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HomeMy WebLinkAbout1000-22.-4-16 'OWN OF SOUTHOLD Rental Permit 1533 Owner: Andrew Kandel , Melissa Kandel Occupied as: Single Family Dwelling Located at: 1670 Stars Rd East Marion 22.4-16 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 a n ` g for the bi- nuai' spection, Issued: 08/14/2026 Expiration: 08/13/2028 U'bdefog a official This Notice must be posted by the main entra eat II tim TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Tel ephone (631) 765-1802 Fax (631) 765-95021a.tt sa/www.sou,tholdtcawniay. ov ;— If 2� MC4 l 18a8 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: /� �70 S 760/y Tax Map Number: 1000 SECTION -BLOCK ��-LOT SECTION B. OWNER INFORMATION: M Property Owner Name: l V Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same asPental Property Address) (�lJ OAlfw d't C> 1 Telephone Number (s): Daytime /Evening s £ Emergency�f'C� -S Property Owner Email Address:AKA & `s kl/b L 0 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." Rental Dwelling Unit Identifier: 6-Lc Q 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: _ �. 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. am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 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)IAVg" kA� ,) 0,6 , 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: N 2�i�'t1 cJ Property Owner's Signature: �� �Sworn to before me this-5 day of / , 20 Official Notary Public Signature and Original Notary Stamp Page 4 of 4 rxxwrr. of sari TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 I N Sk P E C T I o" N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [vf--RENTAL REMARKS ............... oh cvAt 4 /,?,i hose-d4ep-�- Tl s � C g1 DATE INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road w Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # I Date Owner Phone Address Visible Hamlet Prispector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) f I Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 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 Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements / "" ' jf %''o %%'„ CO's for all items present A` ;, / r/, % i f/ 'l Comm ts: TOWN OF SOUTHOLD PROPERTY I OWN ISTREET VILLAGE DIST.1 SUB. LOT FORMER OWNER N E ACR. Ak 5 W TYPE OF BUILDING / RES. �.i SEAS. VL. i FARM COMM. CB. MICS. Mkt,V lue LAND IMP. TOTAL DATE 1 REMARKS L/z l S �a�R SC F'CC��i 7- e F . I 1 ( CD 70C>O 9Coo o t o -7A00 C 00 �3 7 - _ a AGE cU -1 BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM I Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD f Meadowland DEPTH i l House Plot 1A BULKHEAD Total ° I cj (� � DOCK i t d l I ` \` e { �e .E � se ?LORTRIM� � - . I = I _ I to � ( : ' � _ ,�`��►'�"� # �,� _ � f # - I 2 = 3 3 d # l ' T f f 22.-4-16 2/21/2014 s � ' f M. Bldg , 5 b ' y"t'7 I i s I I , Extension I t f I Extension 115 JC I 1 R a� b ,-' , �9 0 s Ian' � 1 s Extension °I x Z Foundation {Bath l Dinette Porch ;Basement ;Floors K. Ext. Walls Interior Finish ;LR. Breezeway Fire Place i Heat Y� DR. Garage b ��-� - 3 e"_� '�� t Q ,Type Roof Rooms lst Floor �`� �1�a"�h� } Patio Recreation Room Rooms 2nd Floors FIN.N. B i 'Dormer - Driveway i Total —3435 - - H F Town of Southold 10/9/2018 ' �`. P.O.Box 1179 b 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39941 Date: 10/4/2018 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 1670 Stars Rd., East Marion ............ .. SCTM#: 473889 Sec/Block/Lot: 22.4-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P g i 41 �1/2017 5/25/2017 pursuant to which Building Permit No. 41752 dated 6/21 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 fain%1 dvvellin with r covered front ent a d urnish�xl bacrncnt s a lied liar.. The certificate is issued to Fernandes,Anthony&Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-17-0010 10 3 201 8 ELECTRICAL CERTIFICATE NO. 41752 7/25/2018 PLUMBERS CERTIFICATION DATED 8/24/2018 ny Fern, A Signature "M tt �. Town of Southold 10/4/2018 , P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39944 4/2 18 Date: ._... _.....10...............�.N..._.... THIS CERTIFIES that the building POOL HOUSE Location of Property: 1670 Stars Rd., East Marion SCTM#: 473889 Sec/Block/Lot: 22.4-16 Subdivision: Fred Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/25/2017 pursuant to which Building Permit No. 41755 dated 6/21/20.17 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: ate, 01 house with ouW or bgwer ap lied for. The certificate is issued to Fernandes,Anthony&Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41755 9/17/2018 PLUMBERS CERTIFICATION DATED 8/24/2018 An't y Fernandes t' i Signature Alt Town of Southold 10/4/2018 IV P.O.Box 1179 f 53095 Main Rd Southold,New York 11971 CERTIFICATT OF OCCUPANCY No: 39943 Date: 10/4/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1670 Stars Rd., East Marion SCTM#: 473889 Sec/Block/Lot: 22.4-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P g ......__. ...�1 1/ 5/25/2017 pursuant to which Building Permit No. 4 754 � dated mm6/22017 as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessor - oucd swi in caul a:aplid `tar. The certificate is issued to Fernandes,Anthony&Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41754 8/16/2018 PLUMBERS CERTIFICATION DATED tur mw; �tlt Town of Southold 10/4/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39942 Date: 10/4/2018 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 1670 Stars Rd., East Marion SCTM#: 473889 Sec/Block/Lot: 22.4-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/25/2017 pursuant to which Building Permit No. 41753 dated 6/21/2017 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: ac so one car ggrage as a lied for, The certificate is issued to Fernandes,Anthony&Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41753 9/17/2018 PLUMBERS CERTIFICATION DATED Signature Building Sketch 59R-Wpi....................... ............. Properly Address j§ZQ 5jpMRq__ ............ . ... .. ..................... ............ lEast Marion County Suffolk State NY ZipCode 11939 UngLICkent Wells eii, N"q �Qjt pp 14s' 9,51 16' 17 5' 00, MWI. iK N-1-d sh.4-0 Great R.— yy Garage .......I. ry Ma,B.th Uvinq R.— Tr n. Yn 60' 25, Bath Li'my by TOIALSkrt by.l.,-dai— AMR calculations summary Living Area Calculation DoUlls First Fluor 1848 Sq ft 28 x 32 896 34 x 28 952 Second Floor 817 Sq ft 14.5 x 8.5=123.25 5 x 3.5 = 17.5 16 x 17 - 272 18.9.5 = 171 2.5 x 4 = 10 9.5 x 23.5=223.25 Paul House 450 Sq ft 18 x 25 - 450 Total Living Area(Rounded): 3115 Sq ft Non-living AM 1 Car Garage 384 Sq ft 24 x 16 . 384 Basement 1848 Sq ft 28 x 32 « 896 34 x 28 x. 952 Form SKT.BLDSKI-'TOTAL"appraisal software by a la mode,inc,-1-800-ALAMODE