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1000-61.-4-22
� TOWN OF SOUTHOLD Rental Permit - 1428 Owner: Laoudis of Southold LLC Occupied as: Apartment #1 Located at: 54280 Route 25 Southold 61.4-22 Maximum Permitted Occupancy: 3 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: 03/10/2026 w1k=7) Expiration: 03/09/2028 c e E forc tOfficial This Notice must be posted by the main entrance a ai es of so TOWN OF SOUTHOLD Rental Permit 1429 Owner: Laoudis of Southold LLC Occupied as: Apartment #2 Located at: 54280 Route 25 Southold 61.4-22 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: 03/10/2026 Expiration: 03/09/2028 cod t official This Notice must be posted by the main entranc at all 'mes TOWN OF SOUTHOLD Rental Permit 1430 Owner: Laoudis of Southold LLC Occupied as: Apartment #3 Located at: 54280 Route 25 Southold 61.4-22 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: 03/10/2026 Expiration: 03/09/2028 c e o cem nt Official This Notice must be posted by the main entrance t all mes Town Hall Annex j Telephone(631)765-1802 54375 Main Road, Fax(631)765-9502 P.O.Box 1179 Southold,NY l 1971-0959 BUILDING DEPARTMENT TOWN OF SOLT HOLD ,w RENTAL PERMIT APPLICATION NI g Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: VOU-1e 7 S OU t0 Icy "kjY I q Tax Map Number:1000 SECTION 413$g'q -BLOCK 61 SECTION B. OWNER INFORMATION: e Property Owner Name: o Lr ►S of S o q4o lJ LrL C Property Owner Legal Address: Property Owner Mailing Address: TO ° Qx 53- � 0 . x o 973- 73` 973- Telephone Number(s):Daytime 279-yIg8 Evening lk-OeEmergency—Aj E (y8 Property Owner Email Address: Page 1 of 5 Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 g-Y BUILDING DEPARTMENT TOWN OF SO'THO Section C. Authorized Agent Information: L&ouc[i S Of Sou�"ho Name of Authorized Agent of dwelling unit,if any ca SQ c-�iOn �. Q W n er 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: 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: Altt 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 1 179 1° Southold,NY 1 1 97 1-0959 �� �, BUILDING DEPARTMENT TOWN OF� /SOUTHOLD Mailing Address of Managing Agent: )� W Telephone Number(s):Daytime, Evening Emergency Email Address: 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: 1 Requested Maximum number of persons allowed to occupy Dwelling it: CORSGd Oil 504f / SO1n) Number of rooms in Rental Dwelling Unit: I'll --- Use and Dimensions of each room in Rental Dwelling Unit: l,1�60 -)4+ 81n X 13 ) + ► r , a- 20 & n x Page 3 of 5 Town Hall Annex m� Telephone(63 1)765-1 802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Il Southold,NY 1 197 1-0959 ou �q BUILDING DEPARTMENT TOWN OF SOUTHOIJ) 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: 1-� x x in x Rental Dwelling Unit Identifier: � r --**,3 \ Requested maximum number of persons allowed to occupy each dwelling LIt l2 Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 949ig9k=1 x 414 T T7) Rental Dwelling U dentifier: Requested maximum nu r of persons allowed to occupy each dwelling unit: Number of Rooms in Rental D ng Unit:, Use and Dimension of each room: Town Hall Annex 4�. Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 a s �1 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. VI am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam 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. Ki" r e�f STATE OF : ( iiO I COUNTY OF I i_ _ 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 1179 6 Southold,NY 11971-0959 WrX BUILDING DEPARTMENT TOWN OF SOUTHOLD 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: Property Owner's Signature: r^l f orn to befo e e th day of 1 20 Z 0 Official otary Public Sign u a Original of ry Stamp JOAN M.VAZQUEZ NOTARY K"OF WW JU wCOMMisli;NEW111001.91,200 Page 5 of 5 CIF S UI t&6, A `1t 5o4 IJ TrION OF SOUTHOLD BUILDING DEPT. 631-765-1802 lNv5rm%m;Tl0N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY IV FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT" PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: ............. i14 ID DATE INSPECTOR sorAot- TOWN OF SO THOLD BUILDING DEPT. 631-765-1802 I N E�T I ("J"k [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [v]' FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Ano DATE 21151ZO-4 