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Home My WebLink About1000-35.-5-40.1 $. TOWN OF SOUTHOLD } Rental Permit } 0888 Owner Michelle Psaropoulos Occupied as Single Family Dwelling Located at 185 Wiggins Lane Greenport 35.-5-40.1 Maximum Permitted Occupancy 10 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. 4/28/2023 This Notice must be posted by the main entrance at all times de E r Nce e Icial Town Hall Annex w Telephone(631)765-1802 54375 Main Road � `a Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � BUILDING DEPARTMENT 44AR P TOWN OF SOUTHOLD ,a RENTAL PERMIT APPLICATION ISI ( �t) la + Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: N �/ Ae S L, �✓E e o� J Tax Map Number: 1000 SECTION y 7.3989 -BLOCK3.S_ -LOT SECTION B. OWNER INFORMATION: Property Owner Name: 1' f 6 C.) /0 S Property Owner Legal Address: Property Owner Mailing Address: 363 6-, 83`4 sr IS lbsAJ1 IUY .sass 3 9/ y- y�'S- 892� Telephone Number(s): Daytime 86d -Ny6 - Evening —' Emergency Property Owner Email Address: 14 Lse q T 7-OA1 6T ' L C L M � ✓�N, �s��PdP� vLoS� G/✓I.�iL, C6M C.' ��`� b` Page 1&5 004 ,1 a , Town Hall Annex Telephone(631)765-1802 ,�" �° 54375 Main Road Fax(631)765-9502 P.O.Box 1179p a�"g Southold,NY 11971-0959 " Coll ou BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: fq Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: 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: A Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex w " Telephone(631)765-1802 54375 Main Road '+ Fax(631)765-9502 P.O.Box 1 179 �q Southold,NY 11971-0959 � . 00UM`l x BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: NIX� Telephone Number (s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: U / 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: --2/6z��...... Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwell! Py „ �„ � " Use and Dimensions of ch-rco i R` ��„ elling Unit: P ��°°� . ' , /`/ i►' ` " ' f�r„ y „.M /,34 7 / / Cha l 3 /q c,n 012 7 /6 'X e" ` �a/•/c ,,,,,,,,,,,,,,, � /3 �` ,�, R 6 4r /S" .'✓�n/G /g %1'/g/ Page 3 of 5 J `7„„ (P ' � , . Town Hall Annex °s Telephone(631)765-1802 54375 Main Road ;t Fax(631)765-9502 P.O.Box 1 179 p1w Southold,NY 11971-0959 Coni. 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 C�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 /�c�„fg S , 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 � <11 e Town Hall Annex Telephone(631)765-1802 54375 Main Road �� Fax(631)765-9502 P.O.Box 1179 ;^ Southold,NY 11971-0959 w " ` "lIuI BUILDING DEPARTMENT TOWN OF SO' THOLD 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: 11111 54..Rd o v /0 S Property Owner's Signature: Sw,,Qmto before me this day of mii� 202-3 Official Notary Pu lic Signature and Original Notary Stamp DIAA MOHAMED ALFAHHAM Notary Public-State of New York NO.OIAL6443545 Qualified in New York County My Commission Expires Nov 7,2026 WW-i Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 '00 11�"" BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Awq Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Al1/A—� Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: All Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: looe ll� ; 1en TOW SOUTH��LD BUI=XING D 631 755-1802 INSPEC 10N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/FIRE INSLATION/CAI [ ] FRAMING / STRAPPING [ L [ ] FIREPLACE & CHIMNEY [ SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) ELECTRICAL (F [ ] CODE VIOLATION [ ] PRE C/ � I U zwlw IS cFF c Llz [, z E won+mwimaom t � I 'ecww�rierm�eemax Nor = I >t5� N fYl111K.0 y #4 CL ME YICTT.k GT—/1�IF j O.C. ll,74r -, I 17, 5CCCkiEtl E � LIVING ROOPA Azik � '. `�" ILI 11 1 Chi Mss �€ 1TTJ, f r 3 s u w FLOOR _ PLAN x�newe NUL�R•exlrie � �, [ �,, 1 tee, ( � t�-x - `�=td 3 cu BIDDING BIDDING&PERMITS re re- -Yh rc o r One u � I ML l , _ _ u - - C. �� 1 `R-11 Mill!'1 3 i 3 v I��I[ £4�I ---. _Hull o Ui I S _ �� Ill 1�� 1 '� 111II € 1 it f€`i 1 ! Il" i1 „ 1 Z c_ f( 1 3 f7, Wf 3111 1 1 �1 sl ilt 111 - - 1 I 1 1 K O' zo im, HIM ROC?