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HomeMy WebLinkAbout1000-30.-2-47 of so TOWN OF SOUTHOLD Rental Permit 1482 Owner: Constantine Nikolis , Yvonne Nikolis Occupied as: Single Family Dwelling Located at: 380 The Greenway East Marion 30.-2-47 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 i-annual ' spection. Issued: 05/20/2026 Expiration: 05/19/2028 cVrcvfn4nt Official This Notice must be posted by the main entrance at all times v %� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Dv, Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 ljt1p .,L/w ur SoL1t)�oldul 111, .gov RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) �(' )Do `Z,C o- '55 Section A. u , Property Information: Rental Property Address: 390 Tk #m w' , m q i q3q Tax Map Number: 1000 SECTION © -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: 621 f� Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 114/ Telephone Number(s): Daytime / 62, Evning�1 Emergency� 2- Property Owner Email Address: 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 prey 'e WCO taining 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 2of4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: l 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." Renta l DwellingUnit Identifier: 6-1"�1 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: 211n 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 afire safety inspection to be performed by a Code Enforcement Official �om the Town of Southold L� 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) 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: t Property Owner's Signature: z CONNIE D.BUNCH Notary Public,State of New York No.01 SU61 85050 Sworn to before me thit day of! _ , 20_p Ouallfled In Suffolk County Commission Expires April 14,2, Official Notary Public Signature and Original Notary Stamp Page 4 of 4 r4f sto -f� G"eAeX '0*' TOWN OF SOUTH0L BUILDING DEPT. 631-765-1802 lNvlbrm(;-ul0N [ ] FOUNDATION 1 ST/ 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 [ ] RENTAL REMAR S: oti + ► I ' DATE t INSPECTOR _ __ C(D pty ?ook 0 t) b � TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULAT N/ A [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY I SPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REM KS: Z 1 DATE INSPECTOR April 25, 2026 f3f S Town Hall Annexti Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 r' P.O.Box 1179 Southold,NY 11971-0959 n � � �-0„1 BUILDING DEPARTMENT TOWN OF SOLYMOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit ,Pro esslonal seal required for Architect or Enginee& licensed Home Ins ector must provlde copy of valid current certi cation Rental Property SCTM Number: Rental Property Address: 880 The areerl to . East Marion NY 11080 owner/Name: Constantine Nikolis Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom #1 140 s ft Loft 230 sgft Bedroom #2 130 sqft Property Description (Include all improvements indicated on survey) single family borne 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, and the Energy Conservation Construction Code of New York State. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Original Signature Please place professional seal: 231 April 25, 2026 �. Town Hall Annex �� Telephone(63,1)765"f$02/ 54375 Main Road Fax(631)765 9S(�2 P.0,Box 1 179 Southold,NY "1 1971•0959 c BUILDING D8PAkTM8NT TOWN OF SOLTTH(�T.D .. "C r w' AE T L PR+I �,.� � � //� err/,,, �///✓�1,����r�/�/��r%�/l�%/ / �//,. '� +p C) wC7R1 �' g�hlt` i~ /,�r'���9% ,�A/,l>�%O � ! � � ✓;;,,...', „1>If, ,,r ,. .. �111, ���1��l�i .. IrAW 6�� w / Rental Property SCTM Number: Rental Property Address: MOwner/Name. �Rental Dwelling Unit identifier' � d G r Bedroom` l 1 fit ' /j'' Uffid j/ m _ ' TOWN OF SOUTHOLD PROPERTY RE-CORD CARD TREETti�� �VILLAGE� .....� _ _� DISTe - - - - QT . a SUB L 3 7 t F FORMER_ WNER r � N t E ACC { 46 RES. SEAS, YL, - FARM comm. CB, MILS. Mkt. Value LAND IMP" TOTAL DATE REMARKS z v_ & z _ - � a _r s a -� Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH Rouse Plot BULKHEAD Tota 1 1 F IIIti 4 COLOR � j - - } . _ _ _, - - _ ]� _ — - a _ z n4l2nu; _. ._.... _ M. Bldg .. =- - - ` F v .. - - Extension - �- - Extension - - - - — — — _ . .I I 'a" - i un in Fo darion Both -„ Porch I Ff Basement Floors . Walls Interior I t_R Breezeway i Fire Place Hear Gar©ge $. . ' Type RaafuGmS ist F EEor R- Patio ,�= = Recreation Room= Rooms 2nd Floor I PIN. B C?_ B� Dormer Driuewoy T Total m 53 r Sa . `u"p—C) �Fat Town of Southold 8/16/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 _ ..... ............ _ ...... _ .._......., CERTIFICATE OF OCCUPANCY No: 39131 Date: 8/16/2017 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 380 The Greenway,East Marion SCTM#: 473889 Sec/Block/Lot: 30,247 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/14/2016 pursuant to which Building Permit No. 40544 dated 3/22/2016 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: ADDTIONS AND ALTERATIONS INCLUDING AN ENCLOSED ENTRYWAY AND REAR SECOND FLOOR DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Dylgieri,Filip of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40544 08-01-2017 PLUMBERS CERTIFICATION DATED .._.... .... ... ....... _.................. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy UPDATED C_O. No. , Z 1 7 13M6 . . . . . . . . Date . .July 29 , 1 9 8 8, . . . . . THIS CERTIFIES that the building , , One family dwelling. . . . . . . . Location of Property 380 The Greenway East Marion 1Freasr 11l0. Sheer* Heinle[ County Tax Map No. 1000 Section . . . . . . . .Block . . . .2. . . . . . . . . .Lot . . . .4?. . , . , . . , Subdivision . pebble Beach Farms . . .Filed Map No. Afi . . .Lot No. 107. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated October I? , . ., 8 4 4 A pursuant to which Building Permit No. 1.3 5 4 0 Z . . µ . . w dated i3oyember I;6 , ]984 . . , . , , . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy fo w cl t certificate is issue is . . ... . . . . Private one-family dwelling with two 2) ecks & garage w�ich is attached, to one of the decks which is attached to the .private one- family dwelling . The certificate is issued to . . . . . , LEONARD BETTY WALTERS Crrer` J. . , . , . . .. of the aforesaid building. Suffolk County Department of Health Approval . . . . , 14,-SO-209 UNDERWRITERS CERTIFICATE NO. . . . . . . , „ , . N . . . . I 1 . . µ . . . ¢ . . M1 . PLUMBERS CERTIFICATION DATED: K & K PLUMBING 5/24/85 Original C .O . #ZI3558 6/25/85 Building Inspector Row.1181 ::ff� 11A�C CIOZ�6k(W CPN Mechanical, Inc. Date: .5 ® /,,3q b: Prepared by: Address: Order Nu er: FIoor(s): Page o System: eo I � 2_jI�� F2 21 �PO4 A,j i f E_�( a( V