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HomeMy WebLinkAbout1000-51.-3-3.2 Rental Permit 1328 Owner: Peter Nikakis , Harriet Nikakis Occupied as: Single Family Dwelling Located at: 365 Chablis Path Southold 51.-3-3.2 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. Issued: 06/10/2025 Expiration: 06/10/2027 Cod Ens mt cificiaV This Notice must be posted by the main entrance at all times r T 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 la s://wNNrw.s uth ldtowtira ..no r RENTAL PERMIT APPLICATION "s, Rental Permit Fee$300(Application must be renewed every two a °� Soo kc,# » mINI Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 1 -BLOCK 3 -LOT - Z SECTION B. OWNER INFORMATION: Property Owner Name: �,*Tff Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) M l(.L SPV-0wl, f-OAc> � r.a. & 2:12 Telephone Number(s): Daytime R(� Evening_ Emergency r Property Owner Email Address: S yv�"; Cd M a 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: 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): 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: 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. 6�� Requested Maximum number of persons allowed to occupy Dwelling Unit: 10 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: L I V i v,� Poar I I bo+2 fAtA I L (Z dbl-'� ,c22 b l vdi - 12 00 0 �F-44 M i - l e y- I& �b�aorl - ► III 272,;a 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. ❑ lam requesting afire 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) 1 � k lchV�LS 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: �._._.._ Property Owners Signature: m Sworn to before me thisol day of ("A' CONNIE f .BUNCH Official Notary Public Signature and Original Notary Stamp Notary Public,Mate of New"York No,OIi U61 5050 ualtfled in Buff tlrt County C Commission Expires April 14,2 Page 4 of 4 Town Hall Annexe Telephone(631)765-1802 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 �� o� i�Yli w �p X, BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: dPV A(-)(L " Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit.- Use and Dimension o each r om: L IY11-eA 9-oo � �°zcP pbtbllaom( 2 I6� 1 FAAr11 L-T - e)" I 2 2 Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy 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 occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: i I_C�b �o TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 51-3- 3,a ,o INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: Smoke le_t'aboll combo oe / on O/Z- �'02 on ©Cc v n'l 6A cv o DATE INSPECTOR Town Hall Annex ��� �� �' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 � w 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 Engineer, Licensed Home Ins actor must rovide copy of valid current certification Rental Property SCTM Number: Rental Property Address: 34 � A M � �'0�7t�tD 1 N'Y Owner/Name: ?P-fkA. { 11�bti�l S Rental Dwelling Unit Identifier: vi;— I'D Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) .'b2dbr'l 2. -- lid I-'1 ",;, to r Property Description (Include all improvements indicated on survey) l�AILtWi C�, I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, the Fire Code of New York State, the Property Mai tenance Code of New York State and the Energy Conservation Construction Code of New York St te. Print Name and Title ... r lori i"al Signature �o �!! Please lace Professional Seal: , p a �,, C3I=wt LL TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET I VILLAGE DIST,I SUBe LOT ACR. REMARKS ' TYPE OF BLD. PROP,CLASS Po LAND lmp� 14- TOTAL DATE 4AQ ) 1 /5 L FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND MEADOWLAND--z DEPTH BULKHEAD HOUSE/LOT t TOTAL A l g 7 COLOR l � r z1:5 - l 3Q =d I .� TRIM i 51:3-3,C�)..4/09 I El M. B dg A7 x �" !0 4Foundation Bath Dinette Extension - <_"�C� C is x �> ) r Basement SLAB Floors Kit. Extension Ext. Walls Interior Finish L.R. Extension Fire Place \,/ Heath,�,c 1 D.R. Patio �c� � Woodstove BR. Porch Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor Garage, Driveway Rooms 2nd Floor 1' Pool'A �_ �y�cr. r•t�_ � �r,p i,_ ,� `-� _� �/`� * FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. cERTxFICATS OF OCCUPANCY No Z-25041 Date MAY 15 1997 THIS CERTIFIES that the building MW D=LL.31Nr_ Location of Property 365 CEMMIS DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot 3.