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Home My WebLink About1000-68.-1-14.1 TOWN OF SOUTHOLD Ac:� r I- Rental Permit 0874 Owner Constantine & Sofia Zachariadis Occupied as Single Family Dwelling Located at 3645 Soundview Ave Peconic 68-1-14.1 Maximum Permitted Occupancy 8 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. 4/21/2023 V lie Code E ford ent Official This Notice must be posted by the main entrance at all times Town Hail Annex Telephone(631)765-1802 54375 Main Road a Fax(631)765-9502 r j P.O.Box 1 179 Southold,NY 11971-0959 �U V� (( INMAR 1 BUILDING DEPARTMENT �� O & TOWN OF SOUTHOLD � RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3645 Soundview Avenue, Peconic, NY 11958 Tax Map Number: 1000 SECTION 68 -BLOCK 01 -LOT 14.1 -� SECTION B. OWNER INFORMATION: Property Owner Name: Constantine & Sofia Zachariadis Property Owner Legal Address: Property Owner Mailing Address: 66 Woodland Road 66 Woodland Road Glen Head NY 11545 Glen Head NY 11545 Telephone Number (s): Daytime 973-725-8501 Evening347-996-6797Emergency 973-725-8501 Property Owner Email Address: CGZachariadis@gmail.com Oaoo Page 1 of 5 r' Town Hall Annex Telephone(631)765-1802 s� 54375 Main Road P�' Fax(631)765-9502 P.O.Box 1179M Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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 Information: Name of Authorized Agent of dwelling unit, if any: N/A 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: . N/A Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex r'; Telephone(631)765-1802 54375 Main Road ¢ Fax (631)765-9502 P.O. Box 1 179 r` ` Southold,NY 1 1971-0959 - U UN 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: One; Kitchen, Dining Room Living Room, Laundry boom, Bedrodrn , , , 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: 3645 - Private House Requested Maximum number of persons allowed to occupy Dwelling Unit: 10 Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen: 17'-7"x17'-3" Dining Room: 14'-6"x19'-2", Living Room: 28'-8"x19'-2", Bedroom 1 : 10'-10"x17-3" Bedroom 2: 10'-10"x14'-0", Bedroom 3: 17'-7"x14'-0", Bedroom 4: 33'-2"x18'-10" Laundry Room: 9'-6"x10'-5" Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road k! Fax(631)765-9502 � P.O. Box 1179 Southold,NY 11971-0959 , z,�s 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 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 NEW YORK) COUNTY OF SUFFOLK) J . 6-. Z , " certify under penalty of perjury, the following: 1. I 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 r Town Hall Annex ,i'` ra Telephone(631)765-1802 54375 Main Road � k' Fax(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: _ Constantine & Sofia Zachariadis Property Owner's Signature: ~ -- Sw4toeare me is 1ST' day of OAK, 2023 Offit' Pu lic Sig ature and Original Notary Stamp a d�B.Breton-State of New YorkJBR6385312'Sxpires 12/31/2026 Page 5 of 5 z, Town Hall Annex1 Telephone(631)765-1802 ll 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 Pro essional seal re uired for Architect or Enainger licensed dome Insactor mays ro ide copv of valid current certi ication Rental Property SCTM Number: 473889 68•-1-14.1 Rental Property Address: 3645 Soundview Avenue Pec ni Y Owner/Name: Constantine & Sofia Zachariadis 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.) Bedroom #1 - 187 S . Ft. Bedroom #2 - 151 S . Ft. Bedroom #3 - 246 Sq. Ft. Bedroom #4 - 625 Sq. Ft. Property Description (Include all improvements indicated on survey) Single Family home with a two car garage, deck, kitchen, dining room, living room and four bedrooms, two full bathrooms and one half bathroom. 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: qf so . 631 -765-1802 1 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. L l FOUNDATION 2ND [ ] INSULATION/CAl ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INf% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE, [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII L l CODE VIOLATION [ ] PRE C/O ( 1 REMARKS: 6-eALUZAIZ. bt./ 9:e:�wv9::& i2,tjg6," � '0166 a DATE INSPECTOR Tc4 1 X TOWN OF SOUTHOLD PROP EMRTY RECORD CARD OWNER STREET VILLAGE DIST.1 SUB. LOT V FORMER OWNER N E ACR, S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND lmp. TOTAL DATE REMARKS J 17 c— ch i Y f f�- is Ad. f 41 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH —,e House Plot BULKHEAD 4c Tota I ' y g� a�=s a 1 , . , a I g , . >o I � a x I � = 68.-1-14.1 04/03/2018 3 ` M. Bldg. �. , - Foundatio Bath w� .y Basement � Floors Extension I ; � Extension Ext. Walls `_ Interior Finish i -T Extension Fire Place 1 Heat s I I Porch Pool i Attic a Patio 75 Deck i F F - , do Rooms 1st Floor u £ `� � � Breezeway Driveway Rooms 2nd Floor aaa G" 5 0 � r s g � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17191 Date AUGUST 12,r 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3645 SOUNDVIEW AVENUE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 68 Block I Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9 1981_____pursuant to which Building Permit No. 15665Z dated FEBRUARY S 1987 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 ONE FAMILY DWELLING WITH DECK. ** The certificate is issued to GRETCHEN HEIGL (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-144 4/9/87 UNDERWRITERS CERTIFICATE NO. N808876 PLUMBERS CERTIFICATION DATED ROBERT JOHNSEN 619/87 **VARIANCE & BUILDING PERMIT REQUIRED BEFORE CONNECTING DECK & PORCH. Building Inspeyjor Rev. 1/81 a _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17632 Date DECEMBER 22, 1988 THIS CERTIFIES that the building ADDITION Location of Property 3645 SO VIEW AVENUE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 068 Block 01 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 12 1988 pursuant to which Building Permit No. 17680-Z dated DECEMBER 13 1988 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 DECK ADDITION TO EXISTING DECK & ONE FAMILY DWELLING AS The certificate is issued to GRETCHEN HEIGL {owner, XXXXXXXXXXXXX M) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. 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