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Home My WebLink About1000-38.-7-9.4 of soTOWN OF SOUTHOLD Rental Permit 41 1448 Owner: Boost Construction Corp Occupied as: Single Family Dwelling Located at: 2060 Shipyard Ln East Marion 38.-7-9.4 Maximum Permitted Occupancy: 8 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 arran ing for the bi-annual inspection. Issued: 04/20/2026 -%" OML Expiration: 04/19/2028 y a Eno went OfficialThis Notice must be posted by the main entrapUeall times E� @XWQ Mm TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 bits //w ^ r t° ) to ygilyAqy RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two yearn LA-4�_� �.. Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 38 -BLOCK7 -LOT9 -4 SECTION B. OWNER INFORMATION: Property Owner Name: Boost Construction Corp Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 7206 Juniper Valley Rd Middle Village, NY 11379 Telephone Number(s): Daytime 917-714-6431 Evening Emergency Property Owner Email Address: ewelinasleszynski.gd@gmail.com Page 1 of 4 w G Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: n/a 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: n/a 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: n/a Address of Managing Agent(no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: Single Family Dwelling Requested Maximum number of persons allowed to occupy Dwelling Unit: 12-14 Number of rooms in Rental Dwelling Unit: 12 Use and Dimensions of each room in Rental Dwelling Unit: Living Room 15'x 20', Kitchen 13'x17', Dining Area 13'x14', primary bedroom 15'x14', Bedroom 1 12'x13% Bedroom 2 12'x11', Bedroom 3 11'x13', Bedroom 4 22' x 13' Primary Bathroom 9' x 14', Bathroom 1 8'x 10', Bathroom 2 8' x 10', Powder Bathroom 4' x 6' 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 I am 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) I two, 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. 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to before me thisL-71'ay " ,20 Official a lic Sign ure and Original ry Stamp .NNY 1.CORDOVA NOTA PUSLIC,STATE OF NEW YORK ogl t,a0on No.01C06226841 Qualified in Nassau County Commission Expires August 16, S . M .,ro . �ag 4 of 4 t Town Hall Annex �* " w Telephone(631)765-1802 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: 1 -Single Family Dwelling Requested maximum number of persons allowed to occupy each dwelling unit: 14 Number of Rooms in Rental Dwelling Unit: 12 Use and Dimension of each room: Living Room 15'x 20', Kitchen 13'x17', Dining Area 13'x14',primary bedroom 15'x14', Bedroom 1 12'x13' Bedroom 2 12'x11' Bedroom 3 11'x13' Bedroom 4 22'x 13' Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: ° rOWN OF THL0LD BUILDING DEPT. . � 31 75-1 02 lM& m Avok mah, wm Ap%� imbppm%.�TION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTA/] R)IE ETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAIN [ ] CODE VIOLATION [ ] PRE C/O NTAL REMARK DATE INSPECTOR Telephone(631)765-1802 town Hall Annex 54375 Main Road '" Fax(631)765-9502 P.O. Box 1179 + Southold, NY 11971-0959 $ �rr BUILDING DEPARTMEI TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit ELqLessionall seal e uir d for Architect or Engineer, Licensed HoMe Inspector Whist provide co2y of valld urrerlt certi atiorl Rental Property SCTM Number: J ' Rental Property Address: �'tW4, Owner/Name: Rental Dwelling Unit Identifier: r Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sgft,etc.) Ir N e -/, Property Description (Include all improvements indicated on survey) r I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State, the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, the Fire Code of New York State,the Property Maintenance Code of New York State and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place Professional Seal: 0 fl & d