-PLAN € a ltd; SCALE:714''V-0" - of , r ae�oasnrN mss• $� A I3 .. rI V. e Tcs �: E%15TIN6 aaseeer � - ` 1 . f O E [ F ' �I�IYNmclwr OU PLAN r BIDDING I£PERMITS � G Building Sketch (Page - 1) Borrower Michelle S Psaropoulos_ Property Address 185 Wiggins Ln, City Greenport County,Suffolk State NY Zip Code 11944 Lender/Client Guaranteed Rate 23' N Garage 4 6' 3- 1/2 v Bath w N W O Dining Rm m 23' 56' Living Room Frbter' Closets Kitchen 7:a Den Bedroom .Np N Den Bath Bath Bedroom n.w 21" t„,aMV Enter 21' 9' 42' 1ttrrra..^,w.emn sr�a is maa-o-ic. Area Calculations Summary First RcKw 2656 Sq rt 9 x 2 = 18 22 x 21=462 20 x 33= 660 14 x 26= 364 42 x 22= 924 2x3 = 6 6 x 37 = 222 Total Living Area(Rounded): 2656 Sq ft Non-living Area 2 Car Attached 529 Sq R 23 x 23= 529 Farm SKT.BLDSKI-"TOTAL"aooraisal software by a la mode inc,-1-800-ALAMODE Building Sketch (Page - 2) wrztr Vin.. . ^ tf?t... _ LdadarNC 9rpt Guafanta4f,9at Rate �. C 42' 1V k �0 I� BedrooM Bath Bedroo � �edroorn C) UP 42' , r JY � 0 1 v 42' v N Basement X X Y 42' C✓41' 61YrnW.Yxum ww�w+m«rmm ma m � Area Calculations 8omrrnarry 8atioara&F4utur � 940 Sq ft Caku""0044* ZO x 42= 640 .. Total Uwtnq Arun(Rounded): 840 sq ft '�" pb Vin`• 6asemen `" IdaM loos sq n za."42- s A Form SKTADSK!-'TOTAL"aooraisai software by a la mode,inc.-1-800-ALAMODE Aug 6, 2022 Town Hall Annex �,� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 t Southold,NY 1t971-0959 ^ 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 In iector must provide co y of valid current cerci icati'on Rental Property SCTM Number: Rental Property Address: 166 Wiggins Ln., Greenport NY 11044 Owner/Name:. Michelle Stratton Rental Dwelling Unit.ld•entifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom #1 160 s ft Bedroom #3 140 sqft Bedroom #5 170 sqft Bedroom #2 225 sqft Bedroom #4 180 sqft Property Description (Include all improvements indicated on survey) (ROOM ABOVE GARAGE NOT FOR RENT) 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. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 original Signatur Please place professional seal: 10 4- WN OF SOUTHOLD PAOPERTY7 STREET LOT 2 5- -�o ST VILLAGE FORAItER OWNER N E ACREAGE T�V S TYPE OF BUILDING W 4 RES. SEAS. VL. FARM comm. IND. I CB. mlsc, LAND ImpTOTAL DATE REMARKS C tt vt!F Ij MJIbD -3-COP46ITTON, NEW ORMAL BELOW ABOVE _,� t -,e MV-- �jly Per A�e �j ---Volae n 4 Tillable 2 Zi L 7 Tillable 3 Woodicnd 0 1D i7:q-J, Swampland Brushland House Plot - ---- ----- - -- -------- ---- Total 'Al TOWN OF SOUTHOLD PftOPERf6/7//5 CARD I . DT OWNER -LAW STREET VILLAGE DISTRICT SUB. FORMER OWNER N E 1 ACREAGE S W TYPE OF BUILDING RES- SEAS. VL. comm. IND. C. FARM CB. MIS LAND IMP, TOTAL DATE REMARKS ----------------- Li S/.20/7& J 7,? AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Form Acre Value Per Acre Value Tillahle I Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot r R l } t E Alt. BRd Foundation R Bath 9 Extension Basement Floors Extension Ext Walls z Interior Finish Extension A Fire Place Heat Porch , ' Attic Parch ROOMS I st Floor Breeewo Patio Rooms end Floor Garage Driveway d 0. B. - - - - - _ l f s . f f , _J1 _ : 35.