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HomeMy WebLinkAbout1000-22.-4-18 TOWN OF SOUTHOLD Rental Permit ,a 0677 Owner Eric & Rachael Rosenblum Occupied as Single Family Dwelling Located at 1870 Stars Road East Marion 22-4-18 Maximum Permitted Occupancy 6 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. 6/21/2022in e Enf c m t fficial This Notice must be posted by the main entrance at all times °rte Town Hall Annex 1� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 0 Southold,NY 11971-0959 �� � D � UNT'(, �� " ^zcr� NOV 0 1 2021 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUILDING DEPT. TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two ) EC E � V E NOV,O12021 x Section A. BUILDING DEPT Property Information: TOWN OF SOUTHOLD Rental Property Address: 1870 STARS ROAD,EAST MARION NY 11939 Tax Map Number: 1000 SECTION 22 -BLOCK 04 -LOT 18 _ 000 SECTION B. OWNER INFORMATION: Property Owner Name: ERIC ROSENBLUM Property Owner Legal Address: Property Owner Mailing Address: 899 LINCOLN PLACE 899 LINCOLN PLACE BROOKLYN NY BROOKLYN NY 11213 11213 Telephone Number(s): Daytime 847.204.4379 Evening Emergency Property Owner Email Address: ERICMROSENBLUM@GMAIL.COM Pagel of S h4 fQ Town Hall Annex Telephone(631)765-1802 54375 Main Road . Fax(631)765-9502 CA P.O.Box 1179 G Southold,NY 11971-0959 CO „�a ) UNT(, BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: JASON MICHAEL FAY Address of Authorized Agent(no P.O. Boxes): 177 NORTH 10TH STREET SUITE F Mailing Address of Authorized Agent: BROOKLYN NY 11211 Telephone Number(s): Daytime 347.463.3168 Evening Emergency Email Address: JASON@READESTREETSTUDIO.COM 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): Page 2 of 5 i sou Town Hall AnnexTelephone(631)765-1802 54375 Main Road ron Fax(631)765-9502 P.O.Box 1 179 G �O Southold,NY 11971-0959 Comm A�,t BUILDING.DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: 1 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: UNIT 1-SINGLE FAMILY HOME 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: UNIT 1-SINGLE FAMILY HOME Requested Maximum number of persons allowed to occupy Dwelling Uni : 8 �I Q• �� Number of rooms in Rental Dwelling Unit: 7 d Use and Dimensions of each room,in Rental Dwelling Unit: FOYER 8'2"x5'11"- DINING/LIVING ROOM 16'1"+22'8"x 20'0"+11'6"(SEE PLANS)-KITCHEN 11'5"x10'9" FAMILY ROOM 13'8"x17'5"-PRIMARY BEDROOM 11'4"+12'5"x 16'0"(SEE PLANS)- BEDROOM 110'0"x 11'0"-BEDROOM 210'0"x 12'8" Page 3 of 5 Y t �®v Town Hall Annex Telephone(631)765-1802 54375 Main Road co Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 OUS� {� 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold IX I 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) I ERIC ROSENBLUM , 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 I f 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road �'4` p 't : Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 /7 , BUILDING DEPARTMENT TOWN 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: �— �-!�L Property Owner's Signature: - SS r Sworn to before me this�4day/_of -z — 20,---� Offi a-1 Notary Public Signa re nd Original Notary Stamp JOAN D GRIFFIN Notary Public State Of New York No. O1 GR4929343 � Qualified In Kings County Commission Expires Mav 2, 20 r� Page 5 of 5 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) j� ERIC ROSENBLUM residing at 1870 STARS ROAD,EAST MARION NY (Print property owner's name) (Mailing Address) do hereby authorize JASON MICHAEL FAY (Agent) to apply on my behalf to the Southold Building Department. OCTOBER 21,2021 (Owner's Signature) (Date) ERIC ROSENBLUM (Print