The URL can be used to link to this page

Home My WebLink About1000-21.-6-3 TOWN OF SOUTHOLD C-' Rental Permit 0818 3 Owner Brian & Jenna Keenan Occupied as Single Family Dwelling Located at 3663 Rocky Point Rd East Marion 21.-6-3 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. w 2/14/2023 C eE r n fi} lcaca ll This Notice must be posted by the main entrance at all times � Z "S00 x, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 AMC P.O.Box 1179 u Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD JANI 2 2023 RENTAL PERMIT APPLICATION 131Jlwil4bUEP7. TOWN of snil Tmnl-() Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: a 'nw / 9 Tax Map Number: 1000 SECTION 21 -BLOCK -LOT 3 - SECTION B. OWNER INFORMATION: Property Owner Name: & -, Jenna KWo Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Ir] - ven 'g E �"C) rP�ergency Property Owner Email Address: i6nnoKtenan ,330 alndd apo Pd /-a?-,A3 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road I Fax(631)765-9502 P.O.Box 1179 c Southold,NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: AI I f O ve r " 0 /CtS Elliman Address of Authorized Agent(no P.O. Boxes): Fil Or?t C-t �reen 'I, t" /1994 Mailing Address of Authorized Agent: 7 917"5-U2-HO/ Telephone Number(s): Daytime J Evening Emergency Email Address: &th I f en. fI'Q vevs 0 C116VOn Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: ✓//� Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing g or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 l$� 4> S , 10 Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 , M. COUN1111� 1 , 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: 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: Unit Requested Maximum number of persons allowed to occupy Dwelling Unit:__ 2 Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: /?5' y ff�X r G✓,eaf ,doom/Kj'-tcYicn e'50 )( IC118 << Page 3 of 5 SOIJ Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 .. lou 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 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) 1 JoYna- keenan 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 Sol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1 179 Southold,NY 11971-0959 ��,, � 1 t . BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that 1 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: JL° Property Owner's Signature: i!ALE NOMW PUSUC.STATE OF NEW YORK Wration No.01 KE6155294 uallfied in Nassau Conwhisslo!Ex its Ntetttber ,2025 Sworn to before rrw this � day ofV te 4-111 , 20 Official Notary hblic Signature and Original Notary Stamp Page 5 of 5 hq��,oFso�,yo6 Zl(�b� ° ' U�o�� TOWN OF THOLD BUILDING DI 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [Vj FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F}I [ ] CODE VIOLATION [ ] PRE C/O [� I REMARKS: CL wtl� o` 64V-- ------------------ /ON ry % 04bw "ol V*--� (--, n, ( K- A 5 % 14, vt OD DATE 400"> INSPECTOR z 9� F -- '7T w. a �Q� st..�.� ° ._.- - i � IN LL s c u- W ` FIRST FLOOR PLAN i uvv+G eREa- neo so.cr. � .- -e .n..c...o... /.✓-��' enoKE+BivJ.aFcr Pc +�-*�•� � � fit#* 9 W Rx CovE € LL- U Z` W, O� L °) w iv of o a= PACE: 4oF5 IV` 2 Aj _.._ --n n. . Lq 21 a I <Ytl® s x �_ �a. {�t�Pte.=> a,t• � _- £ -- g£ * � - � 4. �i .t•6Rb:.TO FT� _ # Vl _ W POUNDA71ON PLAN a :a mr�mcc.