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Home My WebLink About1000-38.-6-9 TOWN� �� s Rental Permit 0870 Owner Minnigan Family Trust Occupied as Single Family Dwelling Located at 580 South Lane East Marion 38.-6-9 Maximum Permitted Occupancy 5 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. 4/21/2023 odec7c") Official 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 vI Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) APR 18 202 , Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 3 .BLOCK. C0 SECTION B. OWNER INFORMATION: Property Owner Name: i >11� Property Owner Legal Address: Property Owner Mailing Address: 14 I S-n sl - 14 5_t -3q. 16 Telephone Number (s): DaytimeEvening Emergency Property Owner Email Address: � a Q 0 pd + -r � Page 1 of 5 " I I ,,, Town Hall Annex �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 r . P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: YZ,vI r-9;a Address of Authorized Agent (no P.O. Boxes): ? —�C)'1.-C—�V CtG e RC?C- Ve- CC �j Mailing Address of Authorized Agent:�� ._.... ..... 6[1 v p ) Daytime � ng Emergency Sf(o y�� 3a i Telephone Number(s : Da ime ..�„ II Email Address: ,L._ C O V/-Y\ 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: _, _..7 ..,m.w......_.... ..._ , ,,_ SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: .,_...ry Address of Managing Agent (no P.O. Boxes) Page 2 of 5 �J rs Town Hall Annex - Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 h y 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: V n 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: _ ,,,,,,m„ .. .w_ ._... . ...•... Requested Maximum number of persons allowed to occupy Dwelling Unit: w..... _ Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: .w.,..., .._.,._... Tap � .! . _....X_._.ao. �cc� l Page 3 of 5 a � Telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 � , P.O.Box 1179 Southold,NY 11971-0959 p`¢, ✓r 'e7ra%,. 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 ❑ 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) 1 rtify 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 / Town Hall Annex Telephone(631)765-1802 5 y ' Fax(631)765-9502 4375 Main Road � N r P.O.Box 1179 Southold,NY 11971-0959 * ° Q zaz«s BUILDING DEPARTMENT TOWN OF SOUTH"OLD 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 thisa day of / ► 1 (� Yr�il/1 , 20? Official o ary Publ�Sign`at&eandOrigin I�btary Stamp JO ANNE LAPP Notary Public, State of New York No.01 LA6216349 Ouaiified in Nassau County Commission Expires 1/11/20 Page 5 of 5 vs OwN OF SOUTHOLD BUILDING Di 831 785► 18012 I �d IN PECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] EIRE SAFETY WE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/OREMARKSo [ ] ti om ;�w m Town Hall Annex Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 � r Southold,NY 11971-0959 A 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 F'ro ssionat seat re ulred �rr�rchltect or F"n irleer licensed llorne lns actor t�rll�st rotride cogy ovalid current cern cation Rental Property SCTM Number: .3 49 Rental Property Address: Owner/Name: Rental Dwelling Unit Identifier: 0 0 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all impro ementindicated survey) oz avy� 6 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 N York State, the Fuel Gas Code of New York State, and the Energy Cons e n ns ` 'od f New York State. Print Name and Title ('5" ,Origi Signature Please place professional seal: (i) m I ENT" } i 3 { � a e,10i—�A PLA M OF F R5T FLOOR a \ a MIN zv RE VlkAR Ak \`\ - mw - - \� \ \\mayOgg- . ._ O43 ISS A-Mvyy \ t ` r 13' l I LASLo 2 ,y t PLAN OF 5�-Co��D FLOOR / 8M F-A b T WR t C: Q 'i-,-imll G, IS C-4,"j-'-a `` , _ _l 6 _j L -oil PLLL 4,R 1FkCW1 A70N RF n r YNUYM'Wi�'FJd%U SYi�mi'MigpWVdH.uU�NEI, u:�,'d� dW r KM4'RfKK'#�S K'.8d0.YNY MAH mmti&�IiAdfi'��V.'"VW XIgM MaVYI.M., �""YGAtI¢^,Rtic�'�YNM�»%4' HI"AW'7�' F�X'JM�W41��4 1"^ kYYx�Sel�. "X Yd.�F�T...� """"A.Lt2,16"J�1� Itl�PIXI�Y.�k2�*''XI�I�1'�3�gGtlkMXW Im MI �EpW..h"d lblJ"'i".W"i1., , TREET � VILLAGE DIST.' 5UB LOT" . 7 � ..n...