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Home My WebLink About1000-44.-3-1 TOWN OF SO OL Rental Permit Permit No. 0241 Owner Katherine Andreadis & ors Occupied as Single Family Dwelling Located at 55480 CR 48 Greenport 44-3-1 Address s/B/L Maximum Permitted Occupancy 8 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. 12/5/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex ' 54375 Main Road Telephone(631)765-1802 P.O.Box 1179 Fax(631)765-9502 Southold,NY 11971-0959 Y BUILDING JDEpAWjMpNT, � nMT x iA TOWN, OF S017MOLD, .µREND` ,NN P E'RI 'IIT atlPPl-ICATIOI Rental Permit Fee$200(Application must be renewed every two years) Section A: Property Information: 9 Rental Propertyr Address. Tax Map Number: �Q00 SECTION i O SECTION B. OWNER INFORMATION: Property Owner Name:,.. -L L �� .. Property Owner legal Address: Prb oe rty Owner Mailing Address: a. Telephone Numbers Da time , , 3606 ( ) Y Evening Emerent-:yk 3B,86. Property Owner Email Address:, �- ., „ . " ?. I I - Page 1 of 5 t r1y�➢A Cp,r'a•. Town Hall Annex Yk44 &�P 54375 Main Road I' Telephone(631)765-1802 P-0.Box 1179 Fax(631)765-9502 Southold,NY ]1971-0959 13t.1ILDING DEPARTM <qrr- TOWN OF SoIDT11OLD 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 ;Evenin Emer en Email Address: T . 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:;. .k 6 Telephone Number(s): Daytime.. _.Evenin Emergent" e 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)°. q Page 2 of 5 s J ' Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1179 u. Fax(631)765-9502 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF' SOUIHOLD Mailing Address of Managing Agent,- Telephone gent,Telephone Number(s):Daytlm : Evenin ' " •En�ergen> Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwell!n e ' g Units on property� ovie " 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' „ x Forproperties with-multiple Rental Dwelling Units use"Rental*PetrMt•Application Addendum." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Un" ry Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Renta Dwelling UnI ,WW° l mom.. w Page 3 of 5 Town Hall Annex Ew Telephone(631)765-1802 54375 Main Road Y.O.Box 1179 Fax(631)765-9502 Southold,NY 11971-0959 x BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to ffie Town Cole of the Town of Southold Chapter 2`07(itental Propertipsh a safety inspection by Code Enforcement Officlal 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 I Prevenibion Building.Code Certlfication is required stating that the property which is,the subject of the rental permit application is In compliance with all oftne previslons of the code of the ., Town of Southold,the laws and sanitary and housing regulations of the aunty"of.Suffolk and I 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 . ❑ lam submitting a completed Town of Southold certification form from a,licensed architect or a licensed professional engineer. j r SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) t ' f � .. ; 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 al address and I understand the Town will use the address for service pursuant to all Page 4 of S a 7 Town Hall Annex 54375 Main Road .� Telephone(631)765-1802 P.O.Box 1179 , Fax(631)765-9502 Southold,NY 11971-0959 d� . U.1LINGDEPARTMEN r 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 Selxthold'and agreed to abide*by the samR..` 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 linger, Property 6wnees Naine" " ke, ., Property Owner's Signature: i Sworn to before me this�c y of Official Notary Public Signature and Ori ina Not " Sta g ary Stamp " CHRISTINE BRADY Notary Public,State of New York No.01 BR63501 09 Qualified in Oueens County Commission Expires Oct.31,,2020 . Page 5 of 5 c r c 11 i TOWWOF SOUTHOLD BUILDING DEPT. 765-1802 [ ] -FOUNDATION . [ ] I [ ] I LTIOWCA? FRAMING /STRAPPING ] INALko�j :7 -FIREPLACE & I I - INSPECTION RESISTANTFIRE CONSTRUCTION 'FIREIPENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICALI L [ CODE VIOLATION [ ] PRE C/O ktYIN 4"N WN„# �'""'f 7r/4 IW FYI � fF3 AN 'O'lOH1f105 r44Rd N��'pp.Fl U6 str ala MISS SNOUIOOV ONV NOIlVAONaa OaSOdOad ”" S,�,?YJ.Aff S.HTAfVf J..73;38dO'a m c�.usW,c xmnoa,a .) 1 � �'N± ... aItR tO IIIIII rvx "TIM 5� fX' r pp¢ MMI, a "w. 61 hl 1 x s� ��, AN '01OHinos SNOUICICIV ONV NOUVACNEH CI:ISQdO'dd H5 ................ WIN MH1, I H J'y 2 ha€� , ex:,� h �V it 1 .... ..._ ? v w:4 S�e'W, MOO 10 ig NOW tit IT jj 1 AT /01,11 1 41' 9040�0_7 .mmu-RIM 4.511, a11, L .................. m C2D M 231 ........... Ln 70 7u --—------------- ............. o > p 11 CD 0 :7 j mi 7D, m -4 7j 0 > 10 ..... ...... ca � Z C fi CD No C-) 0 -n rn 0 0 70 > ��1� LAI� r- LA Rl RM 0 nn OZ OZ MY �010 m EMT un 0 -n . .......... Z G) 0 —{ p G7 v v m m m „i �._. O p ` O .. O O s x X Y. rt M O G a> m xi ren v_, m CL G ..: e b �i ji�✓i � _ �!"fir/r �ldV✓ Y i I � p w� 00 CD lo II fit, /r r r, w„„rye ry w k f+ a N @” n d " b qq I I14pryyYN.r ..P Y�' ! y'�y , j fW �I GIS r CD t � � CJ ,Z1 A Tl F7 V 07 wM �a gg a (b ON w P a p r 6 M m ® �7 a7 Z I v [n O Q. p d ' I { pp b Y v I wI _ W —.