HomeMy WebLinkAbout1000-21.-3-7 W W
Rental Permit
1208
Owner 605 Circle Dr LLC
Occupied as Single Family Dwelling
Located at 605 Circle Drvie East Marion 21.-3-7
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.
10/5/2024
Cade _n r nt Official
This Notice must be posted by the main entrance at all times f:
� p . TOWN t)F'SOUTHOLD—BUILDING N A TI ir'
V Town Hall Annex ,5 375 Main Road P. 0. Box 1179 Southold, ��11971 ►()5
Telephone (631) 765-1802 Fax (631) 765-95 2 littL:)s://www,southolcltownliv.tlov.
0�
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
605 Circle Drive West, East Marion, NY 11939 (1000-21.-3-7)
Tax Map Number: 1000 SECTION 1000 -BLOCK -21 -LOT •-3 _ -7
SECTION B.
OWNER INFORMATION: i � I
Property Owner Name: Eric J Bulis _(( C,>G . i3r L Le)
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
69 Riverdale Ave#603 Same as Legal Address
Greenwich, CT 06831
Telephone Number (s): Daytime 917-886-5367 Evening Same Emergency Same
Property Owner Email Address: buliser@yahoo.com
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: One
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: 605 Circle Drive W
Requested Maximum number of persons allowed to occupy Dwelling Unit: 6
Number of rooms in Rental Dwelling Unit: 8 Rooms incl 2 Baths + Utility Basement
Use and Dimensions of each room in Rental Dwelling Unit:
Living Room = 18'8" x 9'11", lei the = 1 '8" N 9'1" Breakfast No = 10"1" X 9'1"
Master 1 Bedroom= 12'11"x9'3" Bedroom 2= 10'4" Bedroom 3= 10'1"x7'3"
Bath 1= 5'6"'x6'0" Bath 2= 10'1"x4'4" Utility Unfinished Basement= 9'3"x13'8"
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.
E0 I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ lam submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Note: Property under renovation (Permit# 50269), will request Rental Inspection at time of Final Inspection
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 Eric Bulis 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: Eric Bulis
Property Owner's Signature: � -
Sworn t efore me this M day of ()OG,CC h 20 Zq
, k
Official N tary Public Signa ure and Original Notary Stamp
Ann Marie Bulis
Notary Public-Connecticut
My commission Expires
Page 4 of 4 March 31,2026
��,5-�
�� �
TOWN OF SOUTHOLD PROPERTY RECOR �,�a���►-�
OWNER - -STREET � ,�;� VILLAGE � DISTR..,. SUB. LOT _
e
FORMER OWNER N E ACREAGE
IS(, W ' TYPE OF BUILDING
RES.j SEAS. VL. I FARM COMK IND. CB. MISC. Est. Mkt. Value
u ,
LAND IMP. TOTAL DATE 1 REMARKS
a
lop
q -�Of
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre �
I Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD �'���� F` 1
•
Tillable 2 DOCK
Tillable 3
-ee
Woodland ( i
4
Swampland m
Brushland m
�3
House Plot
i
Toto I
,
a
r
,
f
- 21,- -7 9 t t
-- 44 -
h _
I71 Foundation
g
' oth
M. Bldg. 7 3 / � n �
Extension Basement �� Floors °
E
Extension Ext. Walls , Interior Finish
f, ,
Extension Fire Placep Meat =
Porch` Roof Type °
Porch Rooms 1 st Floor
Breezeway
Patio Rooms 2nd Floor r
Garage
F Driveway Dormer
9
O B. ,'I
SL
-73
Off k Town of Southold 10/5/2024
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 45635 Date: 10/5/2024
THIS CERTIFIES that the structure(s) located at: 605 Circle Dr, East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-3-7
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- 45635
dated 10/5/2024 was issued and conforms to all the requrrements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood fwapie siJr� anvil c ivv iii&
The certificate is issued to 405 Circle Dr LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. r
.._.�.. , . ......ate.rtx..e i...,.nature.�.,..�... ........
g
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 605 Circle Dr,East Marion
"'._.., ........ .......... ....... .............. _,.__..... . ..... _ ......,.., _......
SUFF.CO.TAX MAP NO.. 21.-3-7 SUBDIVISION:
NAME OF OWNER(S): 405 Circle Dr.. ...... ......_........._.
LC
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Bulis,Maria.... ...._..... rv... ._____ .... ....... � ..._.�._.... ........�� .�.. ....... ._DATE.,,,,,,,,..l.. w.._..._...._-_���-_..
0/5/2024
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
..w... .
BATHROOM(S): 1 TOILET ROOM(S............. �.........
.... UTILITY ROOMS)
)' _...... .............
PORCH TYPE: DECK TYPE: PATIO TYPE:
. ...... ....... ... ..................
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WA
TER:
. .........
