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
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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
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_ 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 .__,