HomeMy WebLinkAbout1000-31.-6-32.1 TOWN OF SOUTHOLD
co Rental Permit
All
1015
Owner Argyris Dellaportas & Ors.
Occupied as Single Family Dwelling
Located at 7970 Route 25 East Marion 31.-6-32.1
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.
11/3/2023
ode E ore en Official
This Notice must be posted by the main entrance at all times
S
Town Hall Annex i via
D n �q�)765-1802
- o
54375 Main Road Fax(f:V�) PS-9502
P.O.Box 1179
j
Southold.NY 11971-0959
OCT 1 6 2023
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$W (Application must be renewed every two years)
Se C.ti o A.
Property Information:
Rental Property Address:
el'-1
II
Tax Map Number: 1000 SECTION -BLOCK -LOT-S 2
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
VA41Q, _SS 41f
Q,
(C—?�g 7(c4
Telephone Number(s): Di 72�(sSS-9(6venl Emergen ,
aytime9 ng ai6o cv
Property Owner Email Address: rPA
A 61 A.4
Page 1of5
W. S
Town Hall Annex Telephone(631)765-1802
54375 Main Road jr Fax(631)765-9502
P.O.Box 1179
z
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION INSTRUCTIONS
Rental Permit Fee $200 (Application must be renewed every two years)
The items list below are required to be submitted with the completed
application
loor Pians:
5. Floor plans of each Rental Dwelling Unit, please show location of
ooF ans:
F P1 n .
all moke &carbon monoxide detectors.
Certificates
ertificates of occupancy and Pre-Certificates of Occupancy: Certificates of
occupancy or Pre-certificates of occupancy for each rental dwelling unit.
g101 rtification of Code Compliance(form enclosed): Must be submitted by a
ic7l nse architect or engineer or license home inspector if an inspection by Town of
uthold inspector is declined.
Rental Permit Fee: $200.00
$00,
Town Hall Annex ,� Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
V.O.Box i 179 1
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:
a
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: -Uk)- - '24 io gzt(,4.cvu CA
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: 9 V*-%�-�C--o 2 q, i I
P �2c�r• 13 X 1 vu z - Sl)' 31 Lc cC-e-A -
Page 3 of 5
ti
Town Nall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 t>
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
VAddress of Authorized Agent(no P.O. Boxes •
Mailing Address of Authorized Agent,�023 (=11-2�i &7
QLD �/
Telephone Nu (s): Daytime i]- Evenin �S�(— Emergency�_7-u�I hoc-,
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: 4kc_l
Address of Authorized Agent(no P.O. Boxes): V�
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime. Evening Emergency
Email Address: 9alae--
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
Town Halt Annex ;
Telephone(63 1)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 St-t
Southold,NY 11971-09.54
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. N26�(Cv) � �
p y
Property Owner's Signature: I✓ 0
Sworn to before me this?day of 0C4V . 20 0�3
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County 1
Commission Expires April 14,2 Z2� T
Page 5 of 5
. o
SNIP. ,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ♦ �`
Southold,NY If 971-0959 COU '�
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 ws 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 , 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
�,�Q� Si�(j►�-,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Q {
BUILDING DEPARTMENT
TOWN OF SOUTHOLD,
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: .,_M K(A-fM
Requested maximum number of persons allowed to occupy each dwelling unit: .
Number of Rooms in Rental Dwelling Unit: (,a g:j ," . ��LOb �.
Use and Dimension of,each room: 21
. ) C I ) )
41
OF E
)- 1::-(Al 2da�lC
Rental Dwelling Unit Identifier:3i:qO !M.A4 N
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit: C �_ �0 �.ryp�+�+S
Use and Dimension of each room: 1'Y Q- eP
1 � + 1
r 4
1
L4 jP-LUv ax Ar,
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
SO
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 U`
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
Professional seal required for Architect or Enaineer, licensed Home Inspector must provide
copy of valid current certification
Rental Property SCTM Number:
Rental Property Address:
Owner/Name:
Rental Dwelling Unit Identifier:
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 Construction Code of New
York State.
Print Name and Title Original Signature
Please place professional seal:
OF SOUIy�� -
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycoorm,��' 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FNAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
l vr,- Pp� 6c V.,t/pm we
DATE INSPECTOR IV4 `
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COLOR
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4 „-Y TRIM
31.6-32.1 4/2/2019 Y�
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M. Bldg. ` '- -7�-o Foundation 1 r?qs OTHER Bath Q Dinette
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Extension I �R t �w I7 � O. Basement `S�e PARTIAL Floors Kit.
a a
xtensionj Finished B. Interior Finish L.R.
