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HomeMy WebLinkAbout1000-31.-4-5 TOWN OF SOUTHOLD ng 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 e®IN �'�ygv . 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 ot, liuh,� ''oe 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' # oZ� Phone :Owner o? Address_... . ... . ._.., __ .. Visible �` Hamlet._... .. ......... .. . M_. w ._ . _ e r ` �. _. _ nsec o Floor Level Quantities Sub 1 °2 3 Smoke Detectors (not located in bedrooms) . .a 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: O - .g -'t C i 11-1&22 BCOPE a"• , � 123 M OP I :€*r.u+« ■� ...WM4lur : s#a •.3 t t -4.____ - I. $ I € gam; rom CGNS-MUC-0' PLAN � :. ; Do cr DBCollaborative.LLC TRUNNEUDEMARTINO Rul ---- -- - 870 STARS RD PARTITION PLAN LEGEND EAST MARION,NY 11939 F ISYM501 IOESCRIPTION -^ ------- _- --- I I 1ST FLOOR CONSTRUCTION PLAN' c444#i.E M.xeEA - bs 4-u4e aEthrk*ktii 4tl`sh15 aSx�3C [ p.p-�� a++ A-101 DBColllaborafive.MQ --- ---_ -.-. - - TRUNNEl49€Wd V,,NO RESIDENCE NOME RENOVA?U 870 sura R:.d } Na DATE DESm-T-QN I SOOPEOFWORK _- Oi-4321 :SSVED FGR REV^�EVr z ssw es V i _ I�T �- _ _ a AREA OF WORK �I F-COR CONSTRUCTION PLAN 50" , D DBCollaborative.LLC 4.. m TRUNNEUDEMARTINO RESIDENCE 870 STARS RD PARTITION PLAN LEGEND ] EAST MARION,NY 11939 1S M60L 'DESCRIPTION ._. 2ND FLOOR CONSTRUCTION Rte. cwi'Nk^CEE 4tLWP.rB EeN 55VJ@:Rc!`Ch'YYR ' m-- ZLT A-102 DBCollaborative.LLC --_ - ---_ TRINRELU EM RTiNO RESIDENCE NOME REROVATIGN fiT6 ELsa Raae - - EastMvia�,NY 59S'sP DATE DESCR-ION 71-12-. SOOPEOF 2 PI-032l flfoSI 'sf- 2 NIP- 4. .._ IF I AREA OF WORK tl {, rUCN� si't }; L0f s 1(Bary F-;te,04,1 ( _a E _ Q L -rte R C-u0 PLAN UBD L DBCollaborative.LLC TRUNNELIDEMARTINO RES(DE,NCE —_ 870 STARS RD PARTITION PLAN LEGEND EAST MARION,NY 11939 SYMBOL DESCRIPTION BASEMENT CONSTRUCTION PLAN i� B.,im — = .; A-1100 i mK E _ �� 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 [ � e ,. 9. ,o. _ � e � 6—= Imo-�--a•=- � _ i I f , I 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 i I 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 a