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Home My WebLink About1000-33.-2-40 TOWN OF SOUTHOLD � - 01 '� Rental Permit =s 0598 Owner Dimitrios Bliagos & Efniki Kyvelos Occupied as Single Family Dwelling Located at 650 Moore's Lane Greenport 33-2-40 Maximum Permitted Occupancy 10 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. 2/14/2022 odsfore rte official 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 1179Ma Southold,NY 11971-0959 pi4� BUILDING DEPARTMENT TOWN OF SOUTHOLD J U 1. 6 2021 RENTAL PERMIT APPLICATIONx Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 650 Moores Lane North Tax Map Number: 1000 SECTION 473889-33 BLOCK _2�„ -LOT 40 SECTION B. OWNER INFORMATION: Property Owner Name: 11-111,11-1.Dimitrios Bliag11 os Property Owner Legal Address: Property Owner Mailing Address: 21422 27th Avenue Bayside NY 11360 21422 27th Avenue Bayside NY 11360 Telephone Number (s): Daytime 9173597760 Evening 917 359 7760 Emergency- 917 359 7760; 917 453 8786 Property Owner Email Address: Evrialillc@gmail.com Pagel of S V 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 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: Requested Maximum number of persons allowed to occupy Dwelling Unit 5 bedrooms, 2 living rooms, dining om„ Number of rooms in Rental Dwelling Unit: kitchen, 4 bathroofls . ...... Use aimensions of each room in Rental Dwelling Unit: _ 3 ..... _. 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 ' ur"t 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. ® 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) Dimitrios Bliagos .. .._. certify under penalty of perjury, the following: 1. I 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 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 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 Owners Name: Property Owner's Signature: , Sworn to before me this ay of 20P- ' Offici Notary Public Si a re d Original Notary Stamp AMY MODA Notary Pubiio.State of New York NO.01M06 0466 Qualified in Westchester County My Commlr®Ion 6*009 ftp 14,2023 Page 5 of 5 765-1802INSPECTION [ TOWN OF SOUTHOLD BUILDING DEPT. ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAKING [ ] FRAMING /STRAPPING [ ] INAL WA/I [ ] FIREPLACE & CHIMNEY [ ] FI E SAFETY INSPECTION [ FIRE RESISTANTI N [ ] FIRE RESISTANTPENETRATION [ ] [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O Yo I f ...... ,. ... XXI I i „I. i ,I IS j V 1 �I .-> ,�I �� i i (� �� _�.. v f l i y 6 } pp. CARD TOWN OF SOUTHOLD C -O VNE J =r ;STREET VILLAGE DIST; SUB. LOT N E ' ACR. - FORMER OWNER` x -= .�-I TYPE OF BUILDING RES, SEAS. VL.` FARM COMM. CB. MICS. Mkt. Value LAND IMP, TOTAL DATE REMARKS r I s — 5- 77 _ f n e - ,- x x r I � - ti { AGE BUILDING CONDITION{( F . Af- NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Totol �� I DOCK �. s e _ - L - 3 a — — t t ° ° _ i _ p t OIR 4-1 Iju _,..yam �_g.,. _e� -,. .� _.- •' ``-�`r� - S FF - � � I = - _ 33,-2-40 3/23/2021 e M. Bldg, 3 _ Extension 1 t i Extension � l Extension 'Foundation Bc lh Porchr Basement Floors ,o,s _ v [ Pore 'Ext, Vda€!s ' y interior Finis Bre ` 'a`v IFare Place 3 Beet t D _ Caroee .. _ i'- Roo F ' �_QOi?ls r't,., Or Pat io Recreation ROOrY11 Roorns 2nd l-ioor v O B.; = E Dormer Drlvev ov l Total - t e i � COLOR TRIM .. . { -L_LH F - s_ l S 3 [ i 4 _ f 2,a . - A Bldg. --- . I i Extension F i Extensioni i 3 t } } Extension } #Foundation i� IBoth e s III Porch I Basement r , f Floors K. i h IIs Porch Ext. Walls $e ` interior Finis' ' R Breezeway I Fire Place � � �Heat L` Cr?. Garage s y y z = I _° i ype Roo# i g P.cc rs 1st Floor i BR. i �z Patio ! Recrection Roo-n! Rooms 2nd Floor 0. B. Dormer i f � J -- I Drive�vcy I - Tctcl - ` � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. . . ' . . . Date . . . . . . . , . • . . ►! . . . . . . . .. . ... 19' . THIS CERTIFIES that the building located at . .