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Home My WebLink About1000-31.-6-16 TIOWWWN OF SOUTHOLD A. � Are, Permit 1067 Owner Argyris & Patricia Dellaportas Occupied as Single Family Dwelling Located at 8100 Route 25 East Marion 31.-6-16 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. 2/6/2024 - l nt Official This Notice must be posted by the main entrance at all times ( 7er Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 Southold,NY 11971-0959 k pt( DEC 6 2022 BUILDING DEPARTMENT TOWN OF SOUTHOLD of RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: RentalProperty Address: 1 X00 Tax Map Number: 1000 SECTION _ � -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: � ,� �"" .. .. �.� �� X21 Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytimell ",;Yja Evening I 9 mergency 111;31 Property Owner Email Address: I D-0o Page 1 of 5 Town Hall Annex a�k Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name ofr' Autho ized Agent of dwelling unit, if any: � � ,�� 411"LL � NAC-'711"s Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime EveningEmergency � �� "1�7 Email Address: ` � � m,Q 6A M Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Ar _ 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 TY 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 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: 1(1 Requested Maximum number of persons allowed to Acupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: I 3( i3lila, �r Xw Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1 179 Southold,NY 11971-0959 m BOUNTY BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: 011FI&42/ �• ry - 4 Requested maximum number of persons allowed to occupy each dwelling unit: Y Number of Rooms in Rental Dwelling Unit: ' LAK Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 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 ❑ 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) I 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 SK Town Hall Annex � Telephone(63 1) 54375 Main Road Fax(631)765-5. P.O.Box 1179 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, Ma In Agent, or Site Manager. Property Owner's Name: ,( " Property Owners Signature: Sworn to before me this day of &('ejffiLVy 202 Official Notary Public"'Signature and Original Notary Stamp KYLEE S DEFRESE NOTARY PUBLIC-STATE OF NEW YORK No.01 DE6420156 Qualified in Suffolk County My Commission Expires 08-02-2025 Page 5 of 5 LVD VOftbtl TOWN OF SOUTHOLD BUILDINGPIEPT. 631-765-1802 7 (0 - I N P E(D" T 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL MARKS: AN/ rowwe&4 DATE INSPECTOR os 60 Rjl-4� �, Awiory TOWN OF SOUTHOLD BUILDING DEPT. 631.765-1802 INSP` ECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE. C/O RENTAL &RE M Ks.. In WA vi r� (?PMAM app 1 . .. .�.,...� aaw ')(Ad - 061m �' fmf Is ��rc' vsef!� 5t ! v DATE ANSPECTOR __ 2- F-1 o o r S)e Qj) s F � a s r IJ- t vLas s e s .LX s 3 n kl Cl)-), t A t, , ENTRY u LIVING ROOM ..a....we...a... u, .,.:.�........i....,.... .3 k 1` ......, COAT CLOSET -_ r___ g PANTRY r L zF KITCHEN _ - Y _ `DINING ROOM �. a 6ATH Nd 'sl � € FAMILY ROOM '-V Y .. 3 j. TTING ROOM: - [ _ H PORCH _ � � , - - NORT { a - 'a f EAST PORCH _ # _ { e... .moo....c>. =-..m :..,......n....va..... _ 13 l.d}l '_ WEST DECK -'7- W I GENERAL f EXISTING STONE _ L L FOUNDATIONu—n rCOW SIA? CONC 8iK. CON 51ae -, -; - €ior FOUNDATION PLAN f _ SECTIQNR ? _ T WALL IEGEN - - - �CITIt+3 5T, SCALE:3(4"_1`-0" b� s ,,. .-- a I PRO]ECT NORTH tL L A-2 Eg BEDROOM No.k �g BATH No.2: b.5 t STAIR HALL: jQ �BEDROOM Na,2: DEN: BEDROOM No,3: BATH No,3 I ATTIC 'I SOUTH DECK. t _ f # GENERAL = T I .m 19,. _ .x`49` ' as mNm # l t < CO Ell, mi i iftiTT ,g ¢a _ t Et�. $ g `` FLOOR PLAN PLUMBING SCHEMATIC �>�L/q,=L` X953 f NT.S. 1 PROJECT NORTH I I 7A I SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB LOT g ACR. 4 REMARKS e � r TYPE OF BLD, PROP. CLASS LAND IMP, TOTAL DATE 2ll �t FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTHOLD PROPEL CARD OWER REET VILLAGE DIST, SUB. LOT y f 1, FORMER OWNER, N E ACR, S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS a Aj 7 A I ------------------ -71 ci ��rt ip 4414-:5 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre FRONTAGE ON WATER Tillable Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total I DOCK 1 �- COLOR ... TRIM F 4 31.