HomeMy WebLinkAbout1000-31.-4-8 a 8 � TOWN OF SOUTHOLD
g Rental Permit 0638
Owner Neil Heymann & Lara Abelsohn
Occupied as Single Family Dwelling
Located at 580 Stars Rd East Marion 31.4-8
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.
5/22/2024
Code for ment Ofi
This Notice must be posted by the main entrance at all times r
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TOWN OF SOUTHOLD BUILDING D
631 765 16QE = /- V4,
IN PEC 10rd
FOUNDATION 1ST ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAl
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (TOUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS: 6;5e
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DATE � INSPECTOR
Town Hall Annex
02
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
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SCTM # Date
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Floor antit Sub 1 2 3
Quantities ,,........ .,w., ......
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Carbon Monoxide Detectors
Fire Extinguishers
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Bedrooms 1 2 3 4/ 5 6
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Egress 1/
Occupant Count ,,a�-.. . ..µ..µ ...,. _... .. .. ...._. .... ....... ._.....
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Building Systems Maintained &Operational Condition of Property
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Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained &safe
Mechanical Handrails&guards installed &secure
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Pool Safety Pool on Site ..
Surface water alarm Date 1. CO issuance
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Door alarms !Pool completely enclosed
Self closing/latching gates Pool fence to code requirements
O's for all items present _ Prior Rental
Comments.
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�£ TOWN OF SOUTHOLD
Rental Permit
0638
Owner Neil Mark Heymann & Lara Jacqui Abelsohn
Occupied as Single Family Dwelling
Located at 580 Stars Road East Marion 31-4-8
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.
5/11/2022
e o ere Official
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road �l�
Z Fax(631)765-9502
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F.O.Box 1179 �w.�„..................,, .,,,
Southold,NY 11971-0959 d
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD M�V' 2022
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
580 Stars Rd East Marion NY 11939
Tax Map Number: 1000 SECTION 31 --BLOCK-4 -LOT 8
SECTION B.
OWNER INFORMATION:
Property Owner Name: Neil Mark Heymann and Lara Jacqui Abelsohn
Property Owner Legal Address: Property Owner Mailing Address:
402 t ...4 .
. Brooklyn, NY 11215 Brooklyn NY 112�4�a �
Telephone Number(s): Daytime 303-731-7974 Evening 720-271-2713 Emergency_,103-731-7974
Property Owner Email Address: lara.abelsohn mail.com&neil.h mamag
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Vec, I(293
5--1 D^ Pagel of S
Town)•-Tall Annex Telephone(631)765-1802
" � 631
54375 Main Road �� Fax( )765-9502
P.O.Box 1179 N
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SO HOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: „__, w ..
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:
Address of Managing Agent (no P.O.
Page 2 of 5
"x�x
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
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P.O.Box 1 179
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: _
Telephone Number (s): Daytime_ Evening _.........., ,_,.MMM...,, Emergency__,,,,,..,,,,_,,__
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: Unit 1 _....w__
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:_sincltlµfaim home
Requested Maximum number of persons allowed to occupy Dwelling U : 1
Number of rooms in Rental Dwelling Unit: $ _......__.. .._.
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Use and Dimensions of each room in Rental Dwelling Unit: .
Foyer:8'4"x 6'8", Livin room: 14'x 12''FamiY room:22'4"x 166", Kitchen: 14'4"x 15'6" Dinin9_room: 11'8"x 12'2"
Primary bedroom: 13'6"x 166", Bedroom 2:14'x 12', Bedroom 3: 10'8"& 2'2",Bedroom 4:9'8"x 12'2"
�� �"� ��
3.5 bathrooms. 2 car garage
Page 3 of 5
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box I t79
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SO HOLD
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
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer. Recently submitted
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I �L� certify under penalty of perjury,the following:
3. 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
/ " P <
Town Hall Annex � � �f °, Telephone 631)765-1802
' `1
54375 Main Road 1 Fax(631)765-9502
P.O.Box 1179 ��
Southold,NY 11971-0959 ° Q �60" ,
BUILDING DEPARTMENT
'OWN 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;
rn t of e this d' y of. ........ 20W awe S.TOMA
Notary Public.State of New Holt
No.01 TO6060176
" tatilied to Queens County
Cwnftssion Official blot y blit Si nature nd Original Notary Stampaar�ebruary ,2oas
Page 5 of 5
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631-765-1802 ( �f
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INSPECTION
FOUNDATION 2ND INSULATION/CAULKING
FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRESISTANZ(FAL)
ATION
ELECTRICAL (ROUGH) ELECTRICAL
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CODE VIOLATION PRE C/O RENTAL
REMARKS: --
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Town of Southold
3/22/2022
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42936 Date: 3/22/2022
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 580 Stars Rd.,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-4-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/4/2020 pursuant to which Building Permit No. 45705 dated 1/21/2021
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'1c:... <1all,tl w 1.a lcs1 v Ii x1z 1 1 1 l m a a cclw fr tmpr ..?..���amt�lc or slioa��e and �t he �e �acar_.g��,b � r
.jL1i Me_fQtp er ZBA 97203, dated 10/18/201 S.
The certificate is issued to ModemAge Home Bldrs LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-1458 1/10/2022
ELECTRICAL CERTIFICATE NO. 45705 9/23/2021
PLUMBERS CERTIFICATION DATED 11/10/2021 ries Saald r
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