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HomeMy WebLinkAbout1000-31.-8-4 TwN F S UTHOLD Rental Permit 1082 Owner Victorian Sister LLC Occupied as Single Family Dwelling Located at 9220 Route 25 East Marion 31.-84 Maximum Permitted Occupancy 2 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. 3/1/2024 _ e Efr e e t official This Notice must be posted by the main entrance at all times x ffi TOWN OF SOUTHOLD `s Rental Permit A 7- 1083 Owner Victorian Sister LLC Occupied as Accessory Apartment Located at 9220 Route 25 East Marion 31.-8-4 Maximum Permitted Occupancy 2 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. N 11 3/1/2024 odCfo � t Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 litti)s://www.sotitlioldtoMili�a,ggy RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) E V E Section A. JAN 2 5 2024 Property Information: Rental Property Address: C"f"mOuolold 9220 Route 25 (Main Road) East Marion, NY 11939 Tax Map Number: 1000 SECTION 31 -BLOCK8 -LOT4 SECTION B. OWNER INFORMATION: Property Owner Name: Victorian Sister LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Sofia Antoniadis PO Box 1118 Southold, NY 11971 Telephone Number(s): Daytime(646)201-3560 Evening(631)477-6639 Emergency(646)201-3560 Property Owner Email Address: acetweety@aol.com 44 loo(D 0- r2e-C- Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 2 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: Unit 1 - FIRST FLOOR ,. .,..w..w Requested Maximum number of persons allowed to occupy Dwelling Unit., Number of rooms in Rental Dwelling Unit: 6 Use and Dimensions of each room in Rental Dwelling Unit: Bedroom # 1 , 126S (✓-� Living Room, M!o ILaundry Room 70 , Bathroom # 1 , -3 -ff Bathroom # 2, 3 5 (4- Kitchen, Iq0 s �+ Office ) `7p 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. r� I 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. 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) Sofia Antoniadis 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 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: Victorian Sister LLC ' Property Owner's Signatureµ fh Sworn to bof e me this�8 day of r 20� Official ot rVPublic Signature rigid Notary Stamp Sophia Angelakis Notary Public, State of New York Reg. No. 01AN0015858 Qualified in Nassau County Commission Expires 11/08/a0,�-7Page 4 of 4 f4f so 30, OF SOUTHOLD BUILDING DI 631 -765-1802 C; .�.�--� q INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [XFIRE TION/CAL [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ AFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EI [ ] CODE VIOLATION [ ] PRE C/O [A4 I a. 0 LAW,,"4f A q. /000101 lo P;6,�W DATEINSPECTOR 922E MAN ROAD EAST MARION, NEW YORK fl430 ' 1ST FLOOR APARTMENT OFFICE= 170 sq.ft PANTRY 153 sq.ft. LAUNDRY BATH 70 sq.fit. BATH BEDROOM LOSET A- 13`x 13` TA_ KITCHEN C CT • «� 140 sq.ft. Dressing Room PORCH 121/2'x13' PORCH LIVING ROOM 13'x 13' r 9220 MAIN ROA EASE"` MARION, NEW YORK I I siq 2ND FLOOR APARTMENT TOV RIDG . KITCHEN /DINETTE LIVING STOEU Exit Out 146 sq.ft. ROOM 1st Floor <= E 13'x 13' 40 sq.k Hall GL U 7 BATHROOM T L Tx 10' Dressing Room 12-1/2'x 13' BEDROOM 13'x 13' r 1 l TOWN OF SOUTHOLD PROPERTY REQ OWNER , � STREET - VILLAGEDIST� SUB. LOT - 0 -� FORMER OWNER N E � F ACR s�� W TYPE OF BUILDING t r RES. SEAS. VL. FARM ' COMM. CB. MISC. Mkt- Value LAND _ IMP, TOTAL DATE REMARKS A, e 7 - 7- 411 - - - - J� x v cl t 6-1 c: AGE l BUILDING CONDITIO ° NEW ` ` I�QIR�1�AL [ 3 {' ' ' — q FARM = Acre Valu Per -- e� Tillable 1 � F Tillable 2� � � ,au � � � �/ �� � i _'f�_ i 4-i t Tillable 3 I 0 �� Woodland Swampland FRONTAGE ON WATER Brushland ' FRONTAGE ON ROAD _ - - DEPTH Te House Plot BULKHEAD DOCK Total .