HomeMy WebLinkAbout1000-88.-2-15.4 TOWN OF SOUTHOLD
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F Rental Permit
0918
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Owner Gabriel Menendez & Emily Medina
Occupied as Single Family Dwelling
Located at 450 Stirling Woods Ln Southold 88.-2-15.4
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.
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5/30/2023
*Codnft Official
This Notice must be posted by the main entrance at all times
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Town Hall Annex 1`ePi°rne(631)765-1802
(631
W.
54375 Main Road Fax )765-9502
P.O.Box 1179 �
Southold,NY 11971-0959
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BUILDING DEPARTMENT �'',l 3 2022
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION
SECTION B.
OWNER INFORMATION:
Property Owner Name:..CIL
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): C aytlme �' � � Even ingjw w Emergency_,._,______,_,_,.
Property Owner Email Address:.
Pagel of S
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Town Hall Annex , i ��'� � ''fJ� r �i, Telephone(631)765-1802
54375 Main Road / Fax(631)765-9502
P.O.Box 1179 .....�'�
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Southold,NY 11971-0959 ° yah
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if an
Address of Authorized Agent (no P.O. Boxes)= �_wwww..._. .... _._..__.._.._,.. W_._._. .. .. . _.._._. ....._...__
Mailing Address of Authorized Agent:........_....._.. �_.�.�._._..... _....w_� �.._._ _ .. ,...... ._..._�� . _„�..
Telephone Number(s): Daytimeµ µ . ._., 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: __...._ ..... ......_.._ .w,._.._.,.....__....w� __.. _........w__._. ._............,_._.
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: . ..._. .. �... . . ...... ._....,. ..... _.w........ ._........___...
Address of Managing Agent (no P.O. Boxes): _... .._.._ ..___. _.._ ..M.._.w....__...............w. ._ .._. ..._.. _..,._
Page 2 of 5
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Town Hall Annex ���� lirj� � �� Telephone(631)765-1802
54375 Main Road �,' Fax (631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:_..._..........._... ._.... w_. ......._..w.�___ .. _._....._... ...._.,_. ._ __. mm _ _ ..
Telephone Number (s): Daytime.._..._...._...__... .... . . �.,.Evening...w_.__._._. .a.a .. ..... 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: �y,�, t � � .. . _.. www
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: -Iw ; , 3 LO 0 �
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Page 3 of 5
Town Hall Annex �� l PN �r y� Telephone(631)765-1802
54375 Main Road 1 /� Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
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.
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.
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
Page 4 of 5
Town Hall Annexf'
;/A �te� °� ° / Telephone(631)765-1802
54375 Main Road G Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. 1 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: w_. .. —. 1. _.._. ...._ __._...... ._._.__ _....
._ _._ ..
Property Owner's Signature �.,.,�,. ,..�.. .A__w._.............�....._....�..�M. ..........�.. __.�..�.
Sworn to before me this] day of w �� � _„,_, , _,_..�, 20
JA_W ._ _ .._w_.w........_.w ....._.._.. _ _.�..
Official Nota Public Signature an riginal Notary Stamp
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6308900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2-"pZ
Page 5 of 5
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INSPECTION
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[ FOUNDATION 2ND INSVLATIOWCAULKING
[ FRAMING /STRAPPING
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[ FIREPLACE & CHIMNEY [ FIREE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANX(FI :IAL)ATION
] [ ELECTRICAL
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TOWN
631-765-1802
INSPECTION
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FOUNDATION 2ND [ INSULATION/CAULKING
[ ] FRAMING / STRAPPING [XFIRE
AL.FIREPLACE & CHIMNEY [ INSPECTION
[ ] FIDE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ELECTRICAL { 1
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d JOHN FOKINE PC MR &►.ARS.PETER ROSENTHAL
CONSULTING ENGINEER
P.O Box 1064 UN
SHELTER ISLAND, 456 STERLING WOODS LANE Y 11964 -
SOUTHOLD,N.Y 11371
631-749-5089
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JOHN FOKINE PO ; MR &MRS.PETER ROSENTHAL
CONSULTING ENGINEER
P.O.BOX 1064 450 STERLING WOODS LANE
SHELTER ISLAND.N Y.11964 ' SOUTHOLD,N Y 11871
631-749-5089
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dorarrn mknra wwuw _ P.O SOX 10£4 450 STERLING WOODS LANE °
PLUMBING SCHEMATIC SHELTER ISLAND,N Y.11964 SOUTHOLD,N.Y 11871
g 631-749-5089
SCTM #
TOWN OF SOUTHOLD PROPERTY RECORI ni'2 la��
OWNER STREET _
VILLAGE DIST, SUB LOT ,
CR. REMARKS
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TYPE OF BLD_
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Extension 4j Fire Place Heat
D.R.
