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Home My WebLink About1000-126.-1-16 TOWN OF SOUTHOLD Rental Permit 0495 Owner Foteyne Mouzakitis Occupied as Single Family Dwelling Located at 820 Bray Ave Laurel 126.4-16 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. Expiratior is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 7/10/2023 "'Yk' ' Code Enforcident Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 (o_ 1 N S` P E C T 1 40 [ ] FOUNDATION 1ST [ ] 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 [ RENTAL DATE OGC�(i � Town Hall Annex SOIJTHOLD TOWN 54375 Main Road PO Box 1179 Southold, Rental NY NY 11971-1179 Tel: 631-765-1802 - Fax 631-765-9502 V 6- 60 , SCTM # A "& - -.�`�a" Date '" Owner � µµ Phone Address , — w... Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (# _bedroom detectors excluded) / Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 Smoke Detector Alarms (#) �''._.�. . _�.. ...... Carbon onoxide Alarms - Egress windows Y/N, f#) M �� BUILDING SYSTEMS CONDITION OF PROPERTY YN Y/N Heatins stem maintained/oterationa&� Building Interior is clean /maintained Building Exterior is clean/maintained Hot waters stem maintained/operational Electricals stet"n maintained/o erational.--f Property is clean /safe/maintained Mechanical system maintained/o erabonai Handrails & guards present COMMENTS: _ w Rental Inspection Form 4/7/2021 t TOWN OF SOUTHOLD RenW m 0495 Owner Foteyne Mouzakitis Occupied as Single Family Dwelling Located at 820 Bray Avenue Laurel 126-1-16 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 A wo (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 7/7/2021 derfoa en Official This Notice must be posted by the main entrance at all times So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) D DQMDV [�' DD Section A. A U G 2 4 2020 Property Information: BUILDrNG DEPT. Rental Property Address,- TOTVVIN'C',",Ij f 17HOLD pvttw;e- �ur-el., Tax Map Number: 1000 SECTION -BLOCK 1 -LOT��, SECTION B. OWNER INFORMATION: Property Owner Name:-To+e�ne- C" Property Owner Legal Address: Property Owner Mailing Address: -r0f&w'.CL �0C'c?'aK-PCt.S 4C., Telephone Number(s): Daytime Evening_ Emergency Property Owner Email Address: Page 1ofS t®r 'r, 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 Section C. Authorized Agent Information: VoKI61 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: Address of Managing Agent (no P.O. Boxes):,.... .-- Page 2 of 5 Town Hall Annex N� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 � f' m"" ,•€ ion zzn BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency. Email Address: SECTION F. PROPERTY DESCRIPTION: c 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: 1 OU S Requested Maximum number of persons allowed to occupy Dwelling Uni `{" Number of rooms in Rental Dwelling Unit: 5 room-s _ bad-P%C Use and Dimensions of each room in Rental Dwelling Unit: oCht'A `�C�12Y\ l a. hey�r®o rns 100 Page 3 of 5 ®��pF SpUT�o! � a Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 WN 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. .\d I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold O 1 am 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 r e�h�' I P,9�Z��I 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 s SO o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® O Southold,NY 11971-0959 Q 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. I 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:- Property Owner's Signature: Sworn to before me this I da(y 200 Official Notary Public Signature and Original Notary Stamp MICHELLE G ENRIQOEZ Notary Public,State of New York No.01 EN6195452 Qualified in Queens County Commission Expires October 20,2020 Page 5 of 5 o��OF50UlyO �i�v �� j ��X/✓ # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] _ FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ZF FIREPLACE"& CHIMNEY [ IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: k C4) F9W DATE INSPECTOR Town Hall Annex Telephone(631)765-1842 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold.NY 1 t971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD OCT 2 1 2020 DENTAL PROPERTY CERTIFICATION BU&W," tb"mpleted'by a license architect,licensed engineer or licensed home inspector TOWT'l f;T<,3f�'Tj1'1f� ate form is required for each individual Rental Dwelling Unit , Professional seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: Rental Property Address: A Off- 12 c ►�'1�—��v�l L ei l�-�1— �`f 8 Owner/Name: -�-P�l.l Ute,.