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Home My WebLink About1000-62.-1-24.7 (Mathia Corwin Bldg #3) T ' WN OW SOUTHOLD as Rental Permit 1092 Owner Colonial Vill Tenants Corp. (Pindar Damianos) Occupied as Single Family Dwelling - (Mathia Corwin Bldg #3) Located at 55075 Route 25 Southold 62.4-24.7 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. 3/18/2024 'L4-1� )�% Code E tor Officia_ This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT !�07, * Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 httM://www.,,.soutlioldatown ►y RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: CO 11 o � s�c &'twIh, c 'J(�7� M�iK 12c)l uFhoid hYIJNTI Tax Map Number: 1000 SECTION . -BLOCK _-LOT _-7_ C550-_) 5_ SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) " Y Telephone Number (s): Daytime V Evening Emergency Property Owner Email Address: ` V� 0 c-Ic��S � Page 1 of 4 Section C. Authorized 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 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: v k IL -�-- Address of Managing Agent (no P.O. Boxes): 65-0 5— 0 u4tw � 11971 Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 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: Use and Dimensions of each room in Rental Dwelling Unit: 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. S( 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 B DDuc"iq�yv) 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: �� U Property Owner's Signature: Sworn to before me th4-Aay of (j""(�Ot4 f` 20-t t Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 lU6185050 (qualified in Suffolk County Commission Expires April 14, Page 4 of 4 Town Hall Annex "" �� Telephone (631)765-1802 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons alloweP occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: W O Use and Dimension of each room: Rental Dwelling Unit Identifier: 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: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: TOWN OF f4f so 631 -765-1802 INSPEC ION C ] FOUNDATION 1ST [ ] TOUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: C ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII C ] CODE VIOLATION [ ] PRE C/O [ REMARKS: INSPECTORDATE f' d. Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 w Southold, NY 11971-1179 Te1: 631-765-1802 �.. Date 7..SCTM . oZ __. .. .�� 60wner ��c,h p Phone ¢O �. �. ...��R �m..... .._. Address Visible _._. p Hamlet,.. ....... . ._..... !?U 'hOw m._. .. .. . ..... ...._. ..._..._..... _�Inspector._......... _,._ . ... _..... ___._, , ... _ _.u..._ . Floor Level Quantities .w. .a.. _.. ��.. .. .__ ...�... ._.� ....,.. . . Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors _.. / _.. Fire Extinguishers Exits _..._. ._. ....... ......�..... _.: .. _ .... Bedrooms 1 2 3 4 Smoke Detectors ( 5 6 � � .. w,. ectors Egress �_ .... . �....._. ..... �... . ....., , Occupant Count Building Systems S Maintained & Operational Condition of Property i Heating Building interior Hot water Buildingexteor .,a... ri „ ....,. W. 1ElectricaI Property clean, maintained &safe Mechanical Handrails&guards installed &secure �...�Mechanical _... �..._...,__ ._. _.P..... _..�.� w�_m..... _.._...�.. .m.: �.,.....� m. ...�.�.�_...�� _.... .. .._ . � ....w .,a...._. ....M. . , .... . . ......m ......... Pool Safe p Pool on Site .. _ . Surface water alarm Date of CO issuance Door alarms Pool completely enclosed 1 Self closing/latching gates . .... .�... . . .-..�.._.� .. _ . Pool fence to code requirements,..,.,, .. ..._ �....._.._ ..�....m� ..� � _.. ._ CO's for all items present Prior Rental } 3TIN c IP � / of i t vtowsp vs E So _ vtl / AGE Fa 0 too-' # 50sN°s GG� v,o ° �. c� in E L®wcv� 6xla r+rl (2a"GIN,a u�3 'i cr n �e Tie � �7 y _' � � - =�re€tt shnr.� `) ., p �T;:te � - �'� ��„` �y Thu„,t•a � - "�, �'{ s u4 111 �.a��c,•=k, 3 C �l..i�`.�«��. E. AT r:D C LJLJ �-s C..)I._�•. i - �7 5caics4).=�` � ( [icltiaF .�r+i e�E+v MAiN a F• <c� � r•� cam.+lZw SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE 16 South Street Main Street Greenport, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Groonport 7-NN Tel. Southold 5-3763 TOvWTw I OFF SOUS H LD SUFFOLK COUNTY, N. Y. BUILDING INSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY 307 Gr. Ter. Southoldq N.Y. No. Date AP2 43: 19 _ THIS CERTIFIES that the building located at ,n 10 Street, Map No. , Block No. X93EX 1 , Lot No.. X30cf Southold in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19.64., pursuant to which Building Permit No.35-, dated 16 I166_, was issued, and conforms to all of the require. merits of the applicable provisions of the law. The occupancy for which this certificate is issued is This certificate is issued to owns« sassowner air on nt — of the aforesaid building. H.D.Approval Nov 19, 1964 by Re Villa 1 (ding spasct r ";� (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other lows, ordinances or regulations affecting the promises, and in conformity with the approved plans and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE 16 South Street Main Street Greenport, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Gre*nport 7-055o Tel. Southold 5-3783 TOIT"WN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1jlpiCERTIFICATE OF OCCUPANCY ' � "� BUIWING # 2 No. 168 Date act 11 19—fii (Ann s a WAY) THIS CERTIFIES that the building located at FVJ He 04 Iffa Wn B264Street, Map No. , Block No. Z= , Lot No.M S 1b 1 N • in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19-0 pursuant to which .Building Permit No. aRA—le, dated... ....._.ar a 19 45, 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 ar This certificate is issued to Village (owner, lessee or tenant) of the aforesaid building. H.D«Approval Sept* 28, 1965 by R. Villa Building Inspector (The Cerrtificata of Occupancy will be issued only after the Building Inspector is conyinoed of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances,or regulations affecting the premises, and in conformity with the approved plans and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE lb South StreetMain Street Greenpor+, N. Y. BUILDING DEPARTMENTSouthold. N. Y. Tel_ Greenport 7-0550 7e1. Southold 5.3783 TO N F S THOL ID SUFFOLK COUNTY, N. Y. BUILDING I'NSPECTOR'S OFFICE swrl ,' CERTIFICATE OF OCCUPANCY No. 164 Date A it i 20 19AL THIS CERTIFIES that the building located a Wn Ift Street, Map No. , Block No. , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated embpr I iQL, pursuant to which Building Permit No , dated DI .. 