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Home My WebLink About1000-126.-10-19 A WN OF SOUTHOLD Rental Permit 0071 s� Owner Deborah Seidenberg Occupied as Single Family Dwelling Located at 6725 Pec Bay Blvd Laurel 126.40-19 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. 5/21/2024 Code III&eot Off i 1 This Notice must be posted by the main entrance at all times r4f so TOWN OF SOUTHOLD BUILDING DI 631 ?85 1802 A r-�G INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ PRE C/O [ DATE aP2 INSPECTOR Town Hall Annex Town of Southold 54375 Main Road d,z� C) Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# —.., ... _ Date i Owner Phone �r�r Visible Address �� ..... �. - D llnspector HamletWw.._. .. .. ._.w.., ....�.._�." , .. ... ... ._. _. ...._ _ ..._.... ...__.. ........... .... ...... .. m Floor level Quantities ... ... ._�®,,a Sub � 1... � _.2. 3 ........ .. .,,.... .. Smoke Detectors(not located in bedrooms) / 1 Carbon Monoxide Detectors Fire Extinguishers Exits " Bedrooms 2 1 3 4 5 ; 6 Smoke Detectors ��- Egress �... Occupant �....up .nt Count Building Systems Maintained &Operational Condition of Property HeatingBuilding interior _ ... _ .,. _ _M ... . , a.. . ...__..... . .a._. ,.......w. .. ... .n.,.,.. _ Hot water Building exterior EElectrical Property clean, maintained &safe 1 v,. .. ,... . , ,. .__ ..... _... .. -,, .. _..a ail &guards installed &secure Mechanical .......�.. ...... w ,., ... _.,...�....�....... Handrails& . _... , �. ... ... ....,. ... .... �...0 ... Pool Safety Pool on Site _.i .. (Surface water alarm Date of CO issuance I Door alarms _ Pool completely enclosed � .._.. _m � _.. .. ........ _._ . �.. _.. Self closing/ latching gates Pool fence code to code requirements .. r all items resent . CO'sf Prior Rentalo Comments: omments ... .. _.... _,. .. , Al Tu"WN OF SOUTHOLD Rental Permit 0071 Owner Deborah Seidenberg Occupied as Single Family Dwelling Located at 6725 Pec Bay Blvd Laurel 126.40-19 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. 6/18/2021 G)�� Code Enforcement Official This Notice must be posted by the main entrance at all times elf Town Hall Annex wk,µ SO THOLD TOWN 54375 Main Road c � f2@rlt8� �nSG1lOn PO Box 1179 Southold, wy NY 11971-1179 Tel: 631-765-1802 ! ,► � Fax 631-765-9502 SCTM # 10 Date l r2)Lz i Owner Phone --;�l 66�' Address , &'J Z S kc0 016. EAy E Lvp Zip Hamlet .. Inspector Address visible from street? =� LEVELS SUB 12` 3 Smoke Detectors (#- bedroom detectors excluded) TI 1 Carbon Monoxide Detectors (#) 1 Fire Extinguishers (#) D 1 Exits (#) f o2. 1 BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) I 1 I Carbon Monoxide Alarms Egress (windows) (Y/N) y " BUILDING SYSTEMS YIN CONDITION OF PROPERTY YIN Heating system maintained/operational Building Interior is clean / maintained Hot water system maintained/operational Building Exterior is clean / maintained 4' Electrical system maintained/operational Property is clean/safe/ maintained Mechanical system maintained/operational 4' Handrails &guards present POOLS YIN POOL BARRIERS YIN Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent POOL GATES YIN All openin arrier less than 4" Self-closing, self-latching Max. 2" clearance @ be f barrier Latch on pool side of gate, meets height Barrier capable of being locked &chr requirements proof when unattended COMMENTS: OL-1- �� i C-pErxf Pecolic, L,aAJILtJ 0 Fe� M Pe (y I& +k)ld r Bot I. ac ,emc lamed pec vest � my reN�- �tppltec�t`�� 7 ante O�t as / q, , �Uery smo,�e �- aarbpN mur.3o clL uEkL*f �s aork-4 Nal, l� ►�- rm_ k-Nak) wheN TOWN OF SOT OLD Rental Permit Permit No. 0071 Owner Deborah Seidenberg Occupied as Single Family Dwelling Located at 6725 Pec Bay Blvd Laurel 126-10-19 Address Village S/13/1- Maximum /B/LMaximum 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. 