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Home My WebLink About1000-9.-4-4 of so TOWN OF SOUTHOLD Rental Permit 1485 Owner: 457EQ LLC Occupied as: Accessory Apartment Located at: 457 Equestrian Ave Fishers Island 9.4-4 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: 05/28/2026 Expiration: 05/27/2028 Code €�rcement Offi aa, This Notice must be posted by the main entrance at all times G` ^p TOWN OF SOUTHOLD—BUH DING DEPARTMENT Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 N ttP,0 ry , 01Lth l(lt wj ;v RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: �, , � 2 8 ; ,�;', Rental Property Address: 457 EQUESTRIAN AVENUE FISHERS ISLAND NY 06390 Tax Map Number: 1000 SECTION. 009.00 -BLOCK. 04.00=LOT 004.000 SECTION B. OWNER INFORMATION: Property Owner Name: 457EQ LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) C/O MICHAEL ROTHFELD SAME AS LEGAL ADDRESS 1220 PARK AVENUE NEW YORK, NY 10128 Telephone Number(s): Daytime646.812.2585 Evening SAME Emergency SAME Property Owner Representative's Email Address: M(a-)457EQLLC.COM on Page 9 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, 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." PLEASE SEE ATTACHED FLOOR PLAN INCLUDING ROOM DIMENSIONS FOR SECOND FLOOR APARTMENT Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: 4 Number of rooms in Rental Dwelling Unit: 5 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen 12'8"x8'10"; Bath 6'2"x6'4"; Dining Area 12'9"x11'8"; Family 10'2"x117' (dining area and family room occupy one open space); Bedroom 9'3"x87'; Primary Bedroom 9'5"x117, 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 Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.. STATE OF NEW YORK)) �� j � DF VJ-76�2-�� COUNTY OF 6 ) �°""' I S ,certify and Yr 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. t Property Owner's Name: Property Owner's Signature; ^p Sworn to before thi 7day of /ghi"1'/ , 20W6 Official Not Pu ignature a Notary Stamp Notary Pubk State of Now York OISHOO22220 Qualified bra Now York,Coun Commission Expires March 13,21 Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 lNtirECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ENTAL [SATE INSPECTOR 4 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 I N r r.%;T INN [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL RE ARKS: DATE ;?--6 INSPECTOR �v was Sour, — ri AkA S � �l TOWN OF SOUTHOLD BUILDING'DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: ._...._�-�� '� 4� �-� �emu►'l MGe +�i�" .........�. DATE INSPECTOI -'--4 . ryW tt' r✓� Kltchen p • �++ Bedroom 12 8 Yb vGQ z 67 W.f C '9'dr a°r 3" .„..".,w _I Family Hoom ;f DmingArea 107'z 11'7" f'rh +i Lip•frurh' ' ..) 12'9"x 1 P8" 2nd Floor ip r�ia fl Batt 4 p Utility ',. Room 9'8"x 10'4" „ 1 9'3"X 11'7" �I.alundry r w bey a 75• y - � Recall Space a`'1 _y 29'4"z 23'5" Retail Space { 9'B":39'0" ^ Hall ryyI, w bV'"u4Nrr 1 �ll Retail Space l 10-0"x 27'3 fiI 1st Floor TOTAL:2006 sq.ft 1 st floor: 1418 sq.ft, 2nd floor:588 sq.ft EXCLUDED AREAS: UTILITY: 100 sq,ft,WALLS: 177 sq.ft Floor Plan Created By Cubic—Apo.Measurer m Deemed Highly Reliable But Not Guaranteed. q13 /�?4 TOWN OF SOUTHOLD PROPERTY RECORI OWNER STREET VILLAGE DISTRICT SUB. LOT (n-�JE�OW ER N E ACREAGE TO e5' S W TYPE OF BUILDING TA Q RES. SEAS. VL. -ARMND. CB. misc. COC WK IMP. TOTAL LAND DATE RS H ' fir. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Value Per Acre Valued 21!