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Home My WebLink About1000-31.-10-10 TOWN OF SOUTHOLD Rental Permit �.F e 0612 Owner Kostas & Stella Roustas Occupied as Single Family Dwelling Located at 245 Bay Avenue East Marion 31-10-10 Maximum Permitted Occupancy 10 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. c 4/8/2022 Code f rce(elOfficial This Notice must be posted by the main entrance at all times Town Hall Annexa Telephone(631)765-1802 t „ 54375 Main Road Fax(631)765-9502 ai P.O.Box 1179 �rd Southold,NY 11971-0959 Vti BUILDING DEPARTMENT TOWN OF SOUTHOLD BtXI)NG DEBT RENTAL PERMIT APPLICATION LaHOLD Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: A Al tt } Tax Map Number: 1000 SECTION 3l -BLOCK SECTION B. OWNER INFORMATION: 11 Property Owner Name: 114 401]*j Property Owner Legal Address: Property Owner Mailing Address: dn ve, S+/ic, olLe Telephone Number(s): Daytime evening �mergeny Property Owner Email Address: e,-t Page 1 of S � L � o Town Hall Annex ak Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Ev BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and, Dimension of each room: 4 µ r(12, Rental Dwelling Unit Identifier: 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: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Town Hall Annexa" �ri9 Telephone(631)765-1802 54375 Main Road $ Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Even ing.d, 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, 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: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 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 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. Lf 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) I 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 5 Town Hall Annex q Telephone(631)765-1802 54375 Main Road � � Fax(631)765-9502 P.O.Box 1179 t Southold,NY 11971-0959 N� "NA, Ile „ BUILDING DEPARTMENT TO OF SO MOLD 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: S4e,,) 16 A —9w Property Owner's Signature: Sworn to before me this I day of 20ZZ TERENCE J LONG FNotaryPublicState of New Jerseymission Expires Feb 25, 2025 Official Notary Public Signature a d Original Notary Stamp Page 5 of 5 Ave- TOWNS 765.1802 l.'-�" I D —I0 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING[� [ ] FRAMING /STRAPPING [ INALA04� rf ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ S; 0��j 0&�olli L.-l- ��(D coos. t- pq v ` IT- vvo ij i ,dP" f INSPECTORDATE � _ . � STU / � � � - . � . § . . . . . . . . . . . . . , a .. . . . . . .. . . . . . � � . � - \ i � � 1 /Sn �H s,v po) CD -7mo �I I '�XI6 �i 13n is II i 1 TOWN OF SOUTHOLD PROPERTY RECOR 6171131 OWNER ISTREET VILLAGE j DIST. SUB. LOT t P1 FORMER OWNER N T AC . 4 w TYPE OF BUILDING jq r RES. COMM SEAS, VL. FARM MICS. Mkt. Value LAND IMP. TOTAL DATE 1 REMARKS L:n =>j-, Y-y AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK i 3 ,I WIN L _ — ,° r CO OR t i s y . a t i t i § l = � I • M. Bfd - d Extension qA I ' § - i = g Extension F I § Extension 3 I Foundation = ;- Bath DineUe i = K. Porch f Basement 3 ;Floors PorchExt. Walls ,Interior Finish LR. 3 _ s E Breezeway 'Fire Places Heat DR. Garage t F Type Roof Rooms 1st Floor BR, Patio I Recreation Rcom Rooms 2nd Floor FIN. B O. B. Dormer Driveway = l Total i " _ _ I y Town Hall Annex Telephone Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 p P.O.Box 1179 Southold,NY 11971-0959 amu` BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro esslonal.seal re aired car Architect or En ineer licensed Home InVectormylLpLovide FLopy of valid current certi ication Rental Property SCTM Number: Rental Property Addr ss � �" ie ` IM Owner/Name: li4 Ira Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Prmerty Description (Incl de all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Si pr Aaef)4s Print Name and Title Original Signature Please place professional seal: w l� i i�� iu,��,t�r� I �� r III i, I �dl� I.