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Home My WebLink About1000-31.-1-5.5 of s 'OWN OF SOUTHOLD Rental Permit 1421 Owner: Miguel Delgado , Kalliopi Delgado Occupied as: Single Family Dwelling Located at: 525 Rocky Point Rd East Marion 31.4-5.5 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. Issued: 02/12/2026 Expiration: 02/12/2028 Cade forcemen Official This Notice must be posted by the main entrance at all times t 77 r TOWN OF SOUTHOLD—BUILDING DEPARTMENT 4, Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 Lj p :H ww southoldt()vrr� V_C_ RENTAL PERMIT APPLICATION 4 30 00 0 Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental P oper y Ad re s: Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: _�o I �V" DIA'd 6 d Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 335 CAravv4wJ 0V q A, Lo'qaA �WAJ` Al Telephone Number(s): Daytime $e_ning Emergency I An D In Property Owner Email Address: A/WILIk"t If, Page 1 of 4 Section C. Authorized Agent Information: 0 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, 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. sia-, (i� For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit:. LNumber of rooms in Rental Dwelling Unit: d Dimensions of each room in Rental Dwelling Unit: 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 [:mmD 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 5' 1vo 11h kL , 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 Owner's Signature: � P�.�2 llCf 1r� Sworn to before me this day of J 20 Official V-6-i'ari4blic Signature acid O lginal Notary Stamp OLGA L ZAFRA Notary Public-state of New York N0.01ZA5032510 Qualified in Queens n " Page 4 of 4 My commission Expires �zkr . qf SO TOWN OF SOUT OLD BUILDING DEPT. 631-765-1802 INSPECTiulm [ ] 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: l�Y 5 ' f 6y 0 � 0 � cci�iras �V eaceln e d P an r r re _ �g}�� - � S 25-sefi Amev«an Fa.a>.Wwxt>Aase nl osamc �€S M—pAG'OL E1 Ea . �-I` - :P o oyyy cli+eieN%p�Su�.vL TrE - - E.b 4 � � e",d X°a`L 2XDLJp 6 OL _ & �` - - I sl ad E L5 V960 T I?LID r p�yryy�� ' YYCC3tICl.L� ipV6YO[1:1Y w „. --. - _ 3 3O LE ena. 9 lfiap F SpD s � R FIR5T FLOOR Pi—AN z =, '+� �<,_ e- _ � z4€� _ 'RST�Y�MAW E+ABLE OJkTt hoya o Pvfmw wlurer>ro+.c4 cns("*ECO a'[yre>L N.te.ai� D anro Fi 1 i E _ a s .JENIC,Q► . f ARCHITECTS& ENGINEERS, P.C. 14LI North Country Road,Port Jefferson,N.Y.MITI Tel (516)928-2112 Fox:(516)928-2165 �j _ ONE STORY RESIDENCE FLOOR PLAN s ' Scalell4•=I'-0"�roui By,E.N�osla A 3 Datei49/97 bbp�41�40 AGv� 3 aF 4 FLOORPLAN SKETCH ftrower: Flk�No. 202503.121 E�rqp 9yAdAq.S L.,AZkBpctt Pofnk Rd Case No,:1225152287 NN .�!!y,.EaqL Marion a e: N' 'Ll.39... Lender united Wholosate Moetnaae ..................... ................ 60.30ft Dining Primary Family Primary Bath Bedroom Kitchen Entrance 21,9ft Bath Living jS01- 2 Car Built-in Bedroom Bedroom Entrance R [Area 473 ftl 19-3ft First Floor 13 Oft [Arba:1712 ftj 21.9h 12.8ft 10 it wag== W F'11*t NO" 14OW 1,124* 2 CAT OW131W .......... ........ .... EXITING EX ERIOR&JB LEVE STERS: II Rs L T'xRrl.,A I..CMIfNG W/TWTAIN KIO,1p,I I 4V91 I K"'N AT GRADE UNIT' I TD 5,V"01 WINDOW ^ � -�4.�, CORCUl(BREAKER EGRESS TX)OR HVAC UNI I a.owr.p EXISTING CONU6-7r, HAMA ON W&L 1L.r................. ............ A 11 HIS 7 rREAO 5 M 0.5' gght' �11 I'll 411Awl.. .............5,x 2r VANtl Y 50 5 WIDE 11INDOW R�LQM_ 2X4 S f LODE:E D WA[L 2XI, UD(.EED WAI L(IN SLJLAd ED =EXIST)NG CONCRETE FOUNDATiON WALL LE� PROPOSED BASEMENT FINISHED SC ALE: /E1T"--T-0" SCTM#1000-31-1-5.5 lq§kL_��RPj/ IS DATE .._ReL_ !FOR PERMIT G&tD6f2S .......... 2 3 ............ N.J.MAZZAFERRO,P.E. DRAM BY: —2-- NIS PROFESSIONAL ENGINEER DAM P 0 BOX67,GREENP(DRTNy,11G"M5,457.55% EmmI.: 525 ROCKY POINT ROAD EAST MARION,NY 11939 A-1 Town Hall Annex INV of � �� Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 ff `# Southold, NY 11971-1179 Tel: 631-765-1802 a SUM # 3/ — j Date A� /o�•o?to Owner t 2 Q p Phone Address �j" rj" �p / 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: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET �� VILLAGE DIST_ SUB. LOT f ift M _,J r AOR, RKS - - e 0 ar PROP LAND IMP. TOTAL DATE I / —A� E _ t �o = _ � _..ems6_ _C1 �� F Va _ t 3 _ FRONTAGE ON WATER 1 TILLABLE FRONTAGE ON RQAD WOODLAND I DEPTH MEADOWLAND r a BULKHEAD HOUSE/LOT I TOTAL r '.. .° COLOR l s _ 3 I I I ! TRIM 1 I i 1 , 31.-1-5.5 9/1 o ; I — s j31 c�Q J E a f h M. Bldg, t Foundation Bath Dinette r`a` Ce u�L Extension j4 Basement 5AWL Floors Kit. SLAB. 1 COX-,ka'- r 3 Extension - 2 Ext. Walls V�r.�l� t1� Interior Finish r r L.R. 1 V I Extension `Ct r:„ Fire Place ` Heat D.R. P Woodstove BR. o bT— 0#� Porch I rr I i ; 0 �'f Dormer Deck Attic - Breezeway t i 7Z� �a � Rooms 1st Floor Garage l / r 1� Driveway �r I ,, y Rooms 2nd Floor O.B. v Ca Pool r_ 1 c 0.0 � . 99 T Y O 'E a 4-. € Lt l 0 40 —>._, FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25984 Date: 09/23/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 525 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 1 Lot 5.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7f 1997 pursuant to which Building Permit No. 24059-2 dated APRIL 22, 1997 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 ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to ZOUMAS CONTRACTING CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-97--0073 03/25/98 ELECTRICAL CERTIFICATE NO. 17205 08/15/97 PLUMBERS CERTIFICATION DATED 09/03/98 HI-TECH PLUMBING r Buildin nspector Rev. 1/81 Town of Southold Annex 1/27/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36736 Date: 1/27/2014 THIS CERTIFIES that the building AS BUILT ADDITION . ............. ............................ ..... .. ....... ........................... ........... .. . . ...... ..........Location of Property: 525 Rocky Point Rd, East Marion, SCTM#: 473889 Sec/Block/Lot: 31.4-5.5 . .................. .. . ................................... ........... Subdivision: Filed Map No. Lot No. .... ....... . .. .............. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/18/2013 pursuant to which Building Permit No. 38611 dated 1/6/2014 .. ...... ....... 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 kILILT-DEQK ADD[j,JON WITH PAMUIAL.C,�PY�.`Q_A SINOYL-LE—FAMLLY D)KELLINQA5 APPLIED FOR The certificate is issued to Kohler,Joseph&Kohler,Carolann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38611 01-24-2014 PLUMBERS CERTIFICATION DATED �turn Autho ignair �„11Ftltep� r�. Town of Southold 10/12/2024 P.O.Box 1179 53095 Main Rd '* Southold,New York 11971 __..... _.._ .�....�.._.._........MM...__..�........ ,.wwwwwww. ._ __ ..�www.w.wwwww_._ CERTIFICATE OF OCCUPANCY No: 45652 Date: 10/12/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 525 Rocky Point Rd,East Marion SCTM#: 473889 Sec/Block/Lot: 31:1-5.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/3/2023 pursuant to which Building Permit No. 49227 dated 5/11/2023 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: ac essory nag cru d s impjr i g p r l fenced to code as applied for. The certificate is issued to Delgado,Miquel A Jr&Kalliopi of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49227 7/16/2024 PLUMBERS CERTIFICATION DATED __ o *7ea atur nary Town of Southold P.O. Box 1179 53095 Main Rd a� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45809 Date: 12/06/2024 THIS CERTIFIES that the building ACCESSORY-NEW STRUCTURE Location of Property: 525 Rocky Point Rd East Marion, NY 11.939 Sec/Block/Lot: 31.-1-5.5 Conforms substantially to the Application for Building-Permit heretofore,filed in this office dated: 04/07/2023 Pursuant to which Building Permit No. 49229 and dated: 05/11/2023 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" accessory shed as applied for. The certificate is issued to: -Miguel Delgado,Kallio i Delgado Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 49229 11/16/2024 PLUMBERS CERTIFICATION: e Au'ho red 'signature