICATE NO. 441 5 11/18/2020 PLUMBERS CERTIFICATION DATED iz Si n ture 9, FM Town of Southold 12/9/2020 P.O.Box 1179 53095 Main Rd W Southold,New York 11971 01 CERTIFICATE OCCUPANCY No: 41657 Date: 12/9/2020 THIS CE RTIFIES that the building 1N GROUND POOL Location.of Property: 375 Kayleighs Ct,East Marion SCR M#: 473889 Sec/Wock/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 requirpinents of the applicable provisions of the law. The occupancy for which this certificate is issued.is: accessory in-round.swimming pool with on grade 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. 44.117 11/18/2020 PLUMBERS CERTIFICATION DATED -- ....._................. A r' e Signature