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Home My WebLink About1000-70.-12-39.4 T ' WN OF SOUTHOLD 0 W W Rental Permit ,' 1105 Owner Petros & Penny Tsekouras Occupied as Single Family Dwelling Located at 1852 N. Bayview Rd. Southold 70.-12-39.4 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. 4/3/2024 Cod � official This Notice must be posted by the main entrance at all times Town Hall Annex a Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � OaT ) � m a BUILDING DEPARTMENT TOWN OF SOUTHO1,D RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: �( Tax Map Number: 1000 SECTION 0 -BLOCS SECTION B. OWNER INFORMATION: Property Owner Name: ?C-rerP, " ,—,W-6 `" Property Owner Legal Address: Property Owner Mailing Address: N 1t7 Number� ) Da Telephone s : time E ing S�'�'u Emergency rt p Y Property Owner Email Address: q I-4S (R" CEO d 'q Page 1 of 5 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 SOUT HOL D► 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: Telephone Number(s): Daytime Evening Emergency Email Address: 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 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 Town Hall Annexµ, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY H971-0959 � 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, 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." ,��Nsl Rental Dwelling Unit Identifier: 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: rt(0 3) i o ��J I�X I ><..r 1-t l" k"t% I sx << POM k� u )c � �rx � Page 3 of 5 y 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 SOUT3OLD 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 v 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 mw'b Town Hall Annex g Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959COO y XY W �• BUILDING DEPARTMENT TO OF SOU OLD 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, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to before me thi_,�q day of .mom C,6 . 20aq Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BUM 85050 Qualified in Suffolk County Commission Expires April 14,22a' Page 5 of 5 TOWN OF SOUS HOLD BUILDING DI 631 -T85-1802tanx40 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING STRAPPING 'N'AL [ ] FIREPLACE & CHIMNEY FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TI [ ] CODE VIOLATION [ ] PRE CIO [ 1 REMARKS: TCIf�t33Q'e'1C( 3 1)7 _`s-1802 BUILDING YA-PARTIVIENT OF SOUTHOU-) RENTAL PROPERTY CERTIFICATION Forrn is to be.cxnpleted by a licen3e architect, licensed er`gmeer or iicer;sed home inspector >Separote form ;s required for each individual Renta!Dwefling Unit u d . —,..... ,a.... ...—..Iw .. ,m,.� d u,.d�i f �.�P. �'.,�mM�- &L4 i'@ � e4N�r "-1 Rental Property SUM Number: Rental Prcper,yAcidress; m.. .... Rental Dwelling Unit Identifier Number & Square footage of each hedresoni as depicted in the attached floor plain rr Property Descrip,ion (Ernciude all improvements indicated on Sur`,rey) 1 certifv that 1 have dolle a physocai ir;a,�;nc>;c,;�of m.e su,aect rentzfl&,,veFing unit and fired that it fully complies with a!!the provis.lc,rts oil it ,ccde of ti:u Town of So�lsthold,the Residential Code of New York State,the wilding Code of New York State,the Plur-nbirig Code of New York State, the Fuel Gas Code of New York Stag; and the Energy Conservation Construction Code of New York State, F N� . 4 NORMAN C LOK star Print Barr;e and 'title Please place professional spa+: 1852NByvie Road,Southold NY117-Page lof2 Na to scale =Smoke/Carbon Mon&d Detector FIRST FLOOR Oil Oil Storage Tank Boiler N Boiler Room . Garage 2'77' . '%" ; Q � Closet l Z�� I �\Bedroom# Bathroom Bedroom# 14§alOe i%»* i424i �» �f (15 2 q.¥) (15 B q•m \ nq\ �\ �2 Closet Oak \ Closet / 1 Laundry ` w=<R 14«6Oe \ Pantry Closet < 7''1O' � \ � . �> l( \ Aa& \ 24«G3' �\ A, �\ 1852 N.Bayview Road,Southold NY 11971-Page 2 of 2 Not to scale SECOND FLOOR Closet Bedroom#3 Bathroom 13'3"x9'11" 814"x814" (146 sq.ft.) DOWN up TO I LOFT Living Room(Vaulted Ceiling) 16'10"x24'4" 4 LOFT OPEN AREA 11'9"x9' m cz W I W W F7";z 01FRE, X X OPERTY RECORD, TOWN SOUT OF HO 41", EMSTI VILLAGE SUB. LOT -- STREET -N ERZ506moo- La�Wlk 0 1 R E AC W TYPE OF BUILDING Ap re —�TF, COMM�C� 'RES- WL 2� !i.AS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 e� I�te 17� V 17 5740 A 'ix;o Ise VON a vi RX, —�-Zh� "W , Aa Lr 4. &.0-Aft vAh!sawT&--1Z1 a- A-C- V, !zy L VZO -T el B? 11I -ONDITIO 13 1v Lone. + Gil L 7 11N, iti FARM AcreValue/ Per clue -7 -7 -7c) L4 -<Oco Acre i Tillable I FRONTAGE ON-,WATER- J Woodland Meadowland DEPTH Housi'!pf-et BULKHEAD Total DOCK ANIN 0 r � ('` '7, TRIM 4 IFF k f e : s s � � 90,12-39.4 5/12 s '� i I s I I ,F € I _ EXkMf I � � f = 1.2 r,7/ 39 = F 3 � t S -ti 3� i Foundation Bath ��3 - Dinette pice-irs 1 /ao z Z 4CaS_ �� x Basement N A Floors `K. j Ext. Walls Interior Finish Fire Place Heat r� DR. d 5� e) iaaroge9 Type Roof Rooms 1st Floor BR. �T Recreation Room =Rooms 2nd Floor FIN. B PC- 5(� Dormer Driveway Total . I e t 3 51 O Jklli —�- o '�� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28307 Date: 04 01 0 THIS CERTIFIES that the building ADDITION Location of Property: 1852 NORTH BAYVIEC4 RD SO YLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889, Section 70 Block 12 Lot 39.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1 2002 pursuant to which Building Permit No. 28225-Z dated APRIL 1 2002 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES E REIDY & ORS TRUSTEES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Aut ized SiggEature Rev. 1/81 FORM NO,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold,N.Y. Certificate Of Occupancy Z10780 Date . . . . . . . . . . .. 19 . 6.1 THIS CERTIFIES that the building . . . . . . . . . . • . . . . . . . . . . . . . • . . . . . . . . . . . . . • . • . . . . . . . 9850 R .O.W. off North Rd. to Bayview, Southold, N.Y. Location of Property arrest . . • . . • . . . . . . . Hamlet lfouse No. County Tax Map No. 1000 Section . . . . . . ... . . .Block . . . . .�.? . • . . . . . .Lot . . . . 35 . . . 39 Minor Southold Devel.Corp. Filed Map No. . . �32 . .Lot No. 1 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed m this office dated . . .J.4nv ry. 3. . . . . . . . , 19 .80pursuant to which Building Permit No. . .G54OZ. . . . . . « » • • . . dated . . . 'an I . . . . . . • • • • • • • • 19 . . • ,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 . . . . . . . . . Private One Family, Dwe}.1Ynq. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . `r• I . .s_ Reid y . . . . . . . . . . . . . . . r"orrai�,l �k• . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . 9. S O«. .I. . . . . . .13. 81 R.A.V i].1.a P.E. UNDERWRITERS CERTIFICATE NO. . . . .N53x2743. . . . . . . t . . . . . . . . . . . . Building Inspector Rev One