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Home My WebLink About1000-144.-1-20.1 TOWN OF SOUTHOLD �4 a Rental Permit � 0079 �re' Owner Gerard Geohringer, Jr. Occupied as Single Family Dwelling Located at 2290 Sigsbee Road Laurel 144.4-20.1 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. 6/29/2023 Code Worl t'Official This Notice must be posted by the main entrance at all times 'D cz;I's �,, 4 t" TOWN OF SOUTHOLD BUILDING1 631 -765-1802 INSPEC ION ] FOUNDATION 1ST [ ] ROUGH PL13G. ] FOUNDATION 2ND [ ] INSULATION/CAU ] FRAMING 1 STRAPPING [ ] AL ] FIREPLACE & CHIMNEY ] FIRE SAFETY INS ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ICAL �F ] CO E VIOLATION [ ] P C/ [ ] REMARKS: .:� cs 0f4-*�� AQ TOWN OF SOUTHOLD BUILDING DI 631 .765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] ft�VAL [ ] FIREPLACE & CHIMNEY [��j FIRE SAFETY INE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PRE C/O [ ] F REMARKS: 10" 00 4n.. IUea "46 Qsc�i�v� 1",Q�a� DATE WY� INSPECTOR OLD We W Permit _ 0079 Owner Gerard Geohringer, Jr. Occupied as Single Family Dwelling Located at 2290 Sigsbee Road Laurel 144-1-20.1 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 `.i-iC +niy'of SU.Ifolk and ray ttie IL;�..Irs adopted hy the New,'f'or!: State ril e Pr�aventicn and Building Cede Council, Expiration is two (2) years frorn date of issue. The operator is responsible for arranging for the bi-annual inspection. 7/7/2021 e Enfo ce e ficial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATIONINSULATIOWCAULKING FRAMING I STRAPPINGN' gfv�� a f`IREPLACE & CHIMNEY SAFETY INSPECTION I FIRE CONSTRUCTION FIRE RESISTANT [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL.(FINAL) VIOLATIONCODE PRE / I I 0 V!f M� DATE INSPE,CTORY Y 144 OWN OF SOUTHOLD A- Rental r it Permit No. 0079 Owner Gerard Goehringer, Jr. Occupied as Single Family Dwelling Located at 2290 Sigsbee Road Laurel 144-1-20.1 Address Village S/B/L 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. 6/3/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 4v k Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box I t79r Southold,NY 11971-0959 W BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION � A I' Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Ac ress t..r` d�� 1w� ...p,.w F ' IY'l,any �� Irl d°�,, ,;✓' �,✓' w.. Tax Map Number: 1000 SECTION �' .� -BLOCK' -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytimes ` r," Evening Emergency p y , Pro ert Owner Email Address: Page 1 of 5 Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 i+ o Southold,NY 11971-0959 �, V. 0J, BUILDING DEPARTMENT TOWN OF SO OLD Section C. Authorized Agent Information: g Name of Authorized Agent of dwelling unit, if any: � 7. : � Address of Authorized Agent (no P.O. Boxes), ZA r 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: 6y Address of Authorized Agent(no P.O. Boxes):.- � J� Mailing Address of Authorized Agent:_ Telephone Number(s): DaytimeEvening ',, 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: a �2 Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Y.O.Box 1179 Southold,NY 11971-0959 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. ❑ 1 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 certify under penalty of perjury, the following: 1. 1 am the owner of<th(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 t. I'r T CA- YV c ct -21 A c c CA s 51 m f Sol, Val tt�TOWN OF SOUTHOLD BUILDING DEPT.0 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FAL4m4t, [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: 0 DATE Z Aq401 INSPECTOR u►n i -` " Iful A-41 4�,41vc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 i INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH_PLBG. 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