HomeMy WebLinkAbout1000-33.-1-13 TOWN OF SOUTHOLD
A--
Rental
Permit
0249
Owner Nicholas Donas
Occupied as Single Family Dwelling
Located at 2500 Sound Drive Greenport 33.4-13
Maximum Permitted Occupancy 6
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.
2/14/2022
Code Enforcement Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
Rental Inspection
NY 11971-1179
y, Tel: 631-765-1802
Fax 631-765-9502
SqT
Phd
i ens Irl l � -Jr'o-'m' ,,;s tre ,
LEVELS
Smoke Detectors (#- bedroom detectors excluded) I _ 'w „•M.,..
Carbon Monoxide Detectors (#)
Fire Extinguishers (#) ( 5
Exits (#)
BEDROOMS 1, 5
Smoke Detector Alarms
Carbon Monoxide Alarms (#) Q
Egress (windows) ,(Y/N)
BUILDING SYSTEMS Y/N CONDITION OF PROPERTY YIN
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operationalBuilding Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained Y°'
Mechanical,system maintained/operational Handrails&guards present
POOLS YIN POOL BARRIERS YIN
Pool present N P �- rompletefy enclosed
P
present 1-1-1-”alarm
and/or door alarm Barrier is a � high
a _.
POOL GATES Y/N All openings in barrier 1 #,Lan 4"
Self-closing, self-latching ' ~- Max. 2"clearance @bottom of barber.,,
Latch on ool side of ate, meets height "'" Ba.rrr capable of being locked &child- ryM
p 9 g p 9
requirements proof wRbTi unattended
110 iiiliil;i''iilil! !lll��ll�li��iiiiI i ii
COMMENTS:
u
TOWN OF S O T O L
}' Rental Permit
Permit No. 0249
Owner Nicholas Donas
Occupied as Single Family Dwelling
Located at 2500 Sound Drive Greenport 33-1-13
Address Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 6
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.
12/16/20_19 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex F e Ill�.�mhone X631 5 I1180��
54375 Main Road Fax( u 1)'765 7��02
P.O.Box 1179
Southold,NY 11971-09595
BUILDING DEPARTMENT
TOWN OF s
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION 1 BLOCK ) LOT -
SECTION B.
OWNER INFORMATION:
Property Owner Name: I
AG6 LLC --L\J I-0 �Qt)�J.A-�L
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
a.
) ryw= 4 . .
Telephone Number(s):00t 1 l
Property Owner Email Address:
M. h"
I
Page 1 of 4 n
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit,if any: V
Address of Authorized Agent (no P.O. Boxes),
�'-'J cv-)
Mailing Address of Authorized Agent: 0 3--) 2111 113 C
Telephone Number(s): (Loqio) 3
Email Address:
"J
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
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:
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:
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:
Requested Maximum number of persons allowed to occupy Dwelling Unit
Number of rooms in Rental Dwelling Unit: k4 Rcxsx-hs- z
Use and Dimensions of each room in Rental Dwelling Unit: -i -` ti���_ f bL I-4 -
) �.� a
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.
21/1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3of4
❑ 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)
I ealt ck 4 ' � , 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: LL0
Property Owner's Signature: ',', t ,. ... " ...
Sworn to before me this day of , 2 � JAMESAN
NOTARY PUBIJO,sTxrlE OF NEW YORK
.. � ,
u fled in Queens County
CfaNa�yiNc Signature and Original Notary Stamp ?fr7: on Expires March 31, c
w
Page
4 of 4
F
i d p•�.., �=n
°w
Sze✓
rr II
1�
»a
y
1
-
°�r
h.
ti
m
�,� "u„,4 ��. —. �oe� i✓%:.6,.�„�f��E„�rcnm g,x /„/,��,�T�MI����
v.e..., �_: ii
.,. ��
Nl xANis:�'vollrxord a iiaoN os ...—...._
w-4
aosz 1
"IR '°° Q'� SNOI.LV-da -lv.LN3wRsys
_.._.._, - _ .._.-- ._ �_-.._-�. .
2SI10 MOIlO T
CL
------------------------- -.m._____
u
a
3
aF U v
-__.____
s
i u
v
i
pp
�I
7
�.�.... .........
TOWN OF SOUTHOLD BUILDING DEPT.
