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Home My WebLink About1000-59.-6-26 of-so TOWN OF S UTHOLD 40. Rental Permit 1332 Owner: Andrea Spinaris Occupied as: Single Family Dwelling Located at: 3175 Kenneys Rd Southold 59.-6-26 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. Issued: 06/18/2025 Expiration: 06/18/2027 Coo Ento em nt official This Notice must be posted by the main entrance t all 'mes � d;p Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � " Dr BUILDING DEPARTMENT �III.�11r TOWN OF SOT�:�""THOLD F 'TOWN n w�0. 1 �,��10�1� l RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3175 Kenneys Road - Southold 11971 Tax MaOumber: 1000 SECTION 59 -BLOCK 06 -LOT, 26- SECTION B. OWNER INFORMATION: Property Owner Name: S.A. KENNEYS LLC Property Owner Legal Address: Property Owner Mailing Address: P.O. Box 3112 Farmingdale NY 11735 516-220-9848 516-220-9848 516-220-9848 Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: allislandssf@aol.com Pagel of 5 Town Hall Annex 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 Pro essional seal re uired or Architect or En ineer, licensed Home ins ector must rovide coov of valid current certi cation Rental Property SCTM Number: Dist: 1000 Sec: 59 Lot: 6 Blk: 26 Rental Property Address. 3175 Kenne s Road - Southold 11971 Owner/Name: S.A. KENNEYS LLC / CO Andrew S inaris Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) �Iuiu�ApMvury,�p � Bedroom 2 - 8'-9" x 1'0"- "' 90 SF), Livin room 9'-1" x 16'-7" 292 SF & Rc enn 1 x 16"-7" (17 SF) Property Description (Include all improvements indicated on survey) 1 story framed dwelling - single family - No improvements base 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 Construction Code of New York State. � i f� Walter Hyde III - Registered ArchitectVk(� Wtkt Print Name and Title Original Signature «S Vk r,, Please place professional seal: ' .► �.o 120"� O� . :,'. OF' N Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 "fin , UK 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: (1) One 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." Master bedroom, bedroom 1, bedroom 2, Living room, M Rental Dwelling Unit Identifier: kitchen, . -6 Requested Maximum number of persons allowed to occupy Dwelling Unit: ` 6 Number of rooms in Rental Dwelling Unit: 5 room Use and Dimensions of each room in Rental Dwelling Unit: Master bedroom - 11'-6" x 13'-5" (154 SF), bedroom 1 - 9'-9" x 9'-11" (103 SF), Bedroom 2 - 8'-9" x 10'-3" (90 SF), Living room 9'-1" x 16'-7" (292 SF) & kitchen 9'-1" x 16'-7" (174 SF) Page 3 of 5 N Town Hall Annex . Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Timothy Cloughen and Catherine Cloughen Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): 3 Manor View Way - Manorville NY Y11949 Mailing Address of Authorized Agent: 3 Manor View Way- Manorville NY Y11949 631-255-7845 631-255-7845 631-255-7845 Telephone Number(s): Daytime Evening Emergency Email Address: tm.cloughen@gmail.com Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Jason Roman iello Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: 14 Old Neck Ct, Manorville NY 11949 Telephone Number(s): Daytime 631- 82-6198 Evening Emergency Email Address: r ni l @gx)tLh96 r .N + a 1 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 �� P.O.Box 1179 Southold,NY 11971-0959 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 ® 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) Andrew Spinaris I (Officer of S.A. Kennys LLC) 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179A Southold,NY 11971-0959 � a; ( �' �,M ,r BUILDING DEPARTMENT TOWN OF SOUT OLI) 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: S.A. ICE EY LC/CO Andrew Spinaris Property Owner's Signature: worn to b ore m thl�9 day of 