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
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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
...............
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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
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Properly Address j§ZQ 5jpMRq__ ............ . ... .. ..................... ............
lEast Marion County Suffolk State NY ZipCode 11939
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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