- �' tmi a' Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq.,etc.) Property Description(include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and Title ��0�( O+p�' Original Signature Please place professional seal: FLOORPLAN SKETCH Borrnwer: Foteyne Mouzakitis - File No.: 820 Bray Ave Property Address:820 Bray.Ave Case No.:68016478 City: Laurel. _ _ State: NY Zip: 11948 Lender:Quicken Loans Lt.0 3 CIO t In f 0b ` b,'tCL(-obv� ( - 1 sb 6a(00 Al 2 " 1,D 0. -1`L' " Prbl�- G L .� � rwiK- 200 sy Zo 0 s - . a p P ro,�• ` :. ' ': , Ic,t �Lv1 !(�Q;py�nJ'�J�jby\ �5b 3�`�-�• �u�Qro r�� °� �i. ,�� "'-2C _ _ ��'' ;M.+`MM f 4'�1 ui Interlock Pati [Area: 182 ft-j tStQonolee cQ?.f . rs 14 25' 25' Bedroom Bedroom,, L Unfinished Bath First Floorm _ Basement [Area:900 ft] - [Area.-900 ft'] Living Room 0 Kitchen 4 OI Dining Room 23' ° r 25' Wood Deck � [Area: 1381111 i w 2 f 1 FLOORPLAN SKETCH Borrower: Foteyne Mouzakitis File No.: 820 Bray Ave Property Address:820 Bray Ave Case No.:68016478 City: Laurel State: NY Zip: 11948 Lender:Quicken Loans LLC �; .Interlock Pati, .�. [Area :182 ft� - °25'" 25'. Bedroom :Bedroom `Unfinished, Bath , - . .-- _. : . Eirst°FloorBasement , 'jArea:9.00 Atj [Area;900 m Living;Room tGfcheri Dipin9 Room i 2 . .. :. A .2F `. od_Deck` t� 13949' 23:- INTERIOR PHOTOS Borrower: Foteyne Mouzakitis File No.: 820 Bray Ave Property Address:820 Bray Ave Case No.:68016478 City: Laurel _ _ _ State: IVY Zip: 11948 Lender: Quicken Loans, LLC w�. F�>. is Bedroom Bedroom Access to attic Smoke detector INTERIOR PHOTOS Borrower: Foteyne Mouzakitis File No.: 820 Bray Ave Property Address:820 Bray Ave Case No.:68016478 _City: Laurel State: NY Zip: 11948 Lender: Quicken Loans, LLC Kitchen Comment: Living Area Description: Living room Comment: Bathroom Description: Bathroom Comment: 8/17/2020 20200811_201655.jpg s v3 }��iiN �II4wr Carbon Monoxide Alarm https://mail.google.com/mail/u/0/?tab=wm&ogbl#inbox/FMfcgxwJXVGmLBxN BpNGRwrtjN WQVzq?projector-1&messagePartld=0.1 1/1 4/25/2021 20210424_200755.jpg https://mai1.google.com/mail/u/0/#inbox/FMfcgxwLtkPkXdMxDsNKgFQBkTRXnPsx?projector=1&messagePartId=0.2 1/1 4/25/2021 20210424_200807.jpg i https://mai1.google.com/mail/u/0/#inbox/FMfcgxwLtkPkXdMxDsNKgFQBkTRXnPsx?projector=1&messagePartld=0.1 1/1 4/25/2021 20210424_200811.jpg ...E 7'E • y r 4 ! t i } F https://mail.google.com/mail/u/0/#inbox/FMfcgxwLtkPkXdMnzGQFLb(IVFmgltlf?projector=l&messagePartld=0.2 1/1 4/25/2021 20210424_200807.jpg https://mail.google.com/mail/u/0/#inbox/FMfcgxwLtkPkXd MnzGQFLtxlVFmgltlf?projector=l&messagePartld=0.1 1/1 l , TOWN OF SOUTHOLD PROPERTY REC � > r0\NNEk STREET �� VILLAGE DISTRICT SUB. LOT CAq � FORMER OWNER , N E ACREAGE T y; S W j TYPE OF BUILDING i RES. /lj SEAS. VL. FARM COMM. I IND. CB. MISC Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS - �. f -- - - .' All a ZZ��' '� I g z m� z AGEy9 BUILDING CONDITI N G0 1%A -- - _ - I: f .Ss3—�v2 Ncc4v- 40 0, 1 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 Swampland Brushland House Plot —___---- ------`--- - Total . I .y "Y rk _ 1 . r r� s w r r s " r j � I i t s " • _. _ __. -....._ I } 126:1-16 3/12/2020 2V µ o Foundation �7Ecth 1 ji Extension Basement Floors Ext. Walls _+ Interior Finish Extension Fire Extension Place ��1 _ Heat ' �f�---- � � 7 4 ( , 2S" t�(f,! Porch ;Roof Type —�� Porch Rooms t st Floor Breezeway Patio - Rooms 2nd Floor ---- – --- Garage f Driveway Dormer I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy 214073 December 11 85 No. . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 19 . . . THIS CERTIFIES that the building . . . . .One family dwe l] ing Location of Property 820 Bray Avenue Laurel House No. Street Hamlet County Tax Map No. 1000 Section . . .1.26. . . . . .Block . . . . . . 1. . . . . . . .Lot . . .1.6 . . . . . . . . . . . . Subdivision GE0 . T TUTHILL SEC C . 1 Filed Map No.84.-688. .Lot No. 30 conforms substantially to the Application for Building Permit heretofore filed in this office dated A p r i 1.. .1.5. . . . . . . . . , 19 8 . pursuant to which Building Permit No. 13 8.7.2 Z dated . . .Q P r.i l . 16. . . . . . . . . . . . . . . . 19 8 5 ,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 . . . . . . . . . One familydwellings with attached deck The certificate is issued to . . . & GERARD GOEHRINGER (owner, yi�C�,XaXi�IX of the aforesaid building. Suffolk County Department of Health Approval . 85-50:81 . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . #.7184.1.1 Building Inspector Rev. 1/81