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1000-33.-4-31
TOWN OF SOUTHOLD #€ Rental Permit 0893 Owner Konstantine & Tina Karagiannis Occupied as Single Family Dwelling Located at 695 Sound Drvie Greenport 33.4-31 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. 5/2/2023 x4w Cod Enf ment Offidall This Notice must be posted by the main entrance at all times y Y � � µµp Town Hall Annex °, Telephone(631)765-1802 54375 Main Road Vi Fax(631)765-9502 P.O.Box 1179 u d Southold,NY 11971-0959 r BUILDING DEPARTMENT `' TOWN OF SOUTHOLD , i s MAR 5 2023 RENTAL PERMIT APPLICATION, Pr° 21 Rental Permit Fee $200 (Application must be renewed every two years ��� Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 3 3 -OLOCI --LOT-31 _ SECTION B. OWNER INFORMATION: Property Owner Name: �� n S , N 1 a �� ra�►✓1 �. Property Owner Legal Address: Property Owner Mailing Address: O U n b r(r U`-e 95 V0a I v) V-f- L a v1 e .�.. e 0 o c t- N Y .f') K&�_U-e-t I i cD 30 Cg (0 Telephone Number(s): Daytime 3 R g-75' lEvening -Sarre_ Emergency C-)IX eft -10333 Property Owner Email Address: r-a ) 0.11 yl i �� L/F-21 2 a�J ,tj ffT rWJ (2e c, YDO Pagel of 5 Illy', 1p F A �PERT/ at roil",f)l'Ito w 'I t I,D/ /m/l/Mt.. . ...... ............ 77 All fbWelli6g f Al its41/,'fbrthlh6,Renta F&,ek ntal Qv4e"lling,U 0 w 1, ,yggc� 4/ �Se"//,,////", , , , 'g, g , ,�/,--Vpm"',ur 7 Aw"�f it I Alilh& !,�Qnit,,l'or'Apt"A",','' r,o"o 4, 1 opetoiles wit um, A�Al" /Ul it'Id' 'g, ' 'Rentof- ',v Olin b T, r Re4uestvd IvIdx/irrium num e �o & �,VW///, Mz D o iroo m,s,'l R NM' e ta in Use and Dim'' ensionsol ,eac 'ro nta q ---------------- -77- t�oo$-A e ro o)'�A" �K 4 fa a re re m, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 tiV Southold,NY 11971-0959 6 Uffill BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: c-�W� ��St �W mneL V raL � S Telephone Number (s): Daytime,; 5111_ Evening aryrtEmergency, l > 5 -b333 ) i1 (Cell) I<On 5° -Ayi Ne t� Email Address: v) Iraq la r%I'S ` VC P—I2.orV;NL�-T SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 ���� r y ` ' — Un, 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: U n 1+ Requested Maximum number of persons allowed to occupy Dwelling Unit: 1 a Number of rooms in Rental Dwelling Unit: .5 rtx>dcc o"s Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 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 V*'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) , CHRISTINE FOSTER ^" ° Notary Public,State of New Yorkell No.0IF06177911 Qualified in Suifofk County COUNTY OF SUFFOLK) commission Expires November 19,2o23 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 i Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 E� BUILDING DEPARTMENT TOWN OF SO"1 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: rx r Property Owner's Signature: _��/�`e '° ,° w fir? Sworn to before me this day of GIrC�? - 20 23 O "a otary Pu lic Signature and Original Notary Stamp CHRISTINE FOSTER Notary Public,state of New York No.01F06177911 Qualified in Suffolk County n Cornrnission Fxoires November 19 70 23 Page 5 of 5 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fli [ ] CODE VIOLATION [ ] PRE C/O [ q1I REMARKS: �- , S)q,rl � � DATE INSPECTOR fir + APR 2 023 ., Town