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Home My WebLink About1000-6.-3-8.3 t TOWN OF S UTHOLD Rental Permit 1384 Owner: Lauren Calahan Occupied as: Single Family Dwelling Located at: 3038 Central Ave Fishers Island 6.-3-8.3 Maximum Permitted Occupancy: 8 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 b`-,annual inspection. Issued: 10/14/2025 Expiration: 10/14/2027 Cod Enfo em nt ciai This Notice must be posted by the main entrance all mes v NP 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 litt)s-/ ww.sot.itholdtownn Gov RENTAL PERMIT APPLICATION - Rental Permit Fee$300 (Application must be renewed every two years) 161 L loa5 Section A. '`" .0 Property Information: ��' Rental Property Address: Central Avenue, Fishers Island, NY 06390 Tax Map Number: 1000 SECTION 6 -BLOCK 3 -LOT 8.3 SECTION B. OWNER INFORMATION: Property Owner Name: Lauren Calahan Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 561 Middlesex Road Same Darien, CT 06820 Telephone Number (s): Daytime (203) 470-7588 Evening Emergency Property Owner Email Address: lkcalahan2agmaii.com Page 1 of 4 w & Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: coo Owner 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: none 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: none 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: 1 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: 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 8 ° Number of rooms in Rental Dwelling Unit: 12 Use and Dimensions of each room in Rental Dwelling Unit: Great Room -- 36'-8" x 27' Bedroom 1 -- 16-0" x 23'-0" Dining Area -- - x 201-8lo Bedroom 2 -- 1 U-7x 1 T-Sitting Area (first floor) -- , „ , Bedroom 3 , , „ Kitchen -- 19'-0" x 16'-0" Bedroom 4 -- 10'-3" x 11'-10" Sitting Room _. x Mud Room -- 9'-9" x 7'-10" Mezzanine -- 28' x 29'-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. ❑ lam requesting afire 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 (�44qy\/ t. ashes-s - TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANFPE TRATION ELECTRICAL (ROUGH) [ ] ELECTRICALL) CODE VIOLATION [ ] PRE C/O [ NTAL REMARKS: _........ A- QQ DATE jO 1fASP°ECTO1 r ^' 4 Town Hall Annexe a Telephone(631)765-1802 54375 Main Roadrc Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 74 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re aired for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000 -- 6 -- 3 -- 8.3 Rental Property Address: Central Avenue, Fishers Island, NY 06390 Owner/Name: Lauren Calahan Rental Dwelling Unit Identifier: 1 Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sgft., etc.) Bedroom #1 -- 347 sq. ft. Bedroom #4 -- 115 sq. ft. Bedroom #2 -- 118 sq. ft. Bedroom #3 -- 121 s . ft. Property Description (Include all improvements indicated on survey) Two-story plus mezzanine single family residence with basement garage. Exterior spaces: open roof ec , roofed porch, and paved terrace on grade. 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 fo^,i' Y r Site,the Fuel Gas Code of New York State, the Fire Code of New York State, the Propeit� � f New Y A State and the Energy Conservation Construction Code of New Yor / '„^ ' , Print Name and Title O n �i �� 9 " c Please place Professional Seal: " ' wz U z - PLAN LEGEND uj so SMOKE DETECTOR W no HEAT DETECTOR z a O SMOKE&CARBON = COMBINATION Q J Q U r y li i! li U_ GARAGE Z Q (729 SF) U SLAB ON GRADE Ha W ------------ t� l 1„ it i uj Fj- 5u b T �n tW�' V�� GROUND LEVEL SCALE:1t8" =1' N �_a CN Lu Z PLAN LEGEND LIJ so SMOKE DETECTOR Ln Lu Q'I- ec HEAT DETECTOR z SMOKE&CARBON COMBINATION < DINING AREA SC SITTING AREA ai (284 SF) (325 SF) .81 MUDROOM PORCH GREAT ROOM (76 SF) ---T571-SF) (991 SF) LAUNDRY EEDR.OM I (347 SF) ------13 (66 PANTRY (62 SF) KITCHEN (305 SF, BAT 1 (54 SF) u r 13 ,f7 u 3� FIRST FLOOR SCALE:1/8"=1'-0" Lu Z PLAN LEGEND LL, SMOKE DETECTOR LLI fif HEAT DETECTOR z SMOKE&CARBON COMBINATION CATWALK SITTING ROOM 1 BEDROOM 2 BATH 2 (118 SF) -Tl 19 SF) SF) OS. 0-16 BALCONY v (571 SF) DECK (633 SF) DECK(C'33 SF) CATWALK 7 E� D OS. BATH 3 BEDROOM 4 BEDROOM 3 -(73 SF) (121 SF) (115 SF) Q L) &-b <3f I I- SECOND FLOOR SCALE:1/8" =1'-0" w = U Z PLAN LEGEND LLI so SMOKE DETECTOR t W — Ne HEAT DETECTOR z Q SMOKE€CARBON Z COMBINATION Q J U MECHANICAL STORAGE MEZZANINE ❑ (400 SE) a' I. SG 1 13 € j MECHANICAL STORAGE MEZZANINE FLOOR SCALE:1/8" =l'-6" �T