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HomeMy WebLinkAbout1000-14.-2-30.5 g TOWN OF SOUTHOLD Rental Permit 0552 �a Owner Petros & Anna Kougentakis Occupied as Single Family Dwelling Located at 590 Windward Road Orient 14.-2-30.5 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. 12/5/2023 Code rce t Official This Notice must be posted by the main entrance at all times so 631 -765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECT ICAL (F [ ] CODE VIOLATION [ ] PTE C/ [ ] REMARKS# ............... DATE INSPECTOR �JF NOV Town Hall Annex epho 6 Ix31)765-1802 54375 Main RoadFax(631)765-9502 E P.O.Box 1179 Southold,NY 11971-0959 �pMw y � °0"`,M c]N BUILDING DEPARTMENT TOWN OF SOUI'HOL D 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 ero ssior7ol,seal rer aired Lor A rc iitect 0r Fra ne'r,.,l�cerlsed 1"0-01 L15ct_o '—t p!Qvjd-q copy o valid cyrrerlt certi icc�tiowl Rental Property SCTM Number: Rental Property Address: ' Owner/Name: _ 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.) Property De=�jonlude 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 Plum ifif, Code of New York State, the Fuel Gas Code of New York State, and the Ener y Conservati A n Construction Code of New York State. , CSF` JZ7 Print Name and Title � � .. 0 t lu � o '0193 Please place professional seal: �SSlC7t�E TOWN OF SOUTHOLD cz Rental Permit ` 0552 Owner Petros & Anna Kougentakis Occupied as Single Family Dwelling Located at 590 Windward Road Orient 14-2-30.5 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. 10/25/2021 C e En f rce t fficial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 �~ Southold,NY 11971-0959 ,,� k 1 . BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION, Rental Permit Fee$200(Application must be renewed every two years) Section A. - Property Information: Rental Property Addres Tax Map Number: 1000 SECTION :-LOTSECTION,— :-LOT _ >•._.._....� ._-B'LQCK_:.._..__...:G. . ._.. . SECTION B. OWNER INFORMATION: • Property Owner Name:;-...-_C p e'.-`r.'o Property Owner Legal Address: Property Owner Mailing Address: �, e z•r-r._._... k g 57... .. . ....... Telephone Number(s): Daytime 6.31 3 23` 4TEvening 3 35 grgency. Property Owner Email Address:., 6 O c W1i G®vfil Page 1 of 5 � r rof S:01/ Town Hall Annex Telephone(631)765-1802 54375 Main Road rig Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. Certificates of occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. 1 Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. Rental Permit Fee: $200.00 ®. 0 ts . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ^ BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agentormation: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. oxes) ; Mailing Address of Authorized Agent:" Telephone Number(s): Daytime %Eving Emergency Email Address: -. . _._... __.. ........:. _ Section D. Managing Agent In ormation: Name of Authorized Agent of\1dvvelling unit if any:. ... Address of Authorized Agent(no P.O. Boxes);. . _ Mailing Address of Authorized Agent:" ...... _-_......._. . _ Telephone Number(s): Daytime.. ESening Emergenq Email°Address: SECTION\E. SITE MANAG R INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing A ent of dwelling unit, if any:. Address of Managing Agent (,no P.O. Boxes)"; . . Page 2 of 5 © Sl . : Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 p Southold,NY 1]971-0959 `�- UIYI►e - BUILDING DEPARTMENT ,TOWN OF SOUTHOLD Mailing Address of Managi Agent:, Telephone Number(s): Daytime: - Evening Emergency: -. Email Address: _. 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, 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 multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: 42., Requested Maximum number of persons allowed to occupy Dwelling Uni . Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 3. Town Hall Annex' ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Towri 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'ofthe 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 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) l: e—troS J C4 -f certify under penalty of perjury,the•foIlowing: 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 E � r so Town Hall Annex r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502- P.O.Box 1 179 Southold,NY 11971.0959 C✓ - 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:. " _ - ET ®s A-)Z.) r Property Owner's Signature: PJ2- Sworn to before me this I7day of 20 Official Notary Public Signature an al ary Stamp DENISE A. NAVARRA NOTARY PUBLIC-STATE OF NEW YORK No. 01 NA6191295 Qualified in Suffolk County My Comrnissioh Expires Page 5 of 5 Town Hall Annex AL. Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: © yt f ro--A4vl Requested maximum number of persons allowed to occupy each dwelling unit ' Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 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: 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: '4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 Professiondl:sedj"required-t`or.Arch`Ifecf-."ar)5'npfneer,..licensed`Rome.-Inspector-rriust,prb de, co,ny of:vaticl�c�rrrent:certrficatiriln • Rental Property SCTM Number: Rental Property Address:. 