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HomeMy WebLinkAbout1000-68.-1-14.2 s ? � TOWN OF SOUTHOLD Rental Permit 0875 Owner Constantine & Sofia Zachariadis Occupied as Single Family Dwelling Located at 3651 Soundview Ave Peconic 68-1-14.2 Maximum Permitted Occupancy 5 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 =--�� :. �#£�`. Code €`nforce eot Officia This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road % Fax(631)765-9502 P.O.Box 1 179 � NISS Southold,NY 11971-0959 10 4 20 BUILDING DEPARTMENT 0. TOWN OF SOUTHOLD �.w RENTAL PERMIT APPLICATION ;Z"W 1 OF4";0i 6i'4f")t Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3651 Soundview Avenue, Peconic, NY 11958 Tax Map Number: 1000 SECTION 68 -BLOCK Q1 -LOT 14.2 - 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 Even ing347-996-6797Emergency 973-725-8501 Property Owner Email Address: CGZachariadis@gmail.com i^ av� 1 Page 1 of 5 Town Hall Annex ��; Telephone(631)765-1802 54375 Main Road r 10 Fax(631)765-9502 F, P.O.Box 1179 Southold,NY 11971-0959 r 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 �1 Town Hall Annex k' Telephone(631)765-1802 54375 Main Road IM 7 Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 01U 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 Dinln Area, Llvin Doom, Family Room, Screened -in porch Bedroom 1 ,2,3 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: 3651 - Private House Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen: 10'-5"x7'-11" Dining Room: 10'-6"x7'-3", Family Room: 11'-5"x21'-2", Bedroom 1 : 11'-4"x10'-11" Bedroom 2: 16-7'W'-8", Bedroom 3: 11'-8"x7'-3", Screened in Porch: 7'-2"x15'=5" Living Room: 23'-2"x15'-5" Page 3 of 5 F v Town Hall Annex ; Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 Cr P.O.Box 1 179 Southold,NY 11971-0959 M N 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 �y� , , 24G(A G ,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 "I P.O.Box 1 179 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: Sworn to bef e me this�1- day of A , 20 13 Official N Public igna ure and Original Notary Stamp Alexander B.Breton Notary Public-State of NewYork No.01BR6385312 Commission Expires 12!31/2026 Page 5 of 5 6- Town Hall Annex ,` Telephone(631)765-1802 54375 Main Road ' Fax(631)765-9502 , RE P.O.Box 1 179 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 Iro esiancrl seal re aired orIrcllitect or Bn frreer licensedcrme ins actor must ravide coAy as vcrlld current cern croon Rental Property SCTM Number: 473889 68.-1-14.2 Rental Property Address: 3651 Soundview Avenue, Peconic, NY 11958 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 - 124 S . Ft. Bedroom #2 - 126 S . Ft. Bedroom #3 :15 Sq. Ft. Property Description (Include all improvements indicated on survey) Sin I F mi k' wi e bedrooms, two full bathrooms. 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 son TOWN OF SOUTHOLD BUILDING DI 831 765*18th 2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL C ] FIREPLACE & CHIMNEY [ j FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Elf [ ] CODE VIOLATION [ ] PRE C/O [ vj I REMARKS: ..Leggl,� n bGl M DATE G ate.. 6 C7• INSPECTOR OWN OF SOUTHOLD PROPERTY T-4 fe6 OWNER STREET VILLAGE DISTRICT SUB. LOT �0 at Tru L f 0, Ul rowNER T N E -REAGE 51s S ' W TYPE OF BUILDING �_ RE (� SEAS. ( VL. FARM COMM. INS: CB. MISC. LAND IMP, TOTAL I DATE m REMARKS Jv Nk A t e. AGE = BILDI, 3CNDITO NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable t = - Tillable 2 - Tillable 3 f a e _zr Woodland Swampland Brushlond House Plot ✓ - e Tota n _ >-M M U F 44 S r I s � E E T Mu 5 rx s s e M_ Bldg. Foundation Bath F - ExtensionB err�en- a s t Floors Extension - Ext. Walls Interior Finish Extension Fire Place Heat © Porch Attic Porch Rooms 1st Floor r F, Patio Rooms 2nd Floor Garage _r_ � ;` ,.__ Driveway O. B. EV ✓ m � TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY r NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X/ Land Pre C.O. #- Z13919 /X/ Building(s) Date- Oct. 10 1985 F/ Use(s) located at 3645 Soundview Ave. Peconic Street Hamlet shown on County tax map as District 1000, Section 068 , Block 01 Lot 014 , doesknot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient width. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_X/Land /X/Building(s) Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains a two story, one family, wood framed dwelling with a patio and accessory garage. Property has access to Sound View Ave. , a Town maintained road. The Certificate is issued to HEIGL, GRETCHEN (owner, 3essee=3=_t ) of the aforesaid building. Suffolk County Department of Health Approval N A UNDERWRITERS CERT'IFICAT'E NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. �^a Eiui:din�, Inspector