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Home My WebLink About1000-99.-5-3 TOWN OF SOUTHOLD Rental Permit 0904 Owner Paul & Erietta Papasimakis Occupied as Accessory Cottage B Located at 4400 Breakwater Rd. Mattituck 99.-5-3 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. 5/17/2023 cede f nt 01ficial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD ro Rental Permit 0905 Owner Paul & Erietta Papasimakis Occupied as Accessory Cottage C Located at 4400 Breakwater Rd. Mattituck 99.-5-3 Maximum Permitted Occupancy 2 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. 5/17/2023 C of rc n offid al This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD C* rd Rental Permit 0906 Owner Paul & Erietta Papasimakis Occupied as Accessory Cottage D Located at 4400 Breakwater Rd. Mattituck 99.-5-3 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. 5/17/2023 Code Enforcement Official This Notice must be posted by the main entrance at all times about:blank _FirefoxAr ��5 Eli 1 Town Hall Annex 'nf Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-009 %- t BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) :/ 2023 Section A. APR 5 Property Information: N OP S01,, -4-1- Rental Property Address: 44.00 Breakwater Road, Mattituck, NY 11952 Tax Map Number:1000 SECTION 99.. -BLOCK 5 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Paul Papasimakis Property Owner Legal Address: Property Owner Mailing Address: 2 Woodland Court 2 Woodland Court Roslyn. NY 11576 Roslyn NY 157 (347) 739-3439 (347)739-3439 Telephone Number(s): Daytime Evening_Emergency__ Property Owner Email Address: Paul@metropolitan-construction.com Page 1 of 5 ,4 �� ,G bc) 4� 2 of 7 4/19/2023,2:54 PM Firefox about:blank 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 }` Southold,NY 1 1971-0959 FAll BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: n/a 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: n/a 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: n/a Address of Managing Agent(no P.O. Boxes): Page 2 of 5 3 of 7 4/19/2023,2:54 PM Firefox about:blank )U" Town Hall Annex Telephone(631)765-1802 54375 Main Road = Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 197 1-0959 -out-� , 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: 3 For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2,Unit 3 or Apt A,B,Q 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 Dwellin Units use"Rental Permit Application Addendum." Rental Dwelling Unit Identifiers Cottage B 2 §_ Requested Maximum number o wed to occupy Dwelling Unit: 2 Number of rooms in Rental Dwelling Unit: 4 Use and Dimensions of each room In Rental Dwelling Unit:_Ktving I kitchen I 10'9"x 19'3". Bathroom is 69"x 4'4". Bedroom 1 is 10'3"x T10". Bedroom 2 is 10'3"x 6'4 w/29"x29" closet extension.There is also a 165"x T6" screened porch. Page 3 of 5 4 of 7 4/19/2023,2:54 PM Firefox about:blank '['own Hall Annex l'elephonc(631)765 1802 54375 Win Rond Fax(631)765-9502 Y.O.Box 1 179 Southold,NY 1 197 1-0959 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. N I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam 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 Paul Papasimakis 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 5 of 7 4/19/2023,2:54 PM Firefox about:blank � Town Hall Annex