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Home My WebLink About1000-35.-8-5.9 TOWN OF T Rental F Permit 19 Permit No. 0015 Owner Edward & Veronica Foy Occupied as Single Family Dwelling Located at 215 Marina Lane East Marion 35-8-5.9 Address Village S/13/1- Maximum /B/LMaximum 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. 3/22/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times so Town Hall Annex � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 PA UNN BUILDING DEPARTMENT TOWN OF SOUFHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: a Tax Map Number: 1000 SECTION BLOCK LOT ) SECTION B. OWNER INFORMATION: Property Owner Name: i Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) rs Telephone Number (s): " Property Owner Email Address: Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): TWV 1/ Mailing Address of Authorized Agent: Telephone Number (s): _ ! Email Address: W� � µ Via ' L 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): 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: N,LA Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Email Address: Page 2 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, 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: Use and Dimensions of each room in Rental Dwelling Unit: L, • " p m ra 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 NYS licensed architect, a NYS 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. 1Cd' 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. 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: 4c" Owner's Signature: Property Owne g L Sworn to before me this&day of_ w . 20ft Official N ary Public Sign ure-and Original Notary Stamp TWEY DWER NOTARY PUMX.STATE OF N9W VORK Page 4 of 4 NO.01 QUAUFIED WS RES JUNE 30,2RAA ov Telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD ,ENTAL PFIRMITAPPLICATIONADDENVDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit:— Z— Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: W 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: p IIIIII IIII IIIIIIIRING DEP Y� ±k I Hot 802 lNSP 'ElCT' l0N IIII' III IIIIIIAIN 2ND INSULATION ill Illi°l III l 11111 IIP X111,)l FIERI!!, IIIIIIII iCl 111 II 1111111 FIRE II SAFETY , 111111°IRE RESISTANT CONS rRUCT11110N FIRE IRESIS MI IIIIIIIIIII E ' I ELEc,111ri111 lC L III II 1) ELECTRI11CAL a lllf°°°l IIIA IIl 'llilll �u _........ 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IJ c � CERTIFICATE OF OCCUPANCY .. r No: Z-28558 Date: 06 2802 THIS CERTIFIES that the building NEW DWELLING Location of Property: 215 MARINA LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 8 Lot 5.9 Subdivision �� Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 2000 pursuant to which Building Permit No_ 27103-Z dated MARCH 5, 2001 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 DWELLING WITH COVERED FRONT PORCH, REAR DECK AND ATTACHED ONE AND ONE HALF CAR GARAGE AS APPLIED FOR. The certificate is issued to GUSMAR REALTY CORP of the aforesaid building. (OWNER) SUF � FOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R o-o�-0.,115 ELECTRICAL CERTIFICATE NO. H074748 04/03/02 PLUMBERS CERTIFICATION DATED 12105/01 PARKVIEW PLUMBING & HEAT Authori, ::d Signature Rev. 1/81 Town of Southold 8/31/2015 , , P.O.Box 1179 ^'P 53095 Main Rd Southold,New York 11971 4f CERTIFICATE OF OCCUPANCY ANCY No: 37749 Date: 8/31/2015 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 215 Marina Ln, East Marion SCTM#: 473889 Sec/Block/Lot: 35.-8-5.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/1/2015 pursuant to which Building Permit No. 39655 dated 4/7/2015 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: , ADDITION AND At TERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Divito, Steve of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED jAutho w Si'l Lure — a.... Town of Southold 6/21/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ----- CERTIFICATEOF OCCUPANCY ANCY No: 38354 Date: 6/21/2016 THIS CERTIFIES that the building SHED Location'of Property: 215 Marina Ln., East Marion SCTM#: 473889 Sec/Block/Lot: 35.-8-5.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/19/2016 pursuant to which Building Permit No. 40645 dated 4/26/2016 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-,leu lt"acc ssgr ;1 as �[Plied:Cor. The certificate is issued to Divito,Steve of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ......,,,,. _ ,. ..... -- uthoriT. an. .. star F ?K� Town of Southold 5/16/2018 P.O.Box 1179 53095 Main Rd " Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39646 Date: 5/16/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 215 Marina Ln,East Marion SCTM#: L73889 Sec/Block/Lot: 35.-8-5.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/2/2016 pursuant to which Building Permit No. 41215 dated 12/9/2016 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: ACCESSORY 1N-QW) ND S Fv1MIN POOL, F CED TO QOIIIF; AS APPLIED The certificate is issued to Foy,Edward&Veronica of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41215 05-11-2017 PLUMBERS CERTIFICATION DATED At h riized Sigiiatti e._...._ Slalao �g PERTY RECORD TOWN OF SOUTHOLD PRO CARD OWNER STREET VILLAGE DIST. SUB LOT 7— ACR. REMARKS TYPE OF BLD, —7 42 C J PROP- CLASS,, LAND IMP IOTAL -DATE ine toe 06 V too G A` FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND i BULKHEAD HOUSE/LOT TOTAL 1 44- 1 _=FF� \� ` \ i 35-8-5.9 1102 M. Bldg i ¢, a � Foundation ��_ Bath � Dinette Extension - a Basement SLAB Floors Kit. Extension - Ext. Walls Interior Finish I_ R e Extension Fire Place �� Heat D.R. Patio Woodstove a ` Porch - Dormer Fin. B. Deck G. a• Attic = _ RoomsIst Floor L-t Garage Driveway Rooms 2nd Floor 0.13 Pool = -