HomeMy WebLinkAbout1000-144.-2-23 TOWN OF SOUTHOLD
z
Rental Permit
£ 0270
Owner Joy & Jonathan Ellinghaus
Occupied as Single Family Dwelling
Located at 2375 Sigsbee Rd Laurel 144-2-23
Maximum Permitted Occupancy 3
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.
2/23/2024
t*0 c rent Official
This Notice must be posted by the main entrance at all times
TOWN OF S UTHOLD DI T.
631-765-1802
INSPEC� 10N
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING 1 STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICALFI L)
[ ] CODE VIOLATION [ ] PR CO [ R NTAL
REMAR
&"— Z 4AIlk
(OAA&I4A
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T q INSPECTOR
� = s T
OWN OF SOUTHOLD
mss:
_ Rental Permalt
0270
Owner Joy & Jonathan Ellinghaus
Occupied as Single Family Dwelling
Located at 2375 Sigsbee Road Laurel 144-2-23
Maximum Permitted Occupancy 3
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.
1/20/2022 -Aft
Code Enfor ent Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold
i Rental Inspection
NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCT .- Date l -
Owner _ Phone
Address " �c p
� a Zi
Hamlet iv Inspector
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#-bedroom detectors excluded) r
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits(#)
BEDROOMS 1 ", 2 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING Y T CONDITION OF PROPERTY � 1
Heating system maintained/operational
Building Interior is clean/maintained
Hot water system maintained/operational y Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails &guards present
POOLSl L BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min.48" high
resent
L GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching Max. 2"clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS:
RvVCkZ
off TOWN OF SOUTHOLD
001 OM Rental Permit
Permit No. 0270
Owner Joy & Jonathan Ellinghaus
Occupied as Single Family Dwelling
Located at 2375 Sigsbee Road Laurel 144-2-23
Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 3
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.
1/8/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
O��Of SOUI�olo
ti
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G �Q
Southold,NY 11971-0959 `yCO
MM
1 .17
BUILDING DEPARTMENT �
TOWN OF SOUTHOLD
AUG - 2 2019
RENTAL PERMIT APPLICATION B'07.aa�GrI �
r 0w"IN rf_jj
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
i rA V\aM - «S�
Tax Map Number: 1000 SECTION q 400 BLOCK 2-00 LOT J 00
SECTION B.
OWNER INFORMATION:
Property Owner Name: t l�
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Telephone Number (s):gWl s� -
T
Property Owner Email Address: C
if):D®
0 V
Page 1 of 4
L
0"4vafSECTION 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 U it
Number of rooms in Rental Dwelling Unit: 6
Use and Dimensions of each room in Rental Dwelling Unit: Y I( y S z®� • 6
Jy
Cl
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 NYS licensed architect, a NYS 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.
l am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
❑ I am submitting a completed Town of Southold certification form from a licensed
architect, a licensed professional engineer, or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
l
Property Owner's Name: � 1
Property Owner's Signature:
CONNIE D.BUNCH
Notary Public,State of New York
Q)AJ No.01 BU61&5050
Sworn to before me this day of 20 Qualified in Suffolk Coun
,or-mission Expires April 1A, ���
fvii
Official Notary Public Signature and Original Notary Stamp
Page 4 of 4
-------
�o� F SO(/TyOlo
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
:
[. ] FOUNDATION IST [ ] ROUGH PLBG.
[_ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ]
-FRAMING/STRAPPING [ FINAL "��/LWrll.r
[ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION
( ] ELECTRICAL (ROUGH) ' [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
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TOWN OF SOUTHOLD PROPERTY RECORD C.-..1_ SII
OWNER STREET VILLAGE DIST. SUB. LOT
FORMER OW R �� NE ACR.