Hall Annex i „� - Telephone,��765-L802 54375 Main Road 8UILUIN Lm(631)765-9502 � TC LFIF P.O.Box 1179w ' Southold,NY 11971-0959 ^� m � BUILDING DEPARTMENT TOWN OF SSD `SOLD 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 essional seai re aired for Architect or Engineer licensed Home Iris ector must Provide copy of valid current cern cation Rental Property SCTM Number: Tax Map#: 1000-033.00-04.00-031.000 Rental Property Address: 559 Sound Drive, Greenport, NY 11944 Owner/Name: Konstentinos I aragiannis Rental Dwelling Unit Identifier: 1 Number&Square footage of each bedroom as depicted in the attached floor plan: (Le. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Bedroom#1: 12 ft 3 in x 15 ft= 195 sq. , Bedroom 02: 11 ft x 15 ft= 155 sg ft. Bedroom : 11 ft x 14 ft 9 in= 162.25 sq ft. Bedroom 5: 11 ft x 14 ft 9 in= 152.25 sq ft. , Bedroom#6: 11 ft x 14 ft 3 in= 155.75 sq ft. Property Description (Include all improvements indicated on survey) See attached plan sheets for details. Rental Dwellino is a sin to faM'l r residpnna.constructed 2013,with pool. Certificates of Occupancy on file with Town of Southold for improvements. Installation of smoke and carbon monoxide detection system in accordance with 8314 and 8315 of 2022 RCNYS. 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 Con Construction Code of New York State. Panagiotis A. Sertzoglou, PE, Principal Print Name and Title , ;. Ori n Sig ure Please place professional seal: . FFSS�� . IttCkll 11f�"'pftl'MeFd 42'0.tt'MM1Y Tf�) 'd.+wa Iw+arnw.rva u'�arq w�A N .LNOdN33lieJ .., 'orolzn Pay, 9 F rdaw M3N py �p;' a no �i�diNdiai M3N 43SOdokld oil �- LL 6 �� 0 o � . r big v r9c - y i Q .,... ........ LL. r &a < o 1uj a �' M� � . 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"" 6. »»"'",.�,".*,.*„ ,,,. �. � `� '" ��"� '�' *rv'��s�' �, "' �'�r": ne, a I „^ ✓mM h ay�� �,.�� �,�". a+'rM'. . n. r, � � �"�`4r'�'��������m�$$�,��� ry X^" CC j �ym ✓ t tl 9 [ IZ[x'Wxi[v NHOA M3N 11iOFJ'J dN33 ,. .� ���� , MM,.4W Ons Nd�k t b .,,,................... ..............._,�._.............,a,...._.... ......._. ,_...._....._.�,,,..,,,,..,, -imwup xae wairerw 9 T . . fbN di—sj I f10111�ViNviu �m r o � Q AA3N 43SOdOLJd ... '. wrrarwx ara � .. w w 11 IN ... ..... err . r W r m Y C6 LL" e cc NOR I LL go TMo; d L �80 �8 a e �r e u w MaVA aR ✓ �� o � � Town Hall Annex `"6tepho o 1)765-1802 Fax( 54375 Main Road < (1 765-9 02 P.O.Box 1179 1 .. � Southold,NY 11971-0959 01 � � : BUILDING DEPARTMENT TOWN OF SO HOLD 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 Pro nal,seal re aired Lor Architect or Fn iheerlicensed Nome Inspector must ravr`de cppy a valid current certi cation Rental Property SCT- Number: Tax Map#: 1000-033.00-04.00-031.000 Rental Property Address: 695 Sound Drive, Greenport, NY 11944 Owner/Name: Konstantinos Karagiannis Rental Dwelling Unit Identifier: 1 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: 12 ft 3 in x 16 ft= 196 s . . Bedroom#2: 11 ft x 15 ft= 165 ft. I'edroorr:#4: 11 ft_L14 ft 9 in= 162.25 sq ft. Bedroom#5: 11 ft x 14 ft 9 in= 162.25 sq ft. , Bedroom#6: 11 ft x 14 ft 3 in= 156.75 sq ft. Property Description (Include all improvements indicated on survey) See attached plan sheets for details. Rental Dwelling is a single family residence, const 2013,with pool_ Certificates of Occupancy on file with Town of Southold for improvements. Installation of smo a an ca on monoxide detection system in accordance with R314 and R315 of 2022 RCNYS. 