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Home My WebLink About1000-78.-9-20 Rental Permit 1318 Owner: 600 Summer Lane LLC Occupied as: Single Family Dwelling Located at: 600 Summer Ln Southold 78.-9-20 Maximum Permitted Occupancy: 4 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. Issued: 05/27/2025 Expiration: 05/27/2027 �odei4orcemetnt dal This Notice must be posted by the main entrance at all times ry E M AY ) 2 2025 TOWN OF SOUTHOLD BUILDING DEPARTMENT SuildIng Department , * ' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971- ar'p Of Southold Telephone (631) 765-1802 Fax (631) 765-9502 '54 RENTAL PERMIT APPLICATION Rental Permit Fee$300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: R 60 5o m M e-' I—an e- So v-f�, l l, I ( 7 I Tax Map Number: 1000 SECTION 473 HBq -BLOCK ` & -LOT — q - 26 SECTION B. OWNER INFORMATION: �, / Property Owner Name: 6Go s�nnM`� 4� " �^ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 35y5- ee.' -A '6eac_j-� �o C 07- o L 7 Telephone Number (s): Daytime _ Evening Emergency Property Owner Email Address: 'le4-f0 LLC Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: �Ek/d / O Address of Authorized Agent(no P.O. s): Ma�� G� Cv�GhacJc7e, �1 Mailing Address of Authorized Agent: 31- 5-9g - 3132 Telephone Number(s): Daytime Evening Emergency Email Address: 4el o '-Z Cd,,7-,0"-ac Y'74j A4 Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: see aio ✓e— 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: WA Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Page 2 of 4 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: A W�,�,- Use and Dimensions of each room in Rental Dwelling Unit: /1 x 2-0 coo L...I Vt n /'oo►yi 2-3 X 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 ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) A.1-2 -/-Ae e eloi✓q��1/ , 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Swor before me this do day o , 20�S Rebecca A. Lucak Official Notary Public Signature and Original Notary Stamp Notary Public, Mate of New York Reg. No. 01 LUb602 Qualified in Suffolk County Commission Expires 02/04/2027 Page 4 of 4 f4f soot, TOWN OF SOUTHOLD BUILDING DEPT. F631-765-1802 (B IN S � E(D"T 10 N [ ] FOUNDATION 1ST/ REBAR [ ] 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 x !30 DATE 5-c23 -,Rr INSPECTOR Town Hall Annex Town Of $OUtF10ld 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 "k Tel: 631-765-1802 � 1v °r SCTM# Dated" Owner I Phone Address u Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed&secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: i 10laq TOWN OF SOUTHOLD PROPERTY RECVKLO ftNER STREET VILLAGE DIST! SUB. LOT _ _s b.mil ; FORMERWIE N E ACR. S W TYPE OF BUILDING f a u `RES.- SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ig ,e Is -� r / G t _ AGE BUILDING CONDITION - NEW NORMAL BELOW ABOVE FARM Acre . Value Per Value Acre " Tillable 1 Tillable 2 Tillable 3 Woodland Swampland ` FRONTAGE ON WATER , ' t �,4_ V _LL k�Cs� _ Brushland FRONTAGE ON ROAD J DEPTH House Plot I ,, f , 3 I I BULKHEAD �s , T t I ; DOCK F' �F SCTM # 10�a9 o I TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 6��lo Q VILLAGE DIST. SUB. LOT t ACR. RErArKS WWI fir= TYPE OF BLD, PROP. LASS LAND IMP, TOTAL DATE f2---100I ) FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL Ir , COLOR E i s : i 9� I #fig} 1,�,h if Zen [ i TRIM i t A, 3 I e I i m. tE ti i I � { 3 3 I ,£ _ �, Foundation _ --' Both c Dinette a £_ 3 : � r Floors Basement ;� . K _ -- a Ext. Walls Extension Interior Finish LR. Place ° Heat g F DR. Fire Extension � 0 �! �_.