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Home My WebLink About1000-15.-9-1.28 TOWN OF S UTH L Ak � _. Rental Permit 1117 Owner Eugenia Sergentakis Occupied as Single Family Dwelling Located at 1080 Lands End Road Orient 15.-9-1.28 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. 5/6/2024 This Notice must be posted by the main entrance at all times Cot En&ement Offic9l u, FEB 222024. � TOWN OF SOUTHOLD—BUILDING DEPARTMENT � cI Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1197 -0959 Telephone(631) 765-1802 Fax(631) 765-9502 httns://www.southoldtownn .'ro RENTAL PERMIT APPLICATION i Rental Permit Fee $300(Application must be renewed every two yea s I Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 75 82 _ BLOCK --LOT SECTION B. OWNER INFORMATION: I Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: S��6ESE.�Niy/E �}OL 1 Page 1 of 4 i _ SECTION F. �`- �Y -. �* -� - 1 �0� �� . -_ Number ofRental Dwelling Units on property: 7 _ 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number ofrooms in Rental Dwelling Unit: zz Use and Dimensions of each room in Rental Dwelling Unit: &- � �� ^~7~ ^ lid -�� SECTION G. 1.2 INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official isrequired. |f 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. ;K I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town ofSouthold [] I am submitting a completed Town of Southold certification form from a licensed architect ora licensed professional engineer. Page Bof4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the welling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 ` s certify under penalty of perjury,the followi g: 4 1. 1 am the owner of the property identified in "Section A" of this applicatio 2. The property owner's legal address set forth in "Section B" of this applical ion is my legal address and I understand the Town will use the address for service pursu nt 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 o 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 1 formation regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: ," ✓:� Property Owner's Signature: Sworn tee befdr me t�21 day of khlfl�1. —20 Official,Notary Pu lic Signa Dire an Original Notary Stamp PAUL M.6ECHANCE NOTARY PUBLIC, ATE OF NEW YORK Qualified in guffolk County Registration .02DE6415194 commission E pines Mamh 8,20 Page 4 of 4 1080 Lands End Road: Use and Dimensions of each room: ROOM DimensionsTotal square feet Master bedroom 14'- " 13'-7" + 7' 7' 245 Bedroom 2 11' x 1 ' = 11 Bedroom 3 11 'x 12'- " 137.5 Bedroom 4 13'-6g# x 12' 162 Living room 131- " x 2 ' 330 Kitchen 1 "- '" x 13'- ' 12 2nd fl living rm/ pool 24' x e30' 72 table o S 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI C ] FRAMING / STRAPPING [ ] FINAL C ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/OREMARKS: e [ -„ INSPECTOR SOUTHOLD BUILDING1 e 631 ?85r 1802 1 ,NSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUTATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII [ ] CODE VIOLATION [ ] PRE C/O [ ,Kl REMARKS: �vdi o a vcp �v It beel"iq 064,cl� �v ap aveo( l2ec* e421 r IF DATE INSPECTOR f Town Hall Annex � Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 !, Southold, NY 11971-1179 Tel: 631-765-1802 Zz SCTM#.. . �/ Owner ;rests Phone Address G�Yhl�S Visible �" Anspectorp ... .._... [Hamlet ...,�. ...�.... _.�....._ .. ... �.�....... - .. ...a..-- . . ... ..._�....a..... Floor etitie,. ...,....... .�...... .m . ...� w ...-.�....... Fo Level Quan iti,os��w,,,, .� on S ub 1 2 1 3 Smoke Detectors (not located in bedrooms) j j ... .w .�Carbon Monoxide Detectors f Fire E .�.o., �. xtinguishers Exits .. . ,.�. ... ..... . ....... .. .... �. ...... .. ._. Bedrooms t 3 _ .. Smoke Detecto rs . ....�_ _ � . _� k .,, ......, .A �� .... ,.. . ..... . ...... .. :. ....._ . ... ®. ,Egress �. . .... .� .:I_ I _.�... ..... .._. �........ ... Occupant Count � � � . •. ...,... .. . � �... f tBuilding Systems Maintained &Operational Condition of Property f Heating G Building interior ......._ ,n �a-.,,,,,,,, �...m .......... . Hot water Building exterior, Electrical p rt clean, maintained & safe .. ....... Pro .,., .W��. . �._. .. _ .... 'Handr Mechanical ails&guards installed & secure Pool Safety Pool on Site ..,... �.m-a�.R,�.....,.....