#BEDROOMS.. ... 2.... #KITCHENS: ....._...._
1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
..... ...........
INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/3/2024
TIME START: 11:00am END: 11:30am
c11FFC w Town of Southold 10/5/2024
P.O.Box 1179
53095 Main Rd
� ,N' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45634 Date: 10/5/2024
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 605 Circle Dr,East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-3-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/15/2023 pursuant to which Building Permit No. 50269 dated 1/29/2024
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:
alterations_and additions, including outdoor shower andwfa rclings,wto existin&,inglq familv,dwel,lin„2with unfinished
basement assaala :lied for,
The certificate is issued to 605 Circle Dr LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50269 9/12/2024
PLUMBERS CERTIFICATION DATED 6/21/2024 amaritan Phimb ng c
Au , o_. .ze ...M g r
FORA[ NO. i
TOWN OF SOUTHOLD W
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 3 Date
THIS CERTIFIES that the building located at . . . . . . . Street
Map No. . x-. . . . . Block No. . . Lot No. . . . . » . :` . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . 19 77 pursuant to which Building Permit No�1 Z—
dated . . . . . . . 101, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occ cy for which c
.ems
issued is . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to �•. ! . . . . . .. . . . . . I . . . . . . . . . . . . . . .�. . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Ap al . . . . . . . . . . . . . . . . . . • • .
UNDERWRITERS CERTIFICATE No , . . . . .�. . �. s . . . . .
HOUSE NUMBER S/ 5 . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
F
SCOPE NOTES: ` LE-03-A_ B}- a
1.REFINISH WOOD FLOORS RO�^RQU€,PATCH AS NEEDED
4
2,REPLACE TILE FLOORS ATSATt`ROOI,��WVINYLlPLANKFL IND I, RED D �
3.REPLACE VINYL FLOOR AT KITCHEN wJLANK- ;� j, REPAIR ENTRY LANDING& NEWBILCO
4.REPLACE SHEETROCK WHERE NEG STHERI i S€M. ( KNEE WALLS;NEW ;HATCH TO
COAT TO LEVEL$FINISH THROUGHOUT
BLUESTONE AT TREADS, �4 CELLAR AR("
8 REPLACE ALL TRIM INCLUDING BASE(1x4)-REPLACE CROWN _ WA LS.&LANDING:2 R 8§
WHERE NECESSARY , SEE DWG.A4 FOR PATIO- RELOCATE WALL
8 PRIME&PAINT THROUGHOUT,INCLUDING CLOSET INTERIORS, DIMENSIONS i REGISTER AND DUCT
PROVIDE COLOR SAMPLES IN PLACE FOR OWNER REVIEW DN
_ 47p4
NEW COMPOSITE ` ( ;
wk
——RAN6ftA1LS ffi t_ s Q
3
FULL HEIGHT
REFIN a O FY g
t :CABINET VINYL [EXISTrRAMIING F
OR
PROVIDE APPROX-30'x 90"PAINTED 3t4 tx N I F
f ,(. WOOD A TLOi I
BIRCH PLY PANEL,MOUNT NEW WASHER BOX o[��0 W/D 14-8°x 0'=1' WINDOW
ABOVE TOP-LOADING WASH ER;#384816Yff RWR, 11 A11 0 Q
(' OATEY OR SIM,;VENT DRYER TO EXIST.HOOD 1 8wh.;
R - ` 10 - ..- %� ACT a[., t
NEW HAT SHELF AND 131 a 0 xT1
}
BRUSHED NICKEL HEAVY i 1 ` Ai
DUTY HANGER ROD
e UPPER& -- RELOCATE WALL
LOWER J' ¢`$ >: REGISTER A ND DUG
-
18-8`x9'-11° _ REPLACE = CABINETS
`
- F T E
REMOVALS T
__�
DATA AND POWER
REFINISH WALLS AT Pa GRNOFLOOR $- g TAM
TO ELIMINATES *. _ "� -
HOMETHEATER -- OUT-OF-PLANECONOtTIF t> ° LaChape.c
10,-9„ 6 $ All .
Z t
` NEW HAT SHELF AND I}
MINERAL WOO 4 1 -
1 31'BRUSHED
7 1
s;t KL HEAVY DUTY SOUND BATT AT dF
` HANGER ROD BEDROOM 2 WAILS
AN
IANSTER B R 1 k , -i o BE n 1?
