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Home My WebLink About1000-53.-6-38.1 SOWN OF SOUTH OLD Rental Permit 1350 Owner: Sean McKay , Sarah Elias-Benton Occupied as: Single Family Dwelling Located at: 3200 Bay Shore Rd Greenport 53.-6-38.1 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: 07/09/2025 Expiration: 07/09/2027 c €nfo ent official This Notice must be posted by the main entrance a times TOWN OF SOUTHOLD—BUILDING DEPARTMENT . � Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 i tlp , �L.southold.t.ownn v RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every r R Section A. Property Information: Bulldlnq E)epalfrnant Town Of Southold Rental Property Address: 3200 Bay Shore Rd., Greenport, NY, 11944 Tax Map Number: 1000 SECTION 53 --BLOCK-6 -LOT 38.1 - SECTION B. OWNER INFORMATION: Property Owner Name: Sean & Sarah McKay Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 52 Waltham St, #1 52 Waltham St. #1 Boston, MA 02118 Boston, MA, 02118 Telephone Number (s): Daytime781.738.0039 Evening Emergency Property Owner Email Address: spatrickmckay@gmail.com Page 1 of 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Southold,NY 11971-095§ ' cou BUILDING DEPARTMENT TOWN OF SOUTHOLD y RENTAL PERMIT APPLICATION INSTRUCTIONS Effective September 27th 2023 Rental Permit Fee: $300 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. • Floor plans: Floor plans of each rental dwelling unit, please show location of all smoke & carbon monoxide detectors. Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. Certification of Code Compliance (form enclosed): Must be submitted by a license architect, engineer or license home inspector if an inspection by Town of Southold Inspector is declined. Rental Permit Fee: $300.00 Section C. Authorized 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 D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: ;C'� ftk GvRNci Address of Authorized Agent (no P.O. Boxes): ri rt � 6t t Mailing Address of Authorized Agent: k goy ksg2, of It t Telephone Number(s): Daytime y-Gc -000t Evening Emergency Email Address: (,A,'Kg r 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):. 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: I Use and Dimensions of each room in Rental Dwelling Unit: 65`0.1 ' D:Na� RY Ok tieuw c ,11 r to M I N,k� M4, ;3 1' I �, MCriMt �,ctl w p �� I a" v� IS' i 'c a & ta A.2 4 6,6 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 SUFfA FOLK) I� O--i !`!!�e,N/W----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: Sworn to before me ,' day of Jr� 201-�-- Official N aryJPuic Signature and Original Notary Stamp BRITTA�NYAid Notary Public,State of New York Real.Now 01C0624 a1 a4 C1ui6fied in Suffolk County Commission Expires My 18,20 21 Page 4 of 4 Town Hall Annex �" � � � Telephone(631)765-1802 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: TOW P �t ll�" + .D BUILD 13i �►�PT. 631-765-1802 s _ 36,1 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL [!ATE INSPECTOR r SCTM # TOWN OF SOUTHOLD PROPERTY RECC 14� OWNER STREET VILLAGE SUB. LOT � C �'1J�• �i+-`O F� 4`'�:_"`� `( �'c®r-.r J�'��-k- t f C Q/7� ACR. REMARKS 00 TYPE OF BLD. PR P. CLASS LAND IMP. TOTAL DATE r f FRONTAGE ON WATER HOUSE/LOT i BULKHEAD i ETOTAEL v � s. TOWN OF S UTHOLD PROPERTY � �ab) as XR O N,E L � STREET, t) VILLAGE SUB. „" LOTS u _ [ORME R OWNER`S nee n N E ACR. `S1 iC! { wl4d�' lnJ . �14h✓1 J f �� girt;r; = S W TYPE OF BUILDING RES. SEAS, L. (� IFARM !COMM. CB. MISC. Mkt. Value L_ 72 R,w. LAND IMP. „ TOTAL DATE REMARKS s auJP' L,-9 LJ f7f� 1 a� , _ a i I F —� Ie — • � . � AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value i z Acre Qr Tillable 1 _ �j-15-7 Tillable 2 Tillable 3 Woodland ! f i Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD v House Plot - ''DEPTH - ,BULKHEAD 3 � - I DOCK Total i i - a f F i i : i i E t 1000-51-6-38.1 3/2023 6 k' 3 = IBath ' 3 5 Dinette M. Bldg. 13. Foundation i Extension I i c C� (Q® asement cRIkWL_ 'Floors ( K. Extension txt, Walls �L'bcev�''� ,Interior Finish Extension ®dire Place Heat CDR. 5 O i Q Type Roof Rooms 1st Floor BR. A - -` Porch - ` _ aE recreation Room Rooms 2nd Floor FIN. B. i �[ a, fQ - s Porch Dormer s. Br eway �v e $ (�� € �� Driveway Si vie r V - — - - Garage 1 St 5 Patio i f O. B. i . qq Total I ujU i` , ► C '„ Town of Southold 11/2/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43549 Date: 111212022 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 3200 Bay Shore Rd.,Greenport SCTM#: 473889 Sec/Block/Lot: 53.-6-38.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/2/2021 pursuant to which Building Permit No. 47454 dated 2/15/2022 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: The certificate is Issued to 3200 Bay LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-17-0181 1112/2022 ELECTRICAL CERTIFICATE NO. 22-84936 9/1612022 PLUMBERS CERTIFICATION DATED l 1/2/2022 'attl Rupp i ttatur S.C.T.M. N0. DISTRICT: 1000 SECTION: 53 BLOCK: 6 LOT(S): 58.1 #R 10-1 7-0181 LOT 131 N 66009'00" E 125.00' 0,13`E,.{ ....__.------- ...._.—g ...____. �.......,_.._...L� _.... �..m. .__.,0 BELL. BLK CURV EL 7.8 1.3 6' POST/WIRE a_ EL 8.8 FENCE DRY WELL 8'DIAx6'DEEP I 1 of > u BLUE STONE DRIVEWAY w } rn W � Cn 0 EL 8.5 w 3 6.9' ........ z 22.7' ....... LOT 132 0 � .. . EL 8.9 .�2 � GARAGE 1.0" � EL 8."��" 0LG2 OOLG6 20.8' GF 9.0 J EL 9.5 4 I LG10OLG5 o5.5' ._w._.....,......W...... 7.0 J CL o > X oOLG4...� ] Q z- �y 2 ....v._.' g°p 2 STY FIRM. a Of DWELLING � o z a FFL 11.2 °cn .T C)O U O C) 4 BEDROOM SANITARY SYSTEM 10" 1250 GAL. S.T. W ..2.0" "A"" (6)2' DEEP LEACHING GALLEYS 44.9" Iv _........_.LOT 133 E EL 8.8 EL 8 6 WIRES W o° WATER LINE Q G V E __ .._ DRY WELL W.M„ �! /P/0 LOT 134 W > 8'DIAx4'DEEP E + _ CL POOL EQP/ E �— **OVERSIZED FOR f'�OOL I / WASTE WATER E,M DRY WELL C EL 9.2 8'DIAx6'DEEP 0.5E 6' POST/WIRE 0.5'S FENCE 0.8'N„ EL 8.0 S 66009'00" W EL 9.5 125.00' _ P/0 LOT 134 0 00 co 0 SEPTIC LOCATION t n. Town of souththhi /� �15N" P.O.no,1179' r� 530951Visln Rd � j ��1✓r D Sonlhold,NewYer'1(1I47I i/%/��I, i��/ CERTIFICATE /,MA" THIS CERTIFIES that the hulldIng IN GROUND P(M39 / Location of Property: 3200 Bev Shone Rd.Grim npnort SCTh7N: 473989 SrcesUhachALrrt 1.•.ht ol'� V o III IIV a o Subdivision: FNM Fdred MAP conforms substantially to the Application for Uut6drflrgt S"otuMxdr 222CO22 pura ant to which Building Pormlt was issued,and conforms to all onto uw°rpduirtrineautu w+P bBYt°etatdda p'¢rrr Ilgu4r',e� which this certificate is Issued Is 699+^�t�P.`u3.M1„6Y'pWIMMAN„YfM,SLti4..7,t.1.°t)Jl'"nrfll.tlt.'e0v"4 ,?bwMkwUM i Tbc ccnlncete Is Issued to 3200 nay IJ.0 ofihe aforesaid buihling SUFFOLK COUNTY DEPARTMENT CIF tIV,81 Mtl ELEC'1'WCAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED r N %400 ";r=5CR I F`71 ON . 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