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Home My WebLink About1000-57.-1-27 � TOWN OF SOUTHOL A Rental Permit 1290 Owner: Theodore Stratigos , Carissa Laughlin Occupied as: Single Family Dwelling Located at: 550 Blue Marlin Dr Greenort 57.-1-27 Maximum Permitted Occupancy: 4 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. Issued: 04/11/2025 ` Expiration: 04/11/2027 ode n entOficial This Notice must be posted by the main entrance t 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 11t ri:ZL;r w.t' )a A,it�lw 1 ay'E C E 0 U E r RENTAL PERMIT APPLICATION Building g epartment Rental Permit Fee $300 (Application must be renewed every two years olwn of SOUthold Section A. Property Information: Rental Property Address: 550 Blue Marlin Drive,Southold NY 11971 Tax Map Number: 1000 SECTION 057.00 --BLOCK 0001 -LOT 027 -00 SECTION B. OWNER INFORMATION: Property Owner Name: Theodore Strati os and Carissa Laughlin Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 12 Rutland Road 12 Rutland Road Scarsdale, New York 10583 Scarsdale, New York 10583 Telephone Number (s): Daytime 17-608-8165 Evening17`608-816 Emergency917-608-816 Property Owner Email Address: tstratigos@gmail.com 0.1 sW Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: /Z Telephone Number (s): Daytime Eve g Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Ev ing 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: N/A Address of Managing Agent (no P.O. Boxes): N A Mailing Address of Managing Agent: Telephone Number (s): Daytime Eve ' g Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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 SSO SL.UE MA `a bt V9v �Jg71.� Requested Maximum number of persons allowed to occupy Dwelling t: Number of rooms in Rental Dwelling Unit: 5 Use and Dimensions of each room in Rental Dwelling Unit: IS-2 ", ,S"-33 M A A- l - 16'_0.. 13. 10%(,' SeDW !1 11519 eICA ' 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. 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 Theodore Strati os , 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: Theodore Straticgos .,.. ..... .. m° Property Owner's Signature: Sworn to before me this day of Urc 1 , 20a�O Official Notary Public Signatur d Original Notary Stamp CORA ANN PEZZELLO Notary Public,State of New York No.01PE6251234 Qu0ified in Queens Count" Conlali ssion Expires I,JoV lnber 141 �� Page 4 of 4 � � Telephone 631 765-1802 Town Hall Annex �^�� P � � 54375 Main Road a P. O. Box 1179 _ Southold, NY 11971-0959C BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDEND M Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occ each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to cupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to ccupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: �� Xvt- Aft, brSXl- TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAN/(FAL) ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL] CODE VIOLATION [ ] PRE C/O [ ] TAL REMARKS Cti DATE 0 INSPECTOR Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or En ineer Licensed forme Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000-0057.00-0001-027.00 Rental Property Address: 550 Blue Marlin Drive,Southold NY 11971 Owner/Name: Theodore Stratigios and carissa Laughlin Rental Dwelling Unit Identifier: Unit 1 Number& Square footage of each bedroom as depicted in the attached floor pl (i.e. Bedroom#1 - 100 sqft., Bedroom#2-90 sgft., etc.) Property Description (Include all improvements indicated on survey) 0&)F- Sxva.4 l M6 I certify that I have done a physical inspection of the subject rental dwelling unit and fin t, t it fully complies with all the provisions of the Code of the Town of Southold, the Residential C e f New York State,the Building Code of New York State,the Plumbing Code of New York State, the Gas Code of New York State, the Fire Code of New York State,the Property Maintenance Code of N State and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature. Please place Professional Seal: %2 ,r CARD- VILLAGE SUB. LOT ew TYPE OF BUILDING ;a a . =- M -C, t- Value DAT LAND Imp- TOTAL REMARKS . ' o - a o - � N. 3 N NOR MA. SELcw ABOVE Value Acre Per value Y s_ Tillable Ia rills z z U Tillable 44, _ ar Swr-mDlcnd FRONTAGE ON WATTna Brushland RNGE ON ROAD House Not DEPTH iBULKHEAD Total irk - _ ---- o e a n F s ., ,ktj 57.4-27 11/10 l elation 2 Bath I Dinette Ude ion i Basement 3 _ s Floor Extertson -,Ext. Walls Interior Finish LR. Extension 3 , Heat DR. Fire Place � Type Roof !Rooms 1st Floor , BR. Porch x7- ,Porch - Recreation R m `Rooms 2nd Floor FIN. B. 2S ,Dormer _ Breezeway 'Driveway --- Garage _ Portia O. B. Total 0 R FORK NO. 4 TOWN OF SOUTHOLD etk1T ING OVARTMENT, TOWN CLERK$ OFFICE S1 1.1THOLD, ". Y. ER"T IFICATE OF OCCUPANCY Date .................. .............., 19.6AL. THIS CERTIFIES S that be building located of .22tMA"111i..Y»IMN ........................ Street Map No A .. .... Sk ck No. ............ ......... Lot No.b.....8 ` a�d.... ..Yatk................... sho..re conforrrs� substantially to ft Application for Building Plermit heretofore filed in this office dated .......... ....... Alt T9.i1�.. pursuant to which Building Permit No. ...,3BS9.2 4.. ..... A 19_. was issued,and conforms to all of the requirements dated ., ..... r of then applicable provisko of the low. The occupancy for which this certificate is issued is .......; ,i .........r.::::...« ....:...................................................... certificate is issued t ..'l ��..�'� ... ...........�,, .......,.,�.....,.-.......,r..., The cert .. ..4....,. ..;art lessee or o4) of the oforesaid building. nth °crIpt ApjWCvV&l• Oa r 7: J.9 Robert V111a ,• '^. g rt ............ 4Y.11u.Y wmAk 4liw M".1X21.+w'M YIP.............. Building Inspector . a Town of Southold P.O. Box 1179 a 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45714 Date: 11/01/2024 THIS CERTIFIES that the building DECK Location of Property: 550 Blue Marlin Dr Greenport,NY 11971 Sec/Block/Lot: 57.-1-27 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 03/18/1996 Pursuant to which Building Permit No. 51034 and dated: 08/05/2024 Was issued, and conforms to all of the requirements of the applicable provision, of the law. The occupancy for which this certificate is issued is: deck addition to existing single family dwelling as applied for per ZBA#4365, dated 3/6/1996. The certificate is issued to: Theodore Strati os, Larissa Laughlin Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51031 10/15/2024 PLUMBERS CERTIFICATION: ttAutrizeSignature � n sau,�o Town of Southold P.O. Box 1179 53095 Main Rd " , tom Southold,New York 11971 CERTIFICATE OF OCCUPANCY ANCY No: 45715 Date: 11/01/2024 THIS CERTIFIES that the building HOT TUB Location of Property: 550 Blue Marlin.Dr Greenport.NY 11971 See/Block/Lot: 57.4-27 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 06/29/2020 Pursuant to which Building Permit No. 51031 and dated: 08/02/2024 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: "as built" hot tub as applied for. The certificate is issued to: Theodore Stratigos Carissa Lau lin Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: "µ 51031 10/15/2024 PLUMBERS CERTIFICATION: Au. or tSignaamire 0 7a ry '-i o (n C) ,-i C> C) 0 () C) () t C OT. ?;; R q T -.1 fn II rIn Iro rn p Iq pj9AVj 7.1 i2P,l P,096P-T- W!'L�I&H,50M APCk*,-r6rT- O 5o4175f3 Soui!o N Y.�1197—( ---------------- m�. c � 70 1 �7 car � d= ITS i �0 26 Ln NO o` 5P� 1\ LJ toN�. a 00 a= 00Vi " 10'37/8 ((1 '"" SC) 6 s z � - �C w 4p � to C (o 8 *i rA o.� I" N p N 70 gr 1111r) 9 JO'p V3'.ID rb CA D r r� mom" n O tl SS7»7 I,l el ?obeet iiliarns�n SOX i75e SChJ i IQ7I ELEVATIONS SHOWN REFER TO NAVD'88 11 a 1oX MAo'IN DRIVE' fit- N74'15 2 4 q r�, h v LOT 5 LOT 7 U r,� 1 1 10.2' "wp 1x N �4 0 FENCE �a o Nr a �o l 1.8'WEST 18,3' COMPOST£ x O£CK A 110� P0.8, METAL OWR ova .. __ ..... a .. ... _, ...._. ....... ..,... _... -.._ -_.. WOOD BULKH£AO q BULKN u N 5.7 NORTRT H w., m r�!�-, BULKHEAD " " 3.9 NORTH tegacr ® BULKNEID AN CaVW"" 1.7NORTH Tiw. txAwe __ ENG owxaors ras rtasnxwT Aa aauv 4 q/p gppT py�gk_..�_ AG AN QA1mYl/G/fR AS/. A9IY/LT .,.+ 1�1 _� 9C7j1�'y CAWAM wAW CE VELOW WU GN.um tlYFANw Gm/m ar aMR? �w R w GRAPHIC SCALE rc rarEEcrAn1 �dy umnrfave.._. °--•r— ...,. 1 INCH 4O£££T _. MAP OF LOT 6 AS SHOWN ON "MAP OF SOUTHOLD ,SHORES AT ARSHAMOAOUE" MAMD AT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK MAP NO 3853 FILED 812911963 _ TAX MAP D£S/GNATION f 000-057-01-027 i m..... REFERENCE N0: 19728Rf CNl7/SOf'HE L" DATE 07 �2021 SURVEY SOLUTIONS - --=-— — cy x� SURVEY PREPARED FOR 6 S MUNICIPAL PURPOSES I HUNT OR. X HILLS,, I D NY 1746 (63f) 858-1675 N.Y.S. LIC. NO. 49857 CLIENL• STRAT/G05 www�tlflesun!e .Camel C COPYRIGHT