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Home My WebLink About1000-106.-3-4 TOWN OF SOUTHOLD s Rental Permit 0760 Owner Dennis & Katina Karagounis Occupied as Single Family Dwelling Located at 230 East Road Mattituck Maximum Permitted Occupancy 2 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. 10/18/2022 ode?Enf rc me O ficial This Notice must be posted by the main entrance at all times 91 Town Hall Annex Telephone(631)765-1802 54375 Main Road r j Fax(631)765-9502 P.O.Box 1179 �-51� S Southold,NY 11971-0959 VIINV 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 Address: 23 Eas-�_ o cid l�_a-�-�-i�u a , l� Y Tax Map Number: 1000 SECT ON a(c)-0'3 -B QCK_ -LOT -1 O 5 -. SECTION B. OWNER INFORMATION: Property Owner Name:-- ��S Glra O U n 1 �. Kcvhna Ka,-a�Couno's Property Owner Legal Address: Property Owner Mailing Address: 25 lei h oac� 25 �r leigln load f o u s `4 . I A 36 3 - `j�oualais�r�_ I�Y Iwo Telephone Number(s): Daytime !J.1'9-5983 Evening Emergency—Ll- -%q43 mergency I I Property Owner Email Address: d� V n AID 0.O co M, _ F : 1V lee �.ioa� l 1 SEP 2 7 2022 i 'ILD" Page 1 of S z Town Hall Annex Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959Q4y BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency / Email Address: IA- Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N1k Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: . Nj Telephone Number(s): Daytime Evening Emergency / Email Address: 1A SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: - I�1. Address of Managing Agent (no P.O. Boxes):, 1 V Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 G ! Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: 2 U tas n N Y 1136 Telephone Number (s): Daytime. g—_M&3Evening L Emergency �1 Email Address: a� OUn- a-0 I . co 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:23o sEaS+ good I c�,71)1N Cp4�oke,� 0000n 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: 1 q� \ 2 be� r�ooms ( �I l2 2'' xTS' ; �2 i2 G ' x L 2�� I1yx__ Page 3 of 5 Town Hall Annexe Telephone(631)765-1802 54.375 Main Road ] �° Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 C®UNT�;�1 �f 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. ❑ 1 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) I .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 , 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:_ L anniS �S Property Owner's Signature: I yl�// Sworn to before h' day of �^, � 20 °zZ� Official N tary Public Signature and Original Notary Stamp MICHAEL LAU Notary Public, State of New York Reg, No. 01LA6306497 Qualified in Queens County Commission Expires 0612312026 Page 5 of 5 OF SOUlyO� V470 VH 0l, * # TOWN OF SOUTHOLD BUILDING DEPT. `yi'ourm�� 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ]' FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARK,L yj DATE d INSPECTOR ! it Tawe Hall Annex Telephone(631)765-1802 54375 Main Road -{ ,s � $� j Pa.:(631)755-9502 P.O.Box 1 179 t Soulhoid,NY 11971-0)S9 _ f.�i,.t;,rp', =ti `IMI ,i BUILDING DEPARTMENT TOWN OF SOUT$iOLD 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 Professional seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: /0& —3-4 Rental Property Address: 23o R-o-,P pli{ `-} �, {vc(c_ i-S i I(9 Owner/Name: beV1At S 'A I C4 j<ac.c.so o 0 Des Rental Dwelling Unit Identifier: U � Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq.,etc.) 4-6 1 ( Ito 4 E4- f Property Description (Include all improvements indicated on su11 rvey) 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. q 1 .ic Ori a Print Name and Title �p RFc g g 2 < = m Please place professional seal: O �o * t031\a`J ' a�t, 1 o_ Lit 0 (a o . - � LSV Id1G3 e�oWg= J w,iLL' IY/ SeG IDVO- 1pC7 D3rO� G IdS i - Sec lope .• IIJ� �0.3-D�} �Loc� # 10� L.of �1- '� P YK 00 E d v Po o lo; i / 77 �.,-e- X-4,-r 4 v;SS P,.e.- 2 3c) 5-.v.4- �z ®..L o,+4- Svc Sec- 1000- Ion -03- 04 70b-ccL rn5 L n4- 7 � � 14k Fwa�� I � Q� 3144( ,B t,` �OWN ®F S UTHOL ,. PAOPERTY RE�� _- /4 OWNER STREET ._ �,3 VILLAGE DISTRICT SUB-. , LOT FORMER OW _ER.. "11� N E ACREAGE .wa. ''T` �t ��i N S N/ TYPE OF BUILDING 'mss=° RES. �� EAS. G, '" VL. FARM COMM. IND. CB. MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS c` F 1° e. :,8,`;< - <rB.' q Y-iF4 . y,9 Y• — ! - a °^ .k e�, F? ., .F �"`�/ .a `//�,•`.,�;.'> J s:�• 3t.,.2..; P }`". '�"^`...?� .^-�,..,:;e 1, s}f F1 4.# 'F �t�s•`.." �'t°' r l-)'�,✓ r _e-fie._-J _f +�—, / e.'F aa•" t Wf u f d ' ✓ Q✓/ BSS �....—`f✓LF • �P eve d� •'f Fa 'sC " �'.vF'^'•� �{tee,. x'i '-Ri,j,; -- S+•_ t s �(✓ .' f 1 ,' r � �� ( iib f� Pts c: `fir o o ..o 0 3cota z f�� ? 1� �� v..��= °g ggeppLcxc, 33 1 0 _. "i}EW -'� �gRMAL B, LO OVE FRONTAGE O ATER ; Fprm Acre [Ma (ae P r Acr ! 