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Home My WebLink About1000-35.-5-24 TOWN OF SOUTHOLD Rental Permit 0793 Owner Georgios Katsamanis Occupied as Single Family Dwelling Located at 710 Maple Lane Greenport 35.-5-24 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. 12/20/2022 fficial This Notice must be posted by the main entrance at all times o%Erorc S011t, � Town Hall Annex Telephone(631)765-1802 54375 Main Road jr Fax(631)765-9502 Y.O.Box 1179 G^ Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOM RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: q L/ � Tax Map Number: 1000 SECTION 5 -BLOCK -LOT. - SECTION B. OWNER INFORMATION: Property Owner Name: ("Q4 1)d\q Q_4�;kx_4� 0-,V% Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime R11 - DQ.?Avening50-�_Emergency S Qom_ Property Owner Email Address: CDi Q i2EL CLI-03 - Czllnn Page 1 of S `I Town Hall Annex 41 Telephone(631)765-1802 54375 Main Road Fax(631)765-9.502 P.O.Box 1 179 G, . Southold,NY 11971-0959 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, 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: L Use and Dimensions of each room in Rental Dwelling Unit: �(✓rt-i kf&2,b.r 10� Page 3 of 5 ho�artjf so yp� �o t, bt) / VF W # TOWN Ot SOUTHOLD UILDING DEPT. Comm, 631-765.1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] KA L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: tlrvoin DATE INSPECTOR 'aflF Sa `T, Town Hall Annex 41 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Q. .... ® ((� E P lei I I }l iE D MAR 2 9 2.022 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUIL F S ver +; TOWN OF Oi17}10LD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form/s required for each individual Rental Dwelling Unit Professional seal reauired for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 35- ,5- 21 - Rental 5- ,5- 21Rental Property Address: -7 /o A� �c�-�.P (N-e �,,, vL--' Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) 944 , 1-7- g-- �Cg 1 Property Description (Include all improvements indicated on survey) 1 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. Print Name and Title 0 A ginal Signature VA-Mo[GM ftd�t-2 1 r P� s Please place professional seal: • 7". OF SOUTHO�D '--,JREJCO11.31`�� a`� :TOWN, PROPERTY STREET L X VILLAGEAGE ST LOT` L.00 0 FORMEREN AC TYPE B1.11�LDI NG,' !4- RES'-- J0 - ",VL. FARM - - -- --------------- COM�'M.- CB. MICS. Mkt- Value ,LAND" fMPJ TOTAL DATE REMAR; r Tj 4% A �2,,A A A Ak Ar 6�6 kci mi, 17 L Jill eo &C A� -7 D /A let, 4 s L 7. E BUILDING CONDITION NORMAL- ,,N BELOW ABOVE FARM , ,Acre Volue Per Va Ac re a e.: FRONTAGE 'ER ON WATER -�-W, 00dldnd FRONTAGE ON ROAD IVl -.4 3-j:�',. :2-y. eb-dowland DEPTH', :J -Housili:,Plai," BULKHEAD f. LA total, c - ------------7- 77 A. MEMO M MEIN INN■■M _ .4 ■■■�■�■■■ii■sei ■i . i�■■ iii■i _ ii■i1�■ ■iiii�F�lE��'iiO Elm OEM NO ME EMO bundation laosement' Ext. Wal I s M Fire Place ■ f ype Roo Recreation Room 6orrner :Drive way Town Hall Annex Telephone(631)765-1802 54375 Main Road 40 Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 a 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 I ►/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) IIJ , 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 Nall Annexes Telephone(631)765-1802 54375 Main Road Pax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 f 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: aene2l CZ -,n1 Property Owner's Signature: Sworn to befoc a thisZt day of >�✓el,7 20'7 r� Z V Officio) No y Public Signature and Original Notary Stamp 1. ANDREAS KAY Ndtary Pubrc,State of New York No.01 KA5034648 Qualified in Westchester County Certificate Filed in New York County Certificate Filed in Queens County Term Expires October 17,20 Page 5 of 5 WOM xa 4 TOWN OF SOUTSOI D i BUWING DEPARTMENT Town Clerk's O1Goe Southold, N. Y. Certificate OF Occupancy No. $7963 . . . . . . Date . :. . . . . . . .PAt. . 18 .. . . . . . . 