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 51 1996. pursuant to which Building Permit No. 23217-Z dated JANUARY 16 1996 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 AS APPLIED FOR. The certificate is issued to LOUIS 6c JIMT MILO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0141- APRIL_24j. 1997 UNDERWRITERS CERTIFICATE NO. N-405280 - D3CZKBXR 9f 1996 PLUMBERS CERTIFICATION DATED 5 1996-MRTSAND PLUMBING & HEATING Building Ins ctor Rev. 1/81 d FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. 4 u P CERTIFICATE OF OCCUPANCY u u ry^ No: Z-3025B Date: 06 28/04., II TRIS CERTIFIES that the building ACCESSORY Location of Property: 365 CHABLIS PATH SOU HOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 3 Lot 3 .2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 2004 pursuant to which Building Permit No. 30354-Z dated MAY 26, 2004 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR_ The Certificate is issued to LOUIS S & JANET M MILO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BRALTA APPROVAL N/A ELECTRICAL CERTIFICATE NO. 26677 03 24 99 c i p PLUMBSRs CERTIFICATION DATED N/A E 6 ZJozed ig nature i k k o� p Rev. 1/81 d k td� Town of Southold 9/12/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY k No: 45541 Date: 9/12/2024 THIS CERTIFIES that the building GENERATOR Location of Property: 365 Chablis Path, Southold w__ m SCTM#: 473889 Sec/Block/Lot: 51.-3-3.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P g w 3/22/2024 pursuant to which Building Permit No. 50614 dated 5/2 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: a cp + eg crator a a. Pli d Qt The certificate is issued to Nikakis,Peter&Harriet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50614 08/22/2024 PLUMBERS CERTIFICATION DATED *tr ,nature 1t t/(' Town of Southold 9/15/2024 P.O.Box 1179 53095 Main Rd +� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45555 Date: 9/15/2024 THIS CERTIFIES that the building ALTERATION Location of Property: 365 Chablis Path, Southold SCTM#: 473889 Sec/Block/Lot: 51.-3-3.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/22/2024 pursuant to which Building Permit No. 50615 dated 5/2/2024 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: ji t for alternation to,A sin le farm )yglling a%ap lea d for. The certificate is issued to Nikakis,Peter&Harriet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50615 8/22/2024 PLUMBERS CERTIFICATION DATED 4/21/2024 "eo Al:nyro� "s ._.._.....ww....... ..... ww,_ w..... ig natue Mejia, Evelin From: Peter <nikakisp@gmail.com> Sent: Saturday,June 7, 2025 12:12 PM To: Mejia, Evelin Subject: Re: 365 Chablis path, Southold Attachments: IMG_4970 jpeg; IMG_4968 jpeg; IMG_4974 jpeg; IMG_4969 jpeg; IMG_4973 jpeg; IMG_ 4972jpeg; IMG_4971jpeg Hi Evelin, Sorry I neglected to document the detectors outside as well but they already are present in addition to the ones inside each bedroom. Here are a few pics. Thank you. Regards, Peter 917-23 8-1493 On Wed, Jun 4, 2025 at 9:42 AM Mejia, Evelin evelinm,"c southoldtOwnn My wrote: Good morning, The building inspector has reviewed the certified rental application submitted on 6/2/2025. Please see the attached notes and provide pictures of the devices once installed so the rental permit can be issued. Kind regards, Evelin%ejia Office Assistant Town Of Southold Building Department Annex Building 54,375 Main Road 1 V «� uuuuuu � Y, iflfffff + I� I, ry��Y��('i I w i p 11 i illillj � II�Vi�4si Y�411VY son fJfl//UI(llCd rl, 11v11flR1U111D1 �� �ji" � lfrrl�t/%iriliip/arri�ir„!ral��rrlaaoii��ir� '°I 1 �f/ 1 e � I r J 91D�u 1J w/ / / �� i/„ HoYi�YlVY1�G / G NF :.T .....3-.Nl.. � � a Casrllw a I -------------- ._4' tll tr t _ � _ V a� p e Ems, 3 i 53 R 12 2 5 5 PAttT. v:f� t ," z r 5'47 a lac , FF -, L t - �1 k tom- 4 +x` S?It MORGhN _ IIII T E L T TI _ ' If 2'-i ._E"-"� 5 do < } �-FeeN, � �- -'R- E Y.2cEk5 N" •a.m, LYw ! _ I.-* eEPeGotf � R ALL X. NID4 ., n n I—Kiftlii­e, 2' +dui KABL. ATH,50-V?,Y R HTr: eR : NORT$;�T4f2LF)NY Zuv FLmK PLFN5 QLL4 ��5 adAT i lE FAil��PAr A e -s'-�� o c'z c. _ �`5^ L G;.LSERS. scAL j �..p• ».t" :2'E 9_�. : � � Fl.:rtN -wK�' -€ -C -,i ci 5<FD RW YP'%Al i' 13� Ai >�•°i S..ALE y '(T='—� I t"'�Z N '�j�y�' T BE R E G Fi 94T4RCOla- �b HCM ARCHITECTS ARCHITECTS&PLANNERS HCN DESIGN S CONSULTING SERVICES INC. I _ Imo' ti Ei I t , I3 1 RESIDENCE ` 365 CHABLI'S PATH FF---7 1 CHARDONNAY WOODS' NORTH SOUTHOLD,NYi I ; T PROPOSED CELLAR s EXISTING 1 DEMO I FIRST FLOOR PLAN PROPOSED CELIIIR PLAN f EXISTlNGIDEMO FIRST FLOOR PLAN PROPOSED FIRST FLOOR PLAN ,PROPOSED FIRST FLOOR; ITN, A-002.oa