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HomeMy WebLinkAbout1000-38.-2-21 TOWN OF SOUTHOLD co Rental Permit 0683 Owner George Xerakias & Anna Litsakis Occupied as Single Family Dwelling Located at 2000 Gillette Drive East Marion 38-2-21 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. 6/29/2022 ` ode E o e en Official This Notice must be posted by the main entrance at all times �. . X77 �%' •`?. Town Hall Annex Telephone(631)765-1802 54375 Main Road N ,t Fax(631)765-9502 P.O.Box 1179 .. Q t � Southold,NY 11971-0959 •..rte'-rti.z-,��f;a",�`.. BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two Ds � DM(� M AY 3 1 2022 Section A. Property Information: BT1MDING DEM. Or, SOUT11OLT1 Rental Property Address: 2000 Gillette Dr. East Marion NY 11939 Tax Map Number: 1000 SECTION 38 -BLOCK '3,\ -LOT 21 - SECTION B. OWNER INFORMATION: Property Owner Name: George and Anna Xerakias Property Owner Legal Address: Property Owner Mailing Address: 160-14 12th Ave 160-14 12th Ave Beechhurst, NY 11557 Beechhurst, NY 11557 631-682-6198 631-682-6198 631-682-6198 Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: iromaniello@rentaloptionsmgmt.com Page 1 of S Ig Soly. Town Hall Annex Telephone(631)765-1802 54375 Main Road r Fax(631)765-9502 P.O.Box 117911 G, `{ Southold,NY 11971-0959 zyx��' , {> q, BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Jason Romaniello Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: 62 Weeks Ave, Manorville NY 11949 631-682-6198 631-682-6198 Telephone Number(s): Daytime Evening Emergency s3l-s82-619s Email Address: lromaniello@rentaloptionsmemt.com Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Jason Romaniello Address of Authorized Agent(no P.O. Boxes)..- Mailing oxes):Mailing Address of Authorized Agent: 62 Weeks Ave, Manorville NY 11949 631-682-6198 631-682-6198 631-682-6198 Telephone Number(s): Daytime Evening Emergency Email Address: lromaniello@rentaloptionsmgmt.com 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 S01/X Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 C/), I ;�"r P.O.Box 1179 i PIZ Southold,NY 11971-09-59 @ COUNT( �t3 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) One 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." Bedroom 1, Living room, Kitchen, Breeze Rental Dwelling Unit Identifier: Bedroom 2 & bedroom 3 or Requested Maximum number of persons allowed to occupy Dwelling Unit 6 Number of rooms in Rental Dwelling Unit: 6room Use and Dimensions of each room in Rental Dwelling Unit: Bedroom I - 19'-9"x12'-4" (216 sf), Living room - 17'-2" x 16'-1" (292 sf) Kitchen 10'-10" x 19'-5" (202 SF), Breezeway 12'-0" X 19'-10" (237 sf) Bedroom 2 - 9'-8" X 13'-7" (150 sf), Bedroom 3 14'10" X 21'-1" (289 sf) Page 3 of 5 so Town Hall Annex � i Telephone(631)765-1802 54375 Main Road 4S Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 R'y COUfVT`I4t 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) I George Xerakias 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 zx *V SO�jrHp Town Hall Annex ! Telephone(631)765-1802 54375 Main Roadcn. Fax(631)765-9502 P.O.Box 1179 0 Southold,NY 11971-0959 a i 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 ❑ 1 am submitting•a completediTown of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature rause~be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1, 04 certify under penalty of perjury, the following: 1. 1 am the owner of the property identified in "Section A'k,of this applicatfion: ` " " 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 SO!/py0 � <o Town Hall Annex Telephone(631)765-1802 54375 Main Road Pax(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. 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:_ r cop ���! 