Owner's Name) Of SOGIyo - # TOWN OF SOUTHOLD BUILDING DEPT. G _ 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING i I ] FRAMING/STRAPPING [ FINAL T.P 4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: nk#M V/ g' St',K 6&'O/l C)(I/V 0 AAW #Alk X-�2 in 4VW.,d ok QWMt� auv a r m wo 49 Q& #oa - �� ��r✓v�� lXMIAm- z tvldvAt ern V crow, DATE INSPECTOR u q so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 91- Southold, Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form Is required for each individual Rental Dwelling Unit Processional seal required for Architect or Engineer,licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000-22-04-18 Rental Property Address: 1870 STARS ROAD,EAST MARION NY 11939 Owner/Name: ERICROSENBULM Rental Dwelling Unit Identifier: UNIT 1-SINGLE FAMILY HOME Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq.,Bedroom#2-90 sq., etc.) PRIMARY BEDROOM-190 SQFT BEDROOM 1-110 SQFT BEDROOM 2-127 SQFT Pr perty Descripti(n (Include all improvem is indicated on survey) UPDATED KITCHEATHROOMS I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. 4 1 t cc L w E2= Alec !{t-Ir-tIA� 4 Print Name and fitle Original Signature 0 ARCh/T LoPFr c°c� Please place professional seal: 043Z� FOF N TOWN OF SOUTHOLD PROPERTYAtECORD CARD OWNER ;STREET ,r VILLAGE DIST. t 5U6. LOT -- ��•'✓,�1'�:��1'C.dw'tl...,y."°tiL=1P.��,?9� �a'�.� ��' ��'"�' rY J"° � ^��_'3 � t�> ., a �,�C�✓`" ;',,.'� '. ` e FORMER OWNER - N '" I E ACR. cxr=. S W TYPE OF BUILDING RES, jp SEAS. VL. FARM COMM. CB.. . MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS r Jr 1-4 +' •is L" w•h al . 'r ,�' ,"`,,.s,,,. 8 is o FL l�;_ j—� �yj -�-• +'' f Jt.r �+' _ CO e. :-.,`i s, �/_` •�%+' .;i•'�?':1 4,'..�+'t1.'"h. it'd 7,., r f♦!f, ,+,` ^'r' t,/',� `�r.� $4 ',�"'�d':• ..w '• �` a.�''"! '+'a"�at P'' .^ T 1 rw:n1 i' ,��`>• •�i;:°� ��`.' '� `'}:`"�. � .�,'. �°,`' ��'.�.€' '�... ggP�,.''�, / t ''",�'a�i.y� s� ,,,gs� �, T�-G not f Tillable I. FRONTAGE ON"WATER Woodland I =FRONTAGE ON ROAD - Meadowkw4 i DEPTH House Plot i BULKHEAD Tota 63 " yt ty QST `r t a �V ` a rrf� ,FIX of f4 4 �j,•^�. 3'+"�` '•. `f� �'zt'�' -w kii ! R_ wmmm FS� tut t_- f7' 11� s� ;.. � ■ M■MM M■MM ■■■■ ■ NOON No 00 No A, ' , 4.. ■■■■EMOMM ■MO■■■■■■■ ■■ ■ ■NOME■MEN■■■ M■■ ME M■ ■■ • - `�y�' �. , y �Y _ e ..^ ,`. _ +.,ate ■ ■■■■■■■■■■■ ■■■ _�-� . � � -, NM■■■■ MMM M� ii ■■ NOON � M� ■ M ■ ■ ■■■ «. FINE ■MNO■■■ MMM MEMO■NM IN ■■■■EM■■M MENNEN ■Mom■■ NMOM M ■ ONE NOON■®■■■ ■ ■N■■MMM■M■MMM■MMM■■■■ InteriorFinish Type Roof ;Rooms Ist Floor Recreation Room Rooms 2nd Floor Driveway NM■■M■■MMM■■MMM■■■■. ■■ • : i.-.. a • ._ s �,, ,. „ ..• �I �• Z\ 13'-8' 11'-0' 22-8' 20'-1' K TCUIIEN o 123 Sq.Ft. DININGAIVING ROOM z9 FAMILY ROOM 400 Sq.Ft. 238 Sq.Ft. 4 0 N ED�N ' GARAGE N 500 Sq.Ft. ueI' 5'-11' lo 1 U FOYER N 48 Sq.Ft. 10'-0' 77 HAIL EE--] 5'-11 FRONT PORCH 4 - 1lo BEDWM 1 CO CARBON BATH 1 PRIMARY BA1H MONOXIDE o +SMOKE SMOKE DETEeCTOR DETECTOR CLSf CLST SD DETEOTOR SMOKE DETECTOR SD 4 ;o FMMARY BEDROOM BEDROOM 2 190 Sq.Ft, N 127Sq.Ft. o AC irFc� FIRST FLOOR 10'-0' Co 12'-5' RENTAL PLAN 1870 STARS ROAD * EAST MARION,NY s� O� SCALE; 3/16" =1'-0" 04329 �TFOF NE WASHER+DRYER BOILER I 1 I 1 I 1 I 1 O I ° 1 1 ° 1 I ° I I ° I L J-- J L--A L--J COMBINED WATER CARBON up TANK TANK MONOXIDE so +SMOKE UND(CAVAIED AREA DETECTOR UNHNISHED BASEMENT 1530 Sq.Ft. I o I I I L--J FRONT PORCH I o I I I L--J o I FRED A& L--J BASEMENT RENTAL PLAN 1870 STARS ROAD WELL PUMP N�9T O 32 °+ $° EAST MARION,NY FoF � N SCALE: 3/16° =V-0° C.r.. 13'-8' 11'-0° 22'-8' 20'-1' KITCHEN o 123 Sq.Ft. DR IING/UVING ROOM FAMILY ROOM 400 Sq.Ft. 238 Sq.Ft. 4 0 N DN