6 . 1965-, 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 This certificate is issued to (owner, lessee or tenant) of the aforesaid building. HeDe Approval Jane 12, 1961 by Re Villa Building Inspector (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the premises, and in conformity with Hie approved plans and specifications.) SUPERVISOR'S, OFFICE TOWN CLERK'S OFFICE 16 South Street Main Street Groenport, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Greenporf 7-M50 Tel. Southold 5-3783 TO N OF S U"I `HOLD SUFFOLK COUNTY, N. Y. BUILDING INSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY Tai Building 4 No. Xsa*1 0 Date I9 6 (AM*8 WKY THIS CERTIFIES that the building located a M 11,0,Ws Street, Map No. XXX — , Block No. , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19 , pursuant to which Building Permit No. , dated - April A 19 M, 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 This certificate is issued to (owner, lass** or tonanf) of the aforesaid building_ HeDoApp al 81Rpto 7= 1 966 /11 Q�L Building Inspector (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the premises, and in conformity with the approved plans and specifications.)#V SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Ib South Street BUILDING DEPARTMENT Mein Street Greenport, N. Y. Southold, N. Y. Tel. Greenport 7-0550 Tel. Southold 5-3783 TON OF SOUTHL SUFFOLK COUNTY, N. Y. BUILDING 1'NSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY BUILDING # 5 No. MjR# 121 D fe THIS CERTIFIES that the building located a UZ6 Harth Loon EU BA US Main StStreet, Map No. , Block No. == , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated QA=t 7' - 19-66, pursuant to which Building Permit NoM i R a I 6A , dated aBOX)t 511 1 19-66, 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 . tj . 8P—t OCCURN49Y. This certificate is issued to (owner, lessee or tenant) of the aforesaid building. HoDeApproval Octe 17s 1966 by RoVilla Building Inspector {The Carf€ficafe of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the premises, and in conformity with the approved plans and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Main Street 16 South Street BUILDING DEPARTMENT Southold, N. Y. Greenporf, N. Y. Tel. Southold 5-3783 Tel. Greenport 7-05W 'SOWN OF SOUT HO LD SUFFOLK COUNTY, N. Y. BU'ILDINq [Nr o p,x '; 'r OFFICE 1111 I„ CERTIFICATE OF OCCUPANCY southout R Oy a ColoviAll Village Ina Bldg # 6 No. 314 Date 199— THIS CERTIFIES (fiat the building located at ft Map No. , Block No. , Lot No. X3= SoAqldt- love, in the Town of Southold, conforms substantially to -the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19 ; pursuant to which Building Permit No. , dated X=h15 19 J, 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 This certificate is issued to Fredrick P• Rich C010VIII&I Villa (owner, lessee or tenant) of the aforesaid building. H.D oapprli!'1I'lllll July 11! 1967 by Re Villa &r"ng Inspector (The Certificate of Occuponcy will be istuod only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Rasidance Law and with other laws, ordinances,or regulafions affecting the promises, and in conformity with the approved plans and specifications,) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE 16 South Streett 6resnport, N.. Y. BUILDING DEPARTMENT Southold,tN. Y. Y. Tel. Greenport 7-0550 Tel. Southold 5-3763 TORN OF SOUTH ►►LD SUFFOLK COUNTY, N. Y. COLONIAL VILI.A03 BLW ! 7 BUILDING INSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY No. 182 Date 8*11t19 THIS CERTIFIES that the building located et II W910froot, Map No. F e R1lah , Block No. , Lot No. XXXSoUth*1 NJ* in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated Ma 31 19--0 pursuant to which Building Permit No.MawI , datedJ......_,. 19-0, 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 n&jtjD1* R01,14100 an This certificate is issued to Colonial Village Ine "red Ah (ownor, lesson or tenant) of the aforesaid building. Har&1th Dalfpt' approvalll June 141 1968 by $e 9111a r W-lding Inspector (The Co4ificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construc,fion in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the promises, and in conformity with the approved pions, and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Ib South Street Maio Street Greenport, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Greenport 74550 Tel. Southold 5-3783 TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. BUI'LDING INSPECTOR'S OFFICE µ t I CERTIFICATE OF OCCUPANCY Apt house 0 11 (Waa 101roake House) ..._. ..... ..,�. No. Date. 19� THIS CERTIFIES that the building located at t ee}, Map No. , Block No. , Lot No. in +he Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated Apa U is 1 pursuant to which Building Permit No. S& dated April_is 19 - was issued, and conforms to all of the require- ments of +he applicable provisions of the law. The occupancy for which this certificate is issued is This certificate is issued to owner, lessee or fenantl of the aforesaid building. RoDoApproval Aug 21 , 1969 by Ae Vill1 . 111110 additional fee required) rd+ting ms r (The Certificate of Occupancy will be issued only after the Building Imspector is convinced of the completion of the consfrvotion in compliance with the Multipla Residence Law end with other laws, ordinances or regulations affecting the premises, and in conformity with the approved plans and specifications.)