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Home My WebLink About1000-75.-3-4 TOWN OF SOUTHOLD Rental Permit 1383 Owner: Anna Thorsdottir , Franko Marinai Occupied as: Single Family Dwelling Located at: 46660 Route 25 Southold 75.-3-4 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 a annual inspection. Issued: 10/14/2025 ' Expiration: 10/14/2027 ode nfo emntOfficial This Notice must be posted by the main entryocea11 time LCULt E MAR 1 4 2025t btu. TOWN OF SOUTHOLD r--BUILDING DEPARTMENT � l RIII evert C{L� Town Hall Annex 54375 Main Road �P7 0WBW�F" azit Mold,NY 11971-0959 `7 631 Telephone 765-1802 Fax (631) 765-95021a1t s;/ wwv .soutlacldovvnrr ,�or� Q�- P ( ) RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: �d, Tax Map Number: 1000 SECTION �S -BLOCK ' -LOT - SECTION B. OWNER INFORMATION: 1 Property Owner Name; � � 8fi, ,,, IC-1 , Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 71 Telephone Number(s): Daytime �� . Evenings Emergency Property Owner Email Address: Page 1 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: " Use and Dimensions of each room in Rental Dwelling Unit: -I- vog ,, ( v4 _I,; " ,G 2 ML-�,- 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 VI 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) .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: t Sworn to be f r� e this7 day of�� , 20 Official Notary u-66i 6g:�natLTm— otary Stamp LQUALIFIED UBLIC,STATEOF ALEAIORLIU OF NEW YORK NO, 01 L16338309 IN NEW YORK CQUNTY Page 4 of 4 MISSION EXPIRES 03/07/2028 1 a8 x x ► �pyw Telephone(631)765.1802 Town Hall Annex A�z 54375 Main Road Fax (631)765 9502 P.O. Box 1179 Southold, NY 11971-0959 w 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 wired for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification r� Rental Property SCTM Number: !� Rental Property Address: Owner/Name: p � � µ `"4 RLA Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) Property Description (Include all improvements indicated 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,the Fire Code of New York State,the Property Maintenance Code of New York State Code of New York S e. and the Energy Conservation Construction C {� LE Print Name and Title Original Signature Please place Professional Seal: solar TOWN 05 SOUTHOLD BUILDING DEPT. 631-765-1802 Nbtp =CTI %'JN [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: t � pvom� _ Um \h,, S �� Sol Av DATE INSPECTO TOWN OF SOUTHOLD PROPERTY RECORD I � rOW �ER ��{'z- r STREET VILLAGE D ST.' OT d_ `�\ i i FORMER OWNER N E)J ACR. €. S W TYPE OF. BUILDING va { RES. SEAS. VL, �t FARM CO CB. MICS. Mkt. Value _ D 3 =�( LAND IMP. [ TOTAL DATE REMARKS f � 1 - - a f , _ _ rci IL e f � _ a / _ s� I i AGE BUILDING CONDITION �, � NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre = _ - �Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot i BULKHEAD Total DOCK F 1 - f R I ; f )LOR ` TRIM E, 3 e } I s a � 75.-3-4 3/2014 �; I � M. Bldg. s Extension 2 O Extension Extension 4 'Foundation c /� Bath Dinette Porch Basement v l_ c ;Floors K. Ext. Walls Interior Finish LR, IDXt�i = lid 1�S!ry Breezeway - Fire Place ;Heat DR. Garage Type Roof Rooms 1st Floor BR. y-' ;, Gov :..e Patio � Recreation Room£ Roams 2nd Floor F O. B. 'Dormer Driveway Total �� S 0710 t _, 5 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z4206. . . . . . Date . . . . . . . . . . . Aprll . . . 22 . . . ., 19. .70 THIS CERTIFIES that the building located at .Main .klead . . . . . . . . . . . . . . . . Street Map No. . . .Xz. . . . . . . Block No. ?a . . . . . . .Lot No. . , . , . . .Southold N.Y. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .49 .31. . . . ., 19. 9.0 pursuant to which Building Permit No. .14.931Z. dated . . . . . . . . . . .AM . . 3.1. . . ., 19.70., 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 .dw* lling. . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . The certificate is issued to .!T e s K® ►x . . . . . .Ow,.er . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval NR.*. . . . . House # 46660 Building Inspector * . .......... --------------- Town of Southold Annex 11/19/2012 P.O.Box 1179 54375 Main Road Southold,New York 11971 ........... CERTIFICATE OF OCCUPANCY No: 36049 Date: 11/19/2012 ................ THIS CERTIFIES that the building DECK ........... ............. --—- ----------------------------Location of Property: 46660 Route 25, Southold, .................—11 1 1 --- .......... I....... ------ SCTM#: 473889 See/Block/Lot: 75.-3-4 Subdivision: Filed Map No. ................................. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/28/2012 pursuant to which Building Permit No. 37505 dated 9/11/2012 ........... ------ 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: Rear AMLko;),,9°6LX--1 L-9-I'L th Stem. as aDDlied for. The certificate is issued to Wood, Robert&Wood,Susan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ............ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .. .......... /hA gnat re t —S r,F i i 1 4 rr)lf�ll/fr�I�N.N9iAa rmio�r//ri0 �r0ti iV a�ri�!r till,\ Sol ta HP II � EI R t st i �k'S i3 r F .� }'ASS } r .� •, �„- I_{3 3 s i r . iJ� _� �� F '�_`��. }_ , .� v �_ ,. .� _ � � #_ I EE $(� 3 i § � � _ ! E ; I 3 �_ � � � � ry � �-"- .t � r` �� e `S` — e-. i 4 � � � 14 t I e F � � .., ; � � f i � � � ... 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