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Home My WebLink About1000-15.-5-29 TOWN OF SOUTHOLD Rental Permit 0098 Owner Barbara Douvas Occupied as Single Family Dwelling Located at 1135 N. Sea Drive Orient 15.-5-29 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. 6/16/2021 Code Enforcement Official This Notice must be posted by the main entrance at all times Town Hail Annex SOUTHOLD TOWN ion 54375 Main Road � Rental Inspection PO Box 1179 Southold, r NY 11971-1179 ` Aw" Tel: 631-765-1802 Fax 631-765-9502 X a d r SCTM # Datece / ; l ,Owner Phone Phone Address l Zip [ 17 Hamlet 0P G41 •T- Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) I I Carbon Monoxide Detectors (#) i 1 Fire Extinguishers 0 1 Exits(#) BEDROOMS71 2 3 4 Smoke Detector Alarms (#) I Carbon Monoxide Alarms (#) j s Egress (windows) (Y/N) �' BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational y> Building Interior is clean/maintained y Hot water system maintained/operational Building Exterior is clean/maintained y' Electrical system maintained/operational Y Property is clean/safe/maintained Mechanical system maintained/operational y Handrails & guards present }� POOLS Y/N POOL BARRIERS / Pool present tA Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent POOL GATES YIN All openin barrier less than 4" Self-closing, self-latching Max. 2" clearance 6� of barrier Latch on pool side of gate, meets height Barrier capable of being locked &c tl - reguirements proof when unattended ` BarbaraDouxas 209-03501h Ave Bayside, NY 11364 �� " � &4oy3S, 2O21 � ~ =�' Building Department Town ofSouthold POBox 1179 Southold, NY 11971 Re: 1135 North Sea Drive Please beaware nothing has change inhouse. | like torenew the rental permit for 113SNorth Sea Drive Thank you, Barbara Douvas 917-338-3313 084;� - TOWN OF SOUTHOLD Rental Permit Permit No. 0098 NN Owner Barbara Douvas Occupied as Single Family Dwelling Located at 1135 N Sea Drive Orient 15-5-29 Address Village S/13/1- Maximum /B/LMaximum 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. 7/1/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times -� e R�, ll Town Hall Annex Telephone(631)765-1802 543.75 Main Road Fax,(631)765-9502 CA P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT'' � °��. UD TO OF SOUTHOLD, JUN - 6 2019 ,,. . . RENTAL PERMIT APPLICATION, OF SOLTMOLD i ee$200(Application must be renewed vii!! lry ttvo years) Section n A A. . lProperty Information: Rental ro erty, re 00 '14y 1��l Tax Map Number 1000 SE TION, � EL�CI � -.LOT SECTION B. OWNER 1NF(j1R`MATION::: Property Owner Name:, Property Owner Leal Addressor- Property Owner ai;li ress: o Evening Emerg enTele hone Number�s): Daytime oy. Property Owner Email Address: bAlAViA Sig (Oky) Page 1 of 5 � y6 Town Hall Annex a Telephone'(631)765-1802 54375 Main Road �� Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 971-0959 BU1LD1N0 t0 R°TMENT ' jF 90 L D Section C. 'II Authorized Agent Information: Name of Authorized Agentent of dwelling unit, if any: . ` IA- Address of Authorized Agent (no P.O. Boxes), Mailing Address of AuthorizeAgent: Telephone Number(s): Daytime Evening .� Emergen Email Address: i F 'Ii l0n D. Mwiiaging Ageui it lln riiiafl n: Name of Author y Authorized Agent of dwelling unit, if an Address of Authorized Agent(no P.O. Bones) Mailing Address of Authorized �. Agent: Tele hrne Uumber s :Daytime Evening Emergency Email Address: SECTION E. SITE MANAGIE,R I E I "I : (regWred for renal properties containing 8 or more rental units) Name of ManagingAgent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 T9wn,H,411 Annex Telephgnq(631)765-1802 5.43.75 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING i!' G ] iPX TM NT'. TO Fou' TI ff O D Mailing Address of Managing Agent:, _ LA Telephone Number(s): Daytime Evenin. Enieri en(y _ brnall Address: 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, 13, C);the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom , Living Room) and the dimensions of each room— For, oo.