�„ p� , �I�II��,iill��li�hl /, �� /r ,� rr r�/�/jf i ��/ �% �/ t . � � ,,�'r� %i ,,, °� �� % „� �%` %r' %ilia I J�`�< , �r fit y �f�1' gid,, v`� f�' ,t t �„o '..� ,� r r�� , �� lr' `'J0`�� (�, rye J/ ✓%/ it l //� � � i �V. �, ,.G � -` �, l ��1 �w , j�////////%J , ,f ��l f � � � �, ��%� � i "% ,; uu �� i��///�i� x , �, Vu Id�V /��,,'„�/ ��,/„�,, � ,, !�%�.��. i..�;11J1!��/ ///� �„ �c, �, .,.- � , .. �� ,d `ui1 I� I �. is I� C 1 Ig N l r= J �1 i I` ,� 'Y�uvm�muuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu r��1/r ��i/ij//�%,��/ /� j� %%/.. �IIIIIIIIIIIVVVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �//��/�� /��/%��/ ��"'i ""'' vvvvv vvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvv i�j/f�� //��//�� uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuum � i��//�� j JJ // / %///f / ,,, III i N �uu t 1 r , .w„"wnwam *k tiw ew+�" FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . . . . . Date . . . . . . . . . . . . . . . . . . : . . . . . THIS CERTIFIES that the building located at . g/.s•Pay •Ave• • • • • • . . • • . • • . Street Map No. . . xx . . . . . . . Block No. . . . .XX . . .Lot No. X7C . . .91k4t .l rt9 . . A . . . . . . code conforms substantially to the Anx="loll on FAMPMR% dated . '�.efore. .A�pril. .23. ., 19, 7. pursuant to which � aWO- Z. 3231- dated 31• � dated . . . . . . . . . . . . 2 ,, 19 m, 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 Private. cme. fs►mily Avellin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .J.. &dward .Bro*m. . Omer. . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pte,... *xisti.ng. . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . Ar4-.4;dM0PX . . . . . . . . . . . . . . . HOUSE NUMBER. . .24'5. . . . . . .Street. . . . . . . 49. T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . epti to housing coAet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * Woods rail around attic stair voll seo216b �.. 2. ',heeds soave root repair " 3020 Building Inspector June 26 , 1973 HOUSING CODE AND PRE ZONING C.O. J. Edward Brown Bay Avenue East Marion, N. Y. The office asked me to make this inspection. About 1:25 P.M. I admitted myself with keys left at the office. The bedrooms have few base plugs. In the attic; there is no rail around the stairwell opening (Sec. 216) . New piping for the upstairs bath has been installed, but the ceiling of the pantry has not been repaired to complete the job. The yard is not mowed. There is a two car garage and two minor accessory buildings. In general, the house appears to be in good condition but sections of the roof need reshingling and some painting- Sec. 302C. I completed my inspection about 1:50 P.M. George Fisher Building Inspector Town of Southold 4/8/2022 P.O.Box 1179 53095 Main Rd ` Southold,New York 11971 CERTIFICATEOF OCCUPANCY No: 42981 Date: 4/8/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 245 Bay Ave.,East Marton SCTM#: 473889 Sec/Block/Lot: 31.-10-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/8/1987 pursuant to which Building Permit No. 47489 dated _____2/24/2022YN N vw 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: cl i i a a tq .:% ti tg aur a s r ram s a lied fr�r.— The certificate is issued to Roustas,Kostas&Stella of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRTC'AL C'.ERTTFIC:ATE NO. PLUMBERS CERTIFICATION DATED tai » rt ri ture ,Ft Town of Southold 4/8/2022 " P.O.Sox 1179 53095 Main Rd Southold New York 11971 CE .TIFICATE OF OCCUPANCY No: 42974 Date: 4/8/2022 THIS CERTIFIES that the building HVAC Location of Property: 245 Bay Ave.,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-10-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/18/2022 pursuant to which Building Permit No. 47577 dated 3/22/2022 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-butt" HVAC.as ap lied for. The certificate is issued to Roustas,Kostas&Stella of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 17577 VV2022 PLUMBERS CERTIFICATION DATED _. _......... ........... tt- ri t at.._._ ............. Lit ._ gn ure