INSPECTOR 2• TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE DIST, SUB. LOT FORMER OWNER - _ �� E ACR At F:76 n _ S W TYPE OF BUILDING Ic- RES. SEAS. VL. FARM _$ CB. MILS. Mkt. Value LAND IMP, TOTAL - DATE REMA -�� -- - a - 1lZC� 6"t vp 0 // VI i .C, c I - CIO Tillable FRONTAGE ON WATER T Woodland FRONTAGE ON ROAD - `-7fdgf( - Meadowland DEPTH House Plot BULKHEAD �ji �. Total 9112 f� �-- 2 TOWN OF SOUTHOLD P i---- _ .. .. iRD CARD OWNER STREET VILLAGE DIST. SUB. LOT 47— FORR 0 _ ER N E ACR. y� r S TYPE OF BUILDING 4- AeAJ RES. SEAS, VL. FARM COMM. MISC. Mkt. Value s LAND IMP, TOTAL DATE R RKS E s x � v u AGE U LDING C DT N, _ �� . ; , NEW NORMAL BELOW FARM Acre Value Per Value Acre s Tillable 1 Tillable 2 Tillable 3 Woodland Swampland 'FRONTAGE ON WATER Brushland FRONTAGE ON ROAD - J/O p House Plot - DEPTH BULKHEAD Tota I DOCK �€ OEM, - \ COLOR T+d k e K TRI �Pe, 'Mom JN 1 I : 9# 7 § s ✓ 3 7- - - �6 is 61.-0-22 09/2016 - : f 3 . '$ 3x I M. BIZJ, _ _ , / _ _44 Extens Z I lt9► — a Ext nsj 4 , i Extenslo -- T �A 1�© Foundation Both Bath ��� Dinette AL Porch / X L Basement Floors �"� l/ Le �rK. Porch Ext. Walls Interior Finish S/P LR. Fire Place r Heat I DR. Breeze. -S 12 X!?= z S S�/ /Yo , - W. i Garage i i Type Roofu�L{, Rooms 1st Floor BR. ' Recreation Room Rooms 2nd Floor FIN. B 0. 8. ;Dormer Driveway Total � -__ _ _-- da�7 yl f Ef ,g i COLOR 9i I j � • :, E F TRIM - I , X z = Y 2 „- k 44� M. Bldg t _ Foundation Bath Dinette Extension \ . Basement Floors ! K. I 3 Extension ! A �. ti :�, \ _ Ext. Walls _ Interior Finish LR- K Place Heat Fire Pl s I § - DR Extension Type Roof U, . Rooms 1st Floor BR _ Y ! r yf v / f Porch r Recreation Roo Rooms 2nd Floors FIN. B } Porch i �, j Dormer �e 3� 6� _ �9'"O Driveway 1 , O. B- I i Total i ��5 �� /N' 11,lei F-I ct b—VO-4 r'-7- w > _j cm CD 0 N 00 M C.4 Lo 0 cn A-1 -BASENN-1 CE Es, !T- FLOOR PLANS L4,2-5 31 6 BASEMENT PLAN 3/16" = 1'-0" JOAN CHAMBERS (631)294-4241 U4) RETAIL STORE PEA. ESTATE OF-FICIF E E --7 \--J ly- w v ED < > El 1 C14 0 C,.j 0 ic Z) 6 Lo cf) SECOND E, FLOOR 7 &ROOF 7 PLANS 4 IC25 11-1: qT� i FIRST FLOOR PLAN 3/16" JOAN CHAMBERS (631)294-4214 t H Lu J- Rcc� ILL _j C\l 0 014 00 1: C D 6 0 Lo U) - lrx A 3 OR M v IONS Kr El U- CAN CHAM�--S € r� r € € v- € w—{ 1 ii s1L _ E F�- "AST ELEVATION 1/4' .-., 4.18.25 ISECT ION # 1/4" _ .22.25 LI�L Qd J 75 J N C:) 0N — 4 H co Y/ liM 4 _ — �..'. ]Iisl - - ELEVATIONS SECTION 7,2225 A -JEST ELEVATION SOUTH ELEVA?ION _---- 114" _ 'JOAN CHAMBERS 7_ (631)2944214 TOWNT OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY 11FONG0W.F-0RARN1Cr PEE14HSE& No. Z11639 4/27/83 THIS IS TO CERTIFY that the / J Land %J Building(s) JX/ Use(sr) located at 54280 Main Road Southold . .Street Hamlet shown on County tax map as District 1000, Section 061 , Block 04 Lot 022 , does(naf�conform to the present Building Zone Code of the Town of Southold for the following reasons: A retail store is a permitted use in the B-1 Zone. Two additions have had Certificates of Occupancy issued.* On the basis of information presented to the Building Inspector's Office, it has been determined that the above mexconforming /_/Land /_/Building(s) /X/Uses) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: a retail store. The Certificate is issued to THERESA FROHNHOEFER (owner, iesseevr-tea ) of the aforesaid building. Suffolk County Department of Health Approval n/a UNDERWRITERS CERTIFICATE. -,NO. `_ n/a NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. Permit 6417Z, C.O. #Z6549 Permit 8762Z, C.O. #Z11640t I:"wi ding inspector of "yy� Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46895 Date: 03/10/2026 THIS CERTIFIES that the building AS BUILT COMMERCIAL Location of Property: 54280 Route 25 Southold,-NY 11971 Sec/Block/Lot: 11,-4-22 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/11/2022 Pursuant to which Building Permit No. 52558 and dated: 12/17/2025 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: "As built" apartments (3) within existing commercial building as applied for. The certificate is issued to: Laoudis of Southold LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: C-21-0079 8/15/2025mmmmmmmmm ELECTRICAL CERTIFICATE: 52558 02/19/2026 m � PLUMBERS CERTIFICATION: __.� w Ted Laoudis 02/03/2026 uth° rived , ig atu.re