—.. ., _...... r 1 i t I 9 -------------— "----......... .................. I'll,..................................................... ... ................... ................ Fat/( k�, Town of Southold 12/20/2019 53095 Main Rd Southold,New York 11971 Zraox ----------- ---------------..................... ................. .......... .......... ...................... .......... PRE EXISTING CERTIFICATE OF' OCCUPANCY No: 40952 Date: 12/20/2019 THIS CERTIFIES that the structure(s) located at: 55480 CR 48, Greenport ......... ... ........ SCTM#: 473889 Sec/Block/Lot: 44.-3-1 .................. -1111--------------- 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- 40952 dated 12/20/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood fraine one family dwelfingad accessory woo(l fraine g, jrjg�qhfinislied roopll* Notes. BP 42037 additions/alteration COZ-40099. 13P 42865 ingrpijjKdvii n iii CO -40375 Z The certificate is issued to Andreadis,Katherine &Ors. ......................... ------------------------- ........................... ........ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. ....................................................... PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. .................... ....... ........ xtl I" ec Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 55480 CR 48,Greenport SUFF.CO.TAX MAP NO.: 44.-3-1 SUBDIVISION:. NAME OF OWNER(S): Andreadis,Katherine&Ors. . ................ ..................---...................- ........................— ------------------- OCCUPANCY: ... ....... ................... -—..._.W......... . . ....... .. ............ ADMITTED BY: -------------- ........ ... ..................................... ......... SOURCE OF REQUEST: Andreadis,Katherine DATE: 12/20/2019 ... ......................................... .............. .......... ................................... .............. .................................... ................ .. .......................... ......... DWELLING: #STORIES: 2 #EXITS: 2 .......... FOUNDATION: cement block CELLAR: full CRAWL SPACE: .......................... .. ........... BATHROOM(S): 2 TOILET ROOM(S): I UTILITY ROOM(S): ..................... PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: I GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: ................... TYPE HEAT: gas WARM AIR: HOT WATER: #BEDROOMS: 4 #KITCHENS: I BASEMENT TYPE: unfinished ...........--..................... .............. OTHER: ......................... -...................................................... ...................... . ............. ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame" STORAGE,TYPE OF CONST: ....................-----------.......... .......... .................... SWIMMING POOL.- GUEST,TYPE OF CONST: ....................................... . .... ......... .. ........ OTHER: "finished room in accy. garage ................................................................................ ............ ................................................ VIOLATIONS: ........... .................. ....................................... ........................ .... REMARKS: ----------- . ...........-'--.......................... ...... — -------- .................................................................................................. .................................................................................. ..................................................................... ------- .................................................................... ... .......... ................... INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/20/2019 ... .............—... I--... .........— TIME START: 11:10 am END: 11:30 am ................................................................... ........................... .......... --------- ----------------------------------- .............................. ......----- ------------------------------------------------ Oat Town of Southold 12/18/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ............. CERTIFICATE OF OCCUPANCY No: 40099 Date: 12/18/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 55480 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 44.-3-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/1/2017 pursuant to which Building Permit No. 42037 dated 10/10/2017 ............. 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 AND ALTERATIONS INCLUDING SECOND 1,10012,BALCONIES AND COVERED ENTRY TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Andreadis,Katherine&Nikolas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI0-17-0178 12-10-2018 ELECTRICAL CERTIFICATE NO. 42037 08-15-2018 ....... ................ PLUMBERS CERTIFICATION DATED 08-30-2018 ........... thoriz d Si p!iature