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
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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
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# # 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
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FORMER O
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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
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Ile+
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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
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44-
Bldg.
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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