HomeMy WebLinkAbout1000-15.-9-1.10 TOWN OF SOUTHOLD
Rental Fant
Ay
0234
Owner Lands End RE LLC
Occupied as Single Family Dwelling
Located at 300 Latham Lane Orient 15.-9-1.10
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.
10/18/2023
� ��
Code Ertrc ei_t Official j
This Notice must be posted by the main entrance at all times
So
d
TOWN OF SOUTHOLD BUILDING DI
631 -785-11802 15%
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION TND [ ] INSULATION/CAL
[ ] FRAMING 1 STRAPPING [ ] FINAL
[ ] FIREPLACE &. CHIMNEY [ ] EIRE SAFETY INE
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PT
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit
[ ] CODE VIOLATION [ ] PRE C/O [ 41
REMARKS:
da
................. -----------u
DATE
/o_//—.oP INSPECTOR
,. Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
(Al Southold, NY 11971-1179
Tel: 631-765-1802
�
.SCTM # ....._. ._,..Date
_ -
Owner ._ .......
0�3
, _ .
. m .n_. . _ .. . .G L.G .. �. Phon�..._ .ee_. .........w. . .._.. _..._.
5
Address �� Visible
Hamlet �,Q�f" Inspector
Ins, . _ .._ ....... .. w, _..__. ...._a
Floor Level Quantities
"._.. .....� � �rv..� ...�...... ... ..... e en- � Sub. .. _ �.. a. .... �
L es 1 ; 2 3 }
a. __..,. w ...._. _. .... ... ... .. �� .......� r .. _ _.._,.. _ ... .. _ .
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors i
.....-.. ._ .. .—.,.,,, ... _. .. ,. _. a. ._�..�.... ._mw....
Fire Extinguishers
Exits
Bedrooms 1 2 i 3 4 5 6
_. a. _ _
Smoke Detectors
Egress
Occupant Count c}'
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
lams Pool completely enclosed
Door alarms. _ . _ _ �. _ _ _ .. ...._ .. ,. .� ,
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental Do? � 7
Comments: dk cC.
- TOWN OF SOUTHOLD
.
e
460 Rental Permit
0234
Owner Lands End RE LLC
Occupied as Single Family Dwelling
Located at 300 Latham Lane Orient 15-9-1.10
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.
11/29/2021
Code Enfo75e-nt Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOL.D TOWN 54375 Main Road
PO Box 1179 Southold,
Rental Inspection
v � u�o rP NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM #' �� :��� , — � Date
Owner „ Ad 5
���r Phone "� �S
Address-, 3 oc� Zip
Hamlet �l G Inspector
Address visible from`street?
LEVELS S�, , 1 '2
Smoke Detectors (#- bedroom detectors excluded) i
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits( ) GZ
BEDROOMS 1 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS N CONDITION OF PROPERTYN
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained
7
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational 4=,(Handrails &guards present
POOLS Y/ POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching Max. 2" clearance @ bottom of barrier
Latch on pool side of gate, meets height j Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS: Oa
a
Southold Town Building Dept,. 11/10/21
This email certifies that Eileen Wingate may act as my home rental permit for town of
Southold renewal agent.
My current home mailing address has changed to
3060 29th Street, Apartment E1
Astoria, NY 11103
There have been no changes to my home at 300 Latham Lane, Orient, NY 11957 since
the initial home rental permit was granted 2 years ago.
Thank you.
Sincerely,
Paraskevas "Peter" Stefanides
TOWN OF SOUT OL
Rental Permit
Permit No. 0234
Owner Paraskevas Stefanides
Occupied as Single Family Dwelling
Located at 300 Latham Lane Orient 15-9-1.10
Address S/B/L
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.
11/21/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
alE�:! �� ✓�
„,. ,., ,. » a. a.M1n N w%✓'V � 'M'6 ,' 6Y Tol L`".�"Jhone(6'rl) 65-1.802.
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17owmn Hail-Annex
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Fax(631)765-9502
54375 Main Rmd
r
P.O.Box 1179
'�'ou.utbolr N'x '11971-0959
P�
BUILDING DEPARTMENT
TOWN OF S ISD
RENTAL PERM IT APPLIAZI hI
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
300 Latham Lane
Tax Map Number: 1000 SECTIO 1 S - LOCK -LOT -
I
OWNER INFORMATION:
Property Owner Name: ar s evas Stefanides
Property Owner Legal Address: Property Owner Mailing Address:
25-10 30th Road 25-10 30th Road
Astoria°,
Astoria, i 1:410 _. I " 1.1102
. .
Telephone Number (s): Daytime 16477-7908 Evening,, — Emergency
Property Owner Email Address. --.drstefanides@yahoo.com
drstefanides@yahoo.com
Page 1 of 5
Town Hail Amtex Telephone(631)765-1802
54375 Main Roads � � Fax(631)765-9502
� e
P.O.Box 1179
�Z'
Southold,NY 11971-0959
BUILDING IMPARTMENT
T
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address t rig ent(no P.O.
