HomeMy WebLinkAbout1000-15.-5-24.22 TOWN OF SOUTHOLD
Rental Permit
�� '�► �,�� 0732
Owner Joanne Katechis & Gregory Stamoulis
Occupied as Single Family Dwelling
Located at 1300 Park View Lane Orient 15-5-24.22
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.
8/26/2022
Code lkorke6nt Offi ial
This Notice must be posted by the main entrance at all times
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® 04
Southold,NY 11971-0959
BUILDING DEPARTMENT JUL 19 2022
TOWN OF SOUTHOLD BUiLUtNG DEPT.
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Proerty Address:
136f) T r V i W LcL 06tot 'PN I I sqI
Tax Map Number: 1000 SECTION "� 15 -BLOCK -LOT -
� as
SECTION B.
OWNER INFORMATION:
Property Owner Name: J-0(100e
Property Owner Legal Address: Property Owner Mailing Address:
200) IQ(t _1AD %awi kw ( ahf--
Telephone Number (s): Daytime,V11-1;L1 L1L/1Evenin q1-1-1)L14Emergency ill 1-7q5-�'I(OZ
Property Owner Email Address: G e���S I r� Q IY�Qi l Q CI)w
Ili U
�� Page 1 of 5
� tpFS004
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section Co
Authorized agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes): 4
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
Section Do
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes): Aljll�-
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
SECTION Eo
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
SD!/ry
o
,moo �o
Town Hall Annex Telephone(631)765-1802
.54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 Co �
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:
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: �li(11�'
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: i /s X Z
Bcdmzyrl 317
-S-�( %Z _b?n = Z-i- 5—X' !(P
hi jr,-4 yQ 7 X 13
Page 3 of 5
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
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.
❑ lam requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
�l 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 ,'
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
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
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 Owner's Name: S rl/� .("C7eel i`S
Property Owner's Signature:
Sworn to before me this 27—day of 202-1
ficial Notary is Sign and Original Notary Stamp
`oSPTEp ipil Dawn Johnson
e NOTP.RY' ?Notary Public,State of New York
,
_".
PUBLIC I%
-„ N..........r (qualified in Suffolk County
%•ons jo�in� \ A7. ' _.. '�'.`d V20
Commission ��`='�'
Page 5 of 5
C SOF SOUIyO -- - ----- ---- ---- ---
6
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
is"s, 1
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O RENTAL
REMARKS:
pa,m'(� U45
DATE �� ��� cq`a- INSPECTOR
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
v� Rental Inspection NY 11971-1179
tea ;
Tel: 631-765-1802
t,. Fax 631-765-9502
SCTM #. 5- rj-� a�• :Date
owner-'. ' ., Phone.....
Address` 1130D if vI&A.) ?!P
0VZ4 In
LEVELS SUB;
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#) 1
Fire Extinguishers (#) !
Exits (#)
BEDROOMS 1 2.. '.3 4
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress(windows) (Y/N)
BUILDING SYSTEMS Y/N 1CONDITION OF PROPERTY Y/N
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational I Building Exterior is clean/maintained
Electricals stem maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails &guards present
COMMENTS:
I 16 Yt, 2
Rental Inspection Form 4/7/2021
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TYPICAL ROOF CONSTRUCTION
-`-I •1i Aspmh Raaf shingles
I is lb roof paper O 0
1?6dermr grade plywood sheathingI o �U I d 0
Rafters pw ply [�o _O yrQ' 4" �•4''
TYPICAL SOFFIT CONSTRUCTION r /9T1`� QShcl r y,�
01
6'alum wrap waoe fascia C.� CY
Fully Vended vmYi safft 7 $a— LG 7� LG
TYPICAL EXTERIOR WALL
50,
2.4 wood duds@18'oc
rJJATI-I Mrdj�Jry� = double top plane,singlesle plate O
12 6dew grade plywood Vvemmg M' I
(� Avec mise wrap,
vGryl or wood siding tO L O
TYPICAL FLOOR CONSTRUCTION
3/4' _ ^XIU II - Q
Plywood suvRoor,gals S reel iZl r7L�F - 4 a7'aC e
----='=' --------- -------- -- —= Row lasts per plan Q7 3 SJq+ 5 X11`
c O
N
br.d3mgperarJe `J 3uf ?$'i Fpr
TYPICAL FOUNDATION CONST
8"poured wnsete walls
on IV z 8"wnl.wall footing U I h J a ^ 4`' J 4'' Ate• '" "
Fxtenw daTprow grade ade qe _ �_ 12'0 4' !•U 4 �:o'• IG•4" (Amin
1G N E- I p I J t J G 2-2,B treated sol plate.,sat seal. o w 4' D 3
t bempm sNeld" X
12X12'ArrJwr holt @ B�'o.c 'j
hold bolll•d'from wmers
nc
4"wscab ND
ti q I>r2
Garage stab.4'w1opL W.WM * g r0 N N ?'O G, N �94F36=8a-�
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r__... r - •--- INSULATION SCHEDULE _ v �'• _ V z�,•,�
Alt shau be loa8 rood w cL a �c m
R-13,all ameriw Walls,walls _ Ce W Z=w i
mnnnn wan garage
R-N,flat.,I gs gq q c, 24AG 244 ? 4 ` 2q�4c� oQ�
R-19,-gar retlp5s.WirFa spa. -2 l���4 P.l .a�oFS�D A Cy�� 00: b:
o—garage,slope wgmgs G1. I r " I B jx�y0��11 Hlp-1^£@
