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Home My WebLink About1000-117.-6-11.2 TOWN OF SOUTHOLD A, co M- Rental Permit 0755 Owner Timothy Brown Occupied as Single Family Dwelling Located at 455 Kouros Road New Suffolk 117.-6-11.2 Maximum Permitted Occupancy 4 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. 10/17/2022 de or me t Official This Notice must be posted by the main entrance at all times fi salfT�o Town Hall Annex �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G l` Southold,NY 11971-0959 �� t BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ® Rental Permit Fee$200 (Application must be renewed every t ars)W 3 IS 2 . Section A. Property Information: Rental Property Address: �/ q55 - �u os Ra eu) -pfd I �f "I (P Tax Map Number: 1000 SECTION 7 -BLOCK.- (P -LOT 1 = 2— SECTION B. OWNER INFORMATION: Property Owner Name:. Property Owner Legal Address: Property Owner Mailing Address: �-3 g G 5_9T4 c� FY a jE✓ C ��fJ�� L 6 93 2L, S13 Telephone Number(s): Daytime Evening '�:ZC- Emergency Property Owner Email Addresses'1't11f '�� c,1,(ZIL , �Y1� NP `� 2 aa- Page 1 of 5 f�fQ�Ws 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: 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: w rr.'.. 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: - 9°7`X 131 - - 10 � X ► 2.� Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(63 I)765-9502 P.O.Box 1179 G a� tic Southold,NY 11971-0959 �O 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) 1 OfID V. DQY1 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 �®�IN°f so�r�yaf Town Hall Annex , 5 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: tf'fd/Y1TT,`= Lo , RRI AJ Property Owner's Signature: : ia Sworn to before me this 16-day of ber -20Z2- Official 20 22Official Nota ublic Signature V Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 Page 5 of 5 g SOUIyo ----- # # TOWN OF SOUTHOLD BUILDING DEPT. °yco 631-765-1802 t 1.4.,6 _ (1 1� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] e5MAL [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN [ ] CODE VIOLATION [ ] PRE C/O REN AL REM KS: w DATE INSPECTOR 0FS0UTyo� �]�j�yjow0c, # # �_1ITOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 631-765-1802 -INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /FIRE LATION/CAULKING FRAMING /STRAPPING [ L FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O ] RENTAL REMARKS: ��' t�A'rn ``4 �5 DATE ��I�'I?,0?��/ INSPECTOR i 6 / FSJOC WATER FAUCET 0U1S0E EN07AHCF J6.2' WwDOw(1YP) 8tLC0 OOOR) 1 1 13.0' 72.5' U W BEDROOM ATTIC OCGR o s BEDROOM n U, �I TM AREA WRY U 12.9 I 22.1 WALK-IN STORAGE r-ILORDA azooM• CLOSET4 5.a' M 4 AQUIRED FROM II STORAGE „ A TNTGR / ;., 9.4ri w/HEAT ui — / A3.1� CELLAR STAIRS DOWN, ° N 75.4' W S aNa ttvF)_srAiRs UP CLOSET STORAGEl I I I 3.7'CLOSET (NNVCIKG) (5HELW40) .2' o V Q �I COUNTERTOP — / N rj ATnC ODO TWS THTS AREA CNRANEI' r LIVINGROOM ui _ —�#I .TSINK ISLAAID i .RREPLACE O z lig f OUTSIDE WATER FAUCET WUdOOW Y { 1 1 �nER 9NN Ow J ww 29.3 2.8' S,3• eAT wiNDow COVERED ENTRY ENTRY R 0UT9DE WATER ` FAUCET '� VKSc ENO`AEW OF SECOND FLOOR(WEST ENO) ALL CEILING BEAMS ARE 2" X 8" 16" O.C, VARIABLE LENGTH. ALL WALL STUDS ARE 2" X 4" 16" O.C. SCALE: 1 = 10• ALL FLOOR BEAMS (1ST FLOOR) ARE 2" X 8" 16" O.C., 12' OR LESS 1N LENGTH. ALL FLOOR BEAMS (2ND FLOOR) ARE 2" X 8" 16" OC., WITH VARIABLE LENGTH. C)f NEy, ALL ROOF RAFTERS ARE 2" X 8" 1 r'' O.C. �� A f�SCy� • LQ y n ti RENOVATIONS AND AS-BUILT RESIDENCE BELONGING TO STANLEY J. ISAKSEN, JR. Oq MILDRED L. ISAKSEN ESSt NQS ADDRESS OF PREMISES: 455 KOUROS ROAD, NEW SUFFOLK, N.Y. JOSEPH FISCHEfT1. PE PHONE NUMBER: 734-5835 1725 HOBART ROAD SOUTHOLD, N.Y. 11971 BOARD CERTIFIED STRUCTURAL ENGINEER TOWN OF SOUTHOLD PROPERTY CARD OWNER STREET,. VILLAGE DISTRICT SUB. LOT x FORMER OWN R' N E ACREAGE �5 tc4 ke j (gi e:-, W TYPE OF BUILDING ar.11, RES. VL. Est. Mkt. Value SEAS. FARM COMM. IND. CB. misc. LAND IMP. TOTAL DATE I REMARKS Z- 44 1111�6-v' C I In p 0 1410o *a- i). Jf4ktep — N c- j r, 4G;: VIN/ ?.919 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD 6 —el; Tillable I BULKHEAD jillable 2 DOCK ----------- fillable 3 Woodland ................ SwampIQnd C'r Brushland -h) ----------- House Plot Total IIH COLOR TRIM '4 1 914 I St 2nd M. Bldg, 44 PC �2% Foundation 40'rHER Bath s Dinette Ex te Sion Z? COMBO 10 SLAB Basement PARTIAL Floors Kit. 12- Y, Extension "-b Y, ft 47Z- -f4 Finished B. Interior Finish L R. X Extension tomFire Place Heat D.R. Garage Ext. Walls BRI f0 Porch Mo Dormer B s Deck/Patic Fam. Rm. Pool Foyer A.C. Laundry Library/ O.B. Study Dock --4- �4 ...... A E : : i - J OWAIN � e3 f : -t-z- _T 117.-6-11.2 2/10 r M. Bldg. -,= j p 'c; - �° "." Fpm .tion Both ffExtension 16 a - ement t, Floors Extension Ext, Walls Interior Finish , J _ - Extension Fire Place Heat t Porch , Roof Type - { Porch Roams 1st Floor Breezeway Pati rooms 2nd Floor __- GarageJ ;f �-, ✓' riveway __ ; R /O e Dormer - --- - —-- _ { : -E_..,... . ,r,..�.x,..., as.".,_�. ,>�.3.�"a+a,..'rs• "�....w,a"...�".' ��..;"a"a�u;+�eaa.,�.�..a.'`Kaa�w.�'�.�s�" FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE C.O. Certificate Of Occupancy No. Z 167 16. . . . . . . . . . Date . .March 17 , 1988 THIS CERTIFIES that the building One , family d w e 11 i n Location of Property 4.5.5 KOUROS ROAD, NEW SUFFOLK, NEW YORK House No. Street Ham/ei County Tax Map No. 1000 Section . . > 17. . . . . . .Block . . .0 6. . . . . . . . . .Lot . .0 1.•.0 0 2. . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . .Lot No. . . . . REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the �Z�titX$bB7) i #itii1�iC1��I�y ) x . . A.pril 23 1957 CERTIFICATE OF OCCUPANCYZ16716: . . . . . . . . pursuant to which)AHi}1i4:V1 iKNo. . . . . . . . . . . . . . . . . . . . . . dated March 17 , 1988 . . . . . . . . . . . . . . _ 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 . . . . . . . . . Private onefamily dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . ..EFSTATHIOS & MARYANNE KATSOULAS (owner,XdN&Kb6MXfflX of the aforesaid building. Suffolk County Department of Health Approval . . . . . . A4 A. . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . 1 .N/A PLUMBERS CERTIFICATION DATED: N/A Update of Pre c . o. Z9540 Building Inspector Rev.1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. • HOUSING CODE INSPECTION REPORT Location number & street Municipality Subdivision Map No. Lot(s) Name of Owners) Occupancy / LeA.�'�. �type� owner-tenant) Admitted by: 4ZS1ti <ANU1C1_ Accompanied by: 154/`IF Key available -- Suffolk Co. Tax No./�Y7n-//7-X6-0!! Source of request �� Gb Py/,l,C��'UF/� Date 72 79 _ DWELLING• Type of construction r #storiesnom_ Foundation C l awl space •-- Total rooms, lst. F 3,32s 2 F __3 . F1 Bathroom(S) 0N-- LL Toil . Porch, type — eck, type — Patio, type mousey Breezeway_.-_ GaragUtility room Type Heat CFiyT2eG1_ 'Warm Air — Hotwater girds�/%�cO Fireplace( No. Exits 714/0 Airconditioning Domesti hotwater to �0/l&VlneF Type heater C7 r=p2=17 Otheir`.C��/�.(� .//� .OpoeTiQu� /o.vT.c2i�J2 �•vi/zuf�y ACCESSORY STRUCTURES: / Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 . Location Description Art. Sec. Remarks: G 0 7—/0A)s ate of Insp. 07 o?! - 7/0 Insgected by: bio � Time start_____end d5 •�-j- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 520177 Date AUGUST 28, 1991 THIS CERTIFIES that the building ACCESSORY SHED Location of Property 455 KOUROS ROAD NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 1.17 Block 6 Lot 11.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1991 pursuant to which Building Permit No. 200692 dated AUG. 8, 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 CONSTRUCT AN ACCESSORY SHED AS BUILT The certificate is issued to STANLEY J. & PATRICIA A. ISAKSEN, JR. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT.' OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector 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-33727 Date: 05/20/09 THIS CERTIFIES that the building AS BUILT ALTERATIONS Location of Property: 455 KOUROS RD NEW SUFFOLK . (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 6 Lot 11.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 2009 pursuant to which Building Permit No. 34661-Z dated MAY 7, 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 "AS BUILT" ALTERATIONS, INCLUDING COVERED ENTRY AND OUTDOOR SHOWER STALL TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STANLEY J ISAKSER JR & MILDRED L (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4 8 04/28/09 PLUMBERS CERTIFICATION DATED N/A tho zed gnature Rev. 1/81