Telephone(631)765-1602 .54375 Main Road Fax(631)765-9502 P.O.Box 1174 <` Southold,NY 11971-0959 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: Paul P irnki Property Owner's Signature: Sworn to b or this ay f t'I 1 20,Q-3 Official N tary P_blic Signatu£ and Original Notary Stamp GEORGE M.PAPASIMAKIS NOTARY PUBLIC,STATE OF NEW YORK Registration No.02PA6394906 Qualified in Nassau County Commission Expires July 15,2023 Page 5 of 5 6 of 7 4/19/2023,2:54 PM Firefox about:blank say Town Hall Annex Telephone(631)765-1802 54375 Main Road �{ Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ` BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT A) CATION ADDENDUM f Rental Dwelling Unit Identifier: gotta e C Requested maximum number of persons allo d to occupy each dwelling uni Number of Rooms in Rental Dwelling Unit: 3 Use and Dimension of each room: Living Room/kitchen is 9'6"x 17'0". Bedroom 1 is 9'6" x 11'9". Bathroom is 4'10" x 6'3". There is also a 20'4"x 8 screened porch. Rental Dwelling Unit Identifier: Cottage Requested maximum number of pe s a d to occupy each dwelling unit: Number of Rooms In Rental Dwelling Unit: 5 Use and Dimension of each room: Living Room is 13"0"x 15'4". Kitchen is 9'x 15'1". Bedroom 1 is 8'6"x 11'4". Bedroom 2 is 9' " 11'6". The r 14' " Rental Dwelling Unit Identifier: n/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: Living Room/kitchen is 7 of 7 4/19/2023,2:54 PM JIM �fto� BUILDING _ 631 -7SS-1 802oq sm INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCA [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE CIO [ F cva wn(417, , t�? - DOM VD , Cfot( p ULj(pftA w At INSPECTORDATE 16 4 .... ..._._ e _ ..W _.. ..._.. TOWN OF _... ..._.._.._ OWNER _...w.. �. . STREET C EET �, �� 7 �:' LOT VILLAGE DISTRICT ._. . ,.�._ ......_...._..._. . .�_�.�. �.„; :.,.�.�..�.��. ..� p � � r4 ORMR �. .. E ACREAGE e�,� yp � VNER S W TYPE OF BUILDING y d Rk" SEAS . . ._.__ ._.._.._.. _.._..__...._... ._._... .__.._W .._..... ,..._ _.. ...u _..._...�....... ..._...._...m.�........W... .. VL. FARM COMM IND. CB. I st Mk t. Value LAND IMP, TOTAL DATE REMARKS rV , , m. P " AGE BUILDING CO DITION P NEW NORMAL BELOW ABOVE FRONTAGE ON WATER .... ._, .. ... Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland jr,l r •-� _.�.a. ._,, �_.. ym.. m. ��., . .,, _ _ , Swampland Brushland House Plot ' � �• ° . � � Total y t , t +A,u awutwYlm w+M✓ P� xuwM+�++ ......n,.ap �,�6 , A n a { fk iM, Bldg.,,/ d° ,r *"° ro ""1�'fl� - � , n on � .uf,� � m � � �oudate �".I Extension - 5asement Floors r Walls to tension m y r Irntr rl�..ar Finish x 4 u� Extension 1 5 ra Noce � > , I � Porch ;c�o� Type I d Porch or Roams P rpc Floor m B, T ti w y Garage " i Driveway D armet Bs - , 4„ COLOR .b i err ; „w hL,y TRIM ;f 99.-5-3 10/2014 +^ � 2r�� 9 y T7 'F w ., r. ...,.m._., 1st 2nd Pc Foundation Bath Dinette 1 CTdFbdd � .._ FULL COMBO n 7 l CRAWL PARTIAL Floors / µ Y Kit. 1 I� SLAB x ensso Basement " Finished B...,.._....,.�,.-...� '"" �.,.._. � Extension Interior Finish f L.R. ,m „3Extension Fire Place Heat ex'I D.R. arsl ,, "� � � Ext. Walls.,......._...,.,.,�...m BFi �r "..�L _ .. $ Dormer Baths Deck[Ea#e Fam. Rm. ,-poor Foyer A.C. Laundry �_ �_..,......_.._ Library/ r Y O.B. :1 Stud �` .......................................... 7 ,,.,-...., ., .........,...,....,..,.,..,.,., .. .