5/29/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times r Ij Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 W � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two y MAY 6 1 DD Section A. TOWN Property Information: Rental Property Address: Tax Map Number: 1000SECTION � -BLOCK d ,-LO'T— - SECTION B. OWNER INFORMATION: Property Owner Name: r ak �- -ej4 Cie Property Owner Legal Address: Property Owner Mailing Address: S ad-c' Ave- 1e- 6VC-- t l Telephone Number(s): Daytime_ Eveninge,Emergency Property Owner Email Address: d e e-1 I + Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD l soje Mailing Address of Managing Agent: r mI Telephone Number(s): Daytime Evening Emergency Email Address: SeA L 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, C);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: mI,, Number of rooms in Rental Dwelling Unit: r fns,,26A,-!A5 f I k ® i ilk Use and Dimensions of each room in Rental Dwelling Unit: 1 d , 0 Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 is Southold,NY 11971-0959 ,,� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Com- l 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: V 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): ...........� MM Page 2 of 5 r Town Hall(Annex �� : Telephone(631)765-1802 54375 Main Road ��u H � Fax(63 l)765-9502 P.O.Box-1179 Southold,NY 11971-0959 BUILDING E t# T ENT TOWN OF SOUTHOLD SECTION G. Pursuant to the Town Code of the Town of Southold Chapter 207 (RentalProperties), 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 o has a valid e York State Uniform Fire Prevention Building Code Certification is required.stating that the property which is the su jec oft e rental permit application is in compliance with all of the provisions oft e code of the Town of Southold,the laws and sanitary and housingregulations oft e County of Suffolk and by e laws adopted y the New York State Fire Prevention and BuildingCode Council. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement ficial from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a license architect or a licensed professional engineer. SECTION DI:KLARATION. Signature Aust be notar ed and MUSTbe the owner 'the dwelling sitar STA TE OF NEW YORK) COUNTY F SUFFOLK) AA7,c sI " � �lertifii under penalty of perjury,the following: 1. 1 anti the owner of the property identified in "Section A4"of this applications . The property owner's legal adress set forth in "Section "oft is application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of Town Hall Annex l w Telephone(631)765-1802 54375 Main Road �', Fax(631j 76,5-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING D PAR"t'ME'N r TO F . O ' . g�, applicable laws and rules. I further acknowledge that I will notify the Town of Sothbld uil :I e epi ;t;o any des rasa r in ' e )'days o any shah es thereto, � t ® f aye r. e h` t dei d'a eop,V of Chap ier07'of Etre Cede'df'the Town of Southold`a:nd a"reed.to'abide'by the,saine. 4. 1 will notify the Town within five(S) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager -. Property)Owners : A L Property Own'er's Signature: .—Vz& Sworn to before me thi�"4 day of Iq0 � 2C q Official Notary Public Sigrraticg- n.d C7riinal Notary Staanup CONNIE D.BUNCH r�/ tory P yyI��+�I�$pWe'�y ' Nowi Corr86050 QuWRW in Suffolk,Coui* (D .Ion bplres April 14, Page 5 of,5 r " w.. t. ., iBy � wp �, •� V„I I a r 1,1: Cry I4 .— ....� ....ut. i a � s rc u c' w7P i j M -------- I _I p 4 i 1H POO I I FHal HiIi InS VVI.O him .... .. . o� r .... �� , w M I u I 7D 'reg' — ""' �? ... , f1 0 Py r. a� pJpi [ µ t " f" 'Az �I/ � I a. M1�da �ro Mid y if hV(C ARi CSF IYwIN LMS hdb C4tiF: w vr, r a M ,. IDWS� �r��l�7be r1 AIA i cia=�r r ri ra+�rc.. awrNunrrrnw.rr,;:n u � , iar,.ri. i�wr;x"ro. � ca��V��tCLdBCy�—�'ld�l y r rl NI 51 f M W L if I lVr'f , UK a,ra,iirrt'mairrran.r r,nu i:!v�,i.rr I]O IIYV \6N ROAD „Y�... m� —7 mw mn,re, fi,I 1x4014 m• .� l0 �l✓� I vlP • l o Iq �f,sQ:v TOWN OF SOUTHOLD u 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ INAL 400� d�.. [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING i REMARKS: i DATE INSPECTOR f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25295 Date OCTOBER 3, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 6725 GT. PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 10 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25295 dated OCTOBER 3, 1997 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 FAMILY DWELLING WITH ACCESSORY GARAGE The certificate is issued to LAWRENCE A. HOLFELDER & ORS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT.. Buifding nspec Rev. 1/81 BUILI)ING DEPARTMENT TOWN OF SOUT1101.1) 11011STNG COOT: J.NSPRICTION RI•s1'ORT LOCATION: 6725 PECONIC BAY BLVD. LAUREL, N.Y. GnmUer 6 slrc�eLT __...,...m.m.. munnipe(„�`,,.. - Y SI1111)IVISION _ MAP OF OWNNO, NAMNAMEI,R (s).._ � CS._.,�. ,........