Extension Fire Place �, Heat D.R.
Garage tt i i c Ext. Walls y t' BR.
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Porch f-) i - Dormer Baths
Deck/Patio { ' z' % �:;,, t Fam. Rm.
P�l �J G1 Foyer
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A.C. ' ,� `� c _-Lt�£' Laundry ��
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Exension
Extension
Extension
Oath Dinette'
undation
Basement Floors i K.
xt. Walls Interibr'FinshPorch LR.
FirPace;.Breezeway e
14
Type Roof. v iRaoms lst Floor FIN. •BRecreation oom1dtio Rooms 2nd,Floor
Dormer Driyewa L+
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Total
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�o�S�EFOLK01 Town of Southold 5/11/2023
P.O.Boa 1179
0
53095 Main Rd
Oy?jo� �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44088 Date: 5/11/2023
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 7970 Route 25,East Marion
SCTM#: 473889 Sec/Block/Lot: 31:6-32.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/13/2015 pursuant to which Building Permit No. 42765 dated 6/7/2018
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:
single family dwelling with covered front porch and rear entry deck as applied for.
The certificate is issued to Dellaportas,Argyris&Patricia&Ors.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-13-0070 7/31/2020
ELECTRICAL CERTIFICATE NO. 19-44449&42765 2/27/19& 1/7/20
PLUMBERS CERTIFICATION DATED 12/16/2019 Plu ing&H ting
Au 'ze gnature
ISSUES/REVISIONS
I
,I
CJ 12" 12"
�-�
�-
�
I (v
I
BA71 HROOM ELEVATIONS
'�)CAI F: 112" = P-O"
VERIFY EX15TING
WINDOW 15
TEMPERED GLASS
TOILET RELOCATED
NEW GRAB BARS
INSTALLED AS SHOWN
r-J SINK DNVi---
f
_ PROPOSED NEW SINK TO HAVE
N' ACCESSIBLE \ 2%" C L-AR%\NC1
BATHROOM ` UNDERNEATH I I EXISTING WET BAR AND 30 OCTOBER,2019
STORAGE CABINETS TO
5-0" DIAMETER I l ( I REMAIN
rn
THESE FLANS ARE AN INSTRUMENT OF
PROPOSED m z v UP ISERVICE ARCHITECT. NF INGEMENTSWIILARE THE PROPERTY OFTHE
ACCESSIBLE r) 3
BEDROOM 1/2" STOVE I BEDROOM 4 I BF PROSFCLYTET)
N I I PROPOSED POOL TABLE 2019 ALL RIGHTS RESERVED
� Q 51
EXISTING KITCHEN TO REMAIN I OR PING PONG TABLE
1 ,
12'-1 112"
MECHANICAL ROOM
I'-2 I/2" I I UILT-IN BOOKCASE AND
MODIFIED CLOSET i MEDIA CENTER Robert I. Brown
LAUNDRY ROOM RFFR I � � � LAUNDRY ROOM Architect; P.C.
i Y
Y a2GG8ELOCATE L�L_1
OORWAY Zos Bax Ave. Greenport NY
�" I info@ribro�Nnarchitect.com
EXISTING FAMILY ROOM TO REMAIN 631-477-9752
I
3068 DOWN
JJ
IT IS A VIOLATION OF THE LAW FOR ANY PERSON,
3 O` UNLESS ACTING UNDER THE DIRECTION OF A
1 �� LICENSED ARCHITECT,TO ALTER Ah^;ITEM ON
O THIS DRAWING IN ANY WAY.ANY AUTHORIZED
' R-
LO
ALTERATION MUST BE NOTED,SEALED,AND
DESCRIBED IN ACCORDANCE WITH THE LAW.
LL-JF--"> v i 1 19
EXISTING DINING ROOM TO REMAIN
v v
IF— NA v
0 0 00
[0 D I yq
D
BEDROOM 2 BEDROOM 3
CLIENT/OWNER
BEDROOM 5 BEDROOM 6
DELLAPORTAS
7970 MAIN ROAD
EAST MARION, NY 11939
EXISTING LIVING ROOM TO REMAIN EXISTING LIVING ROOM TO REMAIN PROJECT TITLE
IN'T'ERIOR
RENOVATIONS
DRAWING TITLE
FLOOR PLANS
11 vv m �i__i civ cv f Lvv R r-)iA SCALE
i�f
13 DECEMBER,2o19 I/4„-"-0"
SrAI F: 114" = 1'-()" ''i('A1 F: 114" — P-0"
DRAWING NO.
EXISTING EXCEPT AS NOTED ❑ ❑ A5 BUILT