HomeMy WebLinkAbout1000-22.-4-20 TOWN OF SOUTHOLD
F,
Rental Permit
1070
Owner Lars Westvind & Gulsen Calik-Westvind
Occupied as Single Family Dwelling
Located at 2080 Stars Road East Marion 22.-4-20
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.
2/12/2024 '
4rc t Official
This Notice must be posted by the main entrance at all times od
VIs 9L
E
TOWN OF SOUTHOLD- BUILDING DEPARTM
7
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, N 5 971- 9
Telephone(631) 765-1802 Fax (631) 765-9502 httl2s- 1oW1QWX'Y-40,',V-'1'
coo
RENTAL PERMIT APPLICATION re- r-41 j p ULP V8
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: YJ
S-r7+K3 (2, o.A -D VA-f—rW A-�IaAl
Tax Map Number: 1000 SECTION . 2q- --BLOCK— 0 --LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name. 4 /4 A/P
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
,&
0
C)14
Telephone Number (s): Daytime Evening_ Emergency_
Property Owner Email Address: k �( �IAJP �
Page 1 of 4
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."
FR
ntal Dwelling Unit Identifier:
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: Gid v /�`
R 06 ur �' r3 n 3 ?� 101
r
S kT1ON
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 afire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ lam submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
WO-SU �Pp , 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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: A ' � S�V�N D
Property Owner's Signature: P"A�n
Sworn to before me this }"day of � ' �, 20.
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public.State of New York
No.01BU6185050
Qualified In Suffolk County
Commission Expires April 1 . 'w 4 y
Page 4 of 4
koS
TOWN F SOUTHOLD BUILDING DEPT.
631-765-1802
INSimmam" ECTI," N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
[ ] CODE VIOLATION ] PRE C/O [ RENTAL
REMARKS:
DATE IINSPECTORIAoo
4
TOWN OF SOUTHOLDRT EC 5 ) + 5)
WNER_ - `ISTREET 1 VILLAGE
DISTJ SUBS LOT
-,r a
FORMER OWNER ,- 1 N E
R
S W TYPE OF BUILDING
3
RES. SEAS. VL, I FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE I REMARKS
- I -
P
g _
IX400 -74 (b0 � ` cb : I
f
a� -
f
1 ,0 a
s
I
i
i
AGE BUILDING CONDITION
I
NEW NORMAL BELOW ABOVE
FARM AcreValue Per
� Value
i
Ac re
Tillable FRONTAGE ON WATER
i
Woodland i FRONTAGE ON ROAD
I Meadowland1 DEPTH
I
House Plot BULKHEAD I
I
Total DOCK
I
I
g
COLOR RIM
3 l i
71,
i
,
E
o
{
1
,
E* A3$141-
M. Bldg. - -
Extension C'-7 _ - -
��
Extension -- �- �--
t
I kso
Extension
c> �-�- } Foundation 'Both
f N
Porch •" �, ter — Basement Floors
ca ;Ext. Walls ;Interior Finish LR,
Breezeway ' Fire Place Heat DR.
Garage - e Type Roof i ;Rooms 1st Floor ESR.
Patio Recreation Room Rooms 2nd Floor I q FiN, B
p. B, Dormer Driveway
# a
Total
e
0LAM
AKT ARCHITECTS I
s,cMle—•M..eas1ga I
342 Bwre M3
_ Next Ac NY 10012
_..... -------
----
..� . _ -.. .__...._. n..._ _ ....._.. T.212.E777077 '
0
c�7
¢O O
HousElw>F ra caNNEcnn sEE-�c s•s=€e� R}
�W
°
Q Z
— Z E
,
m
O
,
N<
NQ `
w
i
� Tdle: i
CELLAR PAN
I
' Scale AS NOTED
.I
......... � .. i Drawing Na..
A-100.00
CELLAR PLAN
N SCALE:1/4"=1'-O"
Page No-:
2 OF 24
AKTARCHITECTS I�
342 8..oy#3
New Y.*,N'1W12
T:212.677.7077
co
co
0)
<
00
<Z
W
00
DO
cli
co
co
Na a
j
2
V,
_7
7
.,m.w
3 REO.LIGM 1535EREOL-MF
2ND FLOOR PLAN
0-
$-W AS NOTED
Drawing Na:
1 2,
VE FL' p—0 A-102.00
N
VE
--114R=l' Page No,
4 OF 24
Ft Town of Southold 2/10/2024
P.O.Box 1179
°f 53095 Main Rd
14
Southold,New York 11971
Fr,
CERTIFICATE OF OCCUPANCY
No: 44975 Date: 2/10/2024
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 2080 Stars Rd., East Marion
SCTM#: 473889 Sec/Block/Lot: 22.-4-20
_..... .....
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/8/2021 pursuant to which Building Permit No. 47217 dated 12/10/2021
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:
ngl z_til r v 11i11�ryatf unfinished he basement.i t deck � 1 attached 4 g ,w 5;Wu—edc?r lac 1, Fal_ 5 7 4-t
1/8/2004.
The certificate is issued to Westvind, Lars&Calik-Wesvind, Gulsen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-18-0056 1/17/2024
ELECTRICAL CERTIFICATE NO. '47217 1/16/2024
PLUMBERS CERTIFICATION DATED 2/5/2024 Vogt aSt Plumlai
A io i - Si nature
tl t
Town of Southold 2/10/2024
P.O. Box 1179
a� 53095 Main Rd
Southold,New York 11971
n
......... .... .... .. ..... ....
CERTIFICATE OF OCCUPANCY
No: 44976 Date: 2/10/2024
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 2080 Stars Rd., East Marion
...
SCTM#: 473889 Sec/Block/Lot: 22.4-20
. - ...... ......... .... ... . ....... ....
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/9/2022 pursuant to which Building Permit No. 48172 dated 8/12/2022
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 mounted sol 1.:_ ���I�_ �jq!a e..."� jgj!j.i basement to exjsticlg,,ir�gLe�fa��iiNy dweNwli� �t ... JaJiP��c(I� !L
The certificate is issued to Westvind,Lars&Calik-Westvind, Gulsen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
...........,
ELECTRICAL CERTIFICATE NO. 48172 8/3/2023
PLUMBERS CERTIFICATION DATED
tit ri ignature