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Home My WebLink About1000-59.-1-14 TOWN OF SOUTHOLD ��► OGS k � x Rental Permit 0602 Owner Narrow River Prop LLC Occupied as Single Family Dwelling Located at 1225 Leeton Drive Southold 59-1-14 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. 3/7/2022 Code o e t Official This Notice must be posted by the main entrance at all times 0�1�� ; re, . Town Hall Annex v Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT DEC 1 0 2021 TOWN OF SOUTHOLD ` BUILDING DEPT, TOWN OF SOUTHOLD 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 I7 SGI ,D d _BLOCi<.. U f .DD -LOT----nt`f SECTION B. OWNER INFORMATION: Property Owner Name::. (:i ui/m�4 Aywzifix .. kli _ Property Owner Legal Address: Property Owner Mailing Address: -Po 8 vX lo?s0 L Telephone Number(s): Daytime 3` j-( 5I e3zvening ' I Emergency: Property Owner Email Address:. /14 V�-�� Pagel 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: A,(—eii- y Address of Authorized Agent (no P.O. Boxes):- ZOO (i.q 3- Mailing Address of Authorized Agent: 20 v KOjv\ " c i Telephone Number(s): Daytime9l7-Wo •evening " Emer en Ill -��-/O -5k-6ZZ g � . Email Address: . Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: ftkaN-T Cl- Address l-Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime..gl?-c1Evening Emergency, �"��_(_' Email Address: f A Vrl-,T 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 r Town Halt Annex ; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 . Southold,NY 11971-0959 ON BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:., Telephone Number(s): Daytime .Evening . Emergency Email Address: -- SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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." % P.OT Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Uni : 0 S ` Number of rooms in Rental Dwelling Unit: CP Use and Dimensions of each room in Rental Dwelling Unit: yti i'�+�r Crst?r1s ti�P ( Page 3 of 5 Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I 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) 1. 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 S rhe Town Hall Annex Telephone(631)765-1802 54375 Main Road g " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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. 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:: Property Owner's Signature: �G- Sworn to before me this( day of Official Notary Public Signature and Original Notary Stamp GLORIA L ARCS Notary Public,State of Newi Yo& No.01 AR6082685 Oualified in Kings County r Commission Expires 11/04/20 Page 5 of 5 SIV : Town FIA Amex PAY: `� °&"osG wfv 03 t 7 65-18 A Box I 119 � <; `'OWN OF ISSO IIOL. ) RENTAL PROPERTY CERTIFICATION Form ts�to he completed 6vo 1acense orchitect,Iicetnsed engirt er of ficertsed homix inspector Se rote form Is roquiredfoi mch lnd4l'vi'dval it Prn t Os Fr �{uit d tar,4rctaft tl° r rx � r,O�c rrs Home tp �s��tr�r RanVA Pr pertV$CT Nay tLer: Rental Pro er Address; 1225 Leeton Drive Southold, 11971 m 0vner/Name. Jeremy Armstrong ental Dwelling Unit Identifier-, uUmber&Square footage of e th be,&aom adepicte.d in the.attached flooi p)aw; Bedroom #1 - 133 sq., Bedroom #2 - 133 sq., Bedroom #3 - 133 sq., Bedroom #4 - 133 sq., Pr-cper y Desrriptlon�Ir<cludc all imprm.,e etitg.indicated on survey) 1972 - Original home built 1995- 2nd floor horizontal kitchen addition. 1 st floor horizontal garage addition. 2021 - Deck addition t,terkify that I have done a"ol yOcal ln5oectlon of the sublet rental dwelling unit and firm#that it fully Compiles with ali the provisions.of the Code of the Tom of Southold,the Residential Cocke of New York Stater the Building Code of New York State,the Plumhing Coda of I' eW State, I he Fu'ell Gas Code of Ne,,%,y'ork State, and the Energy Conservation Consiruct o de-of 4W York State, Print Name and litie ()F NEW� Orl na� ignatiur a -�t 1r a 0 Blease Place professional Seal- • �- s� 781 A aof SOUT9 - � o * # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ]' FRAMING/STRAPPING [ ] INALWk [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O R_ EMAR S: DATE INSPECTOR Blue Sky Design , Inc . Consulting Engineers -eet, Si-tite. 904 121 West 2 7th Sti Nk, NY 10001 ew Yoi- Tel. 646-230-9900 621 Fax 646-230-7400 131-411 A\ U U 4�1 