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Home My WebLink About1000-38.-2-18 4 TOWN OF SOUTHOLD Rental Permit 0664 Owner Irene Lazaridis Occupied as Single Family Dwelling Located at 1750 Gillette Drive East Marion 38.-2-18 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. 4/5/2024 ce e t Official This Notice must be posted by the main entrance at all times Code qf so 631 765 180E INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE &. CHIMNEY [ ] FIRE SAFETY IN [ ] TIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII [ ] CODE VIOLATION [ ] PRE C/O [ ] I REMA o cp �� DATE INSPECTOR T?a.Y Na krgE� cAe 541T`.•Wr Pcrr1 P () 7a '17 q Wt!hti0 Nr 11,iI CbSv ! BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be wmplelea by a 1!censed arch,led licensed engineer or licensed home Inspector Separate form IS required for each Inc11>ndual Rental Dwell.ng Unit Fir Ies lcrtaq self rs ar6rr f"cr rcfllfsrl err F1 Irwrr' M ran rr°r r rf fr wv rt iris Mie le` rrajt,j e 9 1wB c o,f valid r:i,wrrenT c rl°mf'i c t a:>r} ,I Lj Rental Pr,cnwy SCTM Nt Re;r,31 Prccertq A:1j"esS . . �...... !,. L L„E ..1...E �.�E.. . ..L�'�„ F a.,.._. OwneriName = Rental D*eil ng Ur,I lac nt`,er � ��._ �. ��E d N m-be►6 So=.a-r fcc-rPzge of ws n tat, 3';a.re*y PI-M I� p E D Properly Descrlpl,an ilnduiJe all ImprnaernEnl�:;1n,i.1.11 r] on �i 5T0 Flr<A 1c f'�wELL cert41 that I hale Q',r1e Ox"li' rgn!,il 17 4P"r:j td01 07•;1 14�d Itt:11 !I 1_,lir ckxyiplrt_s Awl ),; Ine, l:;.Qf 9 f::_ 11 rrit (,.C:lc :,I i` . 'jr].;,r l_: e ,-A(, if N1-r, Y,:1 .Stair. W.P. Bj IJ I d C(Ae ^r Nw,'', ,Y-j'Y SAW 1' F' 7:L:r"1 ! :.:G lr` N V Y "i!a1a1 C:COft!� N&w YAp, `,131;r th? F +c Co,'In OI fd• "tr Y�'l _,(1 !i 1 F'�C; r! f>1711i fi L, "N Y„Allit 31'-C1 the Erer--, C cxiaG''t J+! n f�r. r,.� 1'.�, f . �!' _I N'_'t. '(L4 Print Narre &.3 Tiw 111 J, HOME INSpfC 09- Nfir�A f`� Ifs�4 HC,Mt fPlraae place Profeswonal Seal a�009 0�-f UNIQUE ID NUMBER State of New York FOR OFFICE USE ONLY r Control 1600009S3U4Department 0 State No. F LICENSING SERVICES— Pursuant31 to the provisions of ARTICLE 12-9 OF THE REAL PROPERTY LAW EFFECTIVE DATE 1.IC) 1 CAI PARADIGM HOME INSPECTIONS Oe '2Zs GORDON ANDREW J EXPIRATION DATE rMO I E� LG FS HAS BEEN DULY LICENSED TO TRANSACT BUSINESS AS A HOME INSPECTOR vvV nito , lra Depafrnom Sxmh+ isOrAC t "ak,Cr ROBERT J. RODR I GUE 2 , SECRETARY OF STATE f — W Scanned with CarnScanner TOWN OF SOUTHOLDRental Permit 0664 Owner Irene Lazaridis Occupied as Single Family Dwelling Located at 1750 Gillette Drive East Marion 38-2-18 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. 6/13/2022 C 0ej+% ficial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 ` Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 7 Ir RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1-750 K-rILLCTT6 Tax Map Number: 1000 SECTION _ 38 -BLOCK Z -LOT SECTION B. OWNER INFORMATION: Property Owner Name: _ E N Property Owner Legal Address: Property Owner Mailing Address: .............� Telephone Number (s): Daytime 1ving..www Emergency Property Owner Email Address: Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)76.5-9502 P.O. Box 1179 " Southold,NY 11971-0959 r1ou BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: w Telephone Number (s): Daytime Evening__..._._,._ Emergency_____,,,,... Email Ad d ress:._. ._ 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: 'S e Fit m (y H-Drvq Requested Maximum number of persons allowed to occupy Dwelling Unit _ w_ Number of rooms in Rental Dwelling Unit: mm_..6 �................ ... Use and Dimensions of each room in Rental Dwelling Unit: ..,...... Li J i ✓► �'o o rYt- 18 4 11X 13.,2 d t _' ..it 's"'.1yS _. . . .. .....____w_............�w.w. . -� D e ll S��,r X 15�2" .-_._.__._w.._........_._.w_. _.._.w root►- w2_r n 4 4 3 > ��`ni m 1 / ed roorl^t ��.X......w ,,_mm_,mm__._... -__..... __... 4/�-c hevl 15,2" x 13J'q &t5Eti/ENT STOP-A - 23'x18', 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 C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: �_w_w www µ __.. w............ .... .....__ Address of Authorized Agent (no P.O. Boxes): ,w ....... Mailing Address of Authorized Agent: Telephone Number (s): Daytime__W ............... Evening, _Emergency w Email Address: _....._.._..... _._�._.. Section D. Managing Agent Information: nJ//-� Name of Authorized Agent of dwelling unit, if any: ............_k___......_....— Address of Authorized Agent (no P.O. Boxes): ...........w.w__.. Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency ... Email Address: SECTION E. 'vI 1q SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: _m m.. .. Address of Managing Agent (no P.O. ._..._._....w.._........,, _ .... _...�_ Page 2 of 5 r Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 w P.O. Box 1179 ' Southold,NY 11971-0959eou , 4 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 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) I IIZEnI£ L-0 ZAre—lb/ , 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 . sl Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959r f 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 Owners Name: ....-19 EIV E LAZA 9 I b _......_, Property Owner's Signature Swo K' o before me this da of Aw 20a a 0 1 Y 3 LEANDRA L B, ._.._A" NOTARY PUBLIC STATE OF NEW YORK .. QUEENS COUNTY _..._ ._....._.� ......_._ _._ _._ LIC.#01 SU 356711 Official Notary Public Signatur� Original Notary Stamp COMM.EXP. 12026 Page 5 of 5 TOWN OF SOUTHOLD UILDINGI w � 631 -765-1802 IN PEC ION L l FOUNDATION 1ST [ ] ROUGH PLDG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING l STRAPPING [ ] FINAL [ ] FIREPLACE &. CHIMNEY [ ] FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) ELECTRICAL (F [ ] CODE DT VIOLATION TION [ ] PRT C/O [ I Town Hall Annexe Telephone(631)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � � �� /N 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 irc ssionol sell re aired or rchitect or Fn cheer licensed Home Ins actor masrcrvicl cgpy_gf valid current certification c Rental Property SCTM Number: Rental Property Address: 9-1-� 6r .� T� _ ......- 3� Owner/Name: -1 L 2._ '.�—b L 5 w Rental Dwelling Unit Identifier: 51 A P—Aj L. Li _ _....,.�. Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) -0-Z- AM .06 * 16 ` a Property Description (Include all improvements indicated on survey) `I2 51"o - (� t7 LING WI TN 1;LGA _�� 1 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. 0 ...... Print Name and TitleOriginal Signature R- �Awm Please place professional seal: a 06 ��3 lc)o-' U) L_ Ff X15'8"► � 0 in LAUN RY AR_ .4 41 V o- > DEN Pantry KITCHENLo • N N I ♦ 47°x°► _. Ii2 �* BATH Closet 1:1 R r d 416'4"► X14'4"► a DINING ROOM A N J C a LIVING ROOM Floor, O\\�\\ BATH ROOM 15'a°► BEDROOM 1 BEDROOM 2 \\ 113'0"► ro F F rtioter CLOSET CLOSET o HALLWAY d ♦ 110'6"► • BEDROOM 3 0 .17'0°► • CLOSET CLOSET z n N • BASEMENT .38'0"1- STORAGE STORAGE AREA v io 17-4", 23'0"► BOILER O Od SrrlolC�I�"C'O i � d e�ectp r STORAGE n r O cn m co .5'0"► W � g w � zo w • a— OIL TANK .7'4"► ♦ o LD 5rn Z e+Co V 4810111 Ali TOWN OF SOUTHOLD PROPERTY kt%; RV CARD OWNER STREETVILLAGE DIST� SUB. LOT e EpRMER OWNER S C"'� �� N ? E ACR 'Sah r '0 zt J S W TYPE OF BUILDING RES. r SEAS. VL. FARM COMM. CB. MISC. Mkt. Value f LAND IMP, TOTAL DATE REMARKS ir =d 2c7 A 3x - a a r &A - Ah B1NG DIT I - - let a . VIM = NEW I NOA .LW O �_ � - x FARM Acre Value Per Va e Tillable 1 a - Tillable.. 