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Home My WebLink About1000-143.-2-5 TOWN OF SOUTHOLD Rental Permit 0103 £�a Owner Jane Smerglia Occupied as Single Family Dwelling Located at 225 Sigsbee Road Laurel 143.-2-5 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. 6/20/2023 C04 Enf rc ment Offici i This Notice must be posted by the main entrance at all times so * , TOWN OF SOUTHOLD BUILDING DI CI, 631 -765-1802 [ ]. FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION/CA( [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INEE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O yj�: Tor Town Hall Annex SOUTH LD TOWN 54375 Main Road °t PO Box 1179 Southold, q� �C� NY 11971 1179 y Tel 631-765-1802 Fax 631-765-9502 0105 Date �" _ __._ . _.... _"....__. _... " _ .... Phone Owner . _m.. _ ..."..._...................... ..... Address. .._._._ ._. ._._......".""_._.� .......W�a �l S � � p _. 2 3 LEVELS .. 1 _... ... city tike Detectors (# bedroomuW"._..... SUB Carbon Monoxide Detectors Fire Extinguishers .._Exits (#) �._'..m_._..._...__...__w._._ BEDROOMS _ 4 1 2 S _ ......_._. _. Smoke Detector Alarms Caress wo dowsY/N e A�arms (#) Eg .._ . _.._ �iI } 1 of ��, � Y��N CONDITION O ��. �.�.�.. Y/N BUILDING SYSTEMS RTY Build n� Interior s clean i maintained Hv n errr item maintain��( of eratlonai . g Building w y� Property.Is.. Building Ex n ( maintained .Hot waters stern main tainedlo4r ��tional •— °°_ �` " "" Exterior Is clean _. -- p y clean / safe / maintained Electrical ter maintainedac��ot� Ionalaµ Mechanical syster`n maintained/o.)eration I Handrails & guards present J COMMEµNTS...., ... ..�.. . _ _ '.- _... Rental Inspection Form 4/7/2021 OWN OF SOUTHOLD �00i Rental Permit 0103 Owner Jane Smerglia Occupied as Single Family Dwelling Located at 225 Sigsbee Road Laurel 143.-2-5 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. 6/24/2021 I Code Enforcement Official This Notice must be posted by the main entrance at all times ' " g. Town Hall Annex �(�V �� SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, cis Rental Inspection NY 11971-1179 Tel: 631-765-1802 e 4 Fax 631-765-9502 a.1..n.y r SCTM # (� — — Date �2l Owner ,� >~\� Phone Address 5 IES Zip Hamlet -L- Inspector Address visible from street? LEVELS SUB 1 2 3' Smoke Detectors (#- bedroom detectors excluded) 1 t Carbon Monoxide Detectors Fire Extinguishers (#) 0 Exits (#) t 1 BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms(#) I Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational E L :-: C- Building Interior is clean /maintained Hot water system maintained/operational Building Exterior is clean /maintained Electrical system maintained/operational y Property is clean/safe/ maintained Mechanical system maintained/operational Handrails &guards present POOLS Y/N POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent POOL GATES Y/N All oper'a6grs-4nr b rrier less than 4" Self-closing, self-latching Max. 2clearance@ bpttompf barrier Latch on pool side of gate,meets height Barrier capable of being locked & &MIld- requirements proof when unattended COMMENTS: TOWN OF SOUTHOL Rental Permit AN Permit No. 0103 Owner Jane Smerglia Occupied as Single Family Dwelling Located at 225 Sigsbee Rd Laurel 143-2-5 Address Village s/B/L 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. 