HomeMy WebLinkAbout1000-31.-2-32.4 TOWN OF SOUTHOLD
Rental Permit
1048
Owner Sofia & Michael Antoniadis
Occupied as Single Family Dwelling
Located at 8325 Route 25 East Marion 31.-2-32.4
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.
1/12/2024
ode E fo c r nt Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD—BUILDING Ll!F'PA:RTMF '
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-099
Telephone (631) 765-1802 Fax(631) 765-9502 iit � e tLiol intjL.(o
RENTAL PERMIT APPLICATION re C'*- 0 �"
-PazOL
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
8325 MAIN ROAD-EAST MARION,NY 11939
Tax Map Number: 1000 SECTION 31 -BLOCK2 -LOT 32 -4
SECTION B.
OWNER INFORMATION:
Property Owner Name: SOFIA ANTONIADIS
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
12500 MAIN ROAD-EAST MARION,NY 11939 PO BOX 413-EAST MARION,NY 11939
Telephone Number (s): Daytime 646.201.3560 Evening 646.201.3560 Emergency646.201.3560
Property Owner Email Address: acetweety@aol.com
3DD
Page 1 of 4
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: House 1
Requested Maximum number of persons allowed to occupy Dwelling Unit: 6
Number of rooms in Rental Dwelling Unit: 8 Rooms (3 Bedrooms)
Use and Dimensions of each room in Rental Dwelling Unit:
Bedroom 1 (11'-5" x 9'-5"), Bedroom 2 (11'-7" x 15'-6"), Bedroom 3 (9'-5" x 12'-5")
Living Room (13'-7" x 17'-5"), Dining Room (11'-7" x 15'-5"), Bathroom (8'-11" x 8'-5")
Kitchen (18'-7" x 8'-2"), Laundry/Powder Rm (5'-4" x 5'-10")
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
A I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
I SOFIA ANTON IADIS 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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property owner's Name: SOFIA ANTONIADIS
Property Owner's Signature:
Sworn t before me this N day of At C/ LcC , 20_.Qr j
Of al N Lary Public S ure a d Original Notary Stamp
Sophia Angelakis
Notary Public, State of New York
Reg. No. 01 AN0015858
Qualified in Nassau County
Commission Expires 11/08/ 97 Page 4 of 4
Town Hall Annex Telephone (631)765-1802
54375 Main Road �� 'a 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 licensed architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal re uired for Architect or Engineer, Licensed. Horne Inspector must
provide copy of valid current certification
Rental Property SCTM Number: 1000-31-2-32.4
Rental Property Address: 8325 MAIN ROAD-EAST MARION,NY 11939
Owner/Name: SOFIA ANTONIADIS
Rental Dwelling Unit Identifier: HOUSE 1
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sqft., etc.)
BEDROOM 1:11'-5"x 9'-5"
BEDROOM 2:11'-7"x 15'-6"
BEDROOM 3:9'-5"x 12'-5"
Property Description (Include all improvements indicated on survey)
+-1 ACRE LOT WITH SINGLE STORY-SINGLE FAMILY RESIDENCE-2 CAR GARAGE/BARN IN REAR YARD-GAZEBO IN REAR YARD
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, the Fire Code of New York State,the Property Maintenance Code of New York State
and the Energy Conservation Construction Code of New Yorli State.
ZACKERY E.NICHIOLSON,RA a7
Print Name and Title Original Signature Cr M
Please place Professional Seal:
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i" TOWN OF' SOUTHOLD BUILDING DI
631 -765-1802 7 ...-tZ,. .-
INSmpmll" EC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAL
[ ] FRAMING / STRAPPING [ ] AL
[ ] FIREPLACE & CHIMNEY FIRE SAFETY INE
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TI
[ ] CODE VIOLATION [ ] PRT C/O [ F
REMARKS:
r
DATE
,,"' INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECOR `
r OWNER_ ( STREET I VILLAGE DISI, SUB. LOT
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FORMER OWNER ' N E
ACR.
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LAND IMP. TOTAL DATE REMARKS
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AGE i BUILDING CONDITION
NEW NORMAL 1BELOW ABOVE
FARM Acre Value Per Value �
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Tillable FRONTAGE ON-WATER
Woodland FRONTAGE ON ROAD {
Meadowland DEPTH
House Plot [ BULKHEAD
Total DOCK
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Foundation iBoth Dinette
Porch s: _ Basement ` Floors
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Porch Ext. Walls !Interior Finish LR.
Breezeway ;Fire PlaceHeat !f DR.
Garage Type Roof Rooms 1st Floor ?/ BR.
Patio Recreation Room Rooms 2nd Floor FIN B
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town CIerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. M98 . . . . . Date . . . . . . . . . November, . .8 _ . . . ., 19.72.