5 1�0—... VJ m© E1✓T N°y 1 I yam. Owner/Name:- felyo` ... .... Rental Dwelling Unit Identifier:. Number&Square footage of each bedroom as depicted in the attached floor plan: k (i.e. Bedroom#1-100sq., Bedroom#2-90 q., etc.) V,o0 Property Description `Include all improvements indicated on survey) E ©tel 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. ri Pri ame an&Ti�4e ,o'. Original Signature t. f :1 Plea �prgf0sJl _ e OFA �U.;V E� Town Hall Annex Telephone(631)765-1802 54375 Main Road - Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 y� . BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM 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: - - 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: 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: 90A61 OF 50U1,y�� # TOWN OF SOUTHOLD BUILDING DEPT. �ycoum, 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL ,6 V Poloa [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING R ARKS: R.' o w *% Qkw V rciloa4 C6v(lw4) - Ort, w4dovy, -OK At 144 ".-Jm bue &tt,, lloi�Fe wa/ tl*" Of D� l r►�1 , Aw DATE 1 INSPECTOR SOUTgOIo ✓ `O OX 41A 904 * # TOWN OF-'SOUTHOLD BUILDING DE T. cou765-18021 1 NSPE;CTION [ ] FOUNDATION 1ST [ ] ROUGH-PLBG. [ ] FOUNDATION 2ND- . [ J INSULATIOWCAULKING. [ ] FRAMING /STRAPPING [ FINAL4"qx `[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTI N [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �l S Dcov DATE D INSPECTO -....... ----------_____.........................___-__________'_____- ............________'_-_---__'____... ... ....................... __ .... ... __---____---- '.....-' ...... ....._..... _--_...........................-_'_..........................................._ -------_--................. ....---------__............................ '.... ......... _-_______ _... .......... _............. ......'_-_______-_________ ___-_____-_'__........... ____--_ / Basement Wall section Second Floor Plan Floor Plan cl� Briks Concrele wall me 2x3* | � � / ' � � | | � | | � . / / � \ ` . � � � � � | wood fra � room . ' F_ /41 �1 NOTES:ceiling height is 7'8" Bedroom 2 / | | | . . � | ( � | ' � ' Laundry room | ' Bathroom | ' Bedroom I ' ! ` � � | � kvRecreation area | � Garage 0 Recreation area Bathroom edroorn S basement floor 1320.54 sq.ft. S 2nd floor 1340.12 sq.ft. First Floor Plan Deck Living room Ui Garage � | � � � i i ! � � ' � ' / � ' � � � � i | | i ' � � � � ' � � � � , / i � } ( ' ' � � � � ! � / � � � ' � | � ! � BathroomFamily room . � � | | ` Kitchen 4 | ' ! / � � | ! ! , S total area 2238.61 sq.ft. � | ' | ! . � / | | / S garage 687.42 sq.ft. | � i1551 .20 ace / ! | Existing floor plans | | 590 Windward road Orient NY 11957 | | ' / � | ^ ! ...................................... .................................................... ................... ............................................................................................................................................................. ........................................ .............. ............................... ............. ........ ........................... ---------­---­­ .................................................... ..............-­ ................. ........................... .............. ........... ................ ................... -­­­--- ............. ............................. ............... .................... ` | W TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT --- — — — ------ FORMER OWNER N ( F ACR., . S W TYPE OF BUILDING RES. SE NS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS < AGE aUL®1JNG CONDITION Tillabl 1 r j. T'_able Ti I Fable Woodland Swampland FRONTAGE ON WATER - Brushlond i FRONTAGE ON ROAD House Plot i DEPTH _ .. IBULKHEAD Total DOCK ,c 4t �y yr COLOR - 3 A N f _ TRIM -- T - t _ � a , I 14.-2-30.5 6111 ` — — v I � 1 M. Bldg. � w�,. )'� Foundation Bath Dinette � Extension Basement l ...' Floors s K. �Xtension Ext. Walls «° rti Interior Finish LR. Extension Place Fire Ploce a A -.� Heat ��� DR. ° x,k _ ', _.. a..r }Type Roof Rooms 1st Floor BR. Recreation Roo ( Rooms 2nd Floor FIN. B. T -Porch , t7 t4 4 f.� w �r4 1 ` Dormer � y Driveway Garage 7t, �, Patl0 �� �� '.� - A( --- — tire 1ti. "> 4! – cpr a► --- - -- Total i � l j FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22652 Date OCTOBER 8, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 590 PRIVATE RD. #18 ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 14 Block 2 Lot 30.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 1991 pursuant to which Building Permit No. 20165-Z - dated SEPTEMBER 25, 1991 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 ATTACHED DECK, BALCONY & GARAGE IN CELLAR AS APPLIED FOR. The certificate is issued to PETROS KOUGENTAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91--SO-49 - SEPT. 17, 1993 UNDERWRITERS CERTIFICATE NO. N-260708 - DEC. 21, 1992 PLUMBERS CERTIFICATION DATED OCT. 4, 1993 - EAST END PLUMB & HEATING � Buining Inspector Rev. 1/81 9 i Town of Southold 8/30/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38481 Date: 8/30/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 590 Windward Rd., Orient SCTM#: 473889 Sec/Block/Lot: 14.-2-30.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/21/2016 pursuant to which Building Permit No. 40567 dated 3/28/2016 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: "as built"alteration for a finished basement in an existing one family dwelling as applied for. The certificate is issued to Kougentakis,Petros&Anna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40567 6/8/2016 PLUMBERS CERTIFICATION DATED 5/26/2016 Burt's Reliable Inc. Author ed Signatut