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HomeMy WebLinkAbout1000-33.-2-25 TOWN OF SOUTHOLD Rental Permit 0796 Owner Demetrius Lilikakis Occupied as Single Family Dwelling Located at 1445 Green Hill Ln Greenport 33-2-25 Maximum Permitted Occupancy 6 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. 12/22/2022 de or UerTffidal This Notice must be posted by the main entrance at all times e r 4 ®Town Hall Annex Telephone(631)765-1802 ;� ���,�� � p ,; 54375 Main Road ,. Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT 'p TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 3 3 •" BLOCK ��- _-LOT - a SECTION B. OWNER INFORMATION: Property Owner Name: , Property Owner Legal Address: Property Owner Mailing Address: Sq 74/V-S"6 l Telephone Number(s): Daytime J ening Ernergen y Property Owner Email Address: i r?— `- t 00° q20 C- Page 1 of 5 way Telephone 631 765-1802 Town Hall Annex �� �� � P p < ) 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959' 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):. ,,,_---- - 7?11 Ca1ok� Q ���� Mailing Address of Authorized Agent: 6 Telephone Number(s): Daytimej 7,-a j- "F� Evening Emergencyµ Address: t��" � Email A � Section D. Managing 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: SECTION E. SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: , Address of Managing Agent (no P.O. Boxes):._,,,,,,,_ Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:._ Telephone Number(s): Daytime - —��' vening_ _ Emergency ®.N „_„,_ Email Address: r SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling on Units 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 Requested Maximum number of persons allowed to occupy Dwelling Unit:y Number of rooms in Rental Dwelling Unit: r' R oc'V I __-,___� Use and Dimensions of each room in Rental Dwelling Unit: U/) /t'3 . - 1 D ` 10ft Page 3 of 5 Town Hall AnnexPTelephone(631)765-1802 `s 6 � 6 54375 Main Road q Fax(631)765-9502 P.O.Box 1179 ' �sG' ro 1 r Southold,NY 11971-0959 ° BUILDING DEPARTMENT TOWN OF SO HOLD 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) 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 117d���� � .� 9 Southold,NY 11971-0959 , �� BUILDING DEPARTMENT TOWN OF 3O SCOLD 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: �� Z " Property Owner's Sign at u re: -� .,. ...._._ .�...� Swor 4ito f re this of , 201j,,, � ,. i Si nature and Ori ., � r Official ota g 0a " O ualifi d in Kings County n Expires April 5, Page 5 of 5 TOWN OF SOUTHOLD BUILDING I 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] Al. [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL I CODE VIOLATION PRE C " REMARKS: ( e th vr� (,UA040 CA ------------ DATE IVI -Ti INSPECTORX4 I 54`-B •fin 7 j � � N DININtj: RM KITGHEIV 4' _ I ' � S t rDU m` _ € I - ClA�V,AX,Is.. rj • al � a ,- fig'= � 10•-I Ci t 5 3 1 _g,-i0° I ae�aR.DoI,A E��oa tear n. 9"K r'o N cm2 i Cop61 .1 t I olv e Smoke eh4rdl' y . / FR'-,)T FLOOR PLaN SGA LE %k • t-& e 14 IW #-i--•vMN 3i_ • �#T�LkZ - STlYU T'_ i CIM o.,l o �e d e4e q4��p CG,.--d117 n,lr e Etc $, - ' , . . # s - I e Iva" I I uNr--(C- r%r r4o' I ' O tj LY cow. 'p � .* . � 4• FTS 9 i� � _C7 St_At3 tou wau. r'c an.) To gwlf_ i i + l�L .s FILL FC1R SLAG $ SPACE FOR 6"sT` O.N. S ° f NNOO . C' a;�€FOUNDATION PLA . 