�,,��. . . 00:Va 3. .La. .Nor..tjj . . Street Easter. . . . $k1o. �%J o. . . . .. . . . . .. . Lot No. .1Q . . . . . MapNa. . .. . . . . .. .. . �,. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated. . . . .. .. . . . . . . .. 196.x"/. . pursuant to which Building Permit No. dated . . .. . . . . . .. . jwko. . 29• ., 19.67, was issued, and conforms to all of the require- ments 4 the .applicable provisions of the law. The occupancy for which this certificate is issued is . . ..p:dWt Q• RI a ms y, ] ., .laa . . . . . . . .. . . .. . . . . . . . . . . . . .. . . .. .. . . .. . The certificate is issued to . "i � 5�. . x€Xld�.. .. . .Nue-V. .... .... . . . .. . . .. .. .. . . . (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval . . . .� €n.$. . �. . �. 8• • •� • • • •V�.1`�x� Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26826 Date: 12/13/99 THIS CERTIFIES that the building ADDITION Location of Property: 650 MOORES LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 2 Lot 40 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 22 1999 pursuant to which Building Permit No. 25921-Z dated AUGUST 6 1999 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HOWARD H & DOROTHY J. ZEHNER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I 'pector Rev. 1/81' .................... ........... ..........- ........... ........ .... Town of Southold Annex 5/20/2011 54375 Main Road Southold,New York 11971 . ............... CERTIFICATE OF OCCUPANCY No: 34959 Date: 5/20/2011 THIS CERTIFIES that the building RESIDENTIAL ADDITION . . .............................................. Location of Property: 650 Moores Lane, Greenport, NY 11944, SCTM#: 473889 Sec/Block/Lot: 33,2-40 .......... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/27/2010 pursuant to which Building Permit No. 35987 dated 10/28/2010 ................ .. ....... 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: bedroom with bathroom addition and deck addition to an cx ist ins,one family dwk,pgpli .e.,jU as aped for. The certificate is issued to Zehner H H&D J Rvc Trt ........................... ................... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-10-0050 1/25/11 ..................... ELECTRICAL CERTIFICATE NO. 35987 3/11/11 .......... ....... .............. . .............. PLUMBERS CERTIFICATION DATED 5/12/11 Van � en Plumbing Heating S igna r --;=e A Flt Town of Southold 8/4/2021 P.O.Box 1179 ft k 53095 Main Rd Southold,New York 11971 »xxxrx, CERTIFICATE OF OCCUPANCY No: 42215 Date: 8/4/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 650 Moores Ln,Greenport SCTM#: 473889 Sec/Block/Lot: 33.-2-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/15/2020 pursuant to which Building Permit No. 44866 dated 6/15/2020 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: ccesso n- roimd imm ool fenced tai o c as applied fqr., The certificate is issued to Bliagos,Dimitrios&Kyvelos,Efniki of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44866 09/23/2020 PLUMBERS CERTIFICATION DATED ............w.. uth _ _...... ..www.... _ Si tore t01 Town of Southold 2/12/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42779 Date: 2/12/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 650 Moores Ln,Greenport SCTM#: 473889 Sec/Block/Lot: 33.-2-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/7/2020 pursuant to which Building Permit No. 45106 dated 8/14/2020 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: interior alterati ns incljjdjjj&Ly actac_ ents.t . itin xn1c. 1etin 4p,, lea ilei for. The certificate is issued to Bliagos,Dimitrios&Kyvelos,Efniki of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45106 4/16/2021 PLUMBERS CERTIFICATION DATED 1/20/2022 1 11 Tuo y ._.......................ww__._ �_ ..........._ .._. _ .w_ _._._._.......... _._ . ..__.. ._ _M.....M.. Signature