-1
INSPECTION
[ ] FOUNDATION 1ST [ ]' ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING ]
[ ]" FIREPLACE &-CHIMNEY [ ]' FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION {" ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
4 EMARKS:
MA
/
oil/
ch)
� Ga
/
ik i PpAv �v� A- rO Y Lmiy 9tr,-. (49"
INSPECTORDATE
r �
H
I"
� t
i µ
i
rn
o
cnrn
-i
v
rn .�
m
�n ai
� o
m o -n
n ("° I
k
N
:..
co
T rrr
0
r
o m D O
z y C m rn
i
m
I
S
j4h Q
co
O
C
... c
D i
� � I
m
r
a•
a rrl
0 0 m Z ( m
9rr "
o 0 oa P o r^CfGD CL
p aCL
�
i
r
rrwIAP .,
�Jw cn i�
.CD
. �
O Z
C iW
CD dim
l
ro
c °
71Z
I
rn D D { ,w,
Ln
O
in
Cq
It-
00
�w
D
G b�
� b
.. n t' e ..�
CD
°
°
N
'Mwdr :, �: �, µy ( �iN ✓� Ilk 0
i. M rs
w 06
... u C)
J,1,
44
r-
oll
°
°
o J Vie"
w r 00 O p i° a 5 5 t
I IA
CD
w
fry
lo
too
r �' n f � ✓� � f N
1t
w
,
%/
-„ /ii
m rr
/
IH
04
+tel F., l✓ r�rr rrr o�i�;,, � r� I /y i
•' ,,� �» �� � ,� i� �.� grl��r�Iry�t���/r�j��/�� V 71 �� � t j��r�- x
Nb �
0 1 r�,.J
u
-n T
OJ T Y
O O
N O r
IM D
o — -
w�
O r rr O
0
1
Lo
.04
0 0 CD 0
........
._..
-.
k I
1 t
. .�
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. . . Date _ . . . . .July. .1 Q. . . . . . . . . . . . . .
'z '9"In1 � . . .
THIS CERTIFIES that the building located at 25.010 .Sound.. P'�vp. . . . . . . . . Street
Map No. . , Block No. . . . , . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . , January 5. . . . . . .. 19, -78 pursuant to which Building Permit No. . .9699.z
dated . . . .Janu-ary. . £i . . . . . . .. 19. . 78 was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . PIATE 0M, ILDVM
L110.
i Ce
The certificate is issued to . , . ,George• Pal .o . . .
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . 7.S0-1.85. . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . . . . .Pend:.ri9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . .25pp. . . . . . Street . . . . . . . .So=d.1)0vE. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .Gx'.e.�r�Por , .N.Y. . . . . . . . . . . . . . . . .
gIA
�
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-32130 Date: 01/10/07
THIS CERTIFIES that the building ALTERATIONS
Location of Property, 2500 SOUND DR GREENPORT
Count Tax Ma No. 473889 Section ....... — _LET).
(HOUSE N0. ) (STREET) (HAMLET)
Y P on 33 _ Block 1 Lot 13
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 22, 2006 pursuant to which
Building Permit No_ 32067-Z dated JUNE 1_,r.
2006
�.,.... ...._.-...
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 ALTERATIONS TO AN EXISTINGSINGLEFAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PARIS KONSThNTINIDIS
of the aforesaid building, (OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 2101451 01/05/07
��
/07 PARIS KONSTANTINIDIS
ERS CERTIFICATION DATED 0.. n
�r
Au lorized Signature. ............
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26939 Date: 02/22/00
THIS CERTIFIES that the building ALTERATION
Location of Property: 2500 SOUND DRIVE GREENPORT
(HOUSE NO. ) (STREET)
_ (HAMLET)
County Tax Map No. 473889 Section 33 Block 1 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 24, 1989 pursuant to which
Building Permit No. 18351-Z dated AUGUST 4, 1989
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 ENCLOSE EXISTING PORCHES ON AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to GEORGE A. PAVLICIN & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 065980 10/14/99
PLUMBERS CERTIFICATION DATED N/A
Authorized S
igna � re
Rev. 1/81
FORM NO. 4 �S ch
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34036 Date: 10/27/09
THIS CERTIFIES that the building "AS BUILT" ALTERATION
Location of Property: 2500 SOUND DR GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 1 Lot 13
Subdivision Filed Map No. Lot No. '
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 15, 2008 pursuant to which
Building Permit No. 34356-Z dated DECEMBER 18, 2008
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 "AS BUILT" UNHEATED BASEMENT ALTERATION FOR RECREATION ROOM AS APPLIED
FOR.
The certificate is issued to ROY MORROW
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 4018971 12/08/08
PLUMBERS CERTIFICATION DATED N/A
Autl i s Sig star
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34097 Date: 11/25/09
THIS CERTIFIES that the building HEATING UNIT IN BASEMENT
Location of Property: 2500 SOUND DR GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 33 Block 1 Lot 13
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 5, 2009 pursuant to which
Building Permit No_ 35153-Z dated NOVEMBER 10, 2009
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 HEAT FOR FINISHED NON-HABITABLE BASEMENT AS APPLIED FOR.
The certificate is issued to ROY L MORROW
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
'ut orir Si nature
Rev. 1/81