�.,.aa_,.�m �.�_...»_„ �".. ......�......, ."mom E �. A�R 0,r, � u)TS, ' .GI ,..�.�.�. .._ _ _.. TYPE PE"O, F BUILDING 2 —01014. RES �PA� VL FARM � MM CB MISC. MktValue ,elm _�... . .".�,_ .w.. ." ..........� " � 0 IMP, TOTAL DATE REMARKS „z 4 i/ .wWM1 Awa( ,1.4 � .�- g ar . , . g .�d� :� r . ..., ti' � i �fn�� t Ae FOM Acre Value pe� volue Tillable 2 Tiflctbte 3 Wqm Swomp9ond FRONTAGE ON WATER Brushiand FRONTAGE ON ROAD � House Prat DEPTH BULKHEAD Total DOCK .._m .. _�, _ .. ... . . m w� 'ill" ��yyyWWW COLOR .. m. k t TRIM n J IGI a ^�- " inette � 'Foundationf 7B, M. [31dg ?raorr %t - _ �e� y K Extension r y 1treiw4" vt Flaors v „< Extension Ext. Walls kr Interior.Finish LR. Extension Fire �....... _. Place � � � Rooms {S t I .. + iii Pero bar i B T"� � y,y" r�ifr a r C� �z s r 7�7 Room 2nd Fla r Opp & Fla freoton �.. ~� ..� . �>7 r r .,.,.�..... ...... .... . .... „__.,...., dl � �a Driveway Cm W�r Garage �a r i y Pada .� _,_.... �., _,a.. �.., ......a., ... ..... O Ei, „,.., ,m._,....._, Totol .. yr,t'Y a FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . .Z9766 . . , . . . . . . Date . . . . . .Navenber .??. . . . . . . . . . . . .. 1979, THIS CERTIFIES that the building . . . . . . . . . . . . . . . . « . . . . . . . . . . . . . . . . . . . . . . . . • - . Location of Property . . . BOQ South LaneEast Marion. . . • • • • • • .t • 'N. Hamlet . House No. Street County Tax_Map No. 1000 Section . . . . 38. . . —Block . _ . . .6 . . . . . . . . .Lnt . . . ., 9 Subdivision . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . NoviambQr. Z6 . . . . , 1976. pursuant to which Building Permit No. . . . 9WOZ . . . . . . . . . . . dated . .Mr.Ch. 1•Q . . . . . . . . . . . . . . . . 19 .77,was issued, and conforms to all of the requirements R 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 . . . . . . . .Thflmas. and.Editb. Minnigan. . . .. .. . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .6-rM-22 .. . . . . . . . . . . . . . . . . . . . . . . . . I 4488 UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .. . . �/8. . . . . . . . . . . . . . . . . . • . . . . • . Building Inspector Rev 4/79 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENTR' Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . .21;3.7.31 . . . . . . . Date . . August 9 . . . . . . . . . . . . . . . . . . . .. 19 .85 THIS CERTIFIES that the building . . . . . . . E.rA Q l o s q .P�Li q. . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . . . . . . 5$0_ SOUTH LANE EAST MARION _ House No. Street Hamlet 03S __. 06 . . . . . . . . . . . . . .Lot . . . ..00.9 .. .. County ax a No. 1000 Section . o- . . . . . . . . . .Block Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . - - conforms . . .confo s substantially to the Application for Building, Permit heretofore filed in office dated Nov... .2 7. . . . . . . . 19 .8- 1 pursuant to which Budding Pem,i?, No_ . . . . . ... dated . . . . . . . . . . . . . . . . 19 ": ,was sued,and conforms to all of the regLarements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . $r1C�QST .�X.is ting .g� io ( par� al?�r 3, ri Lb roo over. screened Borch . The certificate is issued to . . .Thomas . . . . . . . . . . . . . (ownerlessea ar-tenactt� of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .n I a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . n/a. . . . » . . . . . . . , . , . . . . . . . . . a . . . . . . . ' J A011 Rev. 1181 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATES OF OCCUPANCY No Z-22992 Date MAY 10 1994 THIS CERTIFIES that the building ALTERATION Location of Property 580 SOUTH LAN$ BAST HARION, NSW YORK House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 6 Lot 9 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 151 1994 __pursuant to which Building Permit No. 21928—Z dated MARCH 3 1994 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 SCREEN PORCH AS APPLIED FOR. The certificate is issued to EDITH E. MINNIGAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #4549 — APRIL 25 1994 PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81