—...-. _„•.�....m .... ..._ — ,.,A, ._.�,.„,.. ,. _..._..- + LAWRENCE HOLFELDER OCCUPANCY SINGLE FAMILY w.. -(Type)`-----, W...,--�,.. w (.ryPe�__... _....._.-....._..— ovner-Lenant .............. AllMI"1"fCU llY•• ANGIE JOHNSON ACCOMPANIED BY: SAME .. _ KEY AVAILABI.iI SIICF.CO_ TAX MAP NO. -1_0Q .).2b...,1.0„_)9 _ FELDER w. ....._--DATE: SOURCE OF RER,IJES'1': LAWRENCE HOL _. .� .LING YPE OF CONSTRUCTION WOOD FRAME 1 STORIES _12/ EXITS`Z FOUNDATION CEMENT BLOCK., c:r•.r.r.nit FOL_L CRAWL SPACE � ..-------- ��..-- 3RD PT.R,......._ _�.m...w....-- -.._..,... TOTAL ROOMS: IST FLR_ 5 _2ND FI,R. BATHROOM (s) .04. ONE _„ .,.,.. n......q. TOILET ROOM (v) ONE (1TIT.1'I'Y--- ._._.. T7 ROOM PORCH 'TYPE FRONT E_N. CLOSED w DUCK, TYPEN ..._. PATIO REAR CON mR ETE. __ BRIiGZEWAY._. —_a ... .. F111EPLACF _.,..4 ......... GARA('E.,.. DOMESTIC 110TWATER XX TYPE HEA'1'Rl1 LILCO GAS AI.RCONDITION1NG TYPE HEAT OIL WARM AIR r 10'IS7ATLR OTIIER: BILCO EXIT ACCESSORY STRUCTURES: ��yy • >: NST. I..CAR W(J�7O FRSET dWO()D ATTfflJF _ ,yam _ STORAGE, TYPE CONST. WOOD ATT C lED TO ABtAGC,,,., SWIMMING POOI GUEST, TYPE CONST. O'1'IIER: STONE FIRE A VIOLATIONS: C1IITER 45 N.Y. STATE UNIFORM PREVEN'T'ION 6lllUll. ] G _ , . ....._._._... ' ' .DI)ING CODE LOCATION &.ION DES(11IlYl"LN Alt°I SLC„.,. ..,..„ ..... REMARKS: L NSPEIC E..I) By I)ATE OF INSPECTION OCT. 2 1997 ,J()l1N M. BOlFIS TIME START 10.45 AM END 1 I:OS AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27663 Date: 05/10/0 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 6725 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10. Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1999 pursuant to which Building Permit No. 25616-Z dated MARCS 18, 1999 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 DORMER ADDITION & INTERNAL RENOVATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD BAWORT'H (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-496172 07/30/,99 PLUMBERS CERTIFICATION DATED i0 13/01 STEVEN BURN'S hoiized 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-32809 Date: 12/27/07 THIS CERTIFIES that the building PORCH ADDITION Location of Property: 6725 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax clap No. 473889 Section 126 Block 10 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 2006 pursuant to which g dated JUNE 21, 2006 Building Permit No. 32198'.-Z' n 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 PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DEBORAH SEIDENBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3044279 08, 30/07 PLUMBERS CERTIFICATION DATED N/A uthorized 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-32810 Date: 12/27/07 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 6725_ GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 19 Subd1vision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 2006 pursuant to which Building Permit No. 32149-Z dated JUNE 21, 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 GB WITH STORAGE ABOVE AS APPLIED FOR. The certificate is issued to DEBORAH SEIDENBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTNMT OF HEALTH APPROVAL. ETJCCT—TCAL CERTIFICATE PO. 3044279 08/30/07 pLUMBE= CERTIFICATION DATED N/A A horized Signature Rev. 1/81 c ' o o � � IS _ � � ro m i m (,N p �� 6 mLn n a,,n" v C , — . �� } t r' d m Z r 9 fi PC m p (), mi 71 7,1 ol Iwo „ r f � � �x 4 A f y� CUD � 12, j �� 2� � I y �w,1 � 0 � � � � i�a rq l�ii°"�. el W �. Q�D f C Ja dn cn {r � do 111 EEEE j � )E t. -r yy n y qq 4� _ � w Q 9 111 ' UIN M to 4r L b e , v t 0 r a � � a i r u,a � ^� f r 4a� J Q f 4 [ TI Rl " G (D —Kid . i � m N O '0 I « Q o CD Ln ST rt NCL —' 0 o s 0 0 ;r « R , l f