- 4 = 3 .QLOR I r € _ - ��� I -RIM - ` - �- - - E _ o — 31:84 4/11 .__ _ ' — } M. Bldg. Foundation Both Dinette - -_ a i K. Extension `f -` "< : Basement Floors Extension �- o o'Ext. Walls _ :° Interior Finish / fes, ' LR, _. Extension s ,� Fire Place �vel` e� �� � ��°' � � DR 're ©S2 �� Tyke Roof i = �• Rodms st Floor BRE Parch Recreation Room' Rooms 2nd Floor FIN. B __ Dormer Porch Breezeway k �' f r --� Driveways ® I - - I Garage �7 3 Patio Total v _ ,.p Town of Southold 12/29/2015 ' 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37997 Date: 12/29/2015 THIS CERTIFIES that the structure(s)located at: 9220 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 31.-8-4 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37997 dated 12/29/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one familv dwellinewith accessory avartment and 2 wrap around cher.* Notes:QIP 25715 addition to dwelling CO -2678'1.EP 40037 pqrch repair CO -37964. The certificate is issued to Rogers Jacqueline Revc Tr (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. w PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ' .wwwww w Author r BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSRffi!CODE INSEE ION REPORT LOCATION: 9220 Route 25,East Marion SUFF.CO.TAX MAP NO.: 31.-84 SUBDIVISION: NAME OF OWNER(S): Rogers Jacqueline Revc Tr OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Rogers Jacqueline Revc Tr DATE: 12/29/2015 DWELLING: #STORIES: 2 #EXITS: 4 FOUNDATION: Stone CELLAR: Yes CRAWL SPACE: BATHROOM(S): 3 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2 Wrap Around DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes , TYPE HEATER: National Grid AIR CONDITIONING: TYPE HEAT: NWARM AIR: X HOT WATER: #.BEDROOMS: 2 #KITCHENS: 2 BASEMENT TYPE: Unfinished OTHER: A CESSO'RY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 12/28/2015 TIME START: E Y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26781 Date: 11/10/99 THIS CERTIFIES that the building ADDITION Location of Property: 9220 MAIN RD EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 8 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY _71 1999 pursuant to which Building Permit No. 25715-Z dated MAY 10 1999 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 18'X17' ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4590 The certificate is issued to JON & JAC RELINE ROGERS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-504786 10/26/99 PLUMBERS CERTIFICATION DATED N/A If Building Inspe for Rev. 1/81 sore TOWN OF S01JNT OLD BUILDING DEPT. c# 631-765-1802 mr IINSPECTON h f=?� 1 2 024 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. - [ ] FOUNDATION 2ND [ ] ISULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL �I ►v z /7 — INSPECTORDATE i i9l/ I �j 1 1 f , i k' WOR ,I . f / N G{ r I / r ...:. " ::.. ........ ........,. ..........."" . r / / / / r / / r f � / / / f / / rr / r r , f / i / 1 f _ r fa SOL ZO/' / JO ,,, ✓ ,.,,�/, /Gf � .,/ � /i� � �.��� /r. 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Box 1179 Southold, NY 11971-0959 Suffiding Mapartment Town of Southold RE: Rental Permit 9220 Route 25 (Main Road), East Marion NY 11939 Dear Sir/Madame: We herewith enclosed Rental Permit Application for the above referenced premises including all required documentation and fees. Thank you for your assistance. Sincerely, Sofia Antoniadis