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Home My WebLink About1000-31.-6-2 TOWN OF SOUTHOLD Rental Permit 0993 Owner Chris Karalis Occupied as Single Family Dwelling Located at 75 Gillette Drive East Marion 31.-6-2 Maximum Permitted Occupancy 12 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. 9/25/20236a de En r ern . t ficial This Notice must be posted by the main entrance at all times Roo of s , ,� Town Hail Annex ^� 54375 Main Road 11( P.O.Box 1179 Telephone(631)765-1$02 Southold,NY 11971-0959 Fax(631)765-9502 BUIL.DING DEPART ENT TOWN OF SOUTHOLD ��NTAL PEI1lIIT APP[.ICATION Rental Permit Fee$200(APPlication must be renewed every two year " °� V `� Section A. V AY 18 20M Property Information: -tTT.� 7N Cr 1)A'7µ`w 'V"V Rental Property Address: 75 Gillette Dr.,East Marion,NY Tax Map Number: 1000 SECTION 031.00 06.00 -BLOCK -LOT 002 _ 00 SECTION B. OWNER INFORMATION: Property Owner Name: Chris Karalis Property Owner Legal Address: Property Owner Mailing Address: 274 Rushmore Avenue. 274 Rushmore Avenue Zu- e Place,NY_11514 Uarle Place,NY 11514 Telephone Number(s):Daytime -294-0474 Even ing6A -294-0474Emergency 646-294-0474 Property Owner Email Address: LaurenKarahsl@gmail.com Page 1 of S 0,;* sof Soo, Town Hall Annex Telephone(631)765-18o2 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ° 1 0 BUIL DING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: Address of Authorized Agent(no P.O.Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Infoirmation: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent:, Telephone Number(s):Daytime Everting 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 � rif so Town Hall Annex h Telephone(631)765-1802 54375 Main Road � Fax (631)765-9502 P.O.Box 1179 ,'" Southold,NY 11971-0959 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 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: 12 Number of rooms in Rental,Dwelling Unit: 17 Use and Dimensions of each room in Rental Dwelling Unit: Mudroom 11 ft 2 in x 12 ft 111/4 in; age/Storage 12 ft. 111/4 in x 1113/4 in;Den 10 fL 3 in.x 12 ff 11172 lln; a n.x2 ft 10 in; a #2 7 11 in x7 11101 2 in; a ;om#114 ft 9 in. 7/8 in; kitchen 14 ft 9 in x 10 ft 8 in;bath#410 ft 11/2 in x 8 ft 7 in;bedroom#413 ft 7 1/2 in x 9 ft 61/2 1n; a o=WS 8 ff 7 M x 1 , n;tae&64�-mn rf x i ; a aonl#19 ft 11 in x 8 ft;home office 12 ft 51/2 in x 9 ft 11 in;bedroom#313ft 71/2 in x 10 ft 61/2 in;-h --0-Q #6 11ft2inx13ft71/2in;b ml; 8ft91/2inx9ft91/2in;bath#18ftx9ft11in. Page 3 of 5 Town Hall Annex , . Telephone(631)765-1802 54375 Main Road '� ° P.O.Box 1179 D7 Fax(631)765-9502 Southold,NY 11971-0959 2 A � U Zzma . d BtJ1LDl.NG 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 f Town of Southold,the laws,.and sanit*,Vand 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'�sallity inspection to be performed by a Code Enforcement Official from the Town of Southold- 0 lam submitting a completed Town of Southold certification form from a licensed architect or a licensed profssjonal 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 Chris Karalis „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 of sob, Town Hall Annex ' Telephone(631)765-1802 54375 Main Road G Fax(631)765-9502 P.O.Box 1179 - Southold,NY 11971-0959 g� 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*`4 ,'he 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. Chris Property Owners Name:;. Karal.s Property Owners Signature: — Sworn to before me this 5th day of APrt , 20 23 001cial NotarY Pu lic Signature andOriginal Notary Stamp Lauren Karalis,Esq. NOTARY PUBLIC,STATE OF NEW YORK Registration No.02KA6342499 Qualified in Nassau County Commission Expires May 23,2024 Page 5 of 5 TOWN OF SOUTHOLD PROPERTY RECON OWNER STREET VILLAGE DI_., Svcs. LOT -, DORMER OWNER N E ! ACR. l /oz LA x S W TYPE OF BUILDING RES, _ SEAS. VL. FARM COMM. CB. MISC. Mkt. Value i - s s _ LAND IMP. TOTAL DATE REMARKS 3 w w _ s _ t AGEBUILDING CONDITION NEW NORMAL 1 BELOW ABOVE G� '_P�P k`' " V POOL FARM Acre Value Per Value - - - Ac re Tillable i Tillable 2 Tillable B Woodland I Swampi.and FRONTAGE ON WATER Brushland _ FRONTAGE ON ROAD House Plot ' DEPTH ' l BULKHEAD Total DOCK i � l COLOR , E TRIM 1 1 =, t I it _ - - i E a I ; 9 �y M. Bld o i Foundation Bath [� ;Dinette = r t� xt�3 i ; Extension � � Floors K.� Basement . Extension' lExt. Walls Interior Finish LR. Extension =Fire Place Heat DR. Type Roof Rooms 1si t Floor ;BR: Porchi ;Recreation Roomi Rooms 2nd Floorl 1 FIN. B. i i Porch € ;Dormer Breezeway i Driveway j + Garage Patio 0.. BD f i Total f ' o r jpQ.mh¢ `n z'ZJ4L c�rxaj P.k'3 EGRESS WINDOWS �` 3 ----------- _ L__ __ G. � a j re I y >y J el > > V _ \ iJ a. 0�NFP/ KA m z` � I 086526 x x; z §t z i �7 0#10450 FP2 ! 'EMPERAT U CONTROL VAUVE BE ti ALL L HO ALL TUBS AND UFS t NOT PROMIEG BY-0014) `vDE?EN N BUILDER IS RESPONSIBLE T, OLAP Y H R,'12,2,1 :4:[.i t4 _LS: ��. C T'r1E G n R_NYS'DONEON-SIT-1 A- a LE dr.ER T N r AN O WWDOt .7 C MOPc Ty AN a y 4 h INCHES AEUVE r,t t€25:EC of OR SJ FABEC I t$5IERt E t k.ST FART THEAP OPENWG OF - NIINCO,k SHALL M t# OF_4 3 T FECFINISHED. FLOOR n .E N tY C HE ININDOW IQ LOD C'R SGT NS tit\ tS SF.: \C t GP !NL L� PAS�kCE f.. K, 4:ti 7,.in...E:,.,". ERE WHERE SUCH OP h NGS .n_L CATS n,T�x, 2@ N,C:'ES O i . FINI H_D:1 COR h��V OU NO LOT LINE FIRE SEPARATION REQUIRED THIS HOUSE IS NOT LOCATED IN A FLOOD ZONE EGRESS WINDOWS 4 _ € ❑ ! ------------ ..-------------------- 0- I __- - a � _ , «,{ _ - , I �r u� use { 40MA X0'9 I { # k .N .._ =080526 ru m z c aEk x_—€ C' _INC HEIG T s, ST CRY i= 8' - U .LIR 2 �--OR - ,'AN S f1Tl S BL N W NC"t'rS 5=s.cst R WR PLMI 5L HE,A IPJ_ SYSTEM O- PROVIDED 3 C0 a 7/12 SP R.KGE R. T R .y 10" C � - f 8 4 u STAIR GE`M TRY � FP1 4 O#10450 8. HANDRAIL MUST COMPLY WITH R31'.7.8 NY RESQ_N HAL CGDE }