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Home My WebLink About1000-106.-5-4 TOWN OF SOUTHOLD bc Rental Permit COO y � 1456 Owner: Eugenia Lambiris Occupied as: Accessory Apartment Located at: 305 Capt Kidd Dr Mattituck 106.-5-4 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. Issued: 05/04/2026 W M Expiration: 05/04/2028 Ode(09rcemeni i This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 littns.,_�/www,sot,itlioldto \,V'llrI 1 RENTAL PERMIT APPLICATION APR 7 2026 : ental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address. 5 ci ye- Tax Map Number: 1000 SECTION . l 0 --BLOCK _-LOT—J—_ SECTION B. OWNER INFORMATION: Property Owner Name: a cO h 19& Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) D� C Telephone Number (4im: Dayt in_jm I + Emergency -PfGpert-y-Owrter-ETnaii-Attcfrm,: Page 1 of 4 rr t Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Age\nNno 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 Age (no P.O. Boxes): Mailing Address of Authorized A` nt: 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, i�ny Address of Managing Agent (no P.O. Boxes): r °... 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, 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: ,Cl)...... 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: 1 11 I� 7 0 x�� se 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. F I am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold i 1 am 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) " a/VuA vn �(ri 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 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: r Y Owner's Property Owner' Signature: p Sworn to before me this_day of 20e�)� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary public,state of Now York. No,01BU 1P5050 Ouatified in Suff olk County M commission Expires April 14.. �. Page 4 of 4 f 0 TOWN OF SOUTHOLD BUILDING DEPT. � 631-765-1802 /p - INZOVE(C" TION [ ] 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ q RENTAL REMARKS: �e i�S�L s� DATE — INSPECTOR FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT k` Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 97.236. Date . 4 Bb. . . . .1 , 19.74. THIS CERTIFIES that the building located at .00M -W4.DrAT9. . . . , , Street zet• Map No.Capt e. Xidd. Block No. . . . . . . . . . .Lot No. .192 . . . . . Xattitvak. . . . . . conforms substantially to the er tee"Sgrox 1 11 code buUt s �rttfie�e�tee of o ey dated . . .before Apr. 23 19. 5? pursuant to which � Vo. 2?23b . dated , , . . . . . . . . . Sept. . .l j. ., 19.76., 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 taeae ilk! dvollin; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . 41444 A . . .r#lk , . . • NW4. . . . .Owners . . . • . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval PXa-. 0-IdSO49. . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .Pro-. .0,140tUg. . . . . . . . . . . . . • • . . • . • • • • • . HOUSE NUMBER . . . 231. . . . . . . Street . . .CAPt.Udd.PrUTO. . . . . . X04AM919- (A. . . 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-20433 Date DECEMBER 30, 1991 THIS CERTIFIES that the buildin ADDITION Location of Property 305 CAPTAIN KIDD DRIVE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 5 Lot 4 Subdivision CAPTAIN KIDD ESTS. Filed Map No. 1672 Lot No. 192 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6e 1982 ______pursuant to which Building Permit No. 11670-Z dated MARCH 18, 1982 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 GARAGE ADDITION WITH ROOM ABOVE TO EXISTING ONE FAMILY DWELLING The certificate is issued to VASILIOS LAMBIRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-035613 - SEPTEMBER 26 1988 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20432 Date DECEMBER 304 1991 THIS CERTIFIES that the building, .ADDITION Location of Property 305 CAPTAIN KIDD DRIVE ItiAT1°ITU'CK Id.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 5 Lot 4 Subdivision CAPTAIN KIDD ESTS. Filed Map No. 1672 Lot No. 192 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2.9 1988 —Pursuant to which Building Permit No. 20352-Z dated DECEMBER 27 1991 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT The certificate is issued to VASILIOS LAMBIRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. !VA PLUMBERS CERTIFICATION DATED N/A ^u.i.lding Inspec or Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31997 Date: 11 15 06 THIS CERTIFIES that the building ADDITIONS ALTERATIONS Location of Property: 305 CAPT KIDD DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 5 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEBER. 25 2005 pursuant to which Building Permit No_ 31512-Z dated OCTOBER 11 2005 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EUGENIA LAMBIRIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEpARTMWff OF HEALTH APPROVAL R10-04-0191 10 27 06 ELECTRICAL CERTIFICATE NO. 2093304 12LL6j 0 P CERTIFICATION DATED 10 24 0 WI'LLIAM CREMLER thoried Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31998 Date: 11 15 06 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 305 CAPT KIDD DR MATTITUCK (HOUSE NO.) (STREET) - (HAMLET) County Tax Map No. 473889 Section 106 Block 5 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2006 pursuant to which Building Permit No. 31922-Z dated APRIL 19 2006 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to EUGENIA LAMBIRIS (OWNER) of the aforesaid building. $UFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A grazr�rnYCAL CERTIFICATE NO. 2093304 10 0ELO6 PLUMBERS CERTIFICATION DATED N/A Au orized Signature Rev_ 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. •CERTIFICATE OF OCCUPANCY No: Z-33540 Date: 02/12/09 THIS CERTIFIES that the building ACCESSORY APARTMENT P y ........ DR MATTITUCK Location of Property: 305 CAPT KIDD „�. (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 5 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12, 2008 pursuant to which Building Permit No. 34306-Z dated NOVEMBER 18 2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued 1S "AS BUILT" ACCESSORY APARTMENT IN AN EXISTING ONE FAMILY DWELLING AS_mmmmmO11 PLIED FOR PER ZBA #6195� DATED / /08. The certificate is issued to EUGENIA LAMBIRIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4022588 02 0609 PLUMBER,S CERTIFICATION DATED 01 27 n09 WILLIAM GREMLER _., :authorized Signature Rev. 1/81 o it �� li/'fir r f �,. I Oil IIM --------- --------- NO 1� xrl 71 OVA !Ili LEGENP i ............ FIRST FLOOR PLAN LIVING AREA-1601 5Q,FT. IT - --------------------------------------- N�- -DA, -------------------------- RAI\ --- - =ice-4 I----------------------------------------- f-,4GE: PROPOSED SECOND FLOOR 4 of 4 LIVING AREA=554 6Q.Fr,