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Home My WebLink About1000-31.-7-12 TOWWOF SOUTHOLD co Rental Permit 0945 Owner Joseph & Erin Licari Occupied as Single Family Dwelling Located at 125 North Ln East Marion 31.-7-12 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. 7/7/2023 Cr9rw -0%Vr' 4 de o e e t Official This Notice must be posted by the main entrance at all times q so Town Hail Annex l Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O 10011 BUILDING DEPARTMENT TOWN OF SOUTHOLD ; RENTAL PERMIT APPLICATION MAY 1 7 2022 Rental Permit Fee$200(Application must be renewed every two yearst q�1 T'1.,G)DEU 1. r*;r v F, Sr r1ry p Section A. Property Information: Rental Property Address: n Tax Map Number: 1000 SECTION 03 --BLOCK-0-7 00 -LOT ®� SECTION B. OWNER INFORMATION: Property Owner Name: . '50je- Property Owner Legal Address: Property Owner Mailing Address: o '01 I sb� Telephone Number(s): Daytime IFvening Emergency Property Owner Email Address: 1®e.`f C-c",C t hSn . CQ M Page 1 of 5 ., �� \6\ �1 o 0 o Town Hall Annex l Telephone(631)765-1802 54375 Main Road u� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 D y ,r 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): Q-0 P-0C.'j , lam'y Mailing Address of Authorized Agent: goc `�-'t Telephon'Number(s): Daytime O &213Evening Emergency Email Address: ) °U Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes).- Mailing oxes):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 ',1 f � so�r�Q�®�; Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 . Southold,NY 11971-0959 � UM`I BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): DaytimeYo2�� Evening Emergency Email Address: abk n ` penml qo� -acei SECTION F. PROPERTY DESCRIPTION: JUL 5022 Number of Rental Dwelling Units on property: TOWN®F SOiJ?7-1C7s CD 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: I Requested Maximum number of persons allowed Lf to occupy Dwelling nit: Number of rooms in Rental DwellingUnit: �+r15� Use and Dimensions of each room in Rental Dwelling Unit:k' X111 Room 17x I3 221 S1 ft kil-deo )fix 12 '61' 200 T�� o�•� � '� x`�'�'' �2SAF �wj--, 2 1 ) ' x 1D'2" I i 2 A EP&roprn 4'4 0 S Isos)f gasp-"C0"O .-SWJ logo s, ff 261 Page 3 of 5 �f,Vso , � O � Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G o Southold,NY 11971-0959 �OIyCou BUILDING rDEPARTMENT 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 Me I 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) 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 Page 4 of 5 '?'f•M/y�..t1 Town Hall Annex (, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 r Southold.NY 11971-0959 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. 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: 4 - 1"'A Property Owner's Signature: NICHOLAS ANTHONY GILRONAN NOTARY PUBLIC-STATE OF NEW YORK No.01G16284607 Sworn to before me this�day of PAa'1 20 22- Qualified in Queens County My Commission Expires 06-17,2026 Official Notary Public Sig ure and Original Notary Stamp I I I I I Page 5 of 5 SOUIyo� f # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm 0 631-765-1802 31`—. _ (-v 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: (000 DATE INSPECTO f �aOF SOUIyo 1' �n• {�� — * # TOWN OF SOUTHOLD BUILDING DEPT. �yco 631-765-1802 y._ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] IN ULATION/CAULKING [ ] FRAMING/STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: 0A OCkn OWAA V[ - DATE Y?/ INSPECTOR OF SOUTyO �Z��n/6 r� �P� �L�s��✓i��'�/ � Iy * # TOWN OF SOUTHOL6 BUILDING DEPT. 631-765-180231. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: 1'• 00 otc 3 � � DKJ�� s� • 1 DATE 3° '3AyY INSPECTOR Inc ho�apf50UTyolo I� 7 '`d 1 �"" `-11�_�� * # TOWN OF SOUTHOLD BUILDING DEPT. N��o o � � �y�OUNi1, 765-1802 ?�I�r�i (r1� 1 NSPECTION [ ] 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: '� ,��QQ a vwi (YRS wot ft, 14.4 l 6yVv✓ � h � DATE INSPECTOR I t� aF SO(/Tyo Town Hall Annex ti0 lO Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect.or Engineer,.licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: Rental Property Address: ZVA Owner/Name: Rental Dwelling Unit ldentiflejK Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e' Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) rna - o Y1� "D;Vk- Ab, - S Property D scription (Incl de all improvements indicated on survey I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation qDnstruction C de of New York State. o le CG I.