04 Property Owner's Signature: Sworn to before me this2 V day of 20_—D I 6W Official Notary Public Signature and Original Notary Stamp ALEXA K VASILADI Notary Public-state of NO.O1 VA 642 33 Qualified in Nassau MyCommission Expires J Page 5 of 5 yuw �n�& M I vtar✓ SOGIyo� J # # TOWN OF SOUTHOLD BUILDING DEPT. �y000rm��' 631-765-1802 t INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F 4A L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: C, �2 I'lC ocoj/ kovt li r DATE '�O y INSPECTOR EX15TINO BASEMENT 26'-8"x33'-4" 864 5F EX. UNEXGAVATED EX. UNEXGAVATED 12'-ONIT-2" (230 5F) - - e- - - - -0 - - ® BOILER �SD UP GEORGE 4 ANNA XERAKIAS -2000 GILETTE EAST MARIAN NY II9'71 OIL LEGEND: TANK EXI5TIN6 WOOD FRAMD WALLS®Ib'Of- W/ 6YP.WAIL BOARD OR PLASTER EA SIDE ON INFERIOR KALL5. O5D SMOKE DETECTOR ® GARBON MONOXIDE DETECTOR 120 CFM EXHAUST FAN SQUARE f=007A6E5: BASEM IW 864D 5F FIRST FLOOR FLOOR 1,4440 S.F. 5FOOND FLOOR 681.0 SF TOTAL 2AMO 5F. nFOUNDATION PLAN 0 2' 4' 8' 05-13-2020 22-050 I of 3 DH31x41 DH22x35 DH30x36 DH31x44 F3&x44 F38x44 F38x44 SHWR/ SINK36" -STOVE- TUB W.I.G. 51-2°xa'-0" (46 5F) `� WG BATH w KI TGHEN o E3211 (35 5F) 10'-10"xla'-5" F 24" LAV k (202 5F) ly - 24" X 05DN BIREo Z a- Y C ARAOE x Q ( SD �: 8 r�re DN. v :�, +rr rs (23 f 5F) 228 5F) Q CLOSET e BEDROOM I ILT-9"AZ-4" s ` (216 5F) LIVINCROOM m z (2a2 5F) 2 a6" x 84" O.H. DOOR F38x44 F38x44 F38x44 X GEORGE 4 ANNA XERAKI AS N 2000 GILETTE o EAST MARIAN NY 119-71 24' r LEGEND: DH31x48 -2 GOATS 3611 0 EXI5TINO WOOD FRAMED MJ-5 0 VOL. r SIDE ON INTERIOR INALL5. ?CASTER ' FY, ➢k DH24x48 F61x48 DH24x48 050 SMOKE DETECTOR ® CARBON MONOXIDE GOVERED = DETECTOR PORCH 120 CFM EXHAUST FAN BOUARE POOTAC-7ES: 13ASBIENT 864D 5F FIR5T FLOOR FLOOR 1,444DSF. STWND FLOOR 681,0 5F 2 P I RST FLOOR PLAN TOTAL 2,989,0 5F. I'—O' 0 2' 4' 05-15-2020 2 OF 5 J w� h R/ IATTIC `7 BATHROOM I I 6-7"xq'-2" ; 60 5F) SHELF ��' T Co �5D HALL O5D DNS O5D BEDROOM 2 BATHROOM 5 (150 5F) 14'-10"x21'-1" GL05ET (28q 5F) GL-05U r r I I GEORGE 6 ANNA XERAKIA5 I Arnc 2000. GILETTE ATTIC EA5T MARIAN NY II97I LECEND - -�� N6 WOOD FRAMED WALLS 6 16°O.0.I W/ 6YP.WALL BOARD OR PIA5TIR Eh SIDE SIDE ON INTERIOR WALLS. OSD SMOKE DETECTOR ® GAR13ON MONOXIDE DETECTOR 120 GFM EMALST FAN 5OUARE T-OOTAEES: BASEMENT 864.0 5F FIRST FLOOR FLODR 1,444.0 5F. SEGOt�FLOOR 681.0 SF n TOTAL 2,989.0 5F.S�GOND Lpp� PLAN SCALE I/4 I-0 -050 0 2' L}' 8' 05-15-2020 14 =1 -O 5 OF 5 FP®5 . �: '.kms {\1 ..... • TOWN OF SOUTHOLD PROPERTY RE + w. CORD` D,) :2a f as rI..-. 0W!N,Em� . X'�G.><:v,. i RS_. STREET VILLAGE DITSUD, FORMER O NE ,'t. I L=i i t. l'/ ! it-' •J j1.i, �,� ;,�/ 1 `- ` N E ' n 9.. Cht �l.lC�lS ACR. 41 1 ' + TYPE OF BUILDING VL. FARM' —_ -- COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS !, Ile+ �,. 'f "/ -�� � ''�-h .� l a�.. ,°` LP r� :''j/.5•,�`::vu�.: ,� I,I/ / � �/� f�! `'/ I l -rod 7 l ,N.EW 7p' NORM LOW IMI I .� 7"d C�l l IGiS j'7 ;•'L},* i • FARM 'Acre Value Per Value ✓�. -ire tr'1r, 4;I�r' t��C ua Acre Tillable tito , !,."Tillable ., 2. i Tillable ,3 "A i Woodland `.3 SWamPland. I FRONTAGE ON WATER Brushlarid FRONTAGE ON ROAD i House Plot DEPTH f BULKHEAD Total DOCK Ft: - r¢z 's ' V . C ' { COLOR TRIM Z 44- Bldg. IF ndation8' P Both inette -E* ension Zk�� Extension _, "V4 Floors sement K. yj 6 "J" A Sri Walls 6. Interior Finish tQ- L R — I :,Extension F ire Place Heat DR. Type Roof Rooms I st Floor 8R. 1 'Porch Room A3, 14,— .13ecr6ation Rooms 2nd Floor ,FIN. B. ."".'Por' h Dormer r eway- 5:5 'p f-:Gara t) 'Garage 27 5 0.1 B.- Z FORM NO.4 TOWN OF SOUTHOLD 1 `1� PLA BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. A. 5.#. . . . Date . . . . . . . . . . . . THIS CERTIFIES that the building located at NIS. ,GiIJ.ette. Dr. . . . . . . . Street MarManor Map No-ion- - . . , BIock No. . . . .. . . . . . . XX. . .Lot No. .14. . . . . . . ZaSt,. Ml ar3.on conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .kug. . . . .9. . , 19 6?. pursuant to which Building Permit No. .3V23. dated . . . . . . . . . . . .A g. . . 16. ., 19.6" , 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 . . Frlrate .oz).a. .f ati.t1y.. &ml 1 inn . . . . . . . . . . . The certificate is issued to 1090T .$0h 1191:.e:V. . . . . Qmer. . . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval -No.v.., Q5, .19.6 ',,, by. ,R,,, Vii1g ./c. J" Building Inspecto