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Home My WebLink About1000-54.-5-9.3 #, 1O6WWWN OF SOUTHOLD mr Rental Permit � 3 0769 Owner 1330 North Sea Dr LLC Occupied as Single Family Dwelling Located at 1330 North Sea Drive Southold 54.-5-9.3 Maximum Permitted Occupancy 6 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. 11/7/2022 Cts Enfor a Official This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971 0959 It BUILDING DEPARTMENT of TOWN OF SOUTHOLD RFNTAI. PERMITAPPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ., Tax Map Number: 1000 SECTION 0 5 .0 0 -BLOCK 135, 00 SECTION B. OWNER INFORMATION: 133 0 Property Owner Name: NbF�� SPa A),r,vC- LI.L Property Owner Legal Address: Property Owner Mailing Address: 1 �n 1 ( rr7 o vc a � � Telephone Number(s): Daytime 5 5 I S`1 ening.Emergency Property Owner Email Address: app' �1 aAo Page 1 of 5 Town Hall Annex " F Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � a a 1 Southold,NY 11971-0959 " BUILDING DEPARTMENT TOWN OF SOUTHOLD 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: l 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 r, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 4 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email 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, 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 U it: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Jab VX t4 Page 3 of 5 Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road w P.O.Box 1 179 Southold,NY 11971-0959 re " C �� 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. XI 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I M —V DVM ouAco , 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 Town Hall Annex Telephone(631)765-1802 i Fax(631)765-9502 54375 Main Road „ `iP P.O.Box 1179 M a pig Southold,NY 11971-0959 Cou 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. 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager, Property Owner's Name: 4 Property Owners Signature- Sworn i nature Sworn to before me this day of W 2Q_2, Official No a Public Signatur d Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2DQa, Page 5 of 5 TOWN OF SOU'T'Ht' LD BUILDING DEPT. w 765-1812 INSPECTION [ ] 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 REMARKS: KS: NJ . . ;■ ! .... - [] . I& —�- & ( . cs Eu | % | §srn rs rn ( |_� . . ;2 � ! [/ /\ [j \j � - . . . . . . � . . � ! ! -11 � � � � � ! � � _ = � l � ( TOWN OF SOUTHOLDPROPERTY RECO . � OWNER ISTREET VILLAGE SUB. LOT _ E FORMER OWNER N E S W TYPE OF BUILDING a . RES. SEAS. VL. _ ? FARM COMM. CB, MICS. Mkt. Value s LAND IMP. TOTAL DATE REMARKS _ 77 F _ u - 5 a - �_ r- t AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE a FARM Acre Value Per Value Acre = �Tillabie ERONT G& flN W ' - - Woodland FRONTAGE ON ROAD a Meadowland DEPTH House Plot BULKHEAD ` Total DOCK - r t uw -� -OR TRIM I14h t _ E _ ,—.__- 4 t 14 t ,,,. a 54.-5-9.3 09/08/2017 � — - f E g I �. Extension s— s e . Extension i Extension Foundation Both Dinette Porch !Basement Floors .nL s Interior Finish - R -� „ r �� 'Ext. all �— a Breezeway =Fire Place �_ Heaff �,,� �: _ DR. --� - Garage V1r Fve Roof =Raams est Floor , - e BR Pin t;0 Y) °` Recreation Room Floor -� �, � 1 R ;FIN. B Rooms 2nd Fl Off- _tm e �,r ( Dormer `Drive�wav E Total r J ...� n lv` FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y CERTIFICATE OF OCCUPANCY No: Z-27672 Date: 05/14/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1330 NORTH SEA DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 5 Lot 9 3 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3.,-..,1989 pursuant to which Building Permit No. 18101-Z dated . _....MAY... 81989 was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for which this certificate is issued its ONE FAMILY DWELLING WITH GARAGE UNDER & OVERHEAD DECKS AS APPLIED FOR The certificate as issued to CONSTANTINE GEORGIOPOULOS (OWNER) of the aforesaid building SLWOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-128 02/21Z92 ELECTRICAL CERTIFICATE NO. PENDING 05 0401 PLUMBERS CERTIFICATION DATM 04Z18/9 HENRY J SMITH & SON INC Authorized Sig,~ ture 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-27673 Date: P§JL401. THIS CERTIFIES that the building ALTERATION Location of Property: 1330 NORTH SEA DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 5 Lot 9.3 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26 _2000 pursuant to which Building Permit No. 26989-Z dated _DECEMBER 26, 2000 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 ALTERATIONS TO BASEMENT OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CONSTANTINE GEORGIOPOULOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ...... ELECTRICAL CERTIFICATE NO. PENDING S 04 01 PLUMBERS CERTIFICATION DATED 0 91 HENRY J. SMITH w& SON NC Aut orized iqnatt e Rev. 1/81 °r Town of Southold 10/29/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41569 Date: 10/29/2020 THIS CERTIFIES that the building ALTERATION Location of Property: 1330 N Sea Dr., Southold SCTM#: 473889 See/Block/Lot: 54.-5-9.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/30/2017 pursuant to which Building Permit No. 45301 dated 10/8/2020 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: exterior staircase to dock with planar leaf a _ ied,for, The certificate is issued to Pile,Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45301 10/28/2020 PLUMBERS CERTIFICATION DATED �...�,. . _ ... ........ gat.. ______w ..... ... utlb ix ur El Town of Southold 11/5/2022 % P.O.Box 1179 53095 Main Rd Southold,New York 119,71 CERTIFICATE OF OCCUPANCY No: 43575 Date: 11/5/2022 THIS CERTIFIES that the building IN GROUND POOL ............... Location of Property: 1330 N Sea Dr, Southold ........................ SC,TM 473889 Sec/Block/Lot: 54.-5-9.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore riled in this office dated 12/21/2020 pursuant to which Building Permit No. 45.650 dated 1/6/2021 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: c geed to code!�.d—m a P-P—1i e—d—fQ—r. The certificate is issued to 1330 North Sea Dr LLC ............ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45650 6/4 2021 PLUMBERS CERTIFICATION DATED i h6 ze igynature