�c4rf Form Acre C'n 86l6 Tillable I c-0 t_q Tillable 2 Tillable 3 Woodland Sw' ampland Brushland House Plot Total z t a i - } E y 1 r> � t i iCk t x M. Bldg_ ,` � Foundation Bath Extension t' Basement Floors 1 Extension E malls Interior Finish Extension Fire Place Heat - Foran j Attic Porch Rooms 1st Floor Breezeway= Patio Rooms 2nd Floor Garage Driveway O. B, i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE CERTIFICATE OF OCCUPANCY No Z19329 Date AUGUST 31 1990 THIS CERTIFIES that the building RETAIL & PROFESSIONAL BUILDING Location of Propert EQUESTRIAN AVE. FISHM ISLAND House No. Street Hamlet County Tax Map No_ 1000 Section 09 Block 04 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Retail-Professional Building built prior to APRIL 9 1957 pursuant to which Certificate of Occupancy Z19329 dated AUGUST 31 1990 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 RETAIL & PROFESSIONAL BUILDING WITH 2nd FLOOR APARTMENT The certificate is issued to THE TIDAL WAVE INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N A **SEE INSPECTION REPORT 0-d odd Building Inspector Rev. 1/81 w TO',""N OF "CJT.-:O.D, N. y- HOU-I::G CC R 7GRT Locnti:nn EQUESTRIAN AVE. ° ° FISHERS ISLAND l.-.L:.;.oer u s�ree�) l�•iun�cl�a_i�•y1 Subdi,;ision 10p No. �wwLot(s) N� of O an er(s) THE TIDAL WAVE INC. Occupan c7 GIFT SHOP & HAIRDRESSER AND APARTMENT 2nd FLOOR _ lCype) lo:,ner-nar�j d.:,iltzd by OWNERr -Acxompanied by : SAME Key available Suffolk Co. Tax No. 9-4-4 Source of request IRENE GAIL HENRY Date 7/19/90 D':(_LLING: Type of construc--On WOOD FRAMED A'stories 2 Foundation CEMENT -Cellar-Crawl space Total rooms, lst. Fl 3�2nd. Fl 44 3rd. Fl Bathrooms) 1 Toilet room(s) 2 Porch, type Deck, t e PatiO, type Breezeway Garag= Utility room Type Heat OII. FIRED alarm Air Ho twater Eg Fireplace(s)_-No. E-its I Airconditioning Domestic hotwater Yes Ty^Iae heater Other ACCESSORY STRUCTURvS: NONE Garage, type const. Storage, type const. Swirmino pool Guest, type const. Other VIOLATIO?:S• CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Locato'n Dew '-nticn lArtwp� Sic BOILER ROOM COMBIISTIBLE MATERIAL NOT ALLOWED 1 NO smon DETE> 1 I AND 20d, 00R NO C 0 UNTIL ARE TW9TALLVD qI Y THIS PRE C/O INCLUDES B.P. 1025Z FOR AN ADDITION Re-marks: C.O. ISSUED Z833 Inspected by: ate of Irsp. LUG. 8 1990 CURTIS W. HORTON Time start 1.-30 end -nn _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24584 Date August 21, 1996 THIS CERTIFIES that the building alteration and addition Location of Property L estrian Avenue Fishers Island House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated A it 11, 1995rursuant to which Building Permit No. 22702-Z dated Aril 26 19" 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 a deck addition with ram for handica d accessibility accesoibility and alterations as applied for. The certificate is issued to Canio A. To lia (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r° Building Inspector Rev. 1/81 7 Y r Town of Southold P.O. Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 46806 Date: 01/21/2026 THIS CERTIFIES that the building ELECTRICAL- COMMERCIAL Location of Properly: 457 qu strian Ave Fishers Island.NY 06: 9 See/Block/Lot: 9.-4-4 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 01/14/2026 Pursuant to which Building Permit No. 52608 and dated: 01/15/2026 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" electric service. The certificate is issued to: Tidal Wave Shops LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: ..ww~~M�.......�.... ___..... Authorized Signature