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Home My WebLink About1000-31.-6-11 of so TOWN OF SOUTHOLD Rental Permit 1470 Owner: BKM Prpts of Shoreham Inc Occupied as: Two Family Dwelling (Unit 1) Located at: 7600 Route 25 East Marion 31.-6-11 Maximum Permitted Occupancy: 3 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 arrang for the al in n. Issued: 05/14/2026 Expiration: 05/13/2028 co Enfo me t ciai This Notice must be posted by the main entrancoatallmes of so TOWN OF SOUTHOLD Rental Permit 1471 Owner: BKM Prpts of Shoreham Inc Occupied as: Two Family Dwelling (Unit 2) Located at: 7600 Route 25 East Marion 31.-6-11 Maximum Permitted Occupancy: 2 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 arrangin r the b* nnu inspection. Issued: 05/14/2026 , Expiration: 05/13/2028 Code forcenen ciai This Notice must be posted by the main entrance a Uallties TOWN OF SC.1U"1"1-1COLD_..BUILDING DEPART MENT Town Hall Annex 54375 Main Road P. 0, Box 1179 Southold, NYA 1971-0959 *� ' „art tR9 Fd." IIMw F wwrau r ayr r Telephone (631) 765-1802 Fax (631) 765-9502 h�1:J/www.soittli(�)ldto !)I w MAy RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Ck4 Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 3 -BLOCK -LOT - SECTION B. OWNER INFORMATION: Shatter CIO Property Owner Name: G'( S "' W 7-76 Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 2 3II M6r- i G ? 0 - A 11- s iG Telephone Number (s): Daytimes- �SI� Evening sAmt, Emergency 50'tCi Property Owner Email Address:I 5haAa. AA,,A 6 Vlr-f M� 11. ealtl 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: G 00 � r W 5 Address of Authorized Agent (no P.O. Boxes):A3 S QO( --► Mailing Address of Authorized Agent: 3 S /Vu( '� <;Fire04 brl o )`f q4- 631 - Telephone Number (s): Daytime_ V <-6--(0 Evvening She Emergency Email Address: 7M C—M� + •rUM 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. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." SFi � A�>��'� / �1 Rental Dwelling Unit Identifier: 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: 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. 4l- I 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 Ql°AA'f5 .4(— , 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 1 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: S1-aAg, 1 q c°fa 4 -760U LX6, Property Owner's Signature: Sworn to before me this day of 24�/ .M, �PINIE SWCOVMS �TFOIR NEE 01 �"" 1?11NN2029 NOTARY ID:7 2 -6 Official Notary Public Signature and Original Notary Stamp Page 4 of 4 Telephone(631 765-1802 Town Hall Annex ) 54375 Main Road P.O.Box 1179 r Southold, NY 11971-0959 v , Ap nb� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: 4' Requested maximum number of persons allowed to occupy each dwelling un" , Number of Rooms in Rental Dwelling Unit: --7 Use and Dim nsion of e ch room: t �� r �l a Ft t '� a q� Rental Dwelling Unit Identifier: t/A a Requested maximum number of persons all d to occupy each dwelling un t: Number of Rooms in Rental Dwelling Unit: Use and Dime 'on of each room: � . � t� ;, ; lay S s " l' '� ►I 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: TOWN OF SOUTHOLD BUILDING DEPT. o 631-765-1802 I No Sr" E c" T 10 N [ ] 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 ( NAL) [ ] CODE VIOLATION [ ] PRE C/O ] RENTALS REMARKS: MARR,S: 1> OvAt, 420KI ytt k4am 6w 6 17 DATE INSPECTOR � f t 0 , TOWN OF S UTH LD PROPERTY RECORD CARD OWNER L T VILLAGE SUB, LOT Ot s FORMER FbRMER 0,ANEp,:� CJ E A Cif. — --- - — �� -- F 4- s. v W_ TYPE OF BUILDING RES. SEAS. VL. FARM = comm. CB. MICS, Mkt. Value LAND IMP. TOTAL DATE REMARKS 7 . P r AGE BUILDING CONDITION NEW NCRMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD mleodowlam DEPTH _ House Ply ..