��. . ..,�.W��,,m..a.......o.. a .� ........ ..��.. �.... Surface water alarm _,Date of CO issuance R...m..... 6� .... Door alarms !Pool completely enclosed w,.. . �. a,.......,,, � ,,_ . �. �e .. ., Self closing/latching gates Pool fence to code req uirements ] �a . j Prior Rental ....w0 s for all items present .......- . . ..._ . . ...._...�� ..e,.. m�., _.....�,. e��.m._.�..... �_� � Comments: � !' r d O✓ .... .�.w, .... . .... "� _.._... 400 ., „_., f { ..._. ..,,w., ...., ..., . ..... .. I 1* t* WODP — _ ._-_ — �—ST" 2-- JO - - za 2=2fx t F, - -. RNIING fma .._- 4 ° r 7 h. .r,� 7 bSt r7j, 4" l �D �to CL j yaa� -poor ovc�riu�c , R ss __ . flaN'xldMy y, CL , ' CLOW o !n c a . Ior .ov""r. io _�1 em gm� I a % p�v�� 4 per Ott _ # WDROOnn ti «�� g s Kvnreel COU - V 10=4 -le" rw wo.w 1) ' r g oil�y i P �ArWMV AZ c /SAY -- 2M,lV,E ', rYY 1I757 -ACEY ` tea_ f AW s i ,w Ply— co - - r m -7130100►g 7 X TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET �� VILLAGE DIST SUB. LOT a f 0 Tat Al LSe,ylfZ ACR. REMARKS TYPE OF BLD. ` � PROP. CLAS LAND IMP. TOTAL DATE . Cps I FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT ! TOTAL t -7/31x'S SOWN OF SOUTHOLD PROPERTY RECORD CARD- .STREET VILLAGE DIST. SUB. LOT x..c FORMER NERD, ��k� U�c A a.� d F . . _ N E _ - f - ACR. t7 r n p��1 S W TYPE OF BUILDING - - RES. �,� SEAS. VL. FARM I COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS s d ' � - g ?/? �,� r � - V#_ � , � _ wit . ��: _ � � a � � � � - _ n s - r V I f1 (I oopcj V I t_ZOO 2 c. di 2 I ; 4 �h' �, - 4 Tillable � FRONTAGE :ON WATER � � � ' -� F5 Woodland FRONTAGE ON ROAD g Meadowlald DEPTH Ail House Plot BULKHEAD 3 Total s E i s - ll OR _. TRIM _ - i � ' I f I ' s , 3 15.-9d.28 04j2015 w F M. Bldg. - � ,r Q i ii t Extension 3(oExtension t ^ r- p oo xt nsion � � 4 � �1 q f� � 11(0 � �� 4 c cip i Y 58 3 75 a? 14 Foundation ;Both �� Dinette i 00 ' iBasemenf 'Floors K. Porch ` . �x _ ra � 3 - 5Za �� _ ti Parch [ - r c IExt. Walls �\�> ,� c�a� Interior Finish s �? LR. ' lFire Place � Heat {kJ fC o DR. 76" 1 Rooms 1st Floor Garage t(1r 2-; r C��7 � �,r — 25 �.i;` ype - Roof Patio -nr� Recreation Room Rooms 2nd Floor O. B. �is� ="� Dormer Driveway \ s TQfaI r/Zooms FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28900 Date: 09�30 02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1080 LANDS END RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473µ889 Section 15 Block 9 Lot 1.28 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated !ELY 12 2002 pursuant to which Building Permit No. 28552-Z dated JULY 12f. 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND REAR DECK AS APPLIED FOR. The certificate is issued to ALBERT & LISA DULGERIAN .......... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL R10-99-0140 _ 0.8/30 02 ELECTRICAL CERTIFICATE NO. N 530133 0V I8/00 PLUMBERS CERTIFICATION DATED 06j26 02 PECONICgPLUMBING & HEAT. C Authorized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z"'t',1602 Date: 06 1.3 06 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 1080 LANDS END RD ORIENT (HOUSE NO.) (STREET) �NNNN(HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 1.28 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10 2006 pursuant to which Building Permit No_ 31899-Z dated APRIL�1, g2006 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALBERT & LISA DULGERIAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 2022792 06 24 0 PLUMBERS CERTIFICATION DATED 06 07/05 PECONIC PLUMBING & HEAT. Ara rized Si ature Rev. 1/81 Town of Southold 7/21/2015 P.O.Box 1179 53095 Main Rd 40 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37668 Date: 7/21/2015 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1080 Lands End Rd,Orient � .w..�.�....�............_.....�....__w_�..�..._�_www�w S.CTM#: 473889 Sec/Block/Lot: 15.-9-1.28 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/30/2015 pursuant to which Bud dated 2 9 20ding Permit No. _........39528 .... ....M � _�... .. 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: C S OR:Y 1N-QR D 1w: 1NG `OQ1L AS APPLIED FOR The certificate is issued to Kontopirakis,Peter&Kontopirakis,Eugenia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39528 04-14-2015 PLUMBERS CERTIFICATION DATED __... 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