2 Tillable 3 �. Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot 1 DEPTH =BULKHEAD DOCK Total _ - xE _ a g a x r i I 1 - y_ --� IT rilr4R-5-1 � I 38-2-18 11101 M s� - - i` €:€€ta . Both g a Extension Basement Floors -;Basement K, Extension �I_xt. Walls , Interior Finish LR. _ - — Extension Fire Place \/z S Heat �f DR. Type Roof Rooms 1 st Floor i BR. Forth Recreation Room Rooms 2nd Floor; ;FIN B Dormer V F. Porch - _ Driveway r eWay Garage S g �� ' - € y t Patio E ; Total A :, '.. MUM No. t TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate of Occupancy No.2597$. . . . . . . Date . . . . . . . . . . . . . . . 27, 1974. THIS CERTIFIES that the building located at rA311ette.Dr . . . . . . . . . . . . . . Street Map No*rioa. , rBlock No. . . . . . . . . . .Lot NO. . .�6. . . . .�ast Marion N.Y. , conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . JR . .34 , ., 19.7 . pursuant to which Building Permit No.790 S. . . dated . . . . . . . . . Jan. . . . .30. . .' 19. 74., 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 one family dvelling µ µ The certificate is issued to Mrs... CarolS Owner of the aforesaid building. owner, lessee or tenant) Suffolk County Department of Health Approval . . . . June. . 26. . 1974.by R. Yllla UNDERWRITERS CERTIFICATE No. . 103.1.28. . . . . . . J. HOUSE NUMBER - 1 7�9 . . . . . . Street . . . Gillette Drier . . , ' . . . Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . . .z14774 , . . . . , Date . .August. 7.,. . . . . . . . . , . . r „ . . . . . 1986 Inground swimming pool & fence THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . . . . Location of Property 1„750 yGillette Drive , East Marion, N .Y. House No. 0 3 8 St c 18 H"amPee County Tax Map No. 1000 Section . . . . . . . . . . . .Block . . . . . . . . . . . . . . .Lot „ . „ . . . . . . . . . . . . . . M/o Marion Manor 2038 16 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 13 14z June 20 , . w . . , 19 85. pursuant to which Building Permit No. . . . . . . . . . . . . . . . . dated . .June 21 , 19 8.. ,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 . . . . . . . . . Inground Swimming Pool & fence . . . . . . . The certificate is issued to . . Willi„a m Schwab (owner,t4� ” of the aforesaid building. Suffolk County Department of Health Approval . N t A . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO, , . . . , . . . „ . . .N 7 0 2.6 9 . , . . . , . . . . . „ . , . . . . . „ . . . , . . . . . Building Inspector Rev.1181 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31381 Date: 01/10/06 THIS CERTIFIES that the building ALTERATION Location of Property: 1750 GILLETTE DR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 2 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9 2004 pursuant to which Building Permit No. 30061-Z dated FEBRUARY 2, CdO 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 ALTERATION & RENOVATION TO BASEMENT OF EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ------- The ._The certificate is issued to ANDREW F & SARAH G OLSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A ELECTRICAL CERTIFICATE NO. 1191641 04/13/05 PLUMBERS CERTIFICATION DATED N/A ath ized ignature Rev. 1/81