The URL can be used to link to this page

Home My WebLink About1000-30.-3-3 Af TOWN OF SOUTHOLD Renta) Permit 0891 Owner Konstantine & Zaharoula Sotiropoulos Occupied as Single Family Dwelling Located at 2655 Rocky Point Rd East Marion 30.-3-3 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. 5/2/2023 hod®rc Official This Notice must be posted by the main entrance at all times Town Hall Annex gi�p" Telephone(631)765-1802 fJ � r' 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 a^ Southold,NY 11971-0959' ' d�q a r, n a pgygy BUILDING DEPARTMENT ° Towiv OF sOxTHO q APR2023 RENTAL PERMIT APPI.I TION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Prop arty A ass: + r ) Tax Map Number: 1000 SECTION-13ff2 -BLOCK 3 .-LOT ... -- SECTION B. OWNER INFORMATION: Property Owner Name: 4 ( O p Y Property Owner Legal Address: Property Owner Mailing Address:. a�Im a�'T�L�'t Telephone Number(s): Daytim 2 ning Al551(yI mergency 1 - D 1 Dafj Property Owner Email Address: Page l of 5 G 0 V3 s, L) -�3 Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 a NG Southold,NY 11971-0959 BUILDING DEPARTMENT TONM OF SO HOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:Calt Q Address of Authorized Agent(no P.O. Boxes):-1±a&—&) �.1 I VA Mailing Address of Authorized Agent: Y1 V) atse,e ) 0:?::-v 5W !010 . Telephone Number(s): Daytime 74 Evening Q'7 1ST Emergency Email Address:_ 1 N Section D. 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. 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 d� Town Hall Annex ;w, Telephone(631)765-1802 54375 Main Road (U j Fax(631)765-9502 b P.O.Box 1 179 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: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:—N-)Aee � 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: 0 Page 3 of 5 ' Telephone(631)765-1802 Town Hall Annex 5 t Fax(631)765-9502 4375 Main Road P.O.Box 1 179 f 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 laws adopted by the New York State Fire Prevention and Building Code Council. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold El 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) 10 1 SAro9IFUlos t ,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 ryb Southold,NY 11971-0959 1 BUILDING DEPARTMENT TOWN OF SO HOLD 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. I 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: Property Owner's Signature: r } Sworn to before me thP day of—!9 j 203 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14,202 Page 5 of 5 .a Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 k BUILDING DEPARTMENT TOUN OF SOUMOLD 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 Prof seal re a red r rchitecct or En lneer licensed Nome ins egor m t rovide cogy o valid current certl cation I' Rental Property SCTM Nurn er: `� 3 q � � � —3 Rental Property Address: > S � I owner/Name: Rental Dwelling Unit identifier: Number&Square footage of each bedroom as depicted In the attached floor plan: (ice. Bedroom#1—11 sq.,Bedroom#2-90 s » etc.) Property D s+crlptl n(Include all Improve en 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 Sig ature NES Please place professional seal: N µ r�op 4 fs X' A& "TA wt ( I 4UTHOLD BUILDING D $� 631 -765-1802 / IN PEC ION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [ ] „�.�e...�. �.. ..�.....w .... � m. �. w,..... t q 2655 RocKY Nor k b- .... � 2 rA Kill- Ps l 3 Ba�r� Cv�i GAT” t 15� say►— «��]36 soF�' _SOcaV%a (0,55 VKOC KI/ PbIPJ'r" Rb MARACA , W ,= TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE ; DIST,l SUB. LOT o ACR. 1 REMARKS 77- TYPE TYPE OF BLD. i ASS I PROP. CL I P LAND IMP. TOTAL r DATEA 3 wen tu — tj f t - � � t s C i FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND E I ( � I DEPTH MEADOWLAND �— BULKHEAD I HOUSE/LOT � TOTAL = I t i y COLOR I If et- 3 3 � TRIM 30.-3-3 3/07 I s _ } '. _ Foundation Bath Dinette M. Blda-- 0 r Basement Floors Kit. lixtrll�= , sLvs # g I: g. Ext. Walls Intenor Finish L.R. Extension Fire Place f Heat D.R. -y i Patio Woodstove BR. a4 �� Dormer Fin. B. Porch Attic Deck � , Breezeway, Rooms 1st Floor _ Garage t Driveway Rooms 2nd Floor ` 17 O.B_ Pool FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32146 Date: 01 19/07 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2655 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473539 Section 30 Block 3 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17 2006 pursuant to which Building Permit No. 32249-Z dated JULY31 2006 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 ATTACHED TWO CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to KONSTANTINOS & ZAHAROULA SOTIROPOULO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0051 1015 07' ELECTRICAL CERTIFICATE NO. 112572C 0.1L2§L07 PLUMBERS CERTIFICATION DATED 01/11/07 HI-TECH PLUMBING ` S thor e:d Signature Rev. 1/81