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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