The URL can be used to link to this page

Home My WebLink About1000-38.-4-26 TOWN OF SOUTHOLD Rental Permit 0526 Owner Richard & Anne Antunovich Occupied as Single Family Dwelling Located at 1845 E. Gillette Drive East Marion 38.4-26 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. 9/1/2023 -�Wa Code Enfo a int Offici This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. ° * � 631-765.1802 -2� I N *""qm T 10 N [ ] FOUNDATION 1ST [ ] 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 [ t° ENTAL REMARKS: SGLCIO . DATE -3/-e2 ' � . .... Town Hall Annex Town of Southold 54375 Main Road Z) " Rental Inspection Report PO Box 1179 Cz Southold, NY 11971-1179 Tel: 631-765-1802 SCTM..# � Date _ w .. Phone Owner ✓/ _., Address �� - allG l�sible _. . . Vi Hamlet ,�:A4 spector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits _ Bedrooms 1_ 2 3 4 5 6 Smoke Detectors Egress Occupant Count C2 Building Systems Maintained & Operational Condition of Property Heating Building interior Hot waterBu ilding 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 CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD Rental Permit 0526 Owner Richard & Anne Antunovich Occupied as Single Family Dwelling Located at 1845 E. Gillette Dr. East Marion 38-4-26 Maximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitaryand 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. 8/25/2021 ode Enf met fficial This Notice must be posted by the main entrance at all times Town Hall Annex z 1� Telephone(631)765-1802 54375 Main Road ' , Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ,r BUILDING DEPARTMENT 1 i'• L/ TOWN OF SOUTHOLD JUN. 17 2021 RENTAL PERMIT APPLICATION. a-4 rep'If o Rental Permit Fee $200(Application must be renewed every two years) - Section A. Property Information: Rental Property Address: , o Tax Map Number: 1000 SECTION �`P4p -BLOCK. 04., 00 -LOT 02� SECTION R. OWNER INFORMATION: Property Owner Name: . ��L - Property Owner Legal Address: Property Owner Mailing Address: 7 '-'C/1�� /1i+e ) 31 Telephone Number (s): Daytime �%3J'/ EveningEmergency Property Owner Email Address: 7�� a�rl Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized 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): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any:_ N Address of Authorized Agent(no P.O. Boxes).* Mailing Address of Authorized Agent:, Telephone Number(s): Daytime Evening Emergency- 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): Page 2 of 5 ro- a o Town Hall Annex } Telephone(631)765-1802 5437.5 Main Road Fax(631)765-9.502 P.O.Box 1 179 Southold,NY 11971-0959 coum BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: c Telephone Number(s): Daytime Evening _ Emergency: . Email Address: 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, 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: hw-5z.- Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: -7 Use and Dimensions of each room in Rental Dwelling Unit: Setf_ ld� / Ao &A L .G/ 7 X� Mtn 79- 0 13 dg M 2, /a x �o ja�N'pp, 3 /0 x /p 13a s cmeL l-7- Page 3 of 5 Nt Town Hall Annex * , ' Telephone(631)765-1802 ;.;;- u 54375 Main Road ;>� ' Fax(631)765-9502 P.Q.Box 1179 %, .. Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1ktlCkL�W7`L UV14,6 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 Page 4 of 5 " 00� '' Town Hall Annex '� s Telephone(631)765-1802 54375 Main Road e Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �' {r BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: , Property Owner's Signature: t� Sworn to before me this 11 day of SUS ;20Z Official NotluPublic Signature d Original Notary Stamp >PU,�� >,rlRTRACEY L. DWYER NIIOTAn,�EW YORKNOTARY PUBLIC.STATE OF NEWYORK NO.01 D''0,`j306900 COUNTY QUALIFIED IN SUFFOLK COUNTY COMMISSION ;;�, 30,2 COMMISSION EXPIRES JUNE 30, Page 5 of 5 Dr. �apE 50Ulyo l ��, N\Avl cot, # # TOWN OF SOUTHOLD BUILDING DEPT. °l��bU►JIV '' 765-1$02 39.