�i /ylc�� (1�— �Yll Print Name and Title/;" - -. Origi al ignature Please place professiolial s�6t'-",J]� o 03.3 yGQ ti a� 0 � 1+1 `� To OF .SOUTH®L® PROPERTY RECORD �g � a NER STREET VILLAGE _ DISTI ' " -SUB: _-p jyi �s,.... P j'�} J 1 < � ^"�'��, �P-:,.'.. M`..�...� o'�d°' --v° •` .� �' -'"` '1 � ',,,.� r ,.,.FORMER-OWNER N E ACR. S W TYPE OF BUILDING ARES. ..' SEAS. I VL. FARM COMM. CB. MRCS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �= s' AGE BUILDING CONDITION NEW• NORMAL. BELOW ABOVE FARM. , Acre 1 Value Per Value Acre Tillable f FRONTAGE ON WATER WbodlandFRONTAGE'ON ROAD r , Meadowland DEPTH n House .Plot I BULKHEAD To#aa ROCK ' - MINE .a aaaa� ■aaaaa aL�� aaaa.a..aa a f �a®aa ME T-I No M as mg Im MEN M LD I A P 7, ■ ■aaima ,i aaaaa�77®sass a 7 SAIRUaw WARN"I . ME.�....• ai�a araa 0 aaa 10 ." ,sfs `.` . aha a aaa��®a� aaa Nf a AMES 0 NINE aaaaaaa �aaaaaaa No as as sasses a�aaaaaaaaaaaaa�aaaaaaaaa avaaaaalloaaaa MEM IMMI MEN ■ as aaaaaaaa asses E�tension Foundation asement Breez QN�a,y Garaga Type.Roof 1-�Zoor*ns 2pd Floor II Dorm- er, -Tbt a[ FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. RM . . . . . Date . . . . . . . . . . .Feb . . . . 1. 6 . . . . . 197 . THIS CERTIFIES that the building located at North Lane. . . . . . . • . . . • . . . . Street Est Map No.Q4rA .NLY. . . Block No. . . . . . . . . . .Lot No. 187. . . . East. .Marian. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . .duAe...1. . . . . . ., 19.7.2. pursuant to which Building Permit No. .591974 . dated . . . . . . . . . JL?i?�. . . . . . . ., 19.??., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private one family.dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Angust. Spahr, . . . . . . .QvAer. . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval $ePt. . 22 7 q72 }dy R. .Villa. . . UNDERWRITERS CERTIFICATE No. . .ZT36326. . . . .Aug. .1.0. . 197.2. . . . . . . . . . . . . . HOUSE NUMBER . . . . . .12.5. . . . Street . . . . North .Lane • • • • L. •Marion•• • • . . • • • • ►-J.a Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26447 Date: 05/12/99 THIS CERTIFIES that the building ADDITION Location of Property: 125 NORTH LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 7 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 1998 pursuant to which Building Permit No. 25055-Z dated JULY 23, 1998 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 SUN ROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DORIS E SPAHR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 05/07/99 PLUMBERS CERTIFICATION DATED N/A Building Ins ector Rev. 1/81 O .0 Q I i DECK SUNROOM Q I p I� z z Seal / Signatures. <� 0 1 BEDROOM #3 � } r ISO S.F. CLOS. '` L.AUNDR7 KITCHEN .'yT� �QF Project No.: LICARI cLOs. CLOS. RESIDENCE 0 125 North Lane BATH East Marion,NY 11939 gD ® Town of Southampton,Suffolk County,NY O r Q S.C.T.M #: GLOB. 1000-031-07-012.000 LIVING RM. Architect of Record BEDROOM #2 HEDROOM #1 112 S.F. 92 S.F. Jason M. Ormond, Architect CLOS 120 Mill Road Westhampton Beach,NY 11978 rl T:631-897-3775 F:631-288-0549 E:jmoarch@gmail.com gmail.com Date Scale 5/16/22 1611=11-011 Drawing Title F I RST FLOOR PLAN O SMOKE DETECTOR FLOOR PLAN DEPT SCALE: g/6"sl'�Q" ® CARFCN MONOXIDE DETECTOR Drawing No.: 1 -00 s~ 0 - - - - - - - -r- - - - - - - - - - - - - -1 Q Cz I I I I o- — --7 Seal / igfaWTe,,� .p bt 03 33 A Projec No.: BASEMENT LICARI RESIDENCE _ _ F 125 North Lane East Marion,NY 11939 Town of Southampton,Suffolk County,NY S.C.T.M #: 1000-031-07-012.000 Architect of Record Jason M. Ormond, Architect 120 Mill Road Westhampton Beach,NY 11978 T:631-897-3775 F:631-288-0549 E:jmoarch@gmail.com Date Scale 5/16/22 16"=1'-Ott — — Drawing Title BA5E LENT go SMOKE DETECTOR L — — J BASEMENT PLAN SCALE= CARBON MONOXIDE DETECTOR EllI DIN'_; Iii r. Drawing No.: -TOWN!OF SOUTHOLD D