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Home My WebLink About1000-51.-6-3.6 TOWN OF S UTH LD Rental Permit 1343 Owner: Romano P Family Trt , Romano S Family Trt Occupied as: Single Family Dwelling Located at: 215 Leon Rd Southold 51.-6-3.6 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: 06/30/2025 Expiration: 06/30/2027 Code Enforcement official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT V Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 litt :Hwow soait,.Iio Idt Nhr illy. ow RENTAL.PERMIT APPLICATION Rental Permit Fee . 300('Application must be renewed ever �bears) Section A. Property Information: ° Rental Property Address: 215 Leon Road Southold NY 11971 Tax MaI2 Number: 1000 SECTION - 051.00 BLOCK - 06.00 LOT - 003.006 SECTION B., OWNER INFORMATION: Progerty Owner Name:gharles Romano Luisa Markadakis Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Charles Romano-98 Woods Court Glen Head NY 11545 Same Luisa Markadakis 39 Hamilton Drive Roslyn NY 11576 Telephone Numbers : Da ime 917-807-61.87 * Evening Emergency Property ner Email Address: r m and Carol nr ao �m 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: Al 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 propertie containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: g g g 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, 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 toccu yDwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwellin Unit: x 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 Cade 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 I s adopted by the New York State Fire Prevention and Building Code Council. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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 fF;et�K 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: p Y Property Owner's Signature: nSn ntref re mq this� ay of Official Notary Public Tignature and Original Notary Stamp VIKRAM S RANA NOTARY PUBLIC-STATE OF NEW YORK No.01 FIA6376826 Qualified in Suffolk County MY Commission Expires 06-25-2026 Page 4 of 4 v4v so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 !�j % - b ..O �. INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: c -fiv RATE WVDI INSPECTOR ,rs fir' 'OWN OF SOUTHOLDPROPERTY R C S , p f a4?q - OWNER STREET - VILLAGE - DISi. SUB. LOT 7;F_. FORMER OWNER _ N E Aft S W 4ZJ�^1 TYPE OF BUILDING RES. s �� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value i LAND IMP, ! TOTAL DATE REMARKS F _ t n _ Y. -, ," t 1 74 6 1 )2- 17 3 - i Tillable FRONTAGE ON WATER f , Woodland ! FRONTAGE ON ROAD i Meadowl.and - DEPTH 1 3 b' ` r [ l House Plot BULKHEAD s , Total i COLOR TRIM t_ - I5£ t I a � - _ N SX t � E 3 M. Bldg. Extension _ I js i � I I Extension t Extension Foundation ! Bath ; Dinette Porch — ; Basement Floors ' ` K. Porch 1 Ext. Walls Interior Finish LR. Breezeway � Fire Place Heat °„ i DR Garage I Type Raof Rooms 1st Floor iBR. _ 3 Patio J Recreation Room_ Rooms 2nd Floor ? FIN. B t: - .. O, g t Dormer i Driveway I i _ Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18767 Date FRUARY 6 1990 THIS CERTIFIES that the building ONE _FAMILY DWELLING Location of Property 215 LEON ROAD SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Sectiony 51 Block 6 Lot 3.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J E 1B 198B ursuant to which Building Permit No. 17215-Z dated JULY 15 1988 g 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 GARAGE & ENCLOSED PORCH AS APPLIED FOR The certificate is issued to SALVATORE & PALMA ROMANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-97-JAN. 8 1990 UNDERWRITERS CERTIFICATE NO. 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