The URL can be used to link to this page

Home My WebLink About1000-52.-3-15 =g ea�� Ft�Q TOWN OF S UTHOLD All Rental Permit r . 0987 Owner Dimitrios Kostopoulos & Kosta Tropaitis Occupied as Single Family Dwelling Located at 630 Wild Cherry Way Southold 52-3-15 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. 9/12/2023 Code o e lPfficial This Notice must be posted by the main entrance at all times � �� `" a'3 Town Hall Annex a f��IZ3 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT SEP 11 2023 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION 'O N x FO TTIJ'I Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: P Y w Q�, Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: _S � Property Owner Legal Address: Property Owner Mailing Address: 7 7A ��S - Telephone Number(s): Daytime" C, Evening � .i. ` Emergency -Q I Property Owner Email Address: 6 Q S'Loa Page 1 of S SO Town Hail Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 971-0959 O jo a ,a BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Age Telephone Number (s): Daytime vening 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: ,° Requested Maximum number of persons allowed to occupy Dwelling Unit: .. Number of rooms in Rental Dwelling Unit: m � Use and Dimensions of each room in Rental Dwelling Unit: 10, � D Page 3 of 5 SO � 54 Town Hall Annex Telephone(631)765-1802 54375 Main Road w Fax(631)765-9502 P.O.Box 1179ISS Southold,NY 11971-0959 " . Cou ; 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) 4 . t Icertify 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 S64 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Alm, Cow BUILDING DEPARTMENT TOWN OF SO HOLD 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 Property Owner's Signatu Sworn to before me thisc� day r Official Notary Public Signature and Original Notary Stamp CARISSA CALI NOTARY PUBLIC,STATE OF NEW YOR Registration No.01CA6348979 QUALIFIED IN RICHMOND COUNTY Commission Expires OCTOBER 11,2024 Page 5 of 5 qvv (00 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATIOWCAI FRAMING 1 STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ TIRE SAFETY INEE [ ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI CODE VIOLATION [ ] PTT.. C/O [ I REMARKS: INSPECTORDATE sty you M 1 Ll - ON On Pon JS v M cow Dn PCs xv vs=cvj0ag__- So UAG�FOR�q 1 kL Y &MA ON 504 imp UMT, vy" PwAh� 'T.V U"AR, 1 WIR Ili&�00 MR An,w [EX Al 004 IF, 07 cbM R n c aim i-D R022 1 ADMATIR OW-av e _ e, v _> LA We _— , Ai Aj BI IN 7 � s z Z1 - - ss FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28222 Date: 22LL9102 THIS CERTIFIES that the building NEW DWELLING Location of Property: 630 WILD CHERRY WAY GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 3 Lot 15 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 2001 pursuant to which Building Permit No. 27594-Z dated SEPTEMBER 6 2001 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 REAR DECK SECOND FLOOR DECK AND ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to ANTUAN KILICIAN & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0077 02/07/02 ELECTRICAL CERTIFICATE NO. N 580605 01/07/02 PLUMBERS CERTIFICATION DATED 02/11/02 N & D PLUMBING ho zed S°gnature Rev. 1/81 1' Town of Southold 7/13/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44286 Date: 7/13/2023 THIS CERTIFIES that the building ASBUILTALTERATION _...,� Location of Property: 630 Wild Cherry Way,Greenport SCTM#: 473889 Sec/Block/Lot: 52.-3-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/10/2021 pursuant to which Building Permit No. 46420 dated 6/15/2021 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" int'er or_ _IgLres t;+ epi. in ®sin ' e famil dvvellin as a lied for The certificate is issued to Kostopoulos,Dimitrios&Tropaitis,Kosta of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46420 2/23/2023 PLUMBERS CERTIFICATION DATED 4/19/2023 tos ropaitisoc..... tant�ttre.............�.-........