The URL can be used to link to this page

Home My WebLink About1000-70.-4-36 fat TOWN OF SOUTHOLD Rental Permit �a 0834 _tee Owner 400 Hill Rd LLC Occupied as Single Family Dwelling Located at 400 Hill Road Southold 70.4-36 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. 3/13/2023 1�4s " ok C � ref r� Official This Notice must be posted by the main entrance at all times 511,:, Town Hall Annex 1 �C, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 + Southold,NY 11971-0959 " o. r BUILDING DEPARTMENT TOWN OF SOUTHOLD ' s .RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 400 Hill Road Southold NY 11971 Tax Map Number: 1000 SECTION 70 -BLOCK 4 LOT 36 SECTION B. OWNER INFORMATION: Property Owner Name: 400 Hill Road LLC Property Owner Legal Address: Property Owner Mailing Address:. 3215 35th St Apt D9 Astoria NY 11106 Telephone Number(s): Daytime 917-865-1744 Evening Emergency___ ___ Property Owner Email Address: vokas.caroline@gmail.com Pagel of S Town Hall Annex �,y" Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �G , Southold,NY 11971-0959 �Ip " Y BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: rolinye Vokas(Owner), Member,400 Hill Road LLC Address of Authorized Agent (no P.O. Boxes): 3215 35th Street, Apartment 09 ______ Mailing Address of Authorized Agent:Astoria, Y 11106y ** µµ Telephone Number(s): Daytime 917-865-1744 Evening Emergency Email Address: vokas.carol ine mail.corn �w Section D. l\J/A Managing 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 E. I\j 1 A 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):,,, ww __,_ ._._... ...__ Page 2 of 5 A Town Hall Annex ��' Telephone(631)765-1802 14 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 a; BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening_......w __........__ 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: Unit 1 .� Requested Maximum number of persons allowed to occupy Dwelling Unit:a bedX2z8 people Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: Bathroom 1 (5'x6'), Bathroom 2 (5'x10'6"),Bedroom 1 (10'5"x13'2"),Bedroom 2 (12'3"x14'2"), Bedroom 3 (131"x157"), Dining Area (17'5"x19'10"),Kitchen (5'x23"5') Living Room (16'3"x21') Page 3 of 5 Town Hall Annex ��' Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1 179 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 flaws 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 Caroline Vokas ,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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,ICY 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: 001,1 Property Owner's Signature:_... _..............._.................. ..__. ..... Sworn to befo this day of _ Official Notary Publi a f—e-and Origin otary Stamp t Y [�SfY Y Y{{""t YX 4YYtAYA AA R�f 'W�✓ t EX P I RES . Page 5 of 5 . , . . Orr fjfjml �� Sunrom 175 400 Hill Road, Southold NY,11971 Dinning Area Pado Smoke detector-blue 12W COM-—nox U.C."em--'w V 2410 Bathrocrot 2 10'6 F--�tl Room 2 Kitchen lsaiwd'y area Greenhouse i X x z Garage 157" Living Room Room 3 Rom 1 ITT 21' 27 i TOWN OF SOUTHOLD PROPERTY RECORD I SWI E � I STREET VILLAGE DIST. SUB. LOT ON e FCRMER N I E OWNER r^=; T - SW ` TYPE OF BUILDING I € 4 s ✓',_f-!. -.,�* �� ...�-mob -�4 �-� , RES ;' SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value t LAND 3 IMP. TOTAL DATE REMARKS , h _ - - - a a Vi 4 - �� i a s i r � AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE I FARM Acre Value Per Value Ac re ; Tillable FRONTAGE ON WATER Woodland i ! FRONTAGE ON ROAD Meadowland DEPTH House Plot ' BULKHEAD Total DOCK I I s COLOR_ A- TRIM s f ; ° e e 11, ° 3 - ° t ' f4, } i I a E 3 M Bldg Y „ a Extension , �A �e Extension , i Extension 'Foundation 'Bath Dinette - Porch xy_ t. Floors aser�ent E t Pore' —, E _ w� -- 'Ext Walls `� �, , . ;Interior Finish Lid. i � � �.� � � ��•. �_ ®.�� _�,. _ ice$ • w Il- F're Rlace `f rr- Heat Garagee Roof Rooms 1st Floor ER. �TYP Patio _ 'Recreation Root-In t 'Rooms 2nd Floor FIM, B } a x = - _ ormer `a civeway ea � { _ i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .Z...3282............. Date ............Septg mber.. .2.3'........ 