THIS CERTIFIES that the building located at S/3 . .MaIn .Road . . . . . . " . . . . Street
Map No. .xx. . . . . . . . . Block No. . .eta[. . . . . .Lot No. x= . .Fast .k1p.rion," �?.v•. . . . . . .
conforms substantially to the code
Built beforeter wif` :„ te. occupancy
atilt . . . . . . . . . April 23. . ., 19.57. pursuant to which � 1o. Z. 4898.
dated . . . . . . . .Nayember .. . 8. ", 197?. ., 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• family. dvel-ling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to Petnr. .PizzarelliJ.aseph.Gicseia,. .Rouber. K'.aCker
(owner, w,.
of the aforesaid building.
Suffolk County Department of Health Approval . Pre-existing•
UNDERWRITERS CERTIFICATE No. . .pre•exiSting• • • • • • " „ ° "
HOUSE NUMBER.126BO. . . . . .Street. . . .Mt.U .APA . . . . . . . . . . . " . . . . . . . . . . " , . . . . . . . . . ,
Exception to housing code:
1 * no nand rail on cellar stairs
2. "jury rigged electrical wireing should
be replaced, with regular outletsg Building Inspector
wirei g & fixtures.
3, Broken Window glass V }porch
l+* loose plaster in stairway walls
HOUSING CODE INSPECTION
November 8 , 1972
12680 Main Road
East Marion, New York
Tax Roll: Joseph Gio is and others
Unoccupied
Upon request of the Southold Town Building Department
I made inspection of this two story, four bedroom framed
dwelling and, found the following vio '57 n 'F-'raral Law #l,
Housing Code of the Town of Southold. I began inspection
at approximately 8 :50 A.m-' by being admitted to the rear,
enclosed porch entrance by Mr. Ruben Wecker.
Rear orch: Light socket with lamp cord supported by
hook :in,-ceiling - Section 528a. Surface mounted
square box electric outlet mounted on west wall with
drop cord line running to kitchen outlet through
inside window - drop cord to outside light socket
through corner of building plugged into this outlet -
Section' 528a.
f
Living Room: Lamp cord through wall at front entrance
for porch 1&ght - Section 528a.
Enclosed'" orch: west side, picture window pane broken -
Section , 302b.
' e
Cellar : ' Access under stairway to second floor through
trap door in floor, narrow stairway without hand rail -
Section ' 216a, b. South end of cellar, outlet and ceiling
light fixture connected to lamp cord plugged into wall
mounted outlet - Section 528a.
Stairwayto second floor: Loose plaster on walls -
Section 303c.
Bedroom, second floor, northeast: surface mounted base-
board outlet, lamp cord hook up - Section 528a.
OT
Exterior of building, trim, facia and eaves , paint
0,1 peeling Section 302b.
Inspection completed approximately 9 : 30 a.m.
Rei` ctfully submitted,
Edward Hia rmax
EH:tle Inspector
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29391 Date: 04LL403
THIS CERTIFIES that the building HEATING SYSTEM
Location of Property: 8325 MAIN RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 2 Lot 32 .4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 3, 2003 pursuant to which
Building Permit No. 29109-Z dated JANUARY 16 2003
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 INSTALLATION OFNEWHEATING SYSTEM & BILCO ENTRANCE ADDITION TO
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT E HARRINGTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 111559�p 04/04/03
PLUMBERS CERTIFICATION DATED
AuthorizedV. nature
Rev. 1/B1
I.EGEND
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ZEN DESIGN
1250 EVERGREEN DRIVE
CUTCHOGUE.NY 11935
1 PHONE:631513.6589
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N0. ISSUE DATE
01 RENTAL PERMIT 12.27.23
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FLOOR PLAN
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
, Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31822 Date: 09 15 06
THIS CERTIFIES that the building MASONRY FIREPLACE
Location of Property: 8325 MAIN RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 2 Lot 32.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 18 2004 pursuant to which
Building Permit No. 30424Z dated JUNE 22� 2004
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 INSTALLATION OF MASONY FIREPLACE IN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ROBERT E HARRINGTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N�A
ELECTRICAL CERTIFICATE NO. _ N/A _
PLUMBERS CERTIFICATION DATED � N/A
oa^ zed ignature
Rev. 1/81
LEGEND ��
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ZEN DESIGN
1250 EVERGREEN DRIVE
CUTCHOGUE,NY 1]935
PHONE:631513.6589
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NO. ISSUE DATE
- 01 RENTAL PERMIT 12.27.23
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12680 MAIN RD
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SCALE: Us- 1'8'
DATE: 12.27.23
DRAWN BY: ZE.N.
FLOOR PLANS
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