p UNIQUE ID NUMBER State of New, York FOR OFFICE USE ONLY 1f�000104071 Department of State Control _ DUPLICATE --DIVISION OF LICENSING SE VICES= No. �_��' ��;�b LICENSE Pursuant to the provisions of ARTICLE 12—B OF THE REAL. PROPERTY LAW 'EFFECnVE DATE MO. DAY I YR. BEYON-1,1 .,?HE BEAMS ,' 011,30126 MANOLATOS 116W-8 k 0 EXPIRATION GATE MO. DAY YR. 01129128 HAS BEEN DULY LICx 4S'.T;f 10, I•RAf•1SAC—1 ' BUSINESS AS A HOME INSPECTOR In Wtge o(,'nre DepsdtMent art SMte has caused Us 000 a to be hereunto a ffixecl, WAL ER T. US11—EY SECRETARY OF STATE m a __J BEYONDTHEBEAMS HOME INSPECTORS eBEONUMEBEAMS (718) 406-1226 dennis@beyondLhebeams.com H O ME INS PE CTO R S hops://www.beyondthebeams.com �n ?1i i RESIDENTIAL INSPECTION 2060 S h i pya rd Ln East Marion, NY 11939 Boost Construction Corp & Boost Construction Corp MARCH 18,2026 I l Inspector Dennis Manolatos Internachi Certified Home Inspector-#19090719, New York State Licensed Home Inspector #16000104871, EPA#LBP-F21 9160-1, Mold Assessor License#23-6017B-SHMO, Connecticut License Number-#HOI.0001217 (718)406 1226 deiruriiis@beyoiridt:: ebeavTus.conn I SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET -2,0(0 VILLAGE DIST , sue L 0 T � AGR, _I REMARKSaK TYPE OF BLIP. Ir A PROP. CLASS- LAND IMP TOTAL DATE F { (a C ` e •./d,3 1 Aq _ b 1 A Q _ 4f ti - - FRONTAGE ON WATER HOUSEFLOT BULKHEAD TOTAL t �' '� - --G - _ COLOR ln1 1�OF A 1 wd You _ 111114 - TRIM v - ti ti, .. 38.-7-4.4 2/24/202S ,st zrd M Bldg $S X =+ _ �ra�ti � 9 0 _ Co 0 Foundation � cg Rath Dinette OTHER Extension i t I � Basement s P „u Floors Kit Extension _ Finished B Q Interior Finish L R Extension = Fire Place Heat D R Garage } .X 5,.5 �S D t. Ext_ Walls , BR .5 Porch s4C�liE+ Dormer t — to ! .op 33 0Baths ' q _ I _ DeckJPaho a . Pool AT- 5 o C7 Foyer l✓' A.G. 2 S pe{- ii C, 0 Laundry v is t p � 3 to Q.E3. Library/ 3 Ka ��l t U 4 J Study _ 7C�i5 ;3 IuS Dock I ---------- ------------— Off Wa =N=A= POST CONNECTION DETAILS -4 71 A 0 j AM, h L qi ==,ZZ'_ kc TWA" �-1i N —7f Fw--- 'A�MMA - --------- gig. HE ---------- i 7 ( (k( �� M INIVU V SPECIFIF CW�L�=.IIREN IHQCMMEM 7 ------ .... -row IV ORRFC p�oxE°cr£ MIX Lip R-W p U� N g" uj vms,vm� 17 t 1, zz 9i lil SU' 3 X13 --- ---------- .... ... ----------- ... ... RAFTER TIE DETAIL V 4 WS 4 Is inn ----------- 1 L ----------- ---------- -F"—77 'Z77- I AV! aktMk- IF 1 tMDOA'NOTES SKQr[CATMS Rm. -------------4. '41 OU� 12 -0 FUl 0 7-7-7777-77 A- lit SFOORD ROOK PLO AMM; Town of Southold P.O. Box 1179 53095 Main Rd ee Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45935 Date: 02/04/2025 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 2060 Shi Mard Ln East Marion. NY 11939 Sec/Block/Lot: 38.-7-9.4 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 1 1/25/2022 Pursuant to which Building Permit No. 48950 and dated: 02/23/2023 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: Single family dwelling with unfinished basement,front and rear covered porches and attached garage as applied for. The certificate is issued to: Boost Construction Co Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: R-22-1720 12/4/2024 qqq ELECTRICAL CERTIFICATE: 48950 10/10/2924 PLUMBERS CERTIFICATION: Marc Lo Bianco 11/11/2024 Aut ri ed ignature ' r er Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45936 Date: 02/04/2025 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2060 Shinvard Ln East Marion, NY 1 1939 Sec/Block/Lot: 38.-7-9.4 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/15/2024 Pursuant to which Building Permit No. 50733 and dated: 05/23/2024 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 in ground swimming pool fenced to code as applied for. The certificate is issued to: Boost Construction Corp Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50733 09/19/2024 PLUMBERS CERTIFICATION: 1 nAu "z Signature