5c.,a L S A%t,0' TOWN OF SOUTH OLD PROPERTY RECOM _ 1 T OWNER !STREET VILLAGE 7 FORMER OWNER, 1 N E AC�, j S W 5 TYPE OF BUILDING RES. SEAS- VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS L k—l(a 2qL Ck ei 9 C-2 14 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK i CALOR c '� TRIM K.� s E � k e; � I } I E - � E � E T �n 33.-2-25 09/2015 M. Bldg. IT Extension I :? R e _ Extension } z E � Extension F dation Bath I' Dinette Y- g -Foundation Basement [Floors K. r €�€ o Ext. Waifs /,V Anterior Finish LR. Breezeway ' Fire Place Heat r ,/ `, _ DR Gara e Type Roof - Rooms Ist Floor BR. t Patio _-- Recreation Room: Rooms 2nd Floor FIN /Pc E :Dormer _ � i Driveway � Tota I a f �5',4 4 4Dr - � � '� � �� r r�// �iO ,� �i� ., f��li�� �� ,i /��j�/�j � qui�(m //�//' � ,%;� ��, ��/ice/'i ji!% /%/ /�% ���j/j! ��,/% �� iiiii� ,,,,,, i////ii/, 1��i, i�����%, , // '� � ,` , i r '%i, l� � �� ���r �� ; �,,,,;;/ �� l ��« �\ \~q< ( § @ ' � �! \ ,;\ \ � � m ; � \ � \ � , � � � \ � � \ % \ ' � \ � % ; � \ � 2/ �! \ /�� . . . d� \ � . \ , >���* : E \�z ©� � �+ � �y } , \��y \ �r � . � .�y ! \\�: Q � � , \�& <g § >m � , , <��77 / \ \ � � }�� � , :� �/ � / . , &? �/�\x , \ . ��Z < j� . § , > . }� /�(2 � � � � \ � §� }ƒ\;/\\° : >� { �4:>%//f / � d §� � � r /�` «d ( i\ }� /f 2 � ` , , 4{(\ � \/ , 22\�� ^��\ � � � � � � �\ >��y\ ' « 9/. ©�� , �� w J � ' . . ��y ��� : ���« �«d+. < ��� . : ' . y \��7�� 2 � � � `�%` y � � � �2 , _ . . . . 2 . . . . . . . .%��< WORK NO. • TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . .7-9A64. . . . Date . . March, ,9. . . . . . . . . . . . . . . THIS CERTIFIES that the building located at 445. Green 44ill -Lane • • • xxx Map No. . . . .5234 . . . Block No. . . . . . . . . . .Lot No. . . . . . .132 . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . .Oct.6ber. . A 2. . . ., 19.75. pursuant to which Building Permit No. . .99962 dated . . . . . .October. .22. . . . .. 197£ ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . Pr•ivatr2. one .Eamily• Dwp_l2ing .with .Attached .Garage. . . . . . The certificate is issued to . . , _Dimitrios. •Nikas . . . • . . . • • • • . . . . . . • . . . m . « . . , • . . , . . (ownerx of the aforesaid building. Suffolk County Department of Health Approvals Robert Villa UNDERWRITERS CERTIFICATE No. . . . . .W411?. . . . . . . . . . . . . . . . • • . . . . . • . . . • . . . HOUSE NUMBER . .1445 . . . . . . . Street . . . . .Gx*een, Ki11. Lane, , . , , . . , . . , . . . . . . . , • . . . . . . . . . . . . . . . . . . . . . . . . . .Gre=Pert,_ JTew,Yorlk. . . . . . . . . . . . . . Building Inspector County Tax Number 1000-033-2--25 Town of Southold 10/31/2016 ° P.O.Box 1179 53095 Main Rd A, �� ° Southold,New York 11971 CERTIFICATE E Off" OCCUPANCY No: 38629 Date: 10/31/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1445 Green Hill Ln, Greenport........_...www._._...................................... _ .... ..........................M..wwwwwww�. ..w...... ....._ SCTM#: 473889 Sec/Block/Lot: 33.-2-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/2/2015 pursuant to which Building Permit No. 39938 dated 7/13/2015 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: N B13II�I"wM DOOR REPLACEMENT III ..lw f SIS " J I FAMILY...DWELLING A xPLIED FOR The certificate is issued to Lilikakis,Demetrius&Karidis,Kelly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _ ..............Mw_._._........... A ho ' . Signature