7 V lue FRONTAGE ON ROAD Tillable. ) BULKHEAD Tillable. DOCK y. o �- ° .3 1 B , Tillable 3 A `v' iT;tee Woodland. Swamplanda Brushiand ' '}' �. _ p House'Plot' _ POO * �f 4AYp• v._'"_ �VT.r" s_tY r'..d' � i/a+i;.nom + +F Ff v,t„@i�d,�pi£•,A Toto I I jb1i ai , k SCTM # --- --- ►: _ TOWN OF SOUTHOLD PROPERTY RECORD CARD aa- OWNER STREET VILLAGE DIST. /05 °'Aja ACR. REMARKS TYPE OF BLED. �g�g d / �Ap n',ceda PROP'. CLASS LAND IMP. TOTAL DATE 00 j s FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL t t I • _ � T E _ 37 i 11 i I - � {I i I I - ... bt ;. 106.-3-4 3/22/2021 _ . z + - i _ M. Bldg. .t � Foundation .� Both tw V _ 1 tt Basement F1 1 Ex ension oars Extension Ext. Walls I,t�R , / Interior Finish # Heat Fire Place --- - cm7av /sJ y� .. Porch I Roof Type t� ,d 10N r Porch Rooms l st Floor __.__ -- - _ __.......... v otio ( Rooms 2nd Floor G r4g -- �I Driveway _ r __._. Dormer --00 r> �r b s r t C'. \ j 'TRUCTIONS �' -FRIGHT. SE OF FIRE. _ K6 FEET. •;, _%tvA E 0 SQUEEZE EEZE LEO.y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22646 Date OCTOBER 8, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 230 EAST ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax .Map No. 1000 Section 106 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22646 dated OCTOBER 8, 1993 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 SEASONAL DWELLING The certificate is issued to CLEO P. TSOUNIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. it ing Inspector Rev. 1/81 l BUILDING DEPARTMENT TOWN OF SOUT11OLD I10USING CODE INSPECTION REPORT LOCATION: 230 EAST ROAD MATTITUCK, NEW YORK number b street municipality SUBDIVISION •MAP NO. LOT (s) NAME OF OWNER (s) CLEO P. TSOUNIS OCCUPANCY A-1 RES. OWNER (type) (owner-tenant) ADMITTED BY: . SELF ACCOMPANIED BY: SELF KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-106-3-4 SOUnZZ OF REQUEST: CLEO TSOUNIS DATE: AUG., 13, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 1# STORIES ONE # EXITS 2 FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 3RD FLR. BATHR00`i (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE ENCLOSED DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC DOTWATER YES TYPE HEATER PROPANE AIRCONDITIONING TYPE HEAT NONE WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWL`iMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #20108-Z CO Z-22645 FOR ALTERATIONS TO EXISITNG PORCH INSPECTED BY: DATE ON INSPECTION OCT. 4, 1993 GAR .' FI H TIME START END FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22645 Date OCTOBER 8, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 230 EAST ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1991 pursuant to which Building Permit No. 20108-Z dated AUGUST 26, 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 ALTERATIONS TO EXISTING PORCH ADDITION (NON-HEATED) AS APPLIED FOR. The certificate is issued to CLEO P. TSOUNIS (owner) 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 1. F0Z Town of Southold 3/5/2015 �a P.O.Bog 1179 $ 53095 Main Rd th Southold,New York 11971 rrJy�[r^� CERTIFICATE OF OCCUPANCY No: 37455 Date: 3/5/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 230 EAST RD MATTITUC& SCTM#: 473889 Sec/Block/Lot: 106.-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/20/2011 pursuant to which Building Permit No. 38287 dated 8/27/2013 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: heat installed to convert existing seasonal one family dwelling to year round occupancy as applied for. The certificate is issued to ANTHONY &ELLEN ANNUNZIATA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A#o*fzedyignatydre �o�SupFO[ �oGy Town of Southold 9/19/2016 a P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38520 Date: 9/19/2016 THIS CERTIFIES that the building DECK Location of Property: .230 East Rd,Mattituck SCTM#: 473889 See/Block/Lot: 106.-3-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/13/2016 pursuant to which Building Permit No. 40706 dated 5/19/2016 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"DECK AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Karagounis,Dennis of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED J Author'AuthoriM Signature 1 �o�ps�F�t'fcoG Town of Southold 8/21/2018 e P.O.Box 1179 53095 Main Rd �a10, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39852 Date: 8/21/2018 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 230 East Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/24/2017 pursuant to which Building Permit No. 42105 dated 11/1/2017 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: ACCESSORY NON-HABITABLE,NON-SLEEPING GARAGE WITH LOFT ABOVE(STORAGE ONL)LS APPLIED FOR The certificate is issued to Karagounis,Dennis&Katina of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42105 03-22-2018 PLUMBERS CERTIFICATION DATED A t ed Signature