19.7.7. THIS CERTIFIES thal the.building located at . . .ftAXo. &AU9. . . . . . . . . . .. . Street Map No. Cleaves .Pt Bl k No. . . . . . . . . . .Lot No. b3. . . . .4reanport . .N..Y a. . .. . .. conforms substantially to V ie Applicatlon for Buildaing Permit heretofore tiled in Ws office dated . . . . . . . . . . . . . NoY. A ., 19. 76 'pursuant to which Building Permit No. .89.ykZ. dated . . . . . . . . . . .NQv . . . . . ., 19 7f ., was issued, and conforms to all of the requires meats of the applicable ions of the law.The occupancy for which this certificate is issued is FrAVOLte .oxto. . 9M11 t.dWAXIIAg. .. . . . . . . . . . . . . . . . . . . .. . . .. . . .. . . .. . . . . . The certificate is issued to Robart. Pankratz. .. .Owner. . . . . . . . . . . . . .`-.. ..,. . .. . . .. . . . (owner, lessee or bemt) of the aforesaid building. Suffolk County Departme t of Health Approval UNDERWRITERS CER KATE No. .N35.8125 . . . .Sapt. 29 .1977. . ... .. . • .. ... . . HOUSE NIJM13ER . .?I . . . . . . . Street . l"irtp1o. . . .. ... . NTA1 .A t hrOam .Placo Ing p .Deck A. railing Ag. be.cgmpletred.lay. .ovsmr... 6. . zle�. . .. . . .. . . . Building , i K ,• FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFIC= OF OCCUPANCY No Z-20810 Date JUNE 19, 1992 THIS CERTIFIES; that the building ADDITION Location of Proprty, 710 MAPLE LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map N . 1000 Section 35 Block 5 Lot 24 Subdivision Filed Map No. Lot No. conforms substan4ally to the Application for Building Permit heretofore filed in this o41ce dated APRIL 7, 1989 pursuant to which Building Permit o. 18019-Z dated APRIL 10, 1989 _ was issued, and Lonforms to all of the requirements of the applicable provisions of thL law. The occupancy for which this certificate is issued is ADDIT�ON TO DECKING & ROOF TO AN EXISTING ONE FMILY DWELLING The certificate lis issued to MACKIEWICZ (owner') of the aforesai building. SUFFOLKCOUNTY EPARTMENT OF HEALTH APPROV4, N/A _ UNDERWRITERS TIFICATZ NO. N-238390 - JSN 10, 1992 PLUMBERS CERTIF CATION DATED N/A /1011"%xi ding Inspector Rev. 1/81 !I Architects: _ NDKdzalds Architecture P.C. �-, Architecture • Interior Design • Planning 2 4 - 6 8 4 7 t h S t r e e t Astoria New York 11143 } ' Tel.718.721.5865 Fax. 718.721.5745 Email: info@ndkapc.com UP - - - - - - - - - - - - - - - - - I ❑ ❑ I� I I LINE OF ROOF ABOVE I I ' I I �.w,• I UP . ., EXI. UPPER DECK ❑ EXI. DECK ❑ 245 NSF I 459 NSF I I , I I LINE OF STEP UP UP I I I I I I I I — J EXISTING SLIDING L - - - - - - - - - - - - - - - - - - - - - - - - - - - _ — � �- - - - - - - - - - - - - - - - - - - - - - - - - - - - DOORS ca W I — I 10'-1' 10'-0° CL, l\ LAV 3TOL CL, I CL' I EXI. CORRIDOR '-11" I Na. Date Revision o EXl DINING ROOM I o EXI, BREAKFAST AREA EXI. KITCHEN N 98 NSF CL. EXI, WALL MOUNTED S.D./C. SMOKE/CARBON 90 NSF ti 90 NSF I- — 123 NSF 6-8 EXL BATHROOM MONOXIDE CL I DW I 20 NSF S.D./C,M, DETECTORS. TYP, I EXI. BEDROOM 'B' L — REFS S.D./C. EXISTING FIRE I DN 124 NSF EXTINGUISHER r I + ;G CL. o BELOW KITCHEN S. ,/C,M, EXI. BEDROOM 'Co 18 10 SNKCABINETI SLOP HER DRYER 91 NSF I I SINK r — — � EXI. CORRIDOR - DN m I i]S,D,/C•M• 1 35 NSF , I N �• EXISTING WASHER WATER S.D./C.M. — — _ CONNECTION, RECESSED IN WALL EXISTING WALL MOUNTED S.D./ o EXISTING FIRE EXTINGUISHER I • " " MILLWORK I 13-5 7-11 LA 19-11 20'-4" 4'-11 I � I CL. EXI. BATHROOM EXI. GARAGE I � 52 NSF 441 NSF o EXI. BEDROOM'A' EXI. LI G ROOM EXISTING FIRE o F PLACE 188 NSF XOW oTUB LINE OF STONE SADDLE IN FRONT o 11 OF FIREPLACE EXI. BATHROOM a 35 NSF —_ _ - - - - - - - - - - - - - - - - - LA e 2-4 �\ — � 5-7- CL. EXISTING r I � MILLWORK Checked by: NK Drawn by: SD /iX�\ i�X\� I MIS Job Number Date: L - - - - - - - - - - - - - - - - - - - - - - - - - - EXI. OPEN PORCH LINE OF ROOFI i 10'2$'21 ABOVE 1771 GARAGE DOORS GARAGE DOORS Project: M2113- UP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - J 710 MAPLE LANE, GREENPORT, NY 11944 Drawing Title: EXISTING FIRST FLOOR PLAN LEGEND AND NOTES 1 EXISTING FIRST FLOOR PLAN �111 SCALE: 1/4"=1'-0" Drawing Scale: AS NOTED Drawing No.: Aml 00,U010 Sheets in Contract: 1of 1 ,