-5-40.1 1/2014 . -FIJf t ��:` �® - T M. Brad = "_ Foundation - - �� F tesrQsement e- Fkaars , xtign, . Walls � -. L Ext , Interior Finis e Extension Fire Place Heat _ Parch} B Attic -- — — — - Porch Rooms est Floor a € Patio P - Roams 2nd Floor ! SP�t oma, F -- GarageD ' ewriv g" ay r G. [fie O m . " 3 s "6 FORM NO. 4 TOLD, mm TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE CIF OCCOPANCY No. . . 4, . , Date . .. . . CAmbOX. . 13.. . . . . . . ., 19.60 THIS CERTIFIES that the building located at W:499 40 .b '0. . . . .. . . .. .. . . . Street Ma3F&c.. , 1 Block No. .. . . . . . . . . . .Lot PAI-ew conforms substantially to the Application for Building Permit heretofore filed in this office dated . .. , .. . . , .JUh s , ,11,, . , ., 19.00 pursuant to whl�h Building Permit No. dated . . , . . . . . . 19, •641, 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 . . . . 1?xiv h4.pAq. .9amAjV. .cjwa11ArAV . . . . . . . . . . . . . . . . .. . . . . . . . .. . . The certificate is issued to . . JQhU.CQste1I0.. . . . .. . . . .. .. .. . . . . .. . . . . .. .. . . .. . . . . . (ofner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of health Approval . . .6.�• •�.�68.r. .1Etat1?ex .V.113'ea Building Inspector w 4 pp m. rom I(O. 4 OF SO O B. ING DEPARTMENT Town Cakes Office Southold, N. Y. Certificate Of Occupancy No. 26M7. . . . . Date . . . . . . . . . . . May. . .19. . . . . . . ., 19. .75 THIS CERTIFIES that the building located at . .V ggilaa. Ian*. . . . . . . . . . . . Street Map No. . Fd.Ac. . . . . Block No. .rI. . . . . . .Lot No. 23,24,25 . . .Orvwnport. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .NAT. . . 1.5, 19.73 pursuant to which Building Permit.No. .699M. dated . . . . . . . ov. . . .16. . . . ., 197-3 ., 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 . . PrIVILtQ.a wr .pool .wLth. AceosscryA A. fAncing. . . . . . .. . . . . . The certificate is issued to .John«8o- S&r&. Cest*,l:Io. . . omora . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pai3 . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. !1. 1.75580• Aug• 8 . .19.74. . . . .« . . . . . . . .. . . . . . HOUSE NUMBER . . . . . 415. . . . . Street . . WISC us. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . .. . . . .. . . . . .. . . .. . . . . . . .. .. . . .. . . . . . ... .. . . rm « . Building FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27185 Date: 07/ 10/00 THIS CERTIFIES that the building ACCESSORY Location of Property: WIeIWS LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 section 35 Block 5 Lot 40.1 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9 1995 pursuant to which Building Permit No. 226 dated MARCH 27,F 1995 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 SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to OiN COSTELLO &(WR) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-068440 06/ 29/00 PLUMBERS CERTIFICATION DATED N/A Au orixe Signature Rev. 1/81 Town of Southold Annex 5/14/2013 w P.O.Box 1179 54375 Main Road " Southold,New York 11971 CERTIFICATE OF OCCUPANCY CY No: 36241 Date: 5/14/2013 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 185 (aka 415)Wiggins Ln,Greenport, SCTM#: 473889 Sec/Block/Lot: 35.-5-40.1 Subdivision. Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated p g 19 dated 11/8/2012 11/7/2012 pursuant to which Building Permit No. 376„ ..w_._.....-..........-�..w-- _ s issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: addition ;altcxation to an eistin one Tamil dwellin cr". A#fa96 dat�:d 10/18/12 as a lied.for The certificate is issued to Poncet, Renee of the aforesaid building. _ ... .... SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-12-0028 4/4/23/13 -. ._.__. ELECTRICAL CERTIFICATE NO. .....37619 5/14/13,.,...... .,..,..µq... E Plumbing. PLUMBERS CERTIFICATION DATED 4/17/13 _._ ... cutchogue East m t rtr Si ure