HomeMy WebLinkAbout1000-35.-5-24 TOWN F SOUTHOLD
Rental Permit
0793
Owner: Georgios Katsamanis
Occupied as: Single Family Dwelling
Located at: 710 Maple Ln Greenport 35.-5-24
Maximum Permitted Occupancy: 5
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.
Issued: 01/02/2025
Expiration: 01/02/2027 Code(nAfortcentOfficial
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 21
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
OIL n oear\, �c�v
� S��FFOC� Town Hall Annex
�� Town of Southold 54375 Main Road
a� Rental Inspection Report PO Box 1179
z
Southold, NY 11971-1179
c"t Tel: 631-765-1802
SCTM # ?J5 Date o?
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,Owner Phone... .._.. _m_ _.,...._ � ._____..�...�.�_m.. . ,
Address �/ Visible
__. ..._. ..w__. ... _._w, _ ._.w.. �. _. ..... ... .....u._.. _ mm.W... ... j Hamlet .. Inspector. � _..W.... .. ._.n...�. .„.�....W. _..._.,. �..w
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors
Fire Extinguishers f
Exits
Bedrooms 1 2 3 4 5 6
Smoke Detectors
--
Egress
Occupant Count a
Building Systems Maintained &Operational condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained� ntamed & safe G
Mechanical Handrails &guards installed & secure
Pool Safety
y Pool on Site
Surface wate�. �alarm
am _._.. ..,... mw_ .. ..__... . .. ...�.,.....� _ .� ...._.... _ ...... __.....w. _.. _...
r rm Date of CO issuance
Door alarms Pool completely enclosed
Self closinlatchinates . . .--._ ._. __..... .. .�.,..e Pool fence to.c_.... ..�..IT ..�.._ ..._..._ _ . ,- _.. ..e
g/ gg ode requirements
O's for all items present Prior Rental
Comments:
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
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X
VILLAGEAGE ST LOT`
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FORMEREN
AC
TYPE B1.11�LDI NG,'
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RES'-- J0 -
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FARM
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COM�'M.- CB. MICS. Mkt- Value
,LAND" fMPJ TOTAL DATE
REMAR; r
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BUILDING CONDITION
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,Acre Volue Per Va
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FRONTAGE 'ER
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FRONTAGE ON ROAD
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bundation
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Fire Place
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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
❑ ❑
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I I LINE OF ROOF
ABOVE
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EXI. UPPER DECK ❑ EXI. DECK ❑
245 NSF I 459 NSF
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LINE OF STEP UP UP
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— J EXISTING SLIDING L - - - - - - - - - - - - - - - - - - - - - - - - - - - _ — �
�- - - - - - - - - - - - - - - - - - - - - - - - - - - - DOORS
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10'-1' 10'-0° CL, l\ LAV 3TOL
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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
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18 10 SNKCABINETI SLOP HER DRYER 91 NSF
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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
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CL. EXI. BATHROOM EXI. GARAGE
I � 52 NSF 441 NSF
o EXI. BEDROOM'A' EXI. LI G ROOM
EXISTING FIRE
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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
,