�...,,, 0 6 i i l Town of Soudkold Awn 9/3/2012 54375 Main Road S New York 11971 PRE EMSTING CERTMCATE OF OCCUPANCY No: 35862 D 8/3/2012 THIS CERTIFIES the s 4400 BrOAMW Rd,Mattitwk SCTM#: 473889 S ot: 99--5-3 S No. Lot No. conforms mftwntially to the for a bWk prior to APRIL 9, 1957 to which CERTIFICATE OF OCCUPANCY NU Zr 35862 dated 8/3/2012 was issued and cmfium to all the reqwjcmmts of the anAicable,provisions of the law. The occupancy for which this cartificate is issued is: d a ! XQ -RP 7306 dmk Ad&m CM115 QAMC(WWWJ=bW§d ftm994mxftz6L* cow D aw The mifficate 6 fused to Husak Jr,Frank dt Husak,Robert (OWNER) of the aforaaid building. SUFFOLK COUNTY DEPARTMENT OF EMALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS TJON DATED ''PLEASE SEE ATTAR INSPECTION REPORT. BUILDING DEP T TOWN OF SOUTHOLD IN COPE INS T I L ATI : 4400 Breakwater Rd,Mattituck SUFF.CO.TAX NO.: 99:S-3 SUBDIVISION: NAME OF OWNER(S): Husak Jr,Frank dt Husak,Robert OCCUPANCY: ADMITTED BY: Michael Herbert SOURCE OF VEST: Husak Jr,Frank&MwWlc,Robert DATE: 8/3/2012 LUNG* TYPE OF CONSTRUCTION: # #EXITS: 2 FOUNDATION: cement block full CRAWLSPACE: TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3RD FLR.: BAT 1(S): 1 TO MS): UTILITY PORCH TYPE: DECK TYPE: PATIO TYPE: B1 WAY: FIREPLACE: GE: I one car DOMESTIC HOTWATER: yes TYPE HEATE14 off boiler AIR CO ITTO G: BEAT;TYPE oil WARM AIR: HOT WATEM X #B 2 #KITCHENS: 1 TYPE: unfinished Y iniholm GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWKWMIING POOL: GUEST,TYPE OF CONST: OTHER:- VIOLATIONS: R INSTECTED BY: GARYF DATE OF INSPECTION: 7/27/2012 �` TIME START: END: BUILDING D TOWN OF SO OLD �O G DF INS ON ITT LOCATION: 4400 Breakwater Rd,Mattituck SUFF.CO.TAX MAP NO.: 99.S-3 SUBDIVISION: NAME OF OWNER(S): Husak Jr,Frank&Husak,Robert OCCUPANCY: Aft TT BY: Michael Herbert SOURCE OF REQUEST: Hunk Jr,Frank&Husak,Robot DATE: & 2012 D G• TYPE OF CONSTRUCTION: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block/)) CEIJAW CRAWL SPACE: TOTAL ROOMS: 1ST 2ND FLR.: 3RD FIX: BATHBOONM: 1 TO R M(S): UTIL R PORCHTYPE: DECK TYPE: PATIO TYPE: pack . BREEZEWAY: CE.- G _ GE: 'I'I A - X TYPE HEATEW AIR G: TYPE : WAY AIR: HOT WATER: electric # - : # CHENS: 1 RAC TYPE: coop OTt 13 AC RY TYPE CONST: STORAGE,TYPE OF CONST: S _Il G It: GUEST,TYPE OF CONST: OTHEW VIOLATIONS: 'T BY: GARYF DATE OF INSPECTION: 7/27/2012 TEWE START: END: " J BUILDING D TOWN OF SO OLD � Il�G D��S TION RT LOCATION: 4400 Breakwater Rd,Mattituck SUFF.CO.TAX MAP NO.: 99.-5-3 SUBD ON: NAME OF OV M: Husak Jr,Frank&Hunk,Robert OCCUPANCY: ADS BY: Michael Harbert SOURCE OFREQUEST: Huaak Jr,Frank&Hua d;Robert DATE: 8/3/2012 TYPE OF CONSTRUCTION: # 1 # S: 2 FOUNDATION: cement blocklx* CELLAR CRAWL SPACE: TOTAL R • 1ST FLR.: 2ND FLR.: 3RD FLR.: BAT 1 TOILET _ M(S): UTILITY M TYPE:PORCH D E: PATIO . porch BREEZEWAY: FIREPLACE: GARAGE: DO A X TYPE HEATER Ant CONDITIONING: 1 T: WARM AIR: HOT WA electric Cottw GARA GE,TYPE OF CONST STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER:- VIOLATIONS: REMARKS: INSPECTEDBY: DATE OFINSPECTION: 7/27/2012 TIME START: END: BUILDING DEPARTNWNT TOWN OF SOUTHOLD Ems _ l RT LOCATION: 4400 Breakwater Rd,Mattituck SUFF.CO.TAX MAP NO.: 99:S-3 SUBDIVISION: NAME OF OWN : Hueak Jr,Frank&Husak,Robert BY: Michael Herbert SOURCE OFREQUEST: Hunk Jr,Frank&Hluaak,Robert DATE: 