12`-i. xT-3 4Ate 104,x8,_$
[ 80 SF ° BEDROOM3
3 10
MODIFY
FRAMING FOR
ADDITIONAL
WINDOW
tiq
SCOPE NOTES(CONT.). 7" s
7.SCRAPE AND PAINT THOSE INTERIOR DOORS TO REMAIN LINE OF.A``E= $ BATH * REBUILD REAR STAIR IN
NEW HAT SHELF _
8,INSTALL NEW CABINETS AND APPLIANCES OVERHEAD {_
I MODIFY FRAMING AT c AND 1.31"BRUSHED CONCRETE;BLUESTONE
9.FURNACE TO BE REPLACED BY OTHERS wt ELEC.HEAT PUMP REPLACE BEDROOM FOR DIFF. NICKEL HEAVY AT TREADS AND
10.REMOVE,SCRAPE,PAINT,&REINSTALL EXIST.HVAC pN LANDING L -
REGISTERS,OR REPLACE PLUMBING AT WINDOWS DUN HANGER ROD O
EXIST.OUTDOOR ARRANGEMENT 2R�$" CONS � TIO
M SECURE BILCO HATCH WITH COMBINATION LOCK BY SHOWER 1T @ 11"
MASTER LOCK(#M40EURDNUM) NEW WHITE U TRUE PROJECT
S0_ COMPOSITE NORTH NORTH
GROUND LOOK PLAN EXISTING NEW PARTITION WALL REGISTER HANDRAILS
- SCALE:1/4R _ ('-O° PARTITION ORADJUST
FRAMING
SCOPE NOTES NOTE:COORDINATE LAYOUT OF CEILING FANS AND RECESSED LIGHTING G7EROSA/BULIS
1.PROVIDE NEW LIGHT FIXTURES AND SWITCHING THROUGHOUT TO AVOID INTERFERENCE;REVIEW WITH ARCHITECT AND OWNER RESIDENCE
2 PROVIDE NEW CONVENIENCE OUTLETS THROUGHOUT AS INDICATED;RETAIN
CODE-COMPLIANT WIRING AND REPLACE NON-COMPLIANT WIRING;EXISTING 605 CIRCLE DRIVE
OUTLET LOCATIONS ARE SHOWN,NEW LOCATIONS INDICATED WPADD' PROVIDE TIMER(INTERNET 6 PATCH CEILING AT AREAS OF PROVIDE DUCT FROM REMOVE AND PATCH LAST MARION.NY 11929
3 PROVIDE NEW SWITCHED(HALF-HOT)OUTLETS IN BEDROOMS AS INDICATED ADDRESSABLE CONTROL 1 DEMOLITION,HEADER REMOVAL, _= OVER-THE-RANGE ATTIC HATCH
4-PROVIDE(2)NEW GFI OUTLET CIRCUITS IN KITCHEN,PLUS NEW APPLIANCE FOR EXTERIOR LIGHTS AND NEW PARTITIONS MICROWAVE TO ROOF Eli— DUCT BATHROOM
OUTLET CIRCUITS AS NEEDED ( PROVIDEACCESS VENT FAN TO EXIST
5.REPAIR GWB CEILING AT ALL REMOVALS,NEW PARTITIONS,AND EXISTING IN WALL FOR LOW VENT AT EXTERIOR
BLEMISHES;SKIM TO LEVEL 5 FINISH VOLTAGE HVAC I WALL
_p —M.7
CONTROL WIRES
I,V EA
,LOCATION FOR UNDER _ RELOCATE " =
_E-T'> TST6@E CHOSEN#
SFC ,. AND OWNER
s- _
WED I€ t 1
{ _,' R ADD "OC' AM 0-� u.sit
-- -- =mef= _
rs
CiLR
f _ y -
C - -.
Imo$4 -'F l dSO,
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aa`` - - a. _ TER
, DO
I arhi��,«,
o ro =A ' LaChapelle c ( C(Ure PI LC
P.O.6m 1251
tRuck
--`�� - -- _ F3 ��� -5658( a eQlachaoellearchltectwecore
�a_=a
o
NEE
m �FIE
_ c0
RELOCATE
0 RELOCATE
4
(
3
I FM -
., a^��cITES(CONT.} NEW FOLD-DOWN ATTIC LADDER;
6-.MKOVIDE NEW 26 GROSS FRAMING(STABILIZE wt BLOCKING)PERP, DUCT BATHROOM FAN DUPL ELECTRICAL R9_CEE`A+LE WARNER OR SIM.;PROVIDE ZIPPERED
TO EXISTING JOISTS IN AREAS ADJACENT TO NEW ATTIC HATCH AND TO ROOF , INSULATED ATTIC STAIR COVERCc GROUND
FASTEN 1 P2"PLYWOOD TO NEW FRAMING TO PROVIDE APPROX,256 REPLACE CEILING IN QUA a�Euz.-CAL REO PTACLE
FLOOR RCP&
SF OF STORAGE BATHROOM 1 SC SMOKE+CARBON MONOXIDE DETECTOR;INTERCONNECTED
