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HomeMy WebLinkAbout1000-31.-4-16.11 TOWN OF SOUTH OLD Rental Permit 1368 Owner: Nilos Fakaris , Christina Fakaris Occupied as: Single Family Dwelling Located at: 805 Kayleighs Ct East Marion 31.4-16.11 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: 08/26/2025 Expiration: 08/26/2027 coa E ement Offoal This Notice must be posted by the main entrance at all times E . ti li TOWN OF SOUTHOLD—BUILDING DEPA I -4 2024, t Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 1197 59 Tele.bone fa l� ( 3'l 71i -1 SC)7 Fax ( 31) 76 -90 htta�L/ww�a 1Lh'&,town�r . I / RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: A,r J / Slete- 16VL, 143 Tax Map Number: 1000 SECTION BLOCK LOT � 1 SECTION B. OWNER INFORMATION: fi t'L2 1 .S Property Owner Name. /V P Y Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) �7.2 Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: 's IQ, xi/ �rV11-- Page 1 of 4 Sectio C. Authori d Agent Information: Name of Aut rized Agent of dwelling unit, if any: Address of Auth ized Agent (no P.O. Boxes): Mailing Address of thorized Agent: Telephone Number (s): aytime Evening Emergency Email Address: Section D. Managing Agent Informatio Name of Authorized Agent of dwellin unit, if any: Address of Authorized Agent (no P.O. Bo es): Mailing Address of Authorized Agent: Telephone Number (s): Daytime \vening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for re\pries 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 Em rgency 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: "e' Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: S '• -14 /K � r� �� 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0 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 SUFFOLK) r I �✓ ( , certify under penalty of perjury,the following: I 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: 10 Property Owner's Signature: Sworn to before me thiP day of ��e �, 20�(� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2 kc%V Page 4 of 4 rof our TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 31 - Lf-I�, /f 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 (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: �e C0 XA le, . �. . DATE INSPECTOR 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 RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [DENTAL Roo REMARKS: ,� �.0. p 2 DACE a s� _ — INSPECTOR f FatTown Hall Annex AAF C Town of Southold 54375 Main Road Rental inspection Report PO Box 1179 " Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# Date Owner Phone Address OS' G� Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: V Town Hall Annex m W Town Of Southold 54375 Main Road � Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 ara x:ra SCTM # / . / Date e? Owner 2is Phone Address S /e% s Cl. Visible Hamlet Prispector Floor level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms' 1 2 3 4 5 6 Smoke Detectors ' Egress Occupant Count Building Systems Maintained&Operational iCondition of Property Heating Building interior Hot water Building exterior - Electrical Property clean, maintained&safe Mechanical [Handrails&guards installed&secure Pool Safety Pool on Site Surface water alarm Date of CO issuance` Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD PROPERTY RE .z 4 OWNER STREET VILLAGE DIST� SUB. LOT 40-5 AOR. REMARKS zc- TYPE OF BLDf PROP GLASS LAND IMP, TOTAL DATE f J� aP � 2ioor ., Ili ( l0 1� Lo i-- 'p;y _ _ „' - _- - _ r I - ji m j F 3 s - 4 a0 toad 7 9,0 s s FRONTAGE ON WATER TILLABLE 1 � FRONTAGE ON ROAD WOODLAND t DEPTH MEADOWLAND ffi BULKHEAD HOUSE/LOT wa _ . TOTAL ' •I!. 'AJr; fs c. y 31.-4-16.11 12/14/2022 17 rr�rsr -11 -2 M Bldg. 2� X �� �I �6'�^ 2�f- 556 S�� Foundation -4 Bath Dinette FULL Extension 2 Y. k zZ Basement CRAWL Floors �I Kit. Extension (o K 2.2= �3 z sj �� Ext. Walls V�,,.i` CLr Interior Finish �J t�; L.R- Extension Fire Place (cS Heat D R AS ��-9- 10 Woodstove Bft ,� -` P �p 0 d 6 I` P feh C— -S� �� �-0 Dormer.. Fin. B. Deck \ �C �b `� � �� &v Attic Breezeway A-C gam- Aoo Rooms 1st Floor Garage 2� }(;n3 SOrn its I�qg Driveway Rooms 2nd Floor 3g� Z Ic ,w o.B, 71 o�- bl7 Pool N ?on'q 4(1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27255 Date: 08/18/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 805 KAYLEIGH'S CT EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 4 Lot 16.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26 1999 pursuant to which Building Permit No. 26025-Z dated OCTOBER 13, 1999 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 PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. DOES NOT INCLUDE A REAR DECK The certificate is issued to DBM Co. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0050 08/11/00 ELECTRICAL CERTIFICATE NO. N 533129 08/11/00 PLUMBERS CERTIFICATION DATED 08/03/00 K & K PLUMBINGMEATING c ` th9fized Signature Rev. 1/81 Town of Southold 10/9/2021 P.O.Bog 1179 'e 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42423 Date: 10/9/2021 THIS CERTIFIES that the building DECK Location of Property: 805 Kayleighs Ct,East Marion SCTM#: 473889 See/Block/Lot: 31.4-16.11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2021 pursuant to which Building Permit No. 46721 dated 8/23/2021 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"'deep additionto -x.tin sin le-fan it d lin a, ap ted fbr. The certificate is issued to Copas,Jacqueline of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _w _A t . rir .._ ignature t-11.:,.. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49237 Date: 5/12/2023 Permission is hereby granted to: Fakaris Nilos 4 Wilson Ter � M Staten Island, NY 10304 To: construct accessory in-ground swimming pc: ng pool and pool equipment must maintain a minimum setback of io ,- At premises located at: 805 Ka lei hs Ct East Marion SCTM #473889 �. Sec/Block/Lot# 31.4-16.11 Pursuant to application dated 4/11/2023 and approved by the Building Inspector. To expire on 11110/2024. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector 1 4 5 6 8 G 10 I 12 3 14 15 le, f PLUMBER CERTIFICATION 6 ON LEAD CONTENT BEFORE SOLDER USED IN WATER SUPPLYSYSTEMCAN OT I unwx rsur G 'l =fi lI _ e TWA Z ALLPWM PII—M. - t� , :c;"-a5 r Pf�B[Z#dB 0.•tFLiFc IL - "-m—( AtARIl BEt966 a IL W 8.Yi8tlil8186 CD8E W [ _ .-L CERTIFICATE PRWDE%WRK U" ,, ANCY P8P8n88� _ ` Y _»___' `___ --- ---- T1T r.EU i LSTE88E� PpRL .7 1 -- ---- - - T - r : �r_____________ _ _ { t � � � 1 I((�: [[[ {PrA+D3�lYi iAtktnCN 3 _ , i g - 1; i #tom atgo. q�fs�uvnztr:mccPra` 3 I acsrazews6�ca�. � 3� � � i t" - o' ;�,��' I�� `_�vcrg�.�� ��f 9<P.•�..Pi � .i 3f ' �n,� P41�G€6FFIIa16f8 W 6 w I "i •,7 -. i -, `ram-.- -f: 's mre`K—x ne�asReacriPPu eif oP w tl� sa6rNurt tt etlac�6aeoot. - w L I - Ar�roroa w � w _ mot= O� x ea'as; pp of --------------- I i f ' y °��'�1i6 f ata Xree.=n � � { i • DIAMOND BUILDERS 445 MA;N 5T e z 6 EENPORT.N Y Lu L. 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