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Home My WebLink About1000-22.-4-17 TOWN OF SOUTHOLD Rental Permit s 0814 Owner William & Amelia Hukill Occupied as Single Family Dwelling Located at 1770 Stars Road East Marion 22.4-17 Maximum Permitted Occupancy 4 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. 1/26/2023 Code t n rc anent official This Notice must be posted by the main entrance at all times rr . / � � .. eo t4 Town Hall Annex r Telephone(631)765-1802 54375 Main Road � n Fax(631)765-9502 bw P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT .� _� TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: i 717b 7 Tax Map Number: 1000 SECTION ��-BLOCK „-LOT - SECTION B. OWNER INFORMATION: Property Owner Name: is Property Owner Legal Address: Property Owner Mailing Address: o ;� 3 e Telephone Number(s): Daytim 7 Evening Emergency Property Owner Email Address: ` Page 1 of S Town Hall Annex wf Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , w442F� Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Section C. Authorized Agent Information: LV44.ver/Z Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: / 'dam 1- 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. Boxes): . Page 2 of 5 Town Hall Annex ,f; Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1 179 Southold,NY 1 1971-0959 � � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:_. 1 3 Telephone Number(s): Daytime " 7 evening 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, 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 occ py Dwelling Unit: L � Number of rooms in Rental DwellingUnit: Use and Dimensions of each room in Rental Dwelling Unit: /O Page 3 of 5 Town Hall Annexa Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179co Southold,NY 11971-0959Ulm 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 Hail Annex �M Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �� fk- ° Southold,NY 11971-0959 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: n Property Owner's Signature: Sworn to before me this,day of 20a--I, Of6*c "INo"tary blic Signature and Original Notary Stamp Jeanne PUBLIC,weet tos State NOTARY PUBLIC,State of New York No.01BA6210083 Qualified in Suffolk County Commission Expires August 10,20.t5' Page 5 of 5 so TOWN OF SOUTHOLD BUILDING I 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ A'11-RE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE C/O [v Dle-1— -PC �2- 4.............. P C-7 iZS otj DATE - INSPECTOR Town Hall Annex SOUTHOLD TOWN 54375 Main Road �� PO Box 1179 Southold, D Rental Inspection NY 11971-1179 � ( Tel: 631-765-1802 Fax 631-765-9502 w SCTM # Date OwnerPhone Address Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (# bedroom detectors excluded) t Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits BEDROOMS 1 2 1 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY YIN Heafln2 system maintained'operational yam"" Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean /maintained Electricals stem maintained/operational Property is clean/safe/maintained Mechanical s stem maintained/o erational Handrails &guards present COMMENTS: Rental Inspection Form 4/7/2021 .r h A g tn rx' N 00 tA rz� 1" o Y E • Oil 'i f 3 o y POACH13 C, 0. ' 1 FLODO, _o CILP CIO■ s F_T_ t;011478��51J�e'►: ; 5' �Q` C�Nrr;<dF�✓� D=cam SCALE — 3 d _ 311 -_- Op Ow _ clot C. } CI�3X >i , c BIL-CD ODOR 4 � j � � -44. TOWN OF SOUTHOLD PROPERTY L2kRD OWNER STREET VILLAGE DIST.' SUB. LOT FORMER OWNER N E ACR. S ' W , TYPE OF BUILDING RES. SEAS. ! VL. ' FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS _ e P 3�Q �l�cL� max# = _ =. 4 _' to ! 't31 3 c l I s AGE 3 BUILDING CONDITION T - NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER m Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Yota °" I �✓ ,� DOCK t I I- , COLOR TRIM _ Eo t f , tY _ gam = f Extension Extension ° Extension 'Foundation Bath :Dinette 'Floors { ! Porch Jf { e 'Basement ` -- F Ext Walls _ n error Finish LR. i He at DR. s Type Roof ' -Rooms 1st Floor a BR. I Patio Recreation Room =Rooms 2nd Floor ! } FIN. B O. B. i Dormer Driveway Totals FORM NO.A TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. .41 . . , , » . . » . Date . . . . . . Octgber .17. . » . . . . . . ... » . ., 1984. THIS CERTIFIES that the building . . .New ,one, Aamkiy, ,awe,lling , , , , , , , , , , , , , , , , Location of Property . . . X770 Stars Road . „ . . . , »East .Marion House No. Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . .Block » . . . » . . . . . . . . .Lot . . . . .1.� ,. • 1. . . . . . . Subdivision .Soundcppp, ,Woods ,Filed Map No 531 5.. . . .Lot No. .1.2 . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .Q p r.:k� .$. . . . . . . . . , 19U.pursuant to which Building Permit No. . . .1.2?7�.Z . . . . . . . . . . . dated . . . . .4t px.i.1 . ?5. . . . • • . • • • . . . . 108 . ,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 . . . . . » . . . .Prie. .#'am. jx. OWe �Ag .With attached, ,deet... . . . . . . . . . . » . . . . . , , . . . . » » . . . . . The certificate is issued to . . . . , . .Wi 1,],� am„P + rld .Aly ,8 • iati 11 w b of the aforesaid building. Suffolk County Department of Health Approval . . . . .1.3 , SO .4 7. UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . N631028 , . . . . . . . . . . • . . . . . •. • . . Building Inspector » Rev.1181 mm � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18369 Date SEPTEMBER 13 1989 THIS CERTIFIES that the building ADDITIONS Location of Property 1770 STARS ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 22 Bloc 4 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permt heretofore filed in this office dated 14ARCH 24. 1989 _pursuant to which Building Permit No. 17960-Z dated MARCH 28,_1989 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 DORMER & 2ND STORY DECK ADDITION AS APPLIED FOR The certificate is issued to WILLIAM P. & AMELIA S. HUKILL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-011553 - SEPTEMBER 1 1.989 PLUMBERS CERTIFICATION DATED NLA ilding Inspector Rev. 1/81 FORM NO. 4 w3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217281 Date SEPT. 1.2 1988 THIS CERTIFIES that the building ADDITION Location of 'Property 1770 STARS ROAD EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section_ 022 Block 04 Lot 17 Subdivision SOUND CREST WOODS Filed Map No. 5315 Lot No. 12 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 20L1,986 ___pursuant to which Building Permit No. 146132 dated MARCH 5 1986 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 GARAGE & BREEZEWAY ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to W'I'LLIAM AND AMELIA BUKILL (owner, XXX;XX«OD:'XX'XX'XXX7 of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA UNDERWRITERS CERTIFICATE NO. N803324 APRIL 13 1987 PLUMBERS CERTIFICATION DATED N A Building Inspector Rev. 1/81 � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMFNT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17197 Date AUGUST 15 1988 THIS CERTIFIES that the building ACCESSORY Location of Property, 1770 STARS ROAD EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 022 Block 04 Lot 17 Subdivision SOUND CREST WOODS Filed Map No. 5315 Lot No. 12 conforms substantially to the Application for Building Permit heretofore filed in this office dated June 13, 1985_____pursuant to which Building Permit No. 14054Z dated June 18, 1985 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 ACCESSORY SATELLITE DISH IN REAR YARD. The certificate is issued to WILLIAM-& AMELIA HUKILL (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81