HomeMy WebLinkAbout1000-31.-4-5 TOWN OF SOUTHOLD
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Rental Permit
1008
All
Owner Martine DeMartino
Occupied as Single Family Dwelling
Located at 870 Stars Rd East Marion 31-4-5
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.
10/23/2023 '
Code Enfokcerflebt Official
This Notice must be posted by the main entrance at all times
c—* 1 049 Sq
Town Hall Annex Telephone(631)765-1802
54375 Main Roads Fax(631)765-9502
P.O.Box 1179
„
Southold,NY 11971-0959Cou
BUILDING DEPARTMENT JUN 2 6 2023
TOWN OF SOUTHOLD
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.
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 BLOCK
SECTION B.
OWNER INFORMATION:
Property Owner Name: -... AV, 1VV,I I
Property Owner Legal Address: Property Owner Mailing Address:
l
w..
Telephone Number(s): Daytime ' C1e ng Emergency
Property Owner Email Address: OLk ---
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Roadr Fax(631)765-9502
P.O.Box 1 179 Nbk
Southold,NY 11971-0959
arf
` a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
W
Telephone Number(s): Daytime M Evening,, ,_._._.__...m..w. Emergency .. _
Email Address: - -
a:
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: wmw
Use and Dimensions of each room in Rental Dwelling Unit:-.--
�.3— f�t ,
Page 3 of 5
r � Telephone 631 765-1802
Town Hall AnnexP ( )
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �
0 d,, 'w.
Southold,NY 11971-0959 "115 y'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized 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 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 EveningEmergency _
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
f�
Town Hall Annex Telephone(631)765-1802
54375 Main Road l 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 Wmm 111 �( ( w°v-tA a5 5 wct�
i 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 QF SUFFOLK)
I , 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
M
Town Hall Annex Telephone(631)765-1802
54375 Main Road $ Fax(631)765-9502
P.O.Box 1179 Jar
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOTHOLD
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.
1 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: 1
Property Owner's Signature: _
Sworn to before me thi,493�day of �,J U J C 20 c
"2- " �01
",,,
Official Notary�,PP b6c Signature and Original Notary Stamp
NANCY VILLACIS
NOTARY PUBLIC,STATE OF NEW YORK /r/"
Registration No.01V16102596 Alew
Qualified in Kings County
my commission Expires: '
Page 5 of 5
TOWN OF 8
631 -765-1802
/I V,45� INSPEC ION
C ] FOUNDATION 1ST [ ] ROUGH PEBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY C ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS: In o
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DATE '_ �. INSPECTOR
Town Hall Annex
Town of Southold 54375 Main Road
:
PO Box 1179
Rental Inspection Report
Southold, NY 11971-1179
Tel: 631-765-1802
Date'
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Phone
:Owner o?
Address_... . ... . ._.., __ .. Visible
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Hamlet._... .. ......... .. . M_. w ._ . _ e
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_ nsec o
Floor Level Quantities Sub 1 °2 3
Smoke Detectors (not located in bedrooms) .
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Er..bon Monoxide Detectors
.. . ._, .e ,._ . ._
Fire Extinguishers
Exits
Bedrooms 1_ 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
Pool completely Door alarms P w ly encl- . osed
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments:
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TRUNNEUDEMARTINO Rul
---- -- - 870 STARS RD
PARTITION PLAN LEGEND EAST MARION,NY 11939 F
ISYM501 IOESCRIPTION -^ ------- _- ---
I I 1ST FLOOR
CONSTRUCTION PLAN'
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TRUNNEUDEMARTINO RESIDENCE
870 STARS RD
PARTITION PLAN LEGEND
] EAST MARION,NY 11939
1S M60L 'DESCRIPTION
._. 2ND FLOOR
CONSTRUCTION Rte.
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--_ - ---_ TRINRELU EM RTiNO RESIDENCE
NOME REROVATIGN
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- - EastMvia�,NY 59S'sP
DATE DESCR-ION
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AREA OF WORK
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TRUNNELIDEMARTINO RES(DE,NCE
—_ 870 STARS RD
PARTITION PLAN LEGEND EAST MARION,NY 11939
SYMBOL DESCRIPTION
BASEMENT
CONSTRUCTION PLAN
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= .;
A-1100
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TOWN OF SOUTHOLD PROPERTY tARD
OWNER, 'STREET VILLAGE DIST. SUB. LOT
FORMER-OWNER( N E ACR.
OR ER
W
S
TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt, Value
LAND IMP. TOTAL DATE REMARKS
S'
jf
m
AGE BUILDING CONDITION
——-------- Ck-
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot I BULKHEAD
Totd� DOCK
COLOR TRIM
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9.
,o. _ � e � 6—= Imo-�--a•=- �
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Extension
Extension i is
t
Extension
i
i ! Foundation Dinette
} . , F
Porch I Basement Floors 1 K
3f
Porch 'Ext. Walls t . , Interior Finish I LR. $£
E 3 i
�._ ,
Breezeway E Fire Place 1 Heat D R. I
Garage - ;'Type Roof ;Rooms 1st Floor BR.
4-4
Patio ir1 Recreation Room; 1 Rooms 2nd Floor FIN. B
O. B. .Dormer- _aDriveway
Total
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . .Z 15643. . . . . . . . Date . . Apzil, . 142-198.7. . . . . . . . . . . . ..
THIS CERTIFIES that the building . . . . family dw e 11 i n g. . w .
Location of Property 980 Stars Road East Marion
d. Str;et Hamlet
County Tax Map No. 1000 Section . . 9.3 I . . . . . .Block 04 . .Lot . . . 4. . . . . . . . . .
Subdivision .S o u n d c r e s t Woods * F w Filed Map No. S 3 15 , Lot No. . .4
conforms substantially to the Application for Building Permit heretofore filed in this office dated
June 1 1 , l 9 8 5. k , pursuant to which Building Permit No. . .1.4064Z
dated . , 3une 19 , 19 8 5 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, attached 1 car garage .
The certificate is issued to . , ERI AND JANET HEIN5
(owner, s 1fie76�ht1
of the aforesaid building.
Suffolk County Department of Health Approval . . . . .817S!0-82 Apr,. 3 , 1987 «
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .N 7 8 34.7.3. . .ae c.. ,1.1 , . .1.9,$6. , . . . . , . . . ,
PLUMBERS CERTIFICATION DATED: March 24 I987
C.4
. . . . "
Building Inspector
Rev.1/81
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