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Home My WebLink About1000-37.-6-3.4 TOWN OF SOUTHOLD Rental Permit 1527 Owner: John Thorp , Cinthia Thorp Occupied as: Single Family Dwelling Located at: 120 South Ln East Marion 37.-6-3.4 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-annual inspection. Issued: 07/22/2026 Expiration: 07/21/2028 Code Enforcement Official This Notice must be posted by the main entrance at all times 0' bry TOWN OF SOUTHOLD—BUILDING DEPARTMENT X 'T '7 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11 9 Telephone (631) 765-1802 Fax(631) 765-9502 13 20.." RENTAL PERMIT APPLICATION TOW11 Of southOld Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION. 3<7 -BLOCK (9 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: mnl L1 nVV1ckTho Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): Daytime Evening, 5(A. Emergency_ Property Owner Email Address: oCA - coy-n Page 1 of 4 Section C. Authorized Agent Information: *w. 0 �oq W&K Name of Authorized Agent of dwelling unit, if any: Address of Authorized (Agent no P.O. Boxes): 3 15 � n'� � g l MailingAddress of Authorized Agent: 6- '1 50\tiku 0 g Telephone Number(s): Daytim -(?2-7- e 3 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: 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: On 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: Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: � rl 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. 'A I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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) 3-6516 , 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: Sworn to before me this -�- day of t \ , 20alen A JILOffic" NotaryPublic Si nat` re and Original Notary Stamp Public,M.OOHERTY g g ry p Notary Public,State of New Registration No 04DO0020 Qualified in iuffolL C- w SV14 Commission Explre^ Page 4 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) 1 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: Ce ! 0 lb i a"2 ah Property Owner's Signature: ell, Sworn to before me this day of l e�V 20,2j Off, Notary Public Signature ind Original Notary Stamp AL w V Hoary pwft Suft at NOW V r, 1W10' cou Page 4 of 4 ll* , c�F 0 `OWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 ,37 _�,yr I N Sik P Ec"' T 10" N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: R w DATE INSPECTOR Town Hall Annex ell Town of Southold 54375 Main Road c Rental Inspection Report PO Box 1179 o Southold, NY 11971-1179 O Tel: 631-765-1802 NO SCTM # 3 - -,3. Date .a Owner A 0AP Phone Address $O .5su/'Lri �f• Visible Hamlet OM. Unspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure ------------ Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rentat #. cat Comments: _ ` f � 3 � G } - k-- �-, ACO OF SOUTHOLD PROPERTY RECORD t;Axu -OWNER, — STREET VILLAGE DISM I SUB. LOT ` c7 F RMER WNR N — E ACR S _ W TYPE OF BUILDING RES EAS r VL, FARM COt�11M CB. MISC. Mkt_ Value e LAND I IMP TOTAL MATE REMARKS : J I eF _ r r 0 +'1e y, AGE BUILDING CONDITION NEW NORMAL � BELOW ABOVE FARM Acre Value Per 71 Value Acre CID Tillable 2 Tillable 3 i Woodland Swampland FRONTAGE ON WATER - L'rushland FRONTAGE ON ROAD w House Plat DEATH BULKHEAD Total DOCK I m . - E s COLOR - , a o , —�TRIM t — — ( Am _ -1011 — 1 37.-6--3.4 z/24/202S ( E M. Bldg `` Foundation Bath Dinette' Extension 1 J `xt f C' f Basement Floors K2 f Extension Ext, Walls Interior Finish LR- i Extension !Fire Place !-Teat / DR- CA C 4101) Type Rcof Rooms 1st Floor BR. Pore `? Recreation Rums 2nd F' FIN - - Dormer = Breezeway ; Driveway orae Patin r 1 Soto l Town of Southold P.O. Box 1179 53095 Main Rd Cuwr� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46811 Date: 01/23/2026 THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION Location of Property: 120 South Ln East Marion NY 11939 Sec/Block/Lot: 37.-6-3.4 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/08/2024 Pursuant to which Building Permit No. 50609 and dated: 04/30/2024 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: Additions and alterations including conversion of seasonal dwelling to year-round single- family dwelling as applied for per ZBA #7733 dated 1/19/2023. The certificate is issued to: John Thorp Cinthia Thorp Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: R-23-0833 1/21/2026 ELECTRICAL CERTIFICATE: 111905 9/25/2025 PLUMBERS CERTIFICATION: Brad Piecuch 7/31/ 025 utho ' e Si nature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23101 Date JULY 14 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 120 SOUTH LANE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 37 Block 6 Lot 2.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23101 dated JULY 14, 1994 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 ONE FAMILY SEASONAL DWELLING * The certificate is issued to EDWARD & VIRGINIA THORP (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 1-di g Inspector Rev. 1/81 4— psis PLUMBING SCHEMATIE L use:uT ro stall —�� _ �'t'`-'� � Generated by REScheck-Web SofM are t �' , ¢ EK!T IRS fa Compliance Certificate o 27 71 44777 i 1. 0 Q77 - .. i� !! KI G!€1 T`Qw— SOW r E /ad!i.—' ,11 "�€ - `,to< —T'f—F— ^�mr CO ow < ul-i Not •x�}j _r Fu^'e—`'" F"a: as-ea,,. a � T� _.x 4 tom.L-- en_." _f. A-2 r U1 {f I 43 K ? t� _ A 1 j �