Or (I
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Zu Zt. -7-utZc��7( o S W TYPE OF,BUILDING
RES. , f �' SEAS. VL. FARM COMM CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
Add
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I j4 A E B41 ING CONDITI � �- _ LI a _ � � f _ ��_N IL)
ry
NEW NORMAL BELOW X 8 VE ,7/i _ yay��
FARM Acre Value Per Value �� 3G1�S°1 C,
Acre d
Tillable 1
Tillable 2 �. "I
Tillable 3
td-Woodland � 61)
Swampland FRONTAGE ON WATER
Erushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Tota I DOCK
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MAIN
•
Porch IRecrection Roo Rooms 2nd Floor,
BIN
r
Town of Southold 1/8/2020
53095 Main Rd
Southold,New York 11971
o
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40984 Date: 1/8/2020
THIS CERTIFIES that the structure(s)located at: 2375 Sigsbee Rd,Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-23
' Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40984
i
dated 1/8/2020 was issued and conforms to all the requriements of the applicable provisions of the law.
i
The occupancy for which this certificate is issued is:
wood frame one family dwelling with 6 x 10 screened in porch, deck accessory garage and accessory metal shed.*
Notes:BP 4422&BP 7073 addition and patio CO Z-6077•BP 10741 screened porch COZ-9999•
BP 17336 bathroom in existing non-habitable accessorygarage COZ-18481•BP 42972 electrical survey COZ-39898•
BP 44309"as built"windows,sliding glass doors and furnace COZ-40983
I
The certificate is issued to Ellinghaus,Joy&Jonathan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
%Vt`
A ' ed i ature
I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
I
HOUSING CODE INSPECTION REPORT
LOCATION: 2375 Sigsbee Rd,Laurel
SUFF.CO.TAX MAP NO.: 144.-2-23 SUBDIVISION:
NAME OF OWNER(S): Ellinghaus,Joy&Jonathan
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Ellinghaus,Joy DATE: 1/8/2020
DWELLING:,
#STORIES: 1 #EXITS: 3
FOUNDATION: piers CELLAR CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: screened 6x10 DECK TYPE: wood frame PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: gas floor furs WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
i
i ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: metal shed
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/7/2020
TIME START: 4:45pm END: 5:05pm
i
I
��g�EPluK�oG Town of Southold 1/8/2020
P.O.Bog 1179
co
• 53095 Main Rd
�golo*' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40983 Date: 1/8/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2375 Sigsbee Rd.Laurel
SCTM#: 473889 Sec/BlocIdLot: 144.-2-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/17/2019 pursuant to which Building Permit No. 44309 dated 10/17/2019
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:
"as built"alterations(windows, sliding glass doors and furnace as applied for.
The certificate is issued to Ellinghaus,Joy&Jonathan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut o ' ed ignature
\• ,- 2
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy _
No.Z607?.. . . . . . Date . . . . . . . . . . . . . . . .4U& . .2�1. . . ., 197 : .
THIS CERTIFIES that the building located at . Sidsby.Road. . . . . . . . . . . . . Street
Map No.Utt. •Pk. .PFa9k No. . . . . . . . . . .Lot No. . . . .57. . . . . . VAtt i-twk. XJ.-a. . . .
conforms substantially to the Application for Building Permit heretofore filed in t '
dated . . . . . . . .d81D�5 • ,, 19.9 pursuant to which Building Permit No. .
dated .Aug .1 5.x. .190&,yob .0 19,74, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .Private .and .family. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . .martin. ,Zt.6u10• • • • .owngr. . . . . . . . . . . . . . . . . . . . . . . . . . . .
of the aforesaid building. (owner, lessee or tenant)
Suffolk County Department of Health/Approval N.R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITER CERTIFICATE Nq`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . . 2375• . • • . Street . . . . .aigsby. Road. . . . . . . . . . . . . . . . . .I. . . . . .
l
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
S
Building Inspector
f
r
i \�
FORM NO.L
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 4422 Z Date ................... st......... .......... 19........
Permission is hereby granted to:
Z7MiM2a
................................................................................
...................Xatt4tiwk......J14S*......................
................................................................................
ild
to ................... .. ..? ate: .. ►..an...+..?�:!! I..d!!4�� c..
.................................
........................................................................................................................... ... ................................
at premises located at ................... 1.1 .....44M.0..ha-).............................................