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1_lr` 1. 5'2 -3i,� eN
TYPICAL INTERIOR FINISH
10 Gypsum wag board on cL u` v ,rj(y l r oll `` t
waft mid aarmgs.Nese noted !J�
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COMPLY WITH ALL CODES OF, i UNOERNAIIEASCFATLFlCATf
.f r`;*;i,. :•: .5 NEWYOAKSTATE&TOWN CODES
AS RE I ED AND CONDITIONS OF OCCU—PI ANCY 08 - t
APP V�S NOTED samlantmzm USE 19 UNLAWFUL-
' DATE:F . 7 Z� BPBY7.1
,•_ �1110.DTQ7'" BOdf° WITHOUT CERT{FICATE
N BUILDING DEP Tla sam�torDrnu,Rtsrffs OF OCCUPANCY
t ' T ", BAM To 4PM FOR THE xYS.DEC I
.•. FOLLOWING KSPECTIONS:
I.FOUNDATION
-TWO R�OUIRED j
;r .• FOR POURED OONCRETE n
r •± 2.ROUGH:FRAMING$fLUMBINO. RETAIN STORM WATER RUNOFF �OyZONE
3.BISULATICN - PURSUANTTOSECTION 45•ICO COMPLYWITH OHApTER'46. "
FLOOD V
�'.4:FINAL•.-,CONSTflUCT10N MUST OF THE TOWN CODE. DAMAGE PI7E
•. .,',,i .•`) BE COMPETE FOR CA.
SOUTH( TOWry CODEON
'ft l CONSTRUCTIbN SNALL MEET THE '
.. .. ',�•'+!Sn'':i'.:;•';t., ..'•.•.'`' '•bEOjMFJdENIS.OFTHCCOOESOFNEW'
:YQSTATE NOT RESPONSIBLE FOR
. :. •.' G OR CDNSTRUCrION EflRORS. -•'� .
CERTIFICATION OF
NAILING&CONNECTIONS
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Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
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Total I „� _ <', .�
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COLOR TRIM
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-7(p?2- `U 1?40o
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27695 Date: 05/18/01
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1300 PARK VIEW LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 5 Lot 24.22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 26, 2000 pursuant to which
Building Permit No. 26888-Z dated OCTOBER 31, 2000
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 SINGLE FAMILY DWELLING WITH 2 CAR GARAGE & FRONT PORCH PORCH
AS APPLIED FOR.
The certificate is issued to SCHEMBRI HOMES, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0209 05/07/01
ELECTRICAL CERTIFICATE NO. 1897 04/16/01
PLUMBERS CERTIFICATION DATED 05/09/01 G.A.H. PLUMB.& HEATING
Au orized Si ature
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-31640 Date: 06/27/06
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 1300 PARK VIEW LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 15 Block 5 Lot 24.22
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 6, 2005 pursuant to which
Building Permit No. 31302-Z dated JULY 25, 2005
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 ADDITION AND COVERED CONCRETE PATIO ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to GEORGE & DANA FITZPATRICK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
SLBCTRICAL CERTIFICATE NO_ 2075207 05/26/06
PLUMBERS CERTIFICATION DATED N/A
2,t
4,41"horized Signature
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-33807 Date: 06/30/09
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1300 PARK VIEW LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 5 Lot 24.22
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9, 2009 pursuant to which
Building Permit No. 34484-Z dated MARCH 9, 2009
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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to GEORGE & DANA FITZPATRICK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
EL]ICTRICAL CERTIFICATE NO. 122846C 05/02/08
PLUMBERS CERTIFICATION DATED N/A
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th rized ignature
Rev. 1/81
��p�c�uFFot,fcOG Town of Southold 8/4/2017
0
P.O.Box 1179
53095 Main Rd
-y'i,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39106 Date: 8/3/2017
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1300 Park View Ln.Orient
SCTM#: 473889 Sec/Block/Lot: 15.-5-24.22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/20/2017 pursuant to which Building Permit No. 41846 dated 7/27/2017
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:
"AS BUILT"PORCH AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Fitzpatrick,George
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 2075207 05-26-2006
PLUMBERS CERTIFICATION DATED
UL
0 u t r ed Signature j
�oSUFFOt � Town of Southold 1/12/2023
P.O.Box 1179
W 1 53095 Main Rd
oy oma; Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43754 Date: 1/12/2023
THIS CERTIFIES that the building HVAC
Location of Property: 1300 Park View Ln,Orient
SCTM#: 473889 Sec/Block/Lot: 15.-5-24.22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/19/2022 pursuant to which Building Permit No. 48365 dated 10/3/2022
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:
5 mini split-ductless air conditioning units and heat pump system to a single family dwelling as applied for.
The certificate is issued to Katechis,Joanne&Stamoulis,Gregory
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48365 12/6/2022
PLUMBERS CERTIFICATION DATED
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