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 Ener ion Construction Code of New York State. Panagiotis A. Sertzoglou, PE, Principal Print Name and Title i l: i ;`., !nal ature r J \ Please place professional seal: , D >t0" :- a TOWN F S UTH R TS 7/a`�//9 .ARD OWNER STREETVILLAGE — DIST., €-- SUB LOT E , t - € r FORMER OV_YNER N E ,. ACR. - S W TYPE OF BUILDING RES. SEAS. VL. T - FARM COMM. CB. MISC. Mkt. Value LANDy IMP. TOTAL DATE REMARKS a Z=�� I t E , F II -79CONUJT�BUi� NEW NORMAL BELOW ABOVE e . - - = FARM Acre Value Per Value Acre �� g Tillable 1 _ s Tillable 2 Tillable 3 — Woodland I — Swampland FRONTAGE ON WATER Brushland ? FRONTAGE ON ROAD House Plot i _ DEPTH l ' BULKHEAD TotQ—1 ;DOCK �. ! .rte. ,�-:•.. _ l C) c) a a- s COLOR _ i t TRIMS 4 _ \q5 �t i A p Z to 16111I 33:4-31 10/12 i BI d \R � _ S� 'f 50 ,Foundation Bath L Dinette Extension _ ! �a BasementFloors K_ } a IRxtension FExt. Walls Interior Finish , i LR. I i e&ag Sk �eP f . , Extension .Fire Place W Heat � DR. Type Roof Rooms 1 st Floor i BR. j a � �K50 5o ,Z� ! ,- 'Recreation Room Rooms 2nd Floor` FIN. B Porch o�. t � i x2 y # Porch 3 - � © Dormer I Breezeway Driveway Garage 645 Patio L e = 55�r� e�1 o i � . ,,«.r f Total - foij Town of Southold Annex 1/30/2014 Ww P.O.Box 1179 54375 Main Road Southold,New York 11971 --- CERTIFICATE OF OCCUPANCY No: 36746 Date: 1/3012014 THIS CERTIFIES that the building RESIDENTIAL NEW CONSTRUCTION Location of Property: 695 SOUND DRIVE, GREENPORT, SCTM#: 473999 See/Block/Lot: 33.4-31 ............ Subdivision: Filed Map No. Lot No. ... ............ .. ..... conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/11/2011 pursuant to which Building Permit No. 38291 dated 8/28/2013 .......... 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: ONE FAMILY DWELLING WITH ATTACHED TWO CAR(jARAG E,,UN FINISHED BASE�.MEN `SEC NI STORY DECKS AND C'C 2VE-RED PORQjA. 1 $ ) J.14-1,IED FOR A T9 -- The certificate is issued to CHRIS&ANNA TRIANTAFILLOU (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI0-10-0049 06-25-2001 ELECTRICAL CERTIFICATE NO. 38291 12-30-2013 PLUMBERS CERTIFICATION DATED 12-16-2013 ick agi.s At tfi z Si;_' fi ............. ................. ........... Town of Southold Annex 1/30/2014 P.O.Box 1179 54375 Main Road Southold, New York 11971 Oro CERTIFICATE OF OCCUPANCY No: 36747 Date: 1/30/2014 ............ THIS CERTIFIES that the building IN GROUND POOL Location of Property: 695 Sound Dr, Greenport, ................ ...................... ...................... SCTM#: 473889 Sec/Block/Lot: 33.4-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/8/2012 pursuant to which Building Permit No. 38292 dated 8/28/2013 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: IN-GROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR The certificate is issued to Triantafillou,Chris&Triantatillou,Anna (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38292 09-10-2013 PLUMBERS CERTIFICATION DATED .......................... ign rc