-._For, ra,. .. is _with li Its ental Dwelling_ nits use:".Rental Per- a licai 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: & "� n 60 1 it J Page,3 of 5 00 Telephone(631)-765-1802 Town Hall Annex P 5437SIv1airrRoad , Fax(63I�776S=9302 Y_O.Box 1179 Southold,NY 11971-0959 BUILD!Nd:-DE0A'kTM8NT TOWN bt,SOUTAbtD E(""TH 11111 C. IPI F�B7Ii Pursuant the Town Code: : Tse n. .f I Chapae,r, , 7t(,ental Pro t i sb,, safety inspection,by Coe Enforcement Officialis required. I the owner chooses not to have said inspection performed by the Town, a certification from licensed architect, a license,;; professional engineer ora home inspector who has a valid New York State Uniform Fire Pre4ention Buildidg,Code:Cettification is_r. fired statin t e :.rg„e_ i is subject oft e rental permit applicationis in compliance with all of the provisions oft e code of the Town of Southold,the laws and sanitary and housingregulations pfite-C nyof. uffol_k ., by the laws ado pthe New York State Fire Prevention and Buildinge Council. k� 1 am requesting fire safety inspection a performed by a Coe Enforcement Official W from the Town of Southold;, _.a:,, ;; . E ..z ' s,. _ ,,. ❑ 1 am submittingq cJ d Town,; authkol_ certification rrra,:ro , ;a licensed,., architect or a licensed rssil engipleer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) L l W ce ity une,p enalty of` erjury, the fol Ilo frig: 1. 1 am the owner of the property ideritified in "Sec,�o� � qitis application. 2. The property owner's legal address;set fort piQhis �: Il.nlicatiori is my legal nnios M01821 0 i f address and I understand the Town will use the address for service pursuant to all Page 4 of 5 30 Town Hall Annex Teteph9ne(63 1,)7.65-1802 54375 Main Road Fac(6�1)765-9502 P.O.Box 1179 TL Southold,NY 11971-0959 , BUIL, ING;;Di�.+�!'I "�`; ENT TOWN P , . JR ,L, _ . applicable laws and rules. I further acknowledge that I will notify the Town of:S6utho' iauill lllfuiuif g` i it�'hi6'wii of aifyautg (Pf 4dduilbss> ftl lfl;�vfive 'P ) da �,o1:arky uim e s theiii 06. I hbv6 Yeah a�mt;,ie f l "gid coph a '`tlmaft ft oul IST Code t'if the fiuefif�u TfScYut mulllh aur�:d " " `u gil66(fI 0 AJVi d 4.. 4 i willll roti Che Towin withliin fie S) husliieas days as io any 6iauiige U: i 1l1�he infoiii nia�tiion 1 .. ! eu a;di �" L�m hc��iZE�!!h h��rei.ui ' i"a aria�giriS� �ih�� it, e�� '!�i�te I anage�iw�.!' m m'p �tdm �IY'n. s� r Property`OWnerVNaVnb. �.. Property Owner's Signature: Sworn to before me this Iday of 20LI Official Notary lic Signature and Original.Notary Stamp ir . % h ,F ry aK7a r Page 5 of 5 �'h� �!• Sia- ��' � pri 1,�; -- �--- � 1 � * * 'TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ;/FINALJ FIREPLACE & CHIMNEY [ FI EFETY INSPECTION, [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REI',m ARKS. pwvd4&cA j DATE INSPECTOR 1'�z N4 i ip get v _ ewe Q w � . mommrl WOW JIM"" vim �i O c g f➢'. ill R�w f y,. r O rn 0 m m CA D Q I co O ll,u W D O "� D Q m l aw l ^-..Y I` ^ l vr v' l l � G �p l D l ; l o0 C : . c m W rI D CI1 f° O r rn 1 r l b ........, co U) Ln m OCL �j 5-7 m Ln Ki Kew ------------ Lf), ........ to .... ...... ol Irn Nj C>t) O'Z CL- ZT� ca 03 Cl ........ O K m m m OD .[0 N 3 4 3 3 W (D r ` LA. , Ln. LA, i O 3 3 3 1 jcN NJ Is 4 / i r� i j II v T m W -n err,, i o (D 74, N c m 3 { N K O N 6 V N4 { Q 0 J F n n J ir- 0 F r f 0 0 0 o CD ;, + o rt 0 j o o m o s a m En { o , � N r CD _. ' 1l O O i i 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. CD ,1�TED Certificate Of Occupancy No.Z3924D . . . . . . Date . . . . . . . . . . Lug .6. . . . . . . ., 19. .70 THIS CERTIFIES that the building located at .N,,. Sea• Drive. • • • • • . • • • • • . Street Map No. O-rby- SEA. . Block No. . . . . . . . . . .Lot No. . .84. . . . .Orient, N.Y. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . p y. . . .24. . . . . .. 19_ . .69pursuant to which Building Permit No. . . 1 f563y dated . . . . . . . . . .N 'tib: . . . . 24. , 19 69., 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 . . .Priva e f ily .dwllin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . Irazo, Ward, &•Peter- . . . r . . . . . . , . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . July. . .24. . . .1970 . -by. 14 -Vill House 11.35 . . . . . , . . . . . . . . . . . , . , ,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-29574 Date: 07/15/03 THIS CERTIFIES that the building ADDITION Location of Property: 1135 NORTH SEA DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 29 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 2002 pursuant to which Building Permit No_ 28412-Z dated MAY 23, 2002 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY ENGINEER. The certificate is issued to LORNA THOMAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A thox.1zed Si na° °re Rev. 1/81 FC�1 Town of Southold Annex 9/23/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37170 Date: 9/23/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1135 N. Sea Dr, Orient, SCTM#: 473889 Sec/Block/Lot: 15.-5-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/27/2014 pursuant to which Building Permit No. 38933 dated 6/5/2014 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 Douvas,Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38933 09-22-2014 PLUMBERS CERTIFICATION DATED p raze ig t