HomeMy WebLinkAbout1000-55.-2-7 TOWN OF SOUTHOLD
z
Rental Permit
0063
Owner Michael & Ekaterini Saragas
Occupied as Single Family Dwelling
Located at 48555 CR 48 Southold 55.-2-7
Maximum Permitted Occupancy 7
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.
6/1/2023
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This Notice must be posted by the main entrance at all times E ori
� TOWN OF SOUTHOLDE I
631 -765-1802
INSPEC ION
FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAl
[ FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN%c
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F
[ ] CODE VIOLATION [ ] PRE C/ [ I
REMAR a
So
DATE31)f)�3 INSPECTOR
� me Apr 22, 2023
r
Town Hall Annex Telephone(631)765-1802
54375 Main Road << I Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959k�.
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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
Professional seal required Lor Architect or Engineer, licensed Home Ins ector mug rovide
copy of valid current certi ication
Rental Property SCTM Number:
Rental Property Address: 43555 Route 48, Southold NY 11971
Owner/Name: EI Bf rini Saragas
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.)
B ad
Bedroom #2 110 saft Bedroom #4 160 sgft
Property Description (Include all improvements indicated on survey)
5i igLe-�mily home
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:
t,- TOWN OF SOUTHOLD
06 ,
Rental Permitg
Permit No. 0063
Owner Michael & Ekaterini Saragas
Occupied as Single Family Dwelling
Located at 48555 CR 48 Southold 55-2-7
Village
Maximum Permitted Occupancy 7
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.
5/10/2021
SEorc its fida
This Notice must be posted by the main entrance at all times
ct, �
�C1' Zll�"
TOWN OF SOUTHOLD BUILDING
7651802
INSPECTION
[_ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPINGFKAeAk4ewV-
FIREPLACE
& CHIMNEY [` FIRE
SAFETY" INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
-[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
..............
DATE INSPECTOR
•� , � w
it 1CB 2021
Town Hall Annex '� Telephone(631)765-1802
54375 Main Road ��� Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959ell
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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
Professional l seal re mired Lor Architect or Fly lneer licensed tome Inspector must rovi e
coov of valid current certl ication
Rental Property SCTM Number:
Rental Property Address: 48555 ou�e Sou° IIoU NY 11971
Owner/Name: Ekaterini Sairagas
Rental Dwelling Unit Identifier: 1
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 #3 100 s f
Bedroom #2 116 s ft Bedroom #4 290 sqf
Property Description (Include all improvements indicated on survey)
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 '.Enspectoir
Print Name and Title ceo# 1,216- Ori al' ig ahira
Please place professional seal:
TOWN OF SOUTHOLD
Z
Rental Permit
Permit No. 0063
Owner Michael & Ekaterini S aragas
Occupied as Single Family Dwelling
Located at 48555 CR 48 Southold 55-2-7
Address Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 7
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.
5/17/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex fl4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 ,
DiR
BUILDING DEPARTMENT R1D
TOWN OF SOUTHOLD MAY a 201
RENTAL PERMIT APPLICATIONTOWN OF SOUTit' L�
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
48555 RO%ItF 48 504'rootp , Ny 1[ `I71
Tax Map Number: 1000 SECTION 55 -BLOCK Z -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: EKATER►Nl SARA"s
Property Owner Legal Address: Property Owner Mailing Address:
zz- 21 33RD STKEEr
aarOR�a, Nr 11105
Telephone Number(s): Daytime 711-4yo'13$9 Evening, Emergency
Property Owner Email Address: eK44er;rrisarq q (? Ha;I.coM
Pagel of 5
Telephone 631 765-1802
Town Hall Annex �� P ( )
54375 Main RoadFax(631)765-9502
P.O.Box 1 179011 ll
`
Southold,NY 11971-0959 +p
n �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: T*"r 5 A RA&R S
Address of Authorized Agent (no P.O. Boxes): iZ -29 35%i> STCI!f r, 1}5To RrA,r1'y 11105,
Mailing Address of Authorized Agent: SAME AS A aoVE
Telephone Number (s): Daytime T'1-g46-ZS%1 Evening Emergency
Email Address: johnsa'rc 4s@ 9Ma:I.c6M
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):
Page 2 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 r tlr
Southold,NY 1 1971-0959
,u ( , 1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency,
Email Address:
SECTION F.
PROPERTY DESCRIPTION:.