0 b 0 CD KITCHEN 0 137 SF o ( � oL X 0 N SD / CD BEDROOM BEDROOM 133 SF 133 SF LIVING & DINING ROOM 598 SF 0 o0 BATH "D CD SD / CD co 40 SF 10 I 18 SF 18 SF BATHROOM Fn. :cD 4400 SF SF BEDROOM Lj BEDROOM 133 SF 133 SF 101 81 10, L 0 12'-211 28' 121-21' Oil 541 Ground Floor Plan SCALE : 1 /8" = 1 ' 1225 LEETON SOUTHOLD , NY EXISTING CONDITIONS OPA JOB # 217 11 /22/2021 Blue Sky Design, Ific . Consulting Engineers 121 West 27th Street, Suite 904 Nov York-, NY 10001 Tel. 646-230-9900 Fax 646-230-7400 OF NEP� feu R T 0 a: 13 ;or N 541 781 cn Lo S S 0* 111-51' 26'-10" 11'-5" cy) 13 13 BASEMENT C, 550 SF 04 GARAGE GARAGE 318 SF 318 SF I cn 13 13 zo 1 1% F-1 F-1 L lk= 101-811 8'-611 7'-10" 8'-611 101-811 00 J* 10 J* 0* 13 13 El 41 121 71-611 6'-10 1/2" 8'-4 1/2" 61 12' 41 Foundation Plan SCALE: 1/8" = 1 ' 1225 LEETON SOUTHOLD, NY EXISTING CONDITIONS _ OPA JOB # 217 11/15/2021 SK2 "4 v- TOWN :OFSOUTHOLD PROPERTY. D OWNER STREET -VILLLAAG IST. LOT C �f?RMER)� N IN �'E ['.J� -/' -( " S F I W TYPE;OF BUILDING 5 -S RESVL. FARM COpvw' .' CB.. MICS. Mkt.- Value. SEAS. LAID IMP. TOTAL DATE REMARKS 0 7_9 0// wA C�.Af ;P' 1 0 Z3,7, /4 7 71.2 fp IV C4 0': N. C 017,317,:7 - N 917 SY, 4111 1-410 4� AGE BUILDING CONDITION /00 C/ NEW I NORMAL BELOW ABOVE: FARM i Acre Value Per Value. 712,ql2V Tillable /707/ Woodland ' FRONTAGE,ON ROAD Meadowland :DEPTH House Plot 'BULKHEAD �DOCK Total .......... ......... ... -1 COLOR:.. -TRIM....,��.. f S•r.0-. i 'i i t. ice' ^` �-{-"•'mw ��_ - ,<>^.1 I _.�.__ ;__ . I _........... ...... —__..................__... i ' _.. M. Bldg. i I— - ,s { I1 4 Il Extension i Extension ( i. I — - I ; VT Cxtension /0; I : : ! i _ ��• """ I DineeteFoundation 3 Bath dasement Floors.a a ` i I< , ,-r ! Porch 5 r V ` ;Ext::'Wa{!s �,.� - : lntei oi''Fiilisft LR. Breezewa i x � i ii ' DR. Y I j Fire Place Heat !#t Curage �!,✓ c �o � '/ '� '. :: .. °.. .i 'IType'Roofs: Rooms Ist'Floor - i BR:' _ Patio I Recreation Room � � Rooms-2nd Floor ; !.FIN. B O. B. ; Dori merewa �I Y Total -ri , i:.. - , ..x FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2648 . . . . . . Date . . . . . . . . . . . . .Ilay . . 29 . . . . 19.7.5- THIS 9.7.5. THIS CERTIFIES that the building located at . .Le,etOrr -Drivv • • • • • • • • • • • Street Map No. xxx. . . . . . . . Block No. xxx . . . . . .Lot No. . .xxx. .Southo,1,4 . •T►•. .. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . I•la r. . .29., 19. .7.2 pursuant to which Building Permit No. . 5774Z. dated . . . . . . . . . .Liar• • .29L . . . ., 19-7.2., 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 . . .P.riv. ata- one family. -dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to Jamo s- Nolloy- • • • Owner • • . . . . . . . . . . . . . . . . . . • . . . . . . • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . sept. 3 . .197+. . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. N-1.14468. . . . . Sept. 13 • • 19L73• • • • • • • • • • • • • • • HOUSE NUMBER . . . 1,2p5. . . . . . Street . . .Lee-ton- 'D•rfve•,• • • •€iouthold • • • • • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspecto� L FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24670 Date OCTOBER 1, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1225 LEETON DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 1995 pursuant to which Building Permit No. 23173-Z dated DECEMBER 11, 1995 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRIS MITROFANIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-397059 — SEPT. 13, 1996 PLUMBERS CERTIFICATION DATED SEPT. 16, 1996—GREENPORT PLUMBING & HEATING c B '1 d' g Inspector Rev. 1/81 �O�aS11FFOL,fCpG Town of Southold 11/3/2021 y� P.O.Box 1179 0 53095 Main Rd Wpy�p1 �ap�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42491 Date: 11/3/2021 THIS CERTIFIES that the building DECK Location of Property: 1225 Leeton Dr, Southold SCTM#: 473889 Sec/Block/Lot: 59.4-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/18/1997 pursuant to which Building Permit No. 47071 dated 11/3/2021 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: deck addition to an existing single family dwelling as applied for. The certificate is issued to Mitrofanis,Chris of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED th ri ignature ij FEP -0 Ake�n A-jb WAJ CON ( V5- 377, cr/L- �A 5T cpy\