-6-16 Detached Gar/Apt 9/11 1st 2nd P Foundation o6T HJR f Bath Dinette Extension FULL - d Basement sRne Floors Kit. Extension Finished B. �� Interior Finish L.R. 7 Fire Place a Heat c D.R tensa Y,2--7 Garage �2X� ilrs 19 - Ext. Walls C BR a _ _ Porch (_0 151D ` Dormer Baths Deck/Patio t� �` w �' `� q(O <:, . Fam. Rm. Pool Foyer Y Laundry E _ ItZo Library/ O BP, Study ' D _ `7 ��a f t _ 3 TOWN OF SOUTHOLD P110PI, 3 (O//5 _ F O�NNER STREET VILLAGE DISTRICT SUB, LOT --t-A p R M E-k" 01 W,,-!E R N ACREAGE W TYPE OF BUILDING of RES,; SE4&\S. L. FARM comm. IND. CB- MISC. LAND IMP, TOTAL DATE REMARKS J 066 1 Y, J" 4 A B 0 wk ;AI3,qVE M'E Farm Acre Value Per Acre V�Iue Tillable I T 'loble 2 11toble 3 Wcodland Swampland Brushiand e mi — - - - �a - _ 31:6-16 2/05 B = FoundationB oth Extension sn` Floors r Eten ,an ��Ext� Walls Interior Finish Extension Fire Place Heat - l Perch Attic Porch Rooms 1 st Floor t" �__ Patio Roams 2nd Floor Breezeway _ Garage Driveway v CpA _ - i COLOR TRIM AL i ter. �-� s _ S � = t I M. Bldg _ , Extension 1 ' t € € { Extension l E E t Extension I i € =Foundation £Both _ Dinette, Porch Basement [Floors I<_ Porch Ext. Walls Interior Finish LR. Breezeway Fire Place ;Heat - DR. Garage Type Roof IRooms 1st Floor BR. l Patio Recreation Room= Rooms 2nd Floor FIN. B O. B. ;Dormer Driveway Total E 3 3i E a G 4 M TOV- .:r SOUTHOLD OFFICE OF 131JILDING IINSPECTOR TOWN BALL SOUTIIOLD, NEW YORK CERTIFICATE OF OCCUPANCY NO\CONF ORIUING PREMISES TIIIS IS TO CERTIFY that the Land Pre C.O. #- 2-16946 Building(s) Date- June 2 1988 ! / Use(s) located at 7420 Main Road East Marion, New York Street Hamlet shown on County tax map as District 1000, Section 031 , Block 06 Lot 16 , doesknot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; non-conforming guest cottage; accessory garage and Privy in front yard On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /-XI Land lX/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 2 story, one Tamil wood framed dwelling, a guest cottage (no kitchen) an accessory garage; a privy and fencing all situated ;n 'A' Residential Agriculturan zone with access to Main Road a state ig way. e Permit issued 5697 c/o 24623 (sleeping quarters only) The Certificate is issued to EDITH & STEFAN NEJMAN (owner, of the aforesaid building. Suffolk County Department of IIealth Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises IMS 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 Buildin? Gone 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. :"Ioi":c:li:•, mc-pector -. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZW3. . . . . . Date . . . . . . . . . . April . . . 28 . . . . .. 19-72. THIS CERTIFIES that the building located at . .Maja Rd .&. O],d•orohard, Ureet Map No. . .= . . . . . . . Block No. Xx. . . . . . .Lot No. . . . x. . . ?psi- x4r1031 . -R.Y« conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . Zai%. . . .12. ., 19.71 . pursuant to which Building Permit No. 50% . . dated . . . . . . . . . . 9.40. . . . .12. ., 19.71 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The cupa y-f6r^-w-hich.,th.is certificate is issued is . .prhto. aaa*as,r r -b"].djag(m &1#*pitAd•rom en1 ). . . . . . . . . . The certificate is issued to 0motiMUM .6.RAdvig . 1wsr 1I '.'": °: : °. . • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval R:.R,. . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . UNDERWRITERS CERTIFICATE No. . .XJA* . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . , . . . . . . . HOUSE NUMBER. . . 8.,00. . . . .Street. . .Main Ro". . . .50 Old- arohard Building Inspector b `�a