20ZZ Official Not ry ublic Signature and Original Notary Stamp DAVID SCHNEIDEWIND NOTARY PUBLIC, State of NY No.01 SC6391355 Qualified in Nassau County Commission Exp. May 6, 2023 Page 5 of 5 xw SOU TOWN O L THOLD► BuI DING DEPT. I N Sk Fpk E%Ck T I 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 R MARKS: DATEINSPECTOR 1 p TOWN OF St' UTHOL.D BUILDING DEFT. r�Q 631-765-1802 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: S: •' "" Ano-4 / . DATE INSPECTOR -m-< ' A041 s�W41 A,,, TOWN G» S� THOL D NUI ING�, DEPT. 631-765-1,802 �S�or"no C T 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ XFIRE ATION/CAULKING [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ AFETY INSPECTION [ ] FI7LECTRICAL RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] (ROUGH) [ ] ELECTRICAL (F AL) [ CODE VIOLATION [ ] PRE C/O [ RENTAL HE HIC i &tee t DATE ISM � INSPECTOR 1 TOWN OF SOUTH OLD Y RECI 30(�ca STREET f VI LLAGE DIST_ SUB. LOT i �- . FARMER OW ERA I N E ACR. S W TYPE OF BUILDING p- s'4 RES. ,¢ ' SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS _ , tx s _ I _ l' € .,J ::99 .yam }/C ✓_f/��+ a*q _ _ ,y$_¢B ]�j�t{ `/ ((( / L,..J �� 7�� Cam' J l✓ J `✓9 Fl.F+v�� tf g F i/P i g ^?gam\_"! EP`} f r `��fj/' F I j'✓.�. 3 � t i i S E AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre ' Tillable FRONTAGE ON WATER .- Woodland FRONTAGE ON ROAD -y Meadowlond 3 DEPTH j House Plot BULKHEAD t Total DOCK i 1 4-4 COLOR TRIM 1 ovo'7 t F l a I �r a � t I -� 'a £ x I f - l k I l i E B — t r _ x M. Bldg. 41 - ` Extension m r. a- g Extension I I x 3 i E ] Extension i Foundation e. Both _ ,Dinette I E 'Basement 6, Floors £ K. f ;Ext. Walls I Interior Finish Fire'Place Heat r DR. r Type Roof � Rooms 1st Floor ( e . Recreation Room i Rooms 2nd Floor FIN. B :Dormer Driveway I I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z4739 . . . . . Date . . . . . . . . . . . . .A113,Wt . . .7. . ., 19.72. THIS CERTIFIES that the building located at .WA .X �0. R0 . . . . . . . Street Map No. .= . . . . . . . . Block No. .XX. . . . . . .Lot No. . .6.0uthold. .RJ*. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . .p.rri3. . . 9. . ., 19.rM. pursuant to which Building Permit No. 4.797Z. . dated . . . . . . . . . . . .June .E. , 19. 74, 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. etwe1.11ng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .Card: •D!Antonio •&-W1fe- - - • Ownsras • • . . • • • • • • . • • . • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Au.g. . .3 s. 1972. . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . IiI696.5.54 • • . • • . . . . . . . . . . . . . . . . . . . . . . . . . • . • • • . . . HOUSE NUMBER. 3.1.75. . . . . . .Street. . . . Kenny Roan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Zzeeptiew Keel*d steps rail ingaragoo Building Inspector ----------------------------------------------------- I' I --------------------------------------------------- —————— l I I I II F-1 I I I E1 soil.ax I1 II ! ! I ! I 1 I I li I I I F 7 F --1 L—J 13 I ! 1 I — — —I —I— — —I---I — — -- -�—I— — —1 L—J L—J L—J I !I ! ! ( I 1 fl ( I ] 1 ( I I 1 EX15TINO ( 'I EX15TINO I I CRAWL SPACE I I! UNEXGAVATED I I ! I I Gb5 5F 2Tt SF I I � ( I !j �HL----------------------------------- 1 !1 I I I LiL ------------------------------- L -------------J -------- ---J i I? I L--------------------------------� RED A jC [,t1jkfkr- F. S.A. KENNEYS LLG. LEGEND: Apt� R D EXISTING WOOD FRAMED WALL5 1 ' 51-T5 KENNEYS OA lb"OG.W 6YP.WALL BOARD OR PLASTER EA.51DE ON INTERIOR JJ SOUTHOLD NY i l'l-71 WALLS. 050 SMOKE DETEGTOR FO U N QATI O N PLAN 4 °37-�}} ° SQUARE =00TAGE5: -- Qf NE'* - ® CARBON MONOXIDE FIRST FLOOR FLOOR I¢220 S.F. DETECTOR SCALE: 7 j4"=V O- &APACE 315.0 S.F. TOTAL 03TO 5.F. (I=) 120 GFM EXHAUST FAN