Mailing Address of Authorized Agent:._._ ._...w
Telephone Number (s): Daytime,, ......__Evening Emergency
Email ss®
Section D.
Managing Agent
Information:
Name of Authorized Agent of, U dng UaTtl if
Address of AuthorizedO Agent('no P.O. goxes� ,. .... ..
Mailing Address of Authorized Agent: .,,
Telephone Number(s): Daytime _--a 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
._. -----Page 2 of 5
i z
Town Nag Aamex
Fax,(6t)C765-9502
5,*75 Wm Road-
P.O.
oans`P.O.Box 1179
Southold,NY 1 1971-0959 w
N6
d
UIILDING DEPARTMENT
TOWN OF L
Mailing Address of Managing Agent:.--....—
Telephone
gent:,—_....Telephone Number(s): Daytime Evening Emergency_
Email
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: w_.�.
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C);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 mukipfe Rental'Dweffing Units use "Rental Permit Application
Addendum."
Rental ells it Identifier:_ _ .��. _ m
� �
tlfRe �es`ted M;a �rntgr:,i,o uu-T:'ia!er�o. � 'usou.s uQl�ow esu to�o�,r : u i�`N:w il'u�,u°ridUT it 7,
Number of rooms in Rental Dwelling Unit: rod� btl��or>�k�� h ��f- � � nd , workshop
Use and Dimensions of each room in Rental Dwelling Unit:
�o
Page 3 of 5
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect,a licensed professional engineer, or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
m
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: _a�af_4 �,eVL -2,t- ff-a, 6'4e 5
Property Owner's Signature:
;a
Sworn to before me this 3 day of � 2017
Official Nota Public$ DENISE A. NAVARRA
O
Notary Signature and Original Notary Stamp NOTARY PUBLIC-STATE OF NEW YORK
No. O1 NA6191 295
Qualified in Suffolk County
Page 4 of 4 G e
My Commission Expires __._: 1....�_._ .......
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ID
TOWN OF SOUTHOLD BUILDING .
e � 1 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INS LA ION/CAULI I G
[ ] FRAMING /STRAPPING [X] FIRE
LA,4�,FIREPLACE&`CHIMNEY [ SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
INSPECTORR Z,
DATE
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Rental Dwellings Unit rooms
First Floor
Great Room, 18'x 2'
Diming Roomt 14'x 14'
Kitchen 16' x 14'
Office 9'x 11'
Bedroom#3 12'x 19'
Second Floor
-Bedroom#2 14'x 13'
Master7Be0room 19,x 18,
Basement
Finished walk out living space 12'x 32'
............
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29145 Date: 12/24/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 300 LATHAM LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 9 Lot 1.10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 31, 2001 pursuant to which
g 1
Building Permit No. 27519-Z dated JULY 31, 200_
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 DECKS, SECOND FLOOR DECK AND ATTACHED TWO CAR
GARAGE AS APPLIED FOR. NEW YORK STATE VARIANCE PETITION #2002-0450.
The certificate is issued to WILLIAM & CYNTHIA ARNOLD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0065 11/18/02
ELECTRICAL CERTIFICATE NO- 1040512 10/04/02
PLUMBERS CERTIFICATION DATED 07/16/02 KEVIN S DOWNS
Authorized Signat e
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30758 Date: 02/11/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 300 LATHAM LAORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 9 Lot 1.10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 20, 2004 pursuant to which
Building Permit No. 30507-Z dated JULY 234 2004
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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR,
The certificate is issued to WILLIAM & CYNTHIA ARNOLD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N _
ELECTRICAL CERTIFICATE NO. 2040642 01/25/05
PLUMBERS CERTIFICATION DATED N/A
l
th 'izec. 5j:.gnat ure
Rev. 1/81
f Town of Southold 11/27/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE O : OCCUPANCY
No: 40067 Date: 11/27/2018
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 300 Latham Ln, Orient
SCTM#: 473889 See/Block/Lot: 15.-9-1.10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/7/2018 pursuant to which Building Permit No. 43221 dated 11/14/2018
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"OUT DOOR SHOWER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR
The certificate is issued to Arnold, William&Cynthia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 11-16-2018 Wi lb :an Arma
........ .........
t tor` C , Signature
r =te
g1Ftt,f Town of Southold 5/10/2018
P.O.Box 1179
53095 Main Rd
46
a Southold,New York 11971
CE. IFICATE OF OCCUPANCY
No: 39639Date: 5/10/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 300 Latham Ln.,Orient
SCTM#: 473889 Sec/Block/Lot: 15.-9-1.10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/27/2018 pursuant to which Building Permit No. 42436 dated 3/6/2018
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"ALTERATIONS INCLUDING A THREE SEASON ROOM AND PARTIALLY F,EgSHED
BASEMENT WITH BATHROOM IN AN EXISTING ONE FAMILY DWELLINGW-.............�....__m.........
AS APPLIED FOR
The certificate is issued to Arnold,William&Cynthia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42436 05-03-2018
PLUMBERS CERTIFICATION DATED 04-24-2018 E yard H. King
Aii lac jz d Signature