Garage
Ext- Walls BR. �
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Baths
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Fam. Rm.
Poo Foyer
A.C.
Laundry
O.B.
Study I
Dock
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FORM NO. 4 m ui ......
1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34708 Date: 11/22./10
THIS CERTIFIES that the building NEW DWELLING
Location of Of ProPertY' 450 STIRLING....
.„ E
SOUTHOLD
(HOUSE NO. (STREET)
(HAMLET)
County Tax Map No_ 473869 Section 88 Block 2 Lot 15.4
Subdivision _._..._....... ......._..-...w Filed Map No- Lot No.
conforms substantially to the Application for Building Permit heretofore
3, 2010 pursuant to which
filed in this office dated JUNE„ „2.. a...
Building Permit No. 35667-Z dated JUNE 23, 2010
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 FAMILYC
DWELLING WITH H FRONT" trl � TORY
.� . ..�.. ..........._.. _._,..�....�._,...._._._..�...... _www..._. _.�" ".;��"...ENTRY, E ..�? �_._....+SECOND.._.... .,,. ..,.__.
BALCONY AND ATTACHED TWO CAR GARAGE AS APPLIED FOR
... _......-.. . . ..._...._� ............w...._._..........�.....,.,._... ,.,.�.._,..._.....�
The certificate is issued to PETER & MARISA ROSENTHAL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-09-0009
1z1 C TICAL CERTIFICATE NO_ 35667"' 10/15/10
PLMMERS CERTIFICATION DATED 1.1/18/10 CUTCHOGUE EAST PLUMBING..�
i Signature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34822. Date: 2V26111
TRIS CERTIFIES that the building SWIMMING POOI,
Location of Property: 450w_m.... _ STIRLING WOODS.....LANE � OUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 4731309 Section 88 Block :2 Lot 15.4
Subdivision _........wv_.... .. .w_............... . Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
_ EMBER :1.0, 2010 pursuant to which
filed in this office dated SEPT ..�.___... . .....,_.
Building Permit No. 35901-Z dated SEPTEMBER 28�O 10
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
,. O . R.
1S ACCESSORY IN_GROUND SWIMMING POOL WITH E TO CODE AS APPLIED FOR.
.... ....��_........._O .._._ ..,,_ ....mu..,.,....w__�...,._..�.......-.,.-..._....___..m.µ„
The certificate is issued to PETER & MARISA ROSENTHAL
(OWNER) _.. ....._ m.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 35901 11/08%10
PLUMBERS CERTIFICATION DATED il/A
t1€.0xo: . zed Snature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-36056 Date: 01/06/10
THIS CERTIFIES than the building POOL CABANA_....... �. __
pe y .. . ... .,v.... _..... _..__...... ... ..a,,., ._.... ._ _.aHOLD
Location of Property: 1345 55 MAIN BAYVIEW RD BOUT �..
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Bloch 2 Lot 15.4
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER MBE 16
..1..,, 2010 pursuant to which
�. .
Building Permit No. 36056-Z dated DECEMBER 1,... 2010,
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 NON-HABITABLE UNHEATED ACCESSORY POOL CABANA AS APPLIED FOR_
The certificate is issued to PETER & MARISA OS NTfUU'w,
_.... ....-......._......
_(OWNER) .. ..._
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. NJA
PLUMBERS CERTIFICATION DATED N/A
� S torture
Rev. Z/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 46740 Date: 812512021
Permission is hereby granted to:
Rosenthal Peter
1185 Park Ave Apt 15C
New York NY 10128
To: Install deer fence as applied for and with Planning Board approval.
At premises located at:
450 Stirling Woods Ln. Southold
SCTM #473889
Sec/Block/Lot#88.-2-15.4 �.
Pursuant to application dated 81
pp 116µµ/2021 and approved by the Building Inspector.
To expire on 8125/2022.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
; t1C1C � Town of Southold 6/29/2022
P.O.Box 1179
40 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43202 Date: 6/29/2022
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 450 Stirling Woods Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-2-15.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/4/2022 pursuant to which Building Permit No. 47645 dated 4/5/2022
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:
roof-ntogn!P l cel is to e istiag le tanpil d 1li,i � iedf0r,.
The certificate is issued to Menendez,Gabriel&Medina,Emily
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47645 6/14/2022
PLUMBERS CERTIFICATION DATED
......................_.............. ...... _ .. _............ . .....__.._ _. .............._w.__ _.........._.
t orb ignature
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