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Home My WebLink About1000-21.-4-5 TOWN F SOUTHOLD Rental Permit 0946 Owner North Fork Rentals LLC Occupied as Single Family Dwelling Located at 3670 Rocky Pt Rd East Marion 21.4-5 Maximum Permitted Occupancy 6 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. 7/10/2023 au!i"r-V rtf e rXmcial This Notice must be posted by the main entrance at all times ( C ��:Z 7)�3 ?01'� �20D Town Hall Annex Telephone(631)765-1802 �y ,J k� Fax(631)765-9502 54375 Main RoadWE P.O.Box 1179 Southold,NY 11971-0959 fi BUILDING DEPARTMENT in 2 7 2023 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION r Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 0,2 Tax Map Number: 1000 SECTION 6 (000 -BLOCK -LOT 1 14 SECTION B. OWNER INFORMATION: Property Owner Name: ` Property Owner Legal Address: Property Owner Mailing Address: m C, ,.- C . Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: " P � \ . Lo�✓� Page 1 of 5 r e 2 Town Hall Annex ' "; Telephone(631)765-1802 54375 Main Roads t I Fax(631)765-9502 P.O.Box 1179 yrµ f Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOU''t HOLD 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 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): 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: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 e a Town Hall Annex yN �� Telephone(631)765-1802 54375 Main Road '¢ y{ Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: �� ` �✓a I tcc .. , Telephone Number (s): Daytime veiing �alEmergency Email Address: 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: b7$'_ 'LK Requested Maximum number of persons allowed to occupy Dwelling Un ' Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Ck.1 Page 3 of 5 ru Town Hall Annex t Telephone(631)765-1802 54375 Main Road '� � 1 Fax(631)765-9502 P.O.Box 1179 kd Southold,NY 11971-0959 ijt BUILDING DEPARTMENT TOWN OF SO J'THOLD 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: 4 +41 Sworn to before me this day of �.., w e- , 20 23 � W� Official P lc Signatur Original Notary Stamp f JEANMARIE ODDON Notary Public,State of New York No.01 OD6251238 Qualified in Suffolk County Gammiasian Explrots NOVOMbor 14, 0- Page 5 of 5 Po Town Hall Annexr� � a Telephone(631)765-1802 54375 Main Road �� l Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r 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 I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold john a 5 �-r ❑ 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) 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 1 Sir Roo � M •e�ee-cam Sur R-maom Fioc r. I -m zaF --------------- 3670 Rockv Point 4t Road n a s t a s i E Proposed Plan .— - OF SJ �0.4- M. gjT- 9AVj -r UTHOLD BUILDINGDEPTP. 631.765-1882 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: o k( i L DATE INSPECTOR SCTM # TOWN OF SOUTHOLD PROPERTY RECORD_ OWNER STREET VILLAGE u SUB LOT x ACR. REMARKS =; +; TYPE OF BLD. PROP CLASS LAND IMP, TOTAL DATE , it . � i f FRONTAGE ON WATER HOUSE/LOT I BULKHEAD ------------ j TOTAL } ,J TOWN OF SOUTHOLD PROPERTY REC� ��i�f ► :.; _ � STREET VILLAGE DIST) SUB. LOT g = - ov5C K - g FORMER OWNERkuli E ACR. t 2 S W TYPE OF BUILDING n a j RES_ f SEAS VL. ; FARM COMM. CB. MISC. Mkt. Value z - ;;- LAND i IMP, TOTAL DATE REMARKS }.f v -f Y F q a � - a-. � � r c c c tt{ _€ AGE BUILDING CONDITION - . _ NORMAL = BELOW ABOVE _ Ff�RM ? Acre Value Per Value 66 Acre . s Tillable 1 3 '1, Tillable 2 �31 t � 4 M� I { �g ; Tillable 3 i � � -5 . Woodland ' . Swampland 4 FRONTAGE ON WATER Brushlondu ' FRONTAGE ON ROAD _o DEPTH House Plot �.•- �. _ BULKHEAD Total I : DOCK COLOR E s s f 3 :TRIM ,a tz, - _ , . x 21.4-5 9/11 4- t� _ E M. Bldg - /°Foundat'on Bath Dinette Extension t,a Basement - = FFK. lours .. e ,- Extension s — � =Ext. Walls Interior Finish I LR, Extension Fire Place Heat , 1 DR. 1 f !Type Roof r Rooms 1st Floor BR. Porch ` Recreation Roomi 2nd FloorFIN. B _ Porch Dormer Breezeway , Driveway Ga rag e i I f E i I Patio Total , JA5AL 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23764 Date JULY 13 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3670 ROCKY POINT ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER S-23764 dated JULY .13# 1995 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 SEASONAL DVZLLING * The certificate is issued to FEDERAL HOME LOAN MORTGAGE CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspe or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3670 ROCKY POINT RD. EAST MARION, NEW YORK r & street �uflxcIty ipa SUBDIVISION MAP NO. LOT(s) NAME OF OWNER FEDERAL HOME LOAN MORTGAGE CORP. ............ OCCUPANCY SEASONAL SINGLE FAMILY ............ .................. type ADMITTED BY: MARIA SEAS ACCOMPANIED BY: SAME KEY AVAILABLE .................. MAP NO. 10 SOURCE OF REQUEST: MARIA SEAS DATE: JUNE 30 1995 ...........— .................. ---------------- TYPE OF CONSTRUCTION WOOD FE STORIES I I EXITS 2 FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FLR. 6 2ND FLR. 3RD FLR. vm BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY . .................. FIREPLACE DOMESTIC HOTWATER YES TYPE HEATERELECTRIC AIRCONDITIONING........ NWNNYmmYYYN- ... TYPE BEAT ELECTRIC WARM AIR HOTWATER OTUER:---.---... .............. ...... ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST._ ,,,,,,.... STORAGE, TYPE CONST._.__,.......... SWI]IMING POOL...... GUEST, TYPE OTHER: ............... ------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ............... ........ .......... ........... ................——---- .......... .... ........... .......... ...... REHARFS: SOME ON FRONT BIM JOIST IN BASEMENT OPEN W me P T 122878-Z FOR ELECTRIC BEAT. INSPrCTED BY DATE OF INSPECTION JULY 6, 1995 M. BO I TIME START 12:00 PH END 1:20 PH FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217264 Date SEPT. 6 1988 THIS CERTIFIES that the building_ ALTERATION Location of Property 3670 RO POINT ROAD EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 04 Lot 05 Subdivision XX Filed Map No. XX Lot No. XX conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 12 1983 u.rsuant to which Building Permit No. 12721Z dated NOV. 2 1983 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 ENCLOSE EXISTING PORCH ON EXISTING ONE FAMILY DWELLING. The certificate is issued to MR. & MRS. LEWIS STABILE (owner, XM KX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N644241 MAY 15m 1985 PLUMBERS CERTIFICATION DATED N A Building Inspector Rev. 1/81