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HomeMy WebLinkAbout1000-31.-2-11 TOWN OF SOUTHOLD .-f Rental Permit 0896 NA3 Owner 1850 Rocky Point LLC Occupied as Single Family Dwelling Located at 1850 Rocky Point Rd East Marion 31.-2-11 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. 5/5/2023 %"�— /C;de tOffidal This Notice must be posted by the main entrance at all times /A0o� r4 ) ate ���, Town Hall Annex Telephone(631)765-18 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 G °i Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD E Q[p ¢ I S 'kUl RENTAL PERMIT APPLICATION APR 2 u 2023 .F 1. Rental Permit Fee $200(Application must be renewed every two years) .g��:�:1: :•��'�:�k�� ° Section A. Property Information: Rental Proper y Address, 7 .� Tax Ma Number: 1000 SECTION -BLOC —02— -LOT, T N �,. SECTION B. OWNER INFORMATION: ©� � 7 L t0 6 Property Owner Name Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: Page 1 of 5 Town Hall Annex Telephone(631)765-1802 "� 54375 Main Road Fax(631)765-9502 � � N� P.O.Box 1179 w , Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. . � �" � Authorized Agent Information: Name of Authorized Agent 44we4l4ag 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: 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 ProPert s containing 8 or more rental units) Name of Managing Agent of dwellingunit, if any:,,,,,.__ Address of Managing Agent (no P.O. Boxes), Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road �E % !' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ti " BUILDING DEPARTMENT TOWN OF O .TTHOL I► Mailing Address of Managing Agent: _ Telephone Number(s): Daytime.--- Evening.._-.,-_.-.Emergency.,-,,_,.,,.,,,__ Email Address:-----­ SECTION ddress:__--- ,,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: _, .� �. Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit:.... _a Use and Dimesions of each room in Rental_Dwelling Unit: ��� Page 3 of 5 fid' 0 Town Hall Annex " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUT' OLD 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 ❑ 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) ? , � bpylf� ,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 1 179 Southold,NY 1 1971-0959 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. .�2;15-0. Property Owner's Signature: - Sworn ignature: µSworn to before me this pjday ofCCN20 L Offimcl NotaryPublic Si nature and Original Notary Stam BARBARAAMCGEE g g Y P LRegistration RY PUBLIC,STATE OF NEW YORK No.01MC4981220 Qualified in Suffolk U Y Page S of 5 J�o�a0F S001yQ6 ISO TOWN O OUTHOLD BUILDING DI 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND XFIRELSAFETY ATIOWCAI [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY INf [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O F REMA S: *01 \ uv � .-UnA4&A DATE41 - - INSPECTOR .. .... . ......... ......__.. . i rp-11 A'M Li V �lw cL �j vi _ f mn a a. __ - TOWN OF SOUTHOLD PROPERTY RECORD C OWNER r STREET VILLAGE I DI STJ Suns. LOT m f FORCER OWNER N E ACR, cnk z s� I F ` TYPE OF BUILDING _ , r RES. SEAS. VL. :FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 f AGE BUILDING CONDITIONIt 1 R NEW NORMAL BELOW ABOVE / FARM Acre [ Value Per Value 1 " _ 3 Acre lb Tillable 3 _ € ------ _ _ Tillable 2 Tillable 3 Woodland Swampland = FRONTAGE ON WATER - FRONTAGE ON ROAD Brushland = - House Plot DEPTH BULKHEAD Tota l DOCK 1 a it _ COLOR i i g{ TRIM nap i 3 a 1 � F i I f Al- — a � M. Bldg e'er _ - �% Z/0 �� 13� `Foundation I Bath Dinette Extension i Basement ! Floors K. Extension E Ext. Walls ' Interior Finish ` = LR. Extension l Fire Place Heat �r t f ! DR. IType Roof Rooms 1st Floor £BR 7 Porch Recreation Room Rooms 2nd Floor' F . B Porch ,Dormer Breezeway IDriveway_ f Garage i Patio �Y O. B. Total Town of Southold 6/4/2022 :, 53095 Main Rd °. Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 43123 Date: 6/4/2022 THIS CERTIFIES that the structure(s) located at: 1850 Rocky Point Rd,East Marion SCTM#: 473889 Sec/Block/Lot: 3w1..-2-..1.1._..._........_.. w._..v. ................ w_..... _. __w. .. ....... .._. __..._ ._.._......._�_....._. Subdivision: ....._._.._, Filed Map No. Lot No. conforms substa___. _.._.._ ...w....µ_.,_....... ....ww_._.._� ntially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- _ 43123 dated 6/4/2022 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: we►�ad frame dict 1 fily dwlki�t with unfitised artial ba ement and covered orclt accesclrwtaclitt , and access airy s ed ,* The certificate is issued to Aidoprrulos,George&Ors._ _....._.:. M._._ _..._....._.._ ...__w_.... _...._... ww__.. .---..-- _...._... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. ___,__ _ . ,_........ ......,_. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT, uth ri d tnat�tarc.._w._. ._..._..� BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1850 Rocky Point Rd,East Marion SUFF.CO.TAX MAP NO.: 31:2-11 � _.._..., ...__..._...._..w.........................................,....�._.,,___....,. �.. _..� UBDIVISION: NAME OF OWNER(S): Apidopoulos,George&Ors. OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Apidopoulos,George DATE: 6/4/2022 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): _. ..1 __w..... ..._mmmm,_TOILET ROOM(S):µ M.......... UTILITY ROOM(S): PORCH TYPE: front covered porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: _ HOT WATER: baseboardmm � mmmm W #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ___.w............ ......,.._._w__. ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: shed SWIMMING POOL: GUEST,TYPE OF CONST: _w...._._ OTHER: .. �.,..,.....ww.......,. ....��. www_. VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/4/2022 TIME START: 12:05pm END: 12:55pm tlltll Town of Southold 2/12/2023 P.O. Box 1179 53095 Main Rd Southold,New York 11971 r CERTT. ICATE OF OCCUPANCY No: 43836 Date: 2/12/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1850 Rocky Point Rd., East Marion SCTM#: 473889 Sec/BIock/Lot: 31.-2-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P ..... .... ......_........ .. 8/12/2022 ursuant to which Building Permit No. 48346 dated 9/29/2022.._ ....- 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: as built" r trio¢ alt Nate a s ,incVgc i lg l; 4� ',,tt a�si le.f artl Ae1LgM is ala t cd IoL., The certificate is issued to 1850 Rocky Point LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48346 1/12/2023 PLUMBERS CERTIFICATION DATED 12/10/2022 Jan Orlowski ........._ .. . . ..._.... kt ri.......... i..wnature..............................�.... g ..._......................................... — __—........... ...................... ....... �llt �, Town of Southold 6/4/2022 � P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43122 Date: 6/4/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1850 Rocky Point Rd,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-2-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/6/1974 pursuant to which Building Permit No. 47293 dated 1/5/2022 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: additions and alter tl rl, . tacc i Q4Ygt ion_caf fron; 11�r l�t�ll k�ata� mpg Viand b t ro m l(2 c istingitt e f4infly dwell ng as implied for. The certificate is issued to Apidopoulos,George&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47293 5/19/2022 PLUMBERS CERTIFICATION DATED 3/17/2022 Sat aritan P1u!1 ling . . . .�.Ww leo „� � azgnatue...._ .... ....�.