�i'sa cace - FADE: 3of5 { TOWN OF SOUTHOLD PROPERTY RECORD CA� OWNER _ STREET £ VILLAGE — DIST,3 SUB. LOT — — a — ACR. REMARKS a._.... .w. _.r L— F_ TYPE OF BLD. �4 I PROP. CLASS } LAND IMP, TOTAL DATE ].] _ /}meq g ///��¢ •■ 'y�j ,,�{� x} # A z� t y o, — :3 LI ��• I E < e 3??=f I.!- 3 t I I FRONTAGE ON WATER JTILLABLE FRONTAGE ON ROAD WOODLAND I I DEPTH € MEA NDS BULKHEAD HOUSE/LOT � TOTAL i g e` COLOR f i _ I TRIM I s 21.-6-3 3/11/2020 . #. 21-6-3 Milli r I ( F M. Bldg- t z FoundationBath Dinette ExtensionBasement CRAWLKit- SLAB ' SLAG Floors Kit , _, ., f Extension = Ext. Walls Interior Finish L.R. 5_ Extension �- - �� Fire Place , Heat Da R. _ Patio Woodstove BR. = Porch Dormer Fin. B. n Deck Attic t � IT Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor Pool 4 v TOWN OF SOUTHOLD PROPERTY RECORD CA OWNER—, STREET VILLAGE DIST.' SUB, LOT & v-n ACR_ REMARKS L I z44,s- c TYPE OF BLD. 1L PROP, CLAS J La X-st L LAND lmp. TOTAL I DATE i�fl oh 7 —41 �00 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEA NDSf BULKHEAD HOUSE/LOT TOTAL §§ � , `€� �� 3�s 1 s 3 COLOR x _.. E — € e 3 E 7 I 3TRIM 21.-6-3 3/11/2020 21-0-3 Ul/U3 M. Bld Foundation ca 9• Bath Dinette I ; > Extension e BasementRAwL Floors Kit. -.. - SLAB 4 �t Interior Finish L.R. Extension Ext. Walls - Fire Place Heat D.R, Extension a Patio Woodstove R. Porch ' Dormer Fin. B, r 2-- Deck )+- ( 7 Z 4 ( Attic '- Breezeway Rooms 1st Floor -t ;Zik t Garaget Driveway Rooms 2nd Floor c-aA g� { ► c? Pool ,. �> T , j Duty( FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29143 Date: 12/23/02 THIS CERTIFIES that the building NEW.DWELLING Location of Property: 3663 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 21 Block 6 Lot 3 Subdivision Mw Filed Map No. Lot Na. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 2002 pursuant to which Building Permit No_ 28204-Z dated ,MARCH 21x.2002 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 COVERED FRONT PORCH, REAR DECK AND ATTACHED TWO CAR GARAGE AS APPLIED FOR.. The certificate is issued to SCHEMBRI HOMES INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0037 ____ 11/27 02 ELECTRICAL CERTIFICATE NO. 111657 11/16/02 PLUMBERS CERTIFICATION DATED 11/01/02 WILLIAM SCHWAUB Authorized sial t.ure Rev. 1/81 Town of Southold 10/26/2022 P.O.Box 1179 "U 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43535 Date: 10/26/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 3663 Rocky Point Rd., East Marion SCTM#: 473889 Sec/Block/Lot: 21.-6-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/12/2022 pursuant to which Building Permit No. 47806 dated 5/11/2022 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 aro ind vinyl swiMrnin cool fenced to code as applied car« The certificate is issued to Keenan,Brian&Jenna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47806 8/9/2022 PLUMBERS CERTIFICATION DATED ....w..._A � . . ........ e �w. Z , Signature �,,�,��ra�ly,,'i?f, �J! ��G/�r f�;��J��p f1,;i� 7�"��✓�r�?'(� ryri ,I�,Tw��H4!U�+,rvr ..r�..� �n5, �r/��y� ��M �,�re l i r � .I 1 J f/,rrl�/017/ /r/r/l%r/✓ji�QiOi/ �' //�/✓/ !d en i� �; �rU t//rrI/��//��/✓ / r r�� j y r l /1l iri / a O y I o -/�/��✓��/ it// �/r� ��✓�� /iia '/i✓%/i /%/��ir'�/��//%%//r l rt///l// //i%/�//��/�/ipor��% rr; �G,//i i/D �/� %! r<o✓��,rr�/�i��i��'"'1��1 ��', �% rix �I N; u 9 ✓��l��flaf�/ r J��/ V I / G � ✓7/ll� �r � f� .023 pt -DTNG I �IIw♦'hv�n n�Ir I aM1�u�f{I II�IP'�' r'I � yr � I i