•®mac � € i Type Roof _ 3 Rooms 1 st Floor B R. Porch °Recreation Roo Rooms 2nd Foo FIN. B.€ I - a Porch Dormer ! k Driveway Garage I 3 Patio I I O. B. i Total € l p FORM NO.4 TOWN OF SOUTHOLD BUILDIN6 DEPARTMC»NT Office of the Building Inspector Town Hall Southold,N.Y. UPDATED Certificate Of Occupancy No. .Z10A.tS. . . . Date .. . .Marm.-JR . . .. . . .. . . .. . .. . .. 19$?. THIS CERTIFIES that the building . . . .. . .. . .. . ...IXSPECIED. 0A .1111 i .1 7.r..190A Location of Property . .(.40. . . . . . .. . . . . . . .S,umtpter ,l#Rf; . . .. . , . ,, , .Southold H ,ss a. . .. . . ..--Hamer County Tax Map No. 1000 Section . 078 . . ... . .Block .09. . . . . . . . .. . .Lot . .¢2Q . . ......... . Subdivision . .BAY410 . .T9I'1t:499. . . .. . . . . . .Filed Map No. 2Q34 ...Lot No. 2.1 . . .... . .. . . conforms substantially to the Application for Building'Permit heretofore filed in this office dated . . .J inlet . 19. . . .. . . . , 19 7 A.pursuant to which Building Permit No. . Q 1�. Z . . . . . . . . . . .. dated . . . .dupe .19. . . . . .. . . . . . .. . . 1979. ,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 ... . . . . . . . . . .a. Ar1:Ystq.ope-ffmily. dwellia . . . . . . . . . . .. .. .. . . . . . . .. . . . . . . .. . . .. . .. . . The certificate is issued to . . .. . .CrAdLs. A... .4$PA%9r. . t'awrW.6 of the aforesaid building. Suffolk County Department of Health Approval .PPA .?9.L .j 9 rA x .bY. Robert.A:. Villa UNDERWRITERS CERTIFICATE NO. . . . N. .$MA. . . .. . . . . .. .. . . .. . . . . . . . . . . . . .. . . .. . *This is an update of B.P. 4813Z issuod Juno 19, 1970 to John (Ioetz, JJr. C.O. Z5130 was issued May 7, 1973. Building r Re.1/91 ' ''�.�'' "" �,�.- �• w..., Wm Wry ��P�:"h'u+"%rv�',,-»"` ., r m-• r ,"^"a9.n,.r,, • .., fi��.. �,,', Ae a,nw,. �c• ��, C, N o. xf w , �'� /J �'z S ✓�. ° 20 ✓J 3�F.:3 Waker De Pt 7 \, Nj .' o 4. r 34.! F" S.C.T.M. NO. DISTRICT: 1000 SECTION:78 BLOCK:9 LOT(S):20 NORTH BA� IEW READ N CL 382 LOT20 ' N ,.5 1.9",�0„W EL 388 o E LL 4.s" 108.71, MON EL 39,0 EL 43,0 C3 EL 38.4A @id,�38.8 O w Lor21 T 42.8• fA8 EL J 3Z8 C135.2 as7, � g - EL 38.7 Z EL 36.2 aLUEsr ' EL543 , U.P. f^t 34,g` , fib n�. 69" Q�;w ' N�zS '.9'20„ . EL 3 CAI 4.5 +, 109.10, LOT 22 � I THE WA7ER SUPPLY, WELLS ORYWILS AND CESSPOM LOCATIONS SHOWN ARE MO.Wl naD CBWPVA77ONS AND OR DATA OBTAINED FROM 07HERS AREA:10,889.92 SQ,FT. or 0.25 ACRES ¢EVA7roN DA7um. NAVD88 UNALJTRIORR2ED AL7ERARON cwt 7IOM TTA TINS WtR t Y/ A k4DLA7TON O7TON 7209 THE NEW STATE ETAXA00N LAW OF'ROS SURWY ArAP NOT IAR1N THE PAnWY StTRVE EAAD SEAL SHALL NOTDNRED TO A VALID COPY. OAtlARAN7EES'IIaDGATET?IIEREov SHALL RUN ONLY 70 THE PERSAN THE SCIRAEY IS A AND f H1 IALf TD THE RTLE COMIPANY 7AENTAL AGENCY AND �A INSRTGYT1thl L1S7E0 AND TO THS'A�SSTCNEES O7'"'THE LENDING INSRTEIDONN« OTIARANTEES ARE NOT'TRA THE' TS OWT DAMENSAOANS SHOWN 7RE PR 7 M LCNE"S 717 T1RE STRt7C7LPRES ARE EU A C AND USE `TH'E'Y ARE NOT CA'7ENDED TC?bf4JNL14CENT TFtE L 1 k LINES 7O O!l �O d LY N VaVAL S OR AND 07HE A AEfMM EASEAAENTS T ARAN UNLESS PH LLY EANDENT ON INE PRE7�AISES AT WE RAW OF SURI"EY SURVEY oP:LOT 21 CERTIFIED TO: 600 SUMMER LANE LLC: MAP ORBAYSIDE TERRACE �, FLED:MARCH 11, 1953 SITUATED AT:BAYVIEW �� TOWN ORSOUTHOLD ,. SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 169 Aquebogue, New York 11931 4 PHONE(881)2Ya-lava FAX(e91)29a-158e A m 1A---'M'- -F-,lpMpl-,All W-M-1-1 J A- --=- " IN,W,- -m— I ..7R. ,M, "M, m�M�m M'S, &I All low APA I-P-m-m0ft—womma, �M 6� k 0 MINA FIMWIV MIN Sm MIN R 9 MaMR, ON!' W I IrT: age 7 1 �W %i I . ; lam, MWER 4 ,11 PI, -M M ME= IN, �ww WIN AMP ZEE f AN -F Ill IMMIN ti ANSI I WIM