19168... THIS CERTIFIES that the building located at Hill-Road................................................ Street Map No. Ca1v........ Block No. .....»................ Lot No. ....southGlr,>1,..,.ne d...XC rk...................... conforms HukusloIntially to the Application for Building Permit heretofore filed in this office dated ...........................1 19.68•. pursuant to which Building Permit No. ACP.. dated .............. —......., 19..46Q., 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 ........ ...pr:,vatc=e..Qne..Ludly...dwelling........... ................................................................................ Thecertificate is issued to .......CatL•.SchWar2..............................................................................». (owner, lessee or tenant) of the aforesaid building. Health Dept. Approvalo June 12, 1968. Robert Villa Building Inspector FORM NO. 4 TOWN OF SOI3THOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. , W Certificate Of Occupancy No. Z. s g . . . . . Date . . . . _ ' . .AU9. . . . . . 17 , 19 'gyp. THIS CERTIFIES that the building located at . .W1.Road. . . . . . . . . . . . . Street Map No. . ZZ. . . . . . . . Block No. . . . . . . Lot No. +T!. _ . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . .JUl te. . .15. . 19 70. pursuant to which Building Permit No. dated . . . . . . Jun+o. . . .15. . 19.7p , 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 . private. one. fami.Ly .r V611 wd. idditIOA. . . . . . . . . . . . . . . . . . . . The certificate is issued to . V arl .Sahxarx. . . . . , . . . . , `: . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . .. !Building Inspector W F Q FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector ",.. Town Hall Southold, N.Y. m CERTIFICATE OF OCCUPANCY No: Z-28605 Date: O7µ/17 0: THIS CERTIFIES that the building ADDITION Location of Property: 400 HILL RD SOUTHOLD (HOUSE NO.) (STREET) _ (HAMLET) County Tax Map No. 473889 Section 70 Block 4 Lot 36 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2 2001 pursuant to which Building Permit No. 22"7897-Z-Z dated NOVEMBER 14 2001 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 —SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. _,..,,.. The certificate is issued to RICHARD & MARIAN SALERNO _.. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL � .. N/A ELECTRICAL CERTIFICATE NO. PENDING 09 29 02 PLUMBERS CERTIFICATION DATED ....... /-X� t4horied Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28605 Date: 07/17102 THIS CERTIFIES that the building ADDITION Location of Property: 400 HILL RD SOUTHOLD (HOUSE NO.) (STREET) _ (HAMLET) County Tax Map No. 473889 Section 70 Block 4 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 2001 pursuant to which Building Permit No. 27897-Z-Z dated NOVEMBER 14 2001 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & MARIAN SALE O (OWNER) of the aforesaid building.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING q 25 02 PLUMBERS CERTIFICATION DATED N/A thor ed Signature Rev. 1/81 IIIIIIIIIIIIIIIIIIIIIIIIIIIIi� IIIIIIIIII�Iulp� i IillliiiilllllllllllllllllN �� i i ii�lllllllluly �iiiwi � Ill�ili� uul 1111 �� , ��,�i111��i 11 �uiJlilil III iI �9hlpi illi "i, k e �i��ll� a IIIIIIIIIII q � x �lq � M1 !, a Ilullllll �I tiS � il � �lr � � i mw Ull�llllllllllllllli -:Vii;;; 2/23/23, 12:05 PM IMG_6783.HEIC / iii 0000i� � / / i / i / / / / / i i / r f r / 1 rf,�r rr � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII f"�"�� u� IIIIIIIII �� f®r - fu f(r %ice% i; uuwluruuuu < 1� � f pra ! p i t � i t orb r r � v a% c /rFyy„ r u`i y I https:/Idrive.google.com/drive/folders/1 NjiTMluhg2-KkkxyoXR9iTQF5WCisVbc 1/1 2/23/23,12:05 PM IMG_6785.HEIC hftps:Hdrive.google.com/drive/folders/1 NjiTMluhg2-KkkxyoXR9iTQF5WCisVtK 1/1 2123/23,12:05 PM IMG_6817.HEIC rraai , j 1 � f is r r / r f �f rq https://drive.google.com/drive/folders/1 NjiTMluhg2-KkkxyoXR9iTQF5WCisVtK 1/1