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HomeMy WebLinkAbout1000-79.-7-22 �k TOWN OF SOUTHOLD Rental Permit 0717 Owner Irene Dimopoulos & Ors. Occupied as Single Family Dwelling Located at 1185 Leeward Drive Southold 79-7-22 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. Te operator is responsible for arranging for the bi-annual inspection. 8/4/2022 oderrern Official This Notice must be posted by the main entrance at all times so Town Halt Annex , Telephone(6�!)765-1802 54375 Main Road i¢N Fax(63 t)765-9502 P.O.Box 11.79 rs a!: � Southold,NY'31971-0959 BUILDING DEPARTMENT JUN 2 9n99 TOMN. OF soumom 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: Rs: =re=aw� told /1 71 Tax Map Number:1000 SECTION _7 _-BLOCK D -LOT SECTION B. OWNER INFORMATION: Property Owner Name: ....1-e�I'1' P y Property Owner Legal address: Property Owner Mailing Address: `74 I art Ulf I P__qQ__ Telephone Number(s):D me Everllnrherge�c Property Owner Email Address! CilIN MR Page 1 of 5 �D �0 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: Zs Name of Authorized Agent of dwelling unit, if any: ooktj Address of Authorized Agent(no P.O. Boxes)- �A-0 FD , Lfl Mailing Address of Authorized Agent: TO 130K \30UTtM-0 -71 +2-4f Telephone Number(s): Daytime 01'2T4- Evening Emergency Email Address: OGtvj 0'10. 5 rmbz to Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: vi I\j�i2 Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: 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 so Town Hall Annex Telephone(631)76.5-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 -um BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: 1105 DRkUE , 3A-7-351 -- Telephone Number(s): Daytime Evening Emergency Email Address: d\1 8 C, 1 I')7 0 e'!a W\CLL co tyl \j 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, 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." Rental Dwelling Unit Identifier: KO L)6 Iry 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: 2A'-x 2S' VM[if,-ec-1e0 C-A( -;-6 IVY10 LAUAJO PU% W9 PWO. RM 12x i(o K-tTC-4e(\Jy44'k(" ()IN, wn. ifx23 "Q- &T-R rK 3xl(g EQRr4 0 Page 3 of 5 i r 'e1M1Y Town Halt Annex � r FF1 Telephone(631)765-1802 r r�. -:.'•a...y�, 2 t l i:1 5437.5 Main Road ;, ,� '; w Fax(63 t)765-9502 P.O.Box 1179 w 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. El 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 NEIN YORK) ) COUNTY OF S FFOLK) i =the �certify under penalty of perjury,the following: 1. 1 am the owner perty identified in "Section A"of this application. 2. The property owner's legal address set forth in "Section V of this application is my legal address and I understand the Town will use the add resservice pursuant to all Andrew Pandis NOTARYfUBIdC,BfATEOFNEWWYORK Page 4 Of 5 Regu�dr=No.01PA6130859 g Qw31 w in Nassau connty �,` CammissionExpires071Z511025 �� �f son Town Hal[Annex Telephone(631)765-1802. 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,IVY 11971-0959 ASS BUILDING'DEPARTMENT TOWN OF SOUTHOLD applicable_laws and rules. I further acknowledge that 1 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 S e Manager. K Property Owner's Name: Property Owner's Signature: Sworn to before m . his day of Official Notary liSig ature an lna otary Stamp Andrew Pandis NOTARY PUBLIC,STATE OF NBWYORK RegisWioa No.01PA61309% Qualm inNuWa.Couely Commission Expires 07/2S/YOYS Page 5 of 5 # TOWN OF SOUTHOLD DEPT. 765-1802 , - INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] E CTRICAL (FINAL) [ ] CODE VIOLATION [ ] RE C/O REMARKS: ` � ' �NAR?Ah C44 A DATE 3 �oy� INSPECTO ..lw Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)76.5-9502 P.O.Box 1179 Southold,NY 1197 1-40959 r 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 BMtessldnal seal reaulred fer Architect or Engineer. licensed Homy Inswdor must provide copy of valid current certiflcatlon Rental Property SCTM Number: .7 q '— O-7 ` 7,2- Rental 2Rental Property Address: 1 10 �5KWC- 1, ,5>0-QfQL0 61 (10 -71 Owner/Name: D l(K O 'poo L-�--5' Rental Dwelling Unit Identifier: gse Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (include 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 Co ruct' ew York State. 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Yew 4.•e J• ` + r• I .�• t o4P I �E I � ; r��:,so• r�t•IPATI'sN Mt?]•y',$s _ ii!lf �_7i■ ��_yt ry�r��+1Gwq awe , 1 I ` qb• ' [6• + ti _ O.q• •yy ti j •O MMi[y'��wIi11MW�OM1GgIi� •-• ! - 1 � P L / r[fM.•Iw•IIJMAL OOMG�w7�MN�M -Vol alw-tL•Ih►' !;Abom a. � �• rnba. y Na Mi uo ,• nw t/-•7N• 77►a•4I• �R.LL-71• mwa LR ahrr..„Kr f [ , 1 � � � .M.��M•�17���f A+L4 �iNfNilyv�allor�R-��•r.e0' FL A tj �. CDa I. n Cl. /11S.�A1 Tt9 moi':' 1' C ,� 1R4,R4 r�r.�a tt MaYRMI H71i . w ww Ma i� t IACORho ft a 60CIATE. ` ��t-�Mal�� Rx Mw ,Ir>t�.+w.Mswawl�ie�•"'�••nw'um :.. l0 Eca E JUL 2 0 2A72 m m _ o BUILDING DEPT. TOWN OF SOUTHOLD f!1 L TOWN OF SOUTHOLD ' PROPERTY RE OR OWNER STREET 1',r VILLAGE _ DIST. SUB. LOT s � .FORMER OWNER N E ACR. TYPE OF BUI/L7—DING 26 SEAS. "` YL FARM COMM. CB. MICS. Mkt. Value `wb � Zo LAND IMP. TOTAL DATE REMARKS c 9, > r.3 c3 f.3 G3 t $�cr.�1sV�3' /* •r d/7 st.'.°�kf'd^ �f is ,? e e�i s iJ �° t %f 3 9/ aril c /r; . 0 cow Tiltc�de: FRONTAGE ON WATER Woodbnd FRONTAGE ON ROAD Meadowla�r! DEPTH Plat BULKHEAD Total s ��� ������1 ���11�� :■ Ili ®� i FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,.N.Y. Certificate Of Occupancy No. Date . . . . . . . June, 14 . . . . 1982 . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Location of Property 185. . . . . . . . . . . . . . . Leeward .Oryx Southold House No. svwt .l,lim%i County Tax Map No. 1000 Section . .9 79. . . . . . .Block . .9 7. . . .. . . . . . .Lot . ..0 2 2 . ,, ., , , . . . Subdivision 1q'P Ward. perea, At; .Baygiew, ,Filed Map No. . 599 . .Lot No. .35 , , ,, . , , , . conforms substantially to the Application for Auilding Permit heretofore filed in this office dated . . 4e D tomb a r. A13. . . . . 19a I .pursuant to which Building Permit No. . ? 13 1, Z . . . , .. . . . . . dated . . .4 e D is ew b e r. .25. . . . . . : . . . 19 .81 ,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 . ... .. . , . . . . .q. PZ:I,Yate .4 �-family„dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . The certificate is issued to . .AM93?ios .Fap.z s & his wife, Fotini (owner, J"4'0'ow. it! . . . . . . .. . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. . . . . , )4. .5 41.0,3 Q. . . . .. . . . . . . . . . . Building Inspector Rev.1/81