Number of Rental Dwelling Units on property: 1
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: 1
Requested Maximum number of persons allowed to occupy Dwelling Unit:
q
Number of rooms in Rental Dwelling Unit: 10
Use and Dimensions of each room in Rental Dwelling Unit: k%TcHEnI < to-y R 16-S),
019INr 0406pi ( ti-2 x t9-9 ) , FoYEQ (16-0 K t,wWr ReoM ( 11-6 x 14-7
�1�1H1;•oM
01-4 x5A . 9EP"O" (t3 ■ 11-1 aFdRwM (1-10 Iy-7�, BFDRoaM ( �-C r la
afCRoeM ( i% it 26 (SgtHRooM a 7
Page 3 of 5
Town Hall Annex . Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 �a
Southold,NY 11971-0959 �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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.
R1 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.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
I, EKA Tc Rin! 1 5ARAWIS 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
Page 4 of 5
Town Hall Annex Telephone(631)765-1802
( )765-9502631 Fax 54375 Main Road F
� � �
P.O.Box 1 179
Southold,NY 11971-0959 un "
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: EKATfKINI 5r4Kn&aS
Property Owner's Signature: (- -v 4 '1 Q 1,7 cr Q f.,—
Sworn to before me phis U da o
�10
Official Ndfary Public Signatilre and Original Notary Stamp
DIMITRIOS VASSOS
Notary Public,State of New York
No.01 VA4089720
Quallimd Pn Quem;county
CeI'Mcate Red in New York County
r rc��rr r.ioPl Expiro,„,1s:u y 31,202.1
Page 5 of 5
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TOWN OF SOUTH'OLD BUILDING DEPT.
v . 765-11802
INSPECTION
--f. ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING ( ] F AL 4W44
[ ] FIREPLACE & CHIMNEY
[ FIRE
I SAFETY" INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
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DATE INSPECTOR
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tt Town of Southold 5/23/2019
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCC1 NCY
No: 40405 Date: 5/7/2019
THIS CERTIFIES that the structure(s)located at: 48555 CR 48, Southold
SCTM#: 473889 SecBlock/Lot: 55.-2-7
Subdivision: Filed Map No. Lot No.
-------------
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40405
dated 5/7/2019 was issued and conforms to all the re, uricrucrits of the applicable provisions of the law,
The occupancy for which this certificate is issued is:
wood frame one familv dwelling with deck,*
Notes: BP ,19424 deckaddition nd..altcratigL ib �v—u use Q 14 . V Q2, 5 windows CO 37 mm1..,i „
The certificate is issued to Saragas,Michael&Ekaterini
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
nth Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 48555 CR 48,Southold
SUFF.CO.TAX MAP NO.: 55.-2-7 SUBDIVISION:
NAME OF OWNER(S): Saragas,Michael&Ekaterini
OCCUPANCY:
—w ----------
--...—
ADMITTED BY:
SOURCE OF REQUEST: Saragas,MichaelDATE: 5/7/2019
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: brick CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S) UTILITY ROOM(S): x
................................ � .
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY:
FIREPLACE: �..�.-...-... GARAGE:
DOMESTIC HOTWATER x TYPE HEATER:
AIR CONDITIONING:
TYPE HEAT: WARM AIR: HOT WATER: baseboard
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
RE,MARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/17/2019
TIME START: 12:15pm END: 1:00pm
FORK[ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No
Z-20148 Date AUGUST 15 199.1
THIS CERTIFIES that the building ALTE RAT IONS
Location of Property 48555 MIDDLE ROAD SOUTHOID N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Bloch 2 dot 7
Subdivision riled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25 1988 )ursuant to which
Building Permit No. 19424-Z dated SEPTEMBER 27 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 DECK ADDITION & ALTERATION TO SEASONAL ONE FAMILY
DWELLING TO CONVERT TO YEAR ROUND ONE FAMILY DWELLING
The certificate is issued to MICHAEL J. SARAGAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-181211 - MARCH 29 1991
PLUMBERS CERTIFICATION DATED JULY 24 1991-HARDY PLUMBING & HEATING
X�IaIL
Bu ding Inspector
Rev. 1/81
Town of Southold 12/23/2015
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE CC ANCY
No: 37981 Date: 12/23/2015-
THIS
2/23/2015THIS CERTIFIES that the building ALTERATION
Location of Property: 48555 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/17/2015 pursuant to which Building Permit No. 40285 dated 11/19/2015
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:
REPLACE PLACE W N1 OWS 10 ON AN E IS"ITNG ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Saragas,Michael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL;CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t/7d �ttjre
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