- q,> INSPECTION [ - ] 'FOUNDATION 1ST [ ] ROUGH PL13G. [ .] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL .�,,r, + [ ] -FIREPLACE & CHIMNEY [FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0 DATE INSPECTOR �4jhvo VAY T-. 4p w �( cE ey,\ �®CA^ji-°r k 0. r� o �v�� r w\r-e.. 5 � 00 - ��L �iv��o+n� • W`j a ri r-- r 3 � - 957-blbo3OF S S' ' �t t� J Wt a 1 ®R AeDIF 2R. L rn�Div ipv A4. TOWN 'OF SOUTHOLD PROPERTYTY /� / a`'`� WVILLAGE DIST. SUB. t? LOT IN STREET ftR PA e n 5 1 tip—,netlavf�s 'k OM),_ fle xlv�u 1,1Z FORMER-6W. ER-' N E ACR. Cd e-rct W- 1 s w S W TYPE OF BUILDING VL. RES. SEAS. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS el# v) &/ X/L4, jL �Ie- 2[14`/�ao% i 24e 6 IV- 5) )w e-11 ip L*dem * ,- AGE BUILDING COQ f - 5wl aks. s A L I?, A ra k), NEW NORMAL BELOW ABOVE FARM Acre Value Per Value ") (24,109 t&,4,p Acre Tillable 1 700 500-10 5 0 LO-111Aa -- `-1Q70 2:n -h�kml Tillable 2 - Ua'oob Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushla. nd FRONTAGE ON ROAD 6 r) House Plot DEPTH BULKHEAD Total DOCK, .......... fir{ 3 g ■n■■■ ■�■ 1On■■■■■■■■■■■■■n xl OEM MMOMMEMEMEMMOMMMEME ■■■■■■■ ■ ■ ASN■■■■EN■■■■■■ n■OMEN ■ENNOMMEMEMEMME■■■ � _.- , r :^ ...- ■■■NEN■ ■■■■E■■■■ENENN■■■■E M. r • , ■■NEON■ ■E■■■�!■NNN■■■■■E■■E Bid♦ ® . •• . .• .. - 'Ext. Walls Interior Finish i Extension • =17 Fire Place• • •• Rooms 1st Floor ch Recreation R 'Rooms 2nd Floor� Dormer Porch Go rage FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. I • CERTIFICATE OF OCCUPANCY No. ...Z...20.......... Date .............September......3-9.................19.5?... THIS CERTIFIES that the building located at ..E/S....N....C;,tIlette....Drive.................. Street Map No. P.O.Za.Marion-Manor- Block No. .................................. .. Lot No. •�$� �ast..> '��..�I.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated .........................Itme....29...............19.:x'.7..., pursuant to which Building Permit No ....Z..ZA............... , dated .............................June..29.............19.$?..., 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 ............ .......................................;PnVATZ.... DIKAUIRG................................................................................ This certificate is issued to ...11erbra]rt....Zgart.... .(.ova#84................................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector Town of Southold 1/28/2021 ;. P.O.Box 1179 53095 Main Rd Southold,New York 11971 �r�etF_ CERTIFICATE OF OCCVPANCY No: 41741 Date: 1/14/2021 THIS CERTIFIES that the building ADDITION/ALTERATION i Location of Property: 1845 E Gillette Dr,East Marion SCTM#: 473889 Sec/Block/1,04: 38.-4-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2020 pursuant to which Building Permit No. 45270 dated 10/1/2020 E _ 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: v "asttt"''aitdcz a ►c- 1ettiiia == 'btr3t' tiul ittelowi ;` �s•' t� eplacei�r�nt'�s�b`iult�atta�lYez�gra�a��altemi�or�s and �� gas-'httii"t�creatzo�robxriYii�'�asement'as� '•t'.�_ �.� - ----- ---. .__.. -___::.�_—__ _ - = P F rx � r The certificate is issued to Siderakis Helen EM QPRT ;t ,P of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45270 1/4/2020 PLUMBERS CERTIFICATION DATED ,- u,ho,izc. :Signature: - --