ELECTRIC PLAN
7.PROVIDE SWITCH AT TOP OF ATTIC HATCH LADDER AND(4)ATTIC O �p
LIGHTS SPACED DOWN THE LENGTH OF THE RIDGE BEAM;PROVIDE NEW THERMOSTAT (� W
OUTLET AT TOP OF HATCH $ NEW SWITCH TRUE PROJECT SHEET NO:
GROUND FLOOR REFLECTED CEILING PLAN NORTH NORTH
s, NEW SWITCHw/DIMMING-COORDINATE TO FIXTURE
s, NEW 3-WAY SWITCH (14.34°) a
SCALE:1/4' =T-0' s' NEW SWITCH wf VENT FAN TIMER
SHEET 8 OF 12
SCOPE NOTES: DEMOLISH AND PROPERLY REPLACE EXIST.2x4 GE ROW13 U LIS
1.FURNACE TO BE REPLACED BY OTHERS wl ELEC.HEAT PUMP DISPOSE OF FUEL OIL TANK, BRACES AND FOOTING
i 2,PROVIDE MOLD REMEDIATION BY QUALIFIED CONTRACTOR PUMPS,AND PIPING w/NEW 2X4 FRAMING RE-
PRIOR TO START OF ANY BASEMENT WORK @16"O-C,:NEW SILL 605 C RUT DF
3 PROVIDE VALVES/MANIFOLD IN BASEMENT AND GRADE TO NEW S.S.PIPE RAILING AT PLATE AND TOP PLATE;
ALLOW OWNER TO DRAIN AND BLOW OUT WATER SUPPLY BASEMENT STAIR TO NEW CONT.FOOTING
SYSTEM IN HOUSE FOR WINTERIZATION UNDERSIDE OF HATCH EXIST,&,SE-W-ENT SIM TO DET,21Al2
NEW INTERCONNECTED CARBON STAIR: \
DEMO EXIST-8"CMU
MONOXIDE DETECTOR 1 ML 9R@ a!"
COLUMN ON CONCRETE
NEW BASEMENT LIGHTING \1 L 8 T @ 81" FOOTING AFTER NEW A
IN[ FOOTINGS PLACED
———————Wiz——
EXIST 8 CMU RETAINING 4- UP
WALL,APPROX.4�10`TALL
NEW GFCI OUTLETS @ 48"AFF
. "
(CRAWLSPACE i
NEW 200A ELECTRIC
BREAKER PANEL
4
----- -------
EXIST FUEL OIL FURNACE REMOVAL&REPLACEMENT
GFC! ------
BY OTHERS PROVIDE POWER FOR MITSUBISHI
M-SERIESik-036NADUCTED FAN COIL UNIT --------------
---------- ----------------V-'
--
EXIST.8"CMU WALL ON 1 Z APPROX f 7
'
DEEP CONCRETE FOOTING
CFZAArL i
EXIST. SPACE
5�V 5�-Q- 15'-0- STEEL �3 4'-3'
LALLY 4' -
COLUMN
OT
BAS-EcUENT FLOOR i
REPLACE EXIST, EXIST(2'2x6 GIRDER @v
REPLACE EXIST
FOOTINGS WITH ------- (646)2E:-�3-8 _Q T
'-DD
FOOTING WITH
NEW TYP, L
33
f NEW TYP
EXIST.BRICK CHIMNEY BASE GFCl
K
------------------------------------------
REMOVE EXIST HWH,NEW HEAT GF0
RHEEM 65 GAL.HYBRID FT
EXIST 2x6 JOISTS PUMP HOT WATER HEATER; -----------k-------------------------------
@16"OVERHEAD CONDENSATE PUMP TO EXIST,2x6 JOISTS APPROX 11-2`
DRAIN;VENT TO ROOM a @ 16"OVERHEAD
PROVIDE LEAK DETECTION
——————————————————-T—————— ———————————— ———————
REPLACE EXIST. EXISTING AREA OF NEW DEHUMIDIFIER ON NEW 4" REPLACE EXIST.2x4 BRACES AND REPLACE EXIST
VENTILATIONLOUVER AT DROPPED FRAMING AT 30)(30"CONCRETE PAD; FOOTING wt NEW 2x4 FRAMING VENTILATION LOUVER AT
CRAWLSPACE WALL w/ BATHROOM ABOVE PROVIDE DEDICATED OUTLET @16"0,C,;NEW SILL PLATE AND CRAWLSPACE WALL wl PTD,
PTD,ALUMINUM LOUVER AND CONDENSATE PUMP TO TOP PLATE;NEW CONT.FOOTING ALUMINUM LOUVER
PROVIDE POWER FOR EXTERIOR OR DRAIN SIM,TO DET,2/Al2 BAS-N-- LA_
MITSUBISHI M-SERIES
#SUZ-KA36NAHZ T
OUTDOOR HEAT PUMP TRUE PROJECT
NORTH NORTH
BAHMENT PLAN EXISTING (1434
A&00
SCALE:'/4' =T-0' PARTITION