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Home My WebLink About1000-44.-1-27 ' A WN OF S UTHOL UC Rental Permit COW 1335 Owner: Kontokosta EM 2012 Rev Trt , Ors Kontokosta Occupied as: Single Family Dwelling Located at: 56765 CR 48 Greenport 44.4-27 Maximum Permitted Occupancy: 5 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 b' nual i spection. Issued: 06/23/2025 MLI Expiration: 06/23/2027 otall c e Enf ern ciai This Notice must be posted by the main entrancemes w TOWN OF SOUTHOLD—BUILDING DEPARTMENT E C E R V E Town Hall Annex 54375 Main Road P. O. Box H 79 Southold,NY 119 959 Telephone (631) 765-1802 Fax(631) 765-9502 l tt :Hwww.sogthoidtow n .V M 22025 Building f)Vartment Town of Southold RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) 31acb lay Qa I3a, rtc# V09 689 Section A. Property Information: Rental Property Address: 56765 North Road, Tax Map Number: 1000 SECTION 44. -BLOCK 1.0 -LOT 2T - SECTION B. OWNER INFORMATION: Property Owner Name: Emanual M Kontokosta revocable trust Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 825 NORTH ROAD, GREENPORT, NY 11944 Pq BOX 67, Greenport, NY 11944 Telephone Number (s): Daytime 917-750-6547 Evening Emergency Property Owner Email Address: michael@kontokostawinery.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: NA Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening /ergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of d Ig uni/any*Address of Authorized Agent o Box Mailing Address of Authorized Age nt: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFO ATION: (required for rental properties containing 8 or more rental units) Name of Managing A t of dwelling unit, if any: NA Address of Mana ` g Agent (no P.O. Boxes): Mailing Add ss of Managing Agent: Telephon Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: single family house 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 Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: S Number of rooms in Rental Dwelling Unit: 6 rooms Use and Dimensions of each room in Rental Dwelling Unit: Kitchen - 130 sq. ft.; 01 Dining - 150 sq. ft.; Living Room - 390 sq, ft.; Bedroom #1 - 180 sq. ft.; Bedroom #2 - 110 sq. ft.; Bedroom #3 120 sq. ft. 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. Page 3 of 4 m SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 Michael Kontoko certify under penalty of perjury,the following: I. I am the owner of the property identified in"Section A"of this application. 2. The property owner's legal address set forth in"Section 8"of this application is my legal address and 1 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 ot,or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to before me this 2,1d of Official Notary Pul Ic 51gA �tura�and OriginalNotary StaN ITTANYA O AD lfotary P(00«State of Now Y" Raw , ,OIC 06245154 Oua t d to Sawk con CwuWssWn kAf 1#, Page 4 of 4 of so c. �g �f 4- TOWN OF SOUTHOLD BUILDING DEPT. Nri, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS 1 " I V Pr Lo DATE V INSPECTOR TOWN OF SOUTH SOUTHOLD PROPERTY RECO a OWNER ISTREET . VILLAGE DIST. SUB. LOT 6I ` j _FORMER OWNED f N E ACR. S W TYPE OF BUILDING e� RES. ; SEAS. I VL. I FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS r 3 �E l qV� /Iz - � f_ - � �- a � e 4 - g - — - I _ � E s i AGE I E BUILDING CONDITION NEW I NORMAL BELOW ABOVE I i FARM Acre Value Per Value I Acre Tillable I FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowlond DEPTH sA House PI I v .✓ BULKHEAD - i Total DOCK i i -4 • — FOR - TRIM A/r7 J•�; I �, :s , i . I f f f 3 FT 3 � � A- I pm a y � } l f 3 t I z f 1 1 CO i � _• i 44.4-27 04/11/2018Dfr M. Bldg. a 8X 3 3 r Extension 5 Extension s , f f ' /o K 7 70 = I I I I Extension i Foundation G ath I f i nette Pamh z / a.;a. a ent FU L L loors S u ob �1 K. PorchExt. Walls i cv o o D nterior Finish i c�J t � LL �� Breezeway Fire Place �s Heat �S R. - s Garage ' `ye Roof Zooms 1st Floor R. Patio Recreation Room ooms 2nd Floor !FIN. B s O. B. Dormer Driveway Total RENTAL PERMIT FLOOR PLAN $_ 56765 NORTH ROAD SOUTHOLD, NY i LIVING ROOM t a SUN DECK DOWN � LIVING ROOM ` ` DO wni = DINING ROOM DOwr� I BEDROOM#1 BEDROOM#2 BEDROOM#3 `F O SD �� LSD KITCHEN ; O SD SDICO .._�=w= r ITS I ENTRY ' ,� .-� � s ._ DECK CLOSET i ,eT � I �a NOT TO SCALE FOBN NO. 4 r- TOWN OF SOUTHOLD r BUR DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy r NoZ567.9. . . . . . . Date . . . . . . . . . . . . . . A®c. . , . .5. . . ., '973. . 1 THIS CERTIFIES:'that the building located at Xl9 N9r:kh,RAA4_ (027). . b Street 5out o�k Map No. . . . . . . . , . , Block No. . M , . . . .Lot No. . . . . . . .4reeAport, .N#X.o. .&A «►B. conforms substantially to the:Application for Building Permit heretofore filed in this office dated . . , . . , . . . .Nar. . . . .21 ., 19.73 . pursuant to which Building Permit No. 6429Z. . dated . . . . . . . . . . , Mar. . 22. . ., 19.7,3,, was issued, and conforms to all of the require. meets of the applicable provisions of the law. The occupancy for which this certificate is issued is . PZIY09. 4;19.rA1 1Y. V#X.ZJAi. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . .KutaC+►�! . . , . . . . , "". . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid buildin4. Suffolk County Department of Health Approval . . Yqr . .?3. . .1973 . .by; R. YU14t, UNDERWRITERS CERTIFICATE No. A 126198 . . . . . .NOT.- .9,. .1973. .... . . . . . . . . . . . . HOUSE NUMBER . . 5.6765 , . . . . Street . . . P.ountY. .I 004 .27. . .01*rt ..Read). _ . . . : . . . . . . . . . . . . . . . . . . . . . . . . . » , . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . » « . . . ��. . . . . , . Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28150 Date: 01 08 02 THIS CERTIFIES that the building ACCESSORY Location of Property: 56765 CR 48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47889 Section 44 Block 1 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5 2001 pursuant to which Building Permit No. 27287-Z dated MAY 4 2001 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 INGROUND SWIMMING POOL WITH FENCE TO CODE. ZBA #4935 DATED 4/05/01. The certificate is issued to EMANUEL IONTOKOSTA & ORS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 574851 10/31 01 PLUMBERS CERTIFICATION DATED N/A u on/dSignature Rev. 1/81