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HomeMy WebLinkAbout1000-22.-3-8.1 TOWN OF SOUTHOLD ;,qya Rental Permit 0001 04 Owner Haralambos & Zaharia Papazahariou Occupied as Single Family Dwelling Located at 2905 Private Rd. #1 East Marion 22.-3-8.1 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 arranging for the bi-annual inspection. 3/11/2024 dfea r tt Official This Notice must be posted by the main entrance at all times AO.S.- pvr 6A6 -il;-i (�q r, ff��Vlv OF S _ 631-765-1802 IN PEC 10 " [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] F L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {F1 [ CODE VI LTI N [ ] PRE C/O [ I 44vt./ vcovma ?.--` a _ A-u- DATE INSPECTOR � 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 h A-AN_s IioIdtom 1� " E C 1 1j F t 6 2024 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years T Section A. Property Information: Rental Property Address: 2905 Pvt Road 1, East Marion, NY 11939 Tax Map Number: 1000 SECTION 22 -BLOCK 3 -LOT 8 _ 1 SECTION B. OWNER INFORMATION: Property Owner Name: Haralambos Papazahariou Zaharia Papazahariou Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Zaharia Papazahariou SAME 157-4413th Avenue Whitestone, New York 11357 917-682-0229 SAME SAME Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: zack@paza.com Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: ONE 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, Q 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: Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: EIGHT Number o ms '�ental Dwelling Unit: TEN Use a Dimensions of�ch room in Rental Dwelling Unit: 1/1 DROOMS -4 j DINING ROOM - 1 DINETTE AREA- 1 LIVING - 1 KITCHEN - 1 BATHROOMS -2-1/2 FAMILY ROOM - 1 LAUNDRY ROOM - 1 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. Xi I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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) Zaharia Papazahariou 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: Zaharia Papazahario Property Owner's Signature: Sworn�to before me this ay of 2015{ Official Notary P blic Signat re and Ortinai Notary Stamp t CONRAD Reg,No.01G05245154 o,alifie:in Suffolk C -:ty commission Expires Ju£y t >20 111 Page 4 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) Haralambos Papazahariou 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: Haralambos Papazahariou Property Owner's Signature: 1 - lfnl�v Sworn to before me thisZ( da of , 2024 Official NUV s Signature and Original Notary Stamp 1BRAD T ?fa v P New York re 5154 oaii Cot m Commission Expires july 1 ,120 In Page 4 of 4 � fFor��o TOWN OF SOUTHOLD CIOo • Rental Permit d1 Permit No. 0001 Owner Haralambos & Zaharia Papazahariou Occupied as Single Family Dwelling Located at 2905 Private Road #1 East Marion 22-3-8.1 Address Village S/g/L i 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 arranging for the bi-annual inspection. 2/27/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times I , pF Soo , x Town Hall Annex a' = e� Telephone(631)765 1802 54375 Main Road p'°" :' :_'< "� t. Fax(631)765-9502 P.O.Box 1179 !S'•�' '. " Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION , Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2905 Private Road 1 , East Marion, NY 11939 Tax Map Number: 1000 SECTION 022 BLOCK 03 'LOT 8.01 _ SECTION B. OWNER INFORMATION: Property Owner Name Zaharia& Haralambos Papazahariou Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 157-44 13th Avenue SAME Whitestone, New York,11357 Telephone Number(s): 917-682-0229 Property Owner Email Address: . _ _ zack@paza.com 'a Do 'D C) 1� Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: __ Zaharia Papazahariou Address of Authorized Agent (no P.O. Boxes): 157-44 13th Avenue, Whitestone, NY 11357 Mailing Address of Authorized Agent: _ Same Telephone Number(s): 917-682-0229 zack@paza.com Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Same Address of Authorized Agent(no P.O. Boxes): --- Mailing Address of Authorized Agent: Telephone Number(s): 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: Same Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): _ Email Address: - Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: ONE 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:-. Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: EIGHT Number of rooms in Rental Dwelling Unit: - - ._ . TEN Use and Dimensions of each room in Rggal Dwelling Unit:-,Sq Ft for rooms on floor plan BEDROOMS - 4 DINING ROOM -1 DINETTE AREA -1 LIVING ROOM - 1 KITCHEN - 1 - FAMILY ROOM - 1 LAUNDRY ROOM - 1 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 NYS licensed architect, a NYS 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. X)P I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK). Haralambos Papazahariou 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:_. Haralambos Papazahariou 10 Property Owner's Signature: --R ) Sworn to before me this 9th day of -Feb wary 20 19 � a ANDRES J.VIGO Nota +P�'u,b�lic,3�State of New York Official Notary Public Signature and Or' inal No ry��NO. .%6245734 Qualified In Queens County Commission Expires August 1,2019 Page 4 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) Zaharia Papazahariou , certify under penalty of perjury,the following: 1. I 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. I 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: Zah ria Papazah riou Property Owner's Signature: Sworn to before me this 9th day of February 20 9 v VIGO Official Notary Public Signature and C� �- Not y-StaVWubllC,State of Newyork N0 .01 V16245734 Qualified in Queens County Commission Expires August 1,2019 Page 4 of 4 Telephone(631)765-1802 Town Hall Annex g� ..; v:• . 54375 Main Road ' Fax(631)765-9502 '• ih.;_ ,f, „r, � , P.O.Box 1179 yR M=' Southold,NY 11971-0959 t'✓`�✓,,c ,�\ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION-ADDENDUM Rental Dwelling Unit Identifier: N/A 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: N/A 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: _ __ N/A Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit:.. Use and Dimension of each room: oe souTyolo TOWN OF SOUTHOLD BUILDING DEPT. �ycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] F AL o FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI N [ ] CAULKING REMARKS: !DA/ DATE INSPECTOR DFCK CO/SMOKE DETECTOR i F-1 Ali E 44A?X•I`{C! ' 105 SF a 190 SF J fF.P. F.P. CJiCti - - Fatly Room 300 SF 155 SF 215 SF f BATH 1 � BELSFmm O 125 SF i r 1 ' o LbCL c CL vat 1 1 cq ij�J�001 6PAG#A Q 105 SF 150 SF 155 SF i- 185 SF i E { Ext5ting f=irst Floor Plan 54e•114'n l CP CO/SMOKE DETECTOR Q GAS ZAHARIA PAPAZAHARIOU 2905 PRIVATE ROAD 1 EAST MARION,NEW YORK 11939 1; FORM No.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . z.1665d. . . . . . . . . Date February. .1,9 , 1988. . .. . . . . .. . THIS CERTIFIES that the building . . _. Location of Property PVT. RD , # 1 off Ma in. ,Road East Marion . .. . . . . . House IVo. Street �Ham/ec County Tax Map No. 1000 Section . .0 2 2. . . . . . .Block . . 3 . . . . . . . . . .Lot . 8..0 1. . . . . . . . .. . Subdivision . . Armand Ba r t o s J r ; , , , , .Filed Map No. 2 49. . . .Lot No. . . . . .2 . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Act:. 2 5, , .1.985. pursuant to which Building Permit No. ,14 4 0 9 Z . , . . . . dated Oct . 30, 1985 . . . 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 family dwelling, and attached deck. The certificate is issued to , AF YAAT05 PAPAZAEARIOU & OTHERS of the aforesaid building. Suffolk County Department of Health Approval $5- Feb; 10, 1988 . UNDERWRITERS CERTIFICATE NO. . . . , , N?80 3 56.. Nov; 20 , 1986 . PLUMBERS CERTIFICATION DATED• K & K PLUMBING & HEATING 11/ 10/87 . l . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.t/8t TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ,STREETVILLAGE DIST. SUB= LOT Ll FORMER OWNER N E ACR. AT J W S TYPE OF BUILDING cor RES. /,q SEAS. VL. FARM COMM. CB, MICS. Mkt. Value LAND IMP- I TOTAL DATE REMARKS o. '04 J 42- M14 r7,, 76 y "10 9s ra 4f- 112-: & "y wn, T t __-es ------------------------ AGE f BUILDING CONDITION1w _5z�i _, hc) b , NEW NORMAL BELOW ABOVE ao CA FARM Acre Value Per Value Acre Tillobie, FRONTAGE ON WA T' qla,L-r2q-14 rxq_ #- : FRONTAGE AGE 0 ON ROAD AD /7 Meadowland j DEPTH House Plot BULKHEAD Total,_, DOCK 1. TRIM i t E - a 3 t x s Z { 3 I - 4 a s 3 qq _ a 22.-3-8.1 9/06 g 4 F Extension ' - UAL Extension _ £ - Extension Foundation jBotl - Dinette D portly— ° Basement Floors K. - - - . Pard< Ext. Walls !Interior Finish LR, 3 = r _ Breezeway Fire Place Heat ' DR. Garage g � _ Type Roof iRooms 1st Floor BR. a i ecreation Room Rooms 2nd Floor FIN. B - 0 O. B. Dormer Driveway Total .__,