GARAGE v 500 Sq.Ft. HAIL [/1YCI1 N 48 Sg.Ft. 10'-0' HALL " 0 5'-11�U FRONT PORCH 4 BEDROOM 1 MBINED 110 Sq.Ft. } CARBON BATH 1 MARY BATH MONOXIDE / o +SMOKE SMOKE DETECTOR DETECTOR SD sp CLST CLSi SD DETEOKE CTOR SMOKE 11'-4' DETECTOR SD 0 PRIMARY BEDROOM BEDROOM 2 190 Sq.Ft. N 127 Sq.Ft. FIRST FLOOR 101-01 cm 12'-5' QED Ali RENTAL PLAN LO A 1870 STARS ROAD �► EAST MARION,NY * SCALE: 3/16° =1'-0° 04328 FOF 0 WASHER+DRYER BOILER 0L--J L--J COMBINED WATER CARBON SD UP TANK MONOXIDE +SMOKE UND(CAVATED AREA DETECTOR UNFlNISHED BASEMENT 1530 Sq.Ft. I � I L--J FROW PORCH i � I L--J I o I I I BASEMENT * RENTAL PLAN * 1870 STARS ROAD EAST MARION,NY WELL PUMP 0 �.yoa3z� SCALE: 3/16° =V-0" TFOF N FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 7401. . . . . . Date . . . . . . . . . . . . . Doo. . . .3. . . . . .. 1976 . THIS CERTIFIES that the building located at Stars. Road. . . . . . . . . . . . . . . . Street Map NoSound .Crast 1 E&1c o. . . . . . . . . . .Lot No. . .13 . . . .Hast .Marion. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . . !00'4. . 27 HR. . pursuant to which Building Permit No. .6205Z . dated . . . . . . . . . . .90. . .30. . . ., 19??. ., was issued, and conforms to all of the require- . ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .FrtV to .oxte. Xa ,17.dY.*13J 3H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .80Art.. 0.0moe4or.* lothol. .Sohmader. . . .%more. . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval AQ!. . .29. . x.976. r4-t.V1114t. . . UNDERWRITERS CERTIFICATE No. .312679.46 A. . 1.976. . . . . . . . . . . . . HOUSE NUMBER . . . .1870 . . . . . Street . . . . $tars -Road • • • • $. •Xrrion• . • • • . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector ¢r S Ff0[ ADO cGy Town of Southold 6/22/2022 a P.O.Box 1179 0 y 53095 Main Rd y��l �S� Southold,New York 11971 1� CERTIFICATE OF OCCUPANCY No: 43177 Date: 6/22/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1870 Stars Rd.,East Marion SCTM#: 473889 Sec/Block/Lot: 22.4-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/18/2018 pursuant to which Building Permit No. 47825 dated , 5/18/2022 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: alteration(sliding glass door)and"as built" interior kitchen and bath alterations,central air conditioing system and rear deck to existing single family dwelling as applied for. The certificate is issued to Rosenblum,Eric of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47825 6/8/2022 PLUMBERS CERTIFICATION DATED 6/17/2022 Er'c osenbl I ut o ze Signature o��pF SO!/lyOlo Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Ol IriQ OUM` , BUILDING DEPARTMENT TOWN OF SOUTHOLD December 28, 2021 ,�ev�� 1✓i IBJ�� Eric Rosenblum 899 Lincoln Place r� A-P Brooklyn, New York 11213 RE: Rental Permit application for 1870 Stars Road, East Marion. This property has an expired Building Permit#42612 issued 4/27/2018 for a sliding glass door. Upon review of your rental application the Building Inspector noticed central air conditioning and renovation of kitchen and bathrooms was also constructed without a Building Permit. Once the Building Permit has been renewed we can amend it to add the additional work. These items are-needed for the Building Permit: 1. $125.00 renewal fee. 2. Specs for the air conditioning or a picture of the.sticker on the unit: 3. Architectural.plans for the kitchen and--bathroom renovations. 4.. Electrical inspection form. Additional fees may be required. If you have further questions please contact me by email cohnie.bunch(a)town.southold.ny.us. Best Regards, Southold Town Building Dept. Connie Bunch