8/3/2012 TYPE OF CONSTRUCTION: #STORIES: 1 #EXITS: 1 FOUNDATION: cement block/post CELLAR: CRAWL.SPACE: TOTAL ROOM 1ST FLIL: 2ND FLR.: 3RD FLIL: BAT 1O 1.5 TOILET R ARS: UTH PORCH E: DECK TYPE: PATIO TYPE, BREEZEWAY: FIREPLACE: GARAGE: DObl[ESTICHOTWATER: X TYPE HEATER: AIR CO ITTO G: TYPE WARM AIR: HOT WA electric #I3 2 #MICHENS: 1 BAMUNT TYPE: OTHER:- D GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: G L: GUEST,TYPE OF CONST: VIOLATIONS: RMARK& INSPECTED BY: GARYF DATE OF INSPECTION: 7/27/2012 )44 TIME START: END: Town of Southold 7/6/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38382 Date: 7/6/2016 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4400 Breakwater Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 99.-5-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/2/2016 pursuant to which Building Permit No. 40745 dated 6/3/2016 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: ELECTRIC SERVICE UPGRADE FOR COTTAGES 1 AN 2}AS-APPLIED FOR The certificate is issued to Papasimakis,Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40745 06-30-2016 PLUMBERS CERTIFICATION DATED Authorized Signature FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT E _ Office of the Building Inspector Town Hall Southold,N.Y. - = Certificate Of Occupancy No. . .2 2 5.2$ . . . . . . . . Date , . . . . .June .8. . . . . . . . . . . . . . . . . 19 84 THIS CERTIFIES that the building addition & alteration to dwellin . Location of Property 4400 t r . Luthers Rd. (Breakwater Rd. ) }Mattituck} House No . 4 *[ .Remelt* County Tax Map No. 1000 Section . . . P99 . . . . .Block . . . O.. . . . . . . . . .Lot . . .fl 9.3 Subdivision . . .X. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . c. . . . .Lot No. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . , March .14. . , , , , , , , 19 .$3pursuant to which Building Permit No. . 12215. 2. . . . . . . . . . . . dated . . .. , . .March. 2.8 , , , , , , , . . , , 19 ,83,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 . . . . . . . . . Iteration to existing seasonal 9cottae. . . . . . . . . . . . . , . . The certificate is issued to . . . . . .F?-�NF4 .HU5AK JR, & ANNA HUSAK of the aforesaid building. Suffolk County Department of Health Approval . . .NIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . .Re diAc-[ . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . Building,Inspector } Rev.1/81 ! _4 BREAKWATER COTTAGES 4400 BREAKWATER ROAD MATTITUCK,NY 11952 22'-48" ———---- ---------------------------- -------- ,Qj , (D NORTH -wr=' STAIR: 0 (7)R @ 8" (6)T @ 9.5" NOPROJECT RTH 36"RAILING ............ TAX MAP NO,IOOG99.&3 D11 -1 30.25" 3 30"x 54!'D.H. OD FLOOR PIANB ---- ...... Ir .41 9. 10'-3" ........................ 10 I F_ 2915/OSC FCEDROONI 11 oN DRAWN BY:J.LACHAPELLE p CHECKED BY:J.LNCHAPELLE NOTE:DRAWING MAY BE PRINTED AT REDUCED SCALE C LaChapelle Architecture PLLC P 0.Box 1251 Mattock,NY 11952 29)..75 Cs§C (646)251-5058 jake@lachapellearchitecture,com x x 6 A 5YN Yr v 100AELECTRIC t[ SERVICE F 30 ................ 30"x 38"D.H. (1)R @ 26'x 40"D.H. COTTAGE'B' AS-BUILT FLOOR PLAN PLAN SHOWS AS-BUILT CONDITION (1)R @ SMOKE+CARBON MONOXIDE DETECTOR T PROJECT SHEET NO: FLOOR M'N"_COTTAGE V DUAL SMOKE AND CO DETECTORS SHALL NORTH __.. ------------ COMPLY WITH UL 217&2034 A • SCALE 1M" =T 0" SHEET 1 OF 3