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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: t 0444---b � 40 CP NS � q �14 / 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 I � 1q FORMER OWNER ' N E ACR. S W t TYPE OF BUILDING g (a RES. ; + SEAS. VL. FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS E h l s J E g r � 0= s .JA co - _ AGE i BUILDING CONDITION NEW NORMAL 1BELOW ABOVE FARM Acre Value Per Value � Acre Tillable FRONTAGE ON-WATER Woodland FRONTAGE ON ROAD { Meadowland DEPTH House Plot [ BULKHEAD Total DOCK I r: )LOR TRIM E F 3 f E 1 t 4... _ E t E i 31-2-32.4 9/03 i m?a_ M. Bldg - Extension s 3 i5 a Extension I Extension Foundation iBoth Dinette Porch s: _ Basement ` Floors S ,<r =F S .� I K 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 3 r Do mer a 'Day ew 0 Total Via, - , w9 r� rpD J 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 w 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 ngxE OEtECtOP � p±,p G020EEECEOR "a",W &CO20EEECtOP�E ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE.NY 11935 1 PHONE:631513.6589 .00gn mmmMn� anta.,�lumeun on�a�eaaMiimonimMimao a�m�.o�dor.� Ketkwew�in cameowmron�o2EN D[FNtu I.tG N0. ISSUE DATE 01 RENTAL PERMIT 12.27.23 �SgED ARC, 1 E.N1 €nl 4r �R" h✓q F i" 04442$ 4*k a OF NE ^l S ✓'� n 8325 MAIN RD .v a;p farm n EAST MARION,M'11939 * 9CsY141. 95'm�n4*2w�2:A ** SCALE: u vc �—ry ........................ DATE: 12.2723 .„. {” DRAWN BY; LE.N. .Y( FLOOR PLAN A-1 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 �� Iaj swawEOD��w s �oETEorow ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE,NY 1]935 PHONE:631513.6589 m:W:�usa�ro a.x�ssso� ��.. ahrt.um waar�'0o.�mr�w�w��am ereo�x ...Mdtr�+u w,i�a�mom �. � � �r �omx�owo rozew orsr�xuc �' NO. ISSUE DATE - 01 RENTAL PERMIT 12.27.23 I QED �"?C, �Gtgt E.N1�x0ffr d 10 k- . ------------ SST 04442'' k- ' s GF Nc��1 12680 MAIN RD - EAST MARION,N'11939 = SCTM:1000 31-14-tlLpa t SCALE: Us- 1'8' DATE: 12.27.23 DRAWN BY: ZE.N. FLOOR PLANS uu A'1