7/8/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times ; Pa 1WV , Town Hall Annex Telephone(631)765-1802 54375 Main Road baa (63j)'765-9502 P.O.Box 1179 �� Southold,NY 11971-0959 �� r r4U v u BUILDING DEPARTMENT TOWN OF SOUT' [OLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION --BLOCK-2- -LOT 5 SECTION B. OWNER INFORMATION: Property Owner Name: Jccj�-_t Y C(,— Property Owner Legal Address: Property Owner Mailing Address: 9-2 �1 I/IGc �. Telephone Number(s): Daytimk 35 ening ,Emergency Property Owner Email Address: "j kj-CkAd �T co - u K Page 1 of 5 � � d Town Hall Annex ?r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 d� Southold,NY 11971-0959 �h BUILDING DEPARTMENT rrOWN OF SOUTHOLD Mailing Address of Mana 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, 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: 00, 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: a Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 _ ��" Milp �=14tH ., J��17 BUILDING DEPARTMENT TOWN OF SOU THOLD SECTION G. TOWN(I" r� 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. ,dla' I 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) 1 /'1 J r certify under penalty of perjury,the following: 1. I 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 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 V�� BUILDING DEPARTMENT TOWN OF SO OLD 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: -A m, r r Property Owner's Signature: Sworn to before ZS this 12 day of , 20 t Official Notary Public Signature and Original Notary Stamp DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01D1475593 Quollfied In Suffolk County My Commisslon Explres Aprll 30, 20ZZ- Page 5 of 5 Ctw`'arr ry ° °.,, Town Hall Annex f^ Telephone(631)765-1802 54375 Main Road a Fax(631)765-9502 P.O.Box 1179 1 k Southold,NY 1t971-0959 tU�lirri BUILDING DEPARTMENT TOWN OF SO .,OLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit F"roessional seal re wired or Architect or Fn ineer licensed Home ins actor must rovide copy of valid current cerci cation Rental Property SCTM Number: 000- 1 '4 3 — 2 — Jr- Rental Property Address: } Owner/Name; 1 { Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-9P sq., etc.) # 2 = II1 • o0 Property Description (Include all improvements ments indicated on s�rvey) IVs l ini - L) n--67 V,wsk.Q a 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 Or final 5SJg ature d Please place professional seal: 0� " TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ( ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND- [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIIMNEY [ FIRE SAFETY INSPECTION C ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING DATE INSPECTOR q 4�� IItl I i s J F 0 s I 51 m0 E4 7 z .. ......... .... �11:0 O'S Am ff—Lvff ,) " try "firL�LSI z 9L'Ztx 5'tt M� � xi �1Sx3 l C:I 1 G _ til>>v1"'b a-�pw cJ ISI f C' s r I a o _I _I mI Z m � � rre O � o ° o° fl o o D m � r cn O � m s a D Z ❑ rnm m 2: D m 4 n u � Z O W D D � < 00 g oo C O �6 r r ti v Z rad Z m O �+ , fl � Ili ;o m a �w Biu I Z < ° vo O D E- Z O -4I < �.� m c � v O r O too: "I NQ O O � Z �rt mw U w, d a, CD 44 ZC ,o r m � 0 � m ro _ � n Vr 1m, Q kn G 1 �I ..,�... Ili v m m 0 00 O O fi 0 n m � n m m m rn o EL to `G w w X y� u� h as r w r r �j i 1 na w i i I i ..p I -I . ,. X O -- _ - r � "7C) 7, ir r CD 0 O -s -+ O 7 Di y f6 x, s O _T i ;0 7J = o m 3 3 Q � $ s o. u, ._. N T _ tA 3 i � Q 'r'I 3!, S . O L4 L m. ux� ....... ........_. .�.�..ww ..w.a. ,,._. v ..nmm- ..,.....��. .,..nm muni. d IIryII � wwurm, ' N� 4wxbnw. I �� min 1 mJ �,.m ... ...... 'rrXXM4? Town of Southold Annex 6/16/2014 P.O.Box 1179 54375 Main Road " + Southold,New York 11971 CERTIFICATE F OCCUPANCY No: 36974 Date: 6/16/2014 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 225 Sigsbee Rd, Laurel, SCTM#: 473889 Sec/Block/Lot: 143.-2-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated pursuant to which Building Permit No. 6983 dated 11/12/1973 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 d S11in1;with accessory,p&a ilclirte . Replaces f"0 -57„"19,dated 1/17174 to inc lm�de the cc soar buildYg The certificate is issued to Drake,Marie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 3SO-153 1/17/74 ELECTRICAL CERTIFICATE NO. N 137173 1/10/74 PLUMBERS CERTIFICATION DATED N/A Aut izetl Signature