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HomeMy WebLinkAbout1000-31.-3-23 �o t OWN F SOUTHOLD Rental Permit 1412 Owner: Likokas Family Trust Occupied as: Two-Family Dwelling it 1) Located at: 9775 Route 25 East Marion 31.-3-23 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 bi-a aI i ection. Issued: 01/29/2026 / X U11 - Expiration: 01/29/2028 Cod nfo ent -dal This Notice must be posted by the main entranc at all mes Rental Permit - 1413 Owner: Likokas Family Trust Occupied as: Two-Family Dwelling (Unit 2) Located at: 9775 Route 25 East Marion 31.-3-23 Maximum Permitted Occupancy: 2 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: 01/29/2026 J Expiration: 01/29/2028 de orce a official This Notice must be posted by the main entranc at II time „w TOWN OF SOUTHOLD— BUILDING DEPARTMENT Se”;0 Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: 0 Rental Property Address: Tax Map Number: 1000 SECTION -LOT SECTION B. OWNER INFORMATION: cot Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) c R. L. s -�� V , 7 -61 . z-73,� Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: �-1 6"' 0 1-. Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: Z- For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C); 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: ,m Number of rooms in Rental Dwelling Unit: Use an Dim i � h room in RentalDwel/iing Unit: 17 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. 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) 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: 7V1 Sworn to before .phis g day of �, , 20 IRENE LIKOKAS Official Notfa Public Signature an "`i5i rr l Notary Stamp N Y PUBLIC, York No.0JU6325573 Qualified in King$County Commission Expires June 1,20 Page 4 of 4 Town Hall Annexe Telephone (631) 765-1802 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 ¢�4 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Requested max Unit Identifier:maximum number of persontallowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: !Use and Di e si n of e room:1 f >cl /17 t 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: spur TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTIuN [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P NETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL INAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL m.•eca�cu,o -... - f sxvxxr�o�cran� � -� o©s,xurnmuvos. _- ZEN DESIGN 4 329D EVERONEQi DRM oaon - ,` xevrm[xs,¢crnow ovv.wsemxui CROHOOO�NY 11935 1936 PHONE 63161 GSN — xemvxolt�i„mxumrcewuxc NO. DAM 1'JNLhPElEGIXO arq�....erN+Nr...6RekwMe. ... _ � �vMMxair uvn n�ee.iwaw�u.„vn.e� w� Z 12.0924 INV MR ID FLOOR PUR LIKOKAS „ t ; 1s , 1 3 „ 11 � 1 1 _ , F� RESIDENCE 9nsmarcx Novo LJ scams. 114^-1•-0• "=, � —mrtmExs,�moxoN� onrE 1z osst F[[:C-T l=r_GGI?PfJ-,J. DRAWN W. _ 3 , 7 PROPOSED i — - "-- FLOOR PLANS 00 CFtU G rIr:E Pf:GGFI G Dr-rfi.tf_ �e� WI`9ER STEtEET VfLLACE — f}15TRICT SLAB_ LOT Ue t l /t �� FORMER OWNER I ACREAGE Al S r W TYP E OF BUILDING RE _ SEAS VL. FARM COMM. IND- CB. MISC. _ ES. A LAN t _ D IMP TOTAL DATE R R KS df eZA-et - _ o �iCJD  s %X .. _ q 63 Ir a IT J 4!t AGE BUILDING CONDITION NEW NORMAL ABOVE _- -- _ Farm Acre Value Per Acre Value �+ Tillable I Tillable 2 Tillcble 3 Woodli and Swampland Brushland House Pik Total ff } 41 9 -- .. _ Foundation M. BPlgBath ;' _ (� ,' C'. 4 Extension Basement � Floors z Extension xt`C 3 Ext. Walls Interior Finish tension `�1 - � Fire Place Heat , _ - I Porch Attic Porch , _ Rooms 1st Floor i Breezes a Patio Rooms 2nd Floor Garage _ -- - — — —- —I O. B. l 1 i _ TOWN OF SOUTHOLD PROPERTY RECOR OWNER STREET VILLAGE DIST.11 SUB. LOT 1 s FORMS CNER N r E ACR. S- W TYPE OF BUILDING �-s _ e . r RES. SEAS. VL. FARM MISC. Mkt. Value If 6M�M3 LAND IMP. TOTAL DATE REMARKS r f . ir � F vi AGE BUILDING CONDITION = NEW NORMAL BELOW ABOVE FARM i Acre Value Per Value i Acre Tillable 1 Tillable 2 l Tillable 3 Woodland Swampland FRONTAGE ON ROAD Brushland /y:�r 6y/J DEPTH House Plot ��— IBULKHEAD f Total !DOCK l l`` � s { � TL R - - 1 IM = r i i I i I I 31.-3-23 1/2014 ' I Foundation Bath Dinette M. Bldg- Floors - -� Floors I K- Extension Basement i Extension Ext. Walls Interior Finish LR. Extension — _Fire Place � Heat o ,��'" ° DR. i Type Roof Rooms lst Floor BR. ;Parch ? !Recreation Room` Rooms 2nd Floor FIN. B Porch 'Dormer Driveway ) pfp Breezeway I Ccc a Garage- Patio t JD 2�I �t��5 �3 2(09 Patio s 0. B- Total E s a a Town of Southold P.O. Box 1179 ��,✓��'�a ��mh,� 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46763 Date: 01/06/2026 THIS CERTIFIES that the building TWO FAMILY DWELLING Location of Property: 9775 Route 25 East Marion NY 11939 See/Block/Lot: 31.-3-23 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/21/2024 Pursuant to which Building Pen-nit No. 51582 and dated: 01/23/2025 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: Alterations to a pre-existing two family dwelling to create proper fire separation as applied for. The certificate is issued to: Likokas Fan-ffly Ttlust Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51582 12/4/2025 PLUMBERS CERTIFICATION: Jorge Naran o 12/15/2025 Lit riz d S nature