�,. BULKHEAD Total DOCK vti 41 N COLOR � - TRIG e 7ki z e Bldg _ a Extension 77 sa - Extension _ - Extension MC) Aio�_ � m� Foundation s Dinette Parch Basement Floors Parch Ext, Walls Interior Finish � � t LR. Breezeway Fire Place iHeotDR, Garage �' �7ert�F , !Type Roof .Roams 1st Floor BR, Patio f'y` r f� �F In (G. I Recreation Room lRooms 2nd Floor FIN. B 0. B. r } Dorme �� Driveway Total F J FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z19269 Date AUGUST 6 1990 THIS CERTIFIES that the building TWO FAMILY DWELLING Location of Property 7600 MAIN ROAD EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 31 Bloch 06 Lot Oil Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to APRIL 9, 1957 pursuant to which Certificate of Occupancy Z19269 dated AUGUST 6 1990 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 NON CONFORMING TWO FAMILY DWELLING WITH 3 ACCESSORY BUILDINGS NON HABITABLE The certificate is issued to JOHN AND NIKI PORFIRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL MIA UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED NLA ****SEE ATTACHED INSPECTION REPORT Building Inspector Rev. 1/81 of So&� Town of Southold P.O. Box 1179 53095 Main Rd ��rren Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47004 Date: 04/29/2026 THIS CERTIFIES that the building TWO FAMILY DWELLING Location of Property: 7600 Route 25 East Marion NY 11939 Sec/Block/Lot: 31.-6-11 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/21/2024 Pursuant to which Building Permit No. 51471 and dated: 12/12/2024 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: Additions & alterations including a side entry landing to unit 1 and rear porch to unit 2 of an existing two-family dwelling as applied for per ZBA#8077 dated 2/19/2026. The certificate is issued to: BKM Prpts of Shoreham Inc Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51471 4/17/2026 PLUMBERS CERTIFICATION: Pawel Rafalowski 4/15/2026 All lit e Si aat:ore Of Town of Southold P.O. Box 1179 53095 Main Rd � �)UN Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47005 Date: 04/29/2026 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 7600 Route 25 East Marion N " 11.939 Seca lock/Lot: 31.-6-11 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/16/2026 Pursuant to which Building Permit No. 52882 and dated: 04/17/2026 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: In-kind door replacement to an accessory shed as applied for(Shed 1). The certificate is issued to: BKM Prpts of Shoreham Inc Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: I uth '•.e S ature +''V Sao Town of Southold P.O. Box 1179 53095 Main Rd &Xn Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47006 Date: 04/29/2026 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 7600 Route 25 East Marion NY 11939 See/Block/Lot: 31.-6-11 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/16/2026 Pursuant to which Building Permit No. 52883 and dated: 04/17/2026 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: In-kind door replacement to an accessory shed as applied for(Shed 2). The certificate is issued to: BKM Prpts of Shoreham Inc Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Autl o ` d gnsture of Set) Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47007 Date: 04/29/2026 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 7600 Route 25 East Marion NY 1199 Sec/Block/Lot: 31.-6-11 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/16/2026 Pursuant to which Building Permit No. 52884 and dated: 04/17/2026 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: In-kind door replacement to an accessory shed as applied for(Shed 3). The certificate is issued to: BKM Prpts of Shoreham Inc Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Aot on c1 ignature GENERAL NOTES bi w FiL f DINIOGROOM Own,- T NOTE z- N 0 TE:- MAIN ROAD Kra m a P 2_1-tAN APEA ANA.Ysis: L------------- 5 in k SCOPE OF WORK LP 47 N o Dom E3 --- ----- COVERED RED PORCH COVERED PORCH FILED UNDER SEPARATE APPLICATION GEOGRAPHIC TABLE DESIGN REQUIRMENTS EXISTING FIRST FLOOR PLAN TABLE R3011(l)CLIMATIC AND GEOGRAPHIC DESIGN CWMIA ------ Em ;zw t F-ORoom T& lk, MANUAL J CRrTERJIA RE IN SUBMITTED CAL CUIATIONS IBC CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA TO nEREMOVED MRE EX18Tr STRU LEGEND EM; n. FLOW- z2