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Home My WebLink About1000-51.-1-4 g TOWN OF SOUTHOLD P—Mm CA Rental Permit x = 1101 Owner Dimitria Papadopoulos Occupied as Single Family Dwelling Located at 17877 Soundview Ave Southold 51.-1-4 Maximum Permitted Occupancy 10 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. 3/25/2024 ode c nt Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPAR"I`iw EN I flj FEB 2 0 20?4 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1902 Fax (631) 765-9502 htta'�,//www.southolTbv"'�Io RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: r Tax Map Number: 1000 SECTION S 00 -BLOCK a -LOT 0 ' • V D SECTION B. OWNER INFORMATION: Property Owner Name:AN�r' a') 0, 4 C-Is UtiE( 01 _ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) t�(�?,tad A d'Q_ � � � E °1 Qit� Telephone Number(s): Daytime%a Lf a Evehing -5A rvte— Emergency _�a V '�L Property Owner Email Address: I 1 rtc,,�1� 6D 1 1M Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes):_ Mailing Address of Authorized Agent: �� • �� W� /�� r� Telephone Number(s): Daytime__ Evening EmergencvQ/7J/7c,,676 Email Address: co) _� . . °w 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"// 7 744 Email Adder SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: _ _ �1 6W Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: D A(L For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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:_ ww Requested Maximum number of persons allowed to occupy Dwelling Unit:_. Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 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. Vl 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. 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 M 1 Q- �S+A� 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: -P k Property Owner's Signature: i` Sworn to before me this day ofCf�„ 4! 20D ( SHAUN CHARLES ERICKSON -� Notary Public-State of New York N0.01ER6295247 .. Qualified In Suffolk County My Commission Expires Dec0�2025 Official Notary Public Signature and Original Notary Stamp Page 4 of 4 qf so + BUILDINGTOWN OF SOUTHOLD INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ rFIRE L FI EPL CE C I Y [ SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O ['`,,-/ i�= + o o 5p TOWN OF SOUTHOLD BU11ILDING i 631 -E65-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit C ] CODE VIOLATION [ ] PRE C/OREMARki [ ] 1 ls Aiu ool hVol4e,"lmow,,. wi ��rc PLAN KEY NOTES I L7�—. r o- Mlchaefl Macrina Architect Typical Stud _ _ Pocket Detail � ;�� -- -- ----- FLOOR PLAN LEGEND Issued for — [ Construction Master I Bdan.#Fs [ s . Bedrm.#2e ' �r NOTES t R N_ Zvi Proposed Residence efit a - e° For WINDOWS&DOORS AD F - . Ventures LLC T. ft - —,,¥ &Hok County , — TYp•Door Jamb From . v « 4 Perpendicular Wall v I c fond Fir.Plan_ A � 4 Second Floor Plan ..a ._a•. Typ Cased Opening Dtl. 0 �. ®PLAN KEY NOTES I Michael Macrina a� 1 Architect gf Typical Stud £ - FLOOR PLAN LEGEND Pocket Detail � = 7 — sued for I Y Construction i t ", •-. Great Room �I14 [ 1 t NOTES I Proposed — Residence �� * , .- WINDOWS&DOORS _ For ¢. Master r ADF 1 _ Ventures, r.e a— i t Typ Door Jamb From -- Perpendicular Wall First Floor Plan Fir -=ro€sr Pan ® e 7T I t-- x_ Typ.Cased Opening Ceti. //p�\ A//�/2a2//�/ 3._...�.. _.... p .............. SCTM # �a TOWN OF SOUTHOLD PROPERTY RECOR OWNER STREET " VILLAGE DIST- z)ud. LOT I ti� d ACR. r 0 REMARKS TYPE OF BLD. PROP. CLASS LAND IMP, TOTAL DATE az i 4w r - - � I FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL Fes .> e 1 TOWN OF SOUTHOLD PROPERTY REO t� OWNER „ STREET °` £ VILLAGE - LOT - r FORMER OWNER� 'y E N ACREAGE �I } i W _ TYPE OF BUILDING i m- - RES. -` SEAS. VL. FARM COMM., IND. CB. MISC. LAND [ IMP. TOTAL DATE REMARKS gs g I - z _ IUD l f'�O � �� NEW I NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 _. Tillable 2 p z } Tillable 3 s Wcodland _ _ _ - . I Swampland f f vi o Brushland r House Plot Toto I I COLOR I TRIM 1 i 51.4-4 1/22/2021 3 SQ. FT. Fin"B" 1 st Floor 2nd Floor TOTAL PC§' c `as cg Bath Dinette Foundation OTHER �55 gg,�-jam ��_ Floors 1 lip Kit. Basement SLAB er sio t � Finished B. Interior Finish �;l L.R. Extensio `{ FP/WBS Heat D.R. -- 1� Ext. Walls • f ff BR. I 7-1 Porch LY 3� 5� Dormer Baths I Deck/Pe#& Roof Fam. Rm. Pool Solar Foyer v Laundry A.C./GEN Library/ O.B. Study Dock &N �, fu 06✓ mu® V F +�, O v rn lr� 7 F iC� i f s FI _ � i _ L 71 i �I M. Bldg, Foundation Bath s Extension ¥ Basement Floors Extension ' Ext. Walls Interior Finish Extension , Fire Place Heat Porch I Attic - Porch Rooms 1 st Floor Breezeway Patio — Rooms 2nd Floor � E Garage I Driveway 0. B. � i Town of Southold 9/19/2021 P.O.Box 1179 e 53095 Main Rd 0 W Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42340 Date: 9/19/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 17877 Soundview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 51.-1-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/30/2019 pursuant to which Building Permit No. 44447 dated 11/21/2019 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: sin ale familv five bedroom dwellingwith finished basementqqvLertd po ch lei acljAqdjq&gs a lied a r ZBA 5 did 11/18/2005, The certificate is issued to ADF Ventures LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI 0-19-0081 9/8/2021 ELECTRICAL CERTIFICATE NO. 44447 2/9/2021 PLUMBERS CERTIFICATION DATED 3/11/2021 l' ter ilt 1' mbing eating mm_.ww ... ._...A o "ze Sr. atux _.__.... ...._._............o