....................................................MINIff.. ...............I tn1t'llk.......way.1w............................
................................................................................................................................................................
pursuant to application dated ........................4"............15............. 19..69., and approved by the
Building Inspector.
Fee $...SM...........
44A
Building Inspector
t
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy -
No.z6077. . . . . . . Date . . . . . . . . . . . . . . . .. . .27. . . ., 1974 .
THIS CERTIFIES that the building located at . Sigsb_y. .Road . . . . . . . . . . . . . Street
Map No.14a.tt. .Pk.. . opk No. . . . . . . . . . .Lot No. . . . .57. . . . . . y4tti:t4ck-z. )94A. . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . .dunu131 5. . ., 19.7 . pursuant to which Building Permit No. . .7094-2-2Z
3
dated .kug .15-1. 1 96.9 F.;.Feb .$ 19. 74, was issued, and conforms to all of the require.
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is nxivate -one. .f'ar lly. ctl-yelling. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. .
The certificate is issued to . .ys..rtitl• ZuZu.10. . . . .owner. . . . . . . . . . . . . . . . . .. :. . . . . . . .
of the aforesaid building. (owner, lessee or tenant)
Suffolk County Department of Health Approval N.R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERCERTIFICATE No. . . ji.R,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . 2?j,7�. . . . . Street . . . . .Sigsbsy. Road. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . .
i
Building Inspector
1
FORM NO. z
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° '70'73 Z
Date ..r. .. ............::........:............. ]9/...!.
Permission is hereby granted to:
`��.,�,a�:�t..7.... ..:` ............. ,.,....
to ......., .�1..:v.......... .1. .r. .. ....... �� ........r ......�.. Z4�!v/.................
....... ....... ...... .1. ...'- �w; ......... .............................................
atpremises located at 7.... .7, :.... '�.�;7:��.. .. ... ... ..:.........................................
l/ /l/...r Ar....`. !... ...................................
.................................................................. .. ..
pursuant..to•application.•dated...... /.0.......................... 19�'`, and approved by.the
Building Inspector.
Fee $l -. ...
.. .. V
...... ....utor
V
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. . . . .M.99. . . . . . . Date . . . . . . . . . . . .gT in 269. . . . . . . . . 19 80
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 2375 Sigsbee Roads Mattituck
House No Street Ham/et
County Tax Map No. 1000 Section . . . . . . . . . . . .Block . . . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . .
Subdivision . Matt tuck Park. . . . . . . . . . . . .Filed Map No. .801. . . .Lot No. . . . . .57. . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . . '. . , 19 $opursuant to which Building Permit No. .Zo7M .z. . . . . . . . . . . .
dated . . . Aip?e .1.9' . 1980 19 . . . .was issued, and conforms to all of the requirements
of the applicable pro ' i the law. The occupan or which this certificate is issued is . . . . . . . . .
. . . . . . . . . . . . . .. . .. �rgQ17 cl 1n,porch. . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . .
The certificate is iss to . .Martin ecilia ZuzU1O
(owner,lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . .WIR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .?�I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev 4/79
T, I
FORM NO- 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
I
CERTIFICATE OF OCCUPANCY
No Z-18481 Date NOVEMBER 20, 1989
• I
THIS CERTIFIES that the building ALTERATION TO SSORY
Location of Property 235 SIGSBEE ROAD MATTITUCR, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 144 Block 2 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 5, 1988 pursuant to which
Building Permit No. 17336-Z dated AUGUST 22, 1988
was issued, and conforms to all of the requirements of the applicable
L
' o the law. The occupancy for which is ALTERATION TO EXISTING NON HABITABLE ACCESSORY GARAGEM INSTALLED.
The certificate is issued to MARTIN V. & CECILIA ZUZULO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-092216 - SEPTEMBER 18, 1989
PLUMBERS CERTIFICATION DATED OCTOBER 20, 1989-JOHN E. WALTERS PLUMBING
Building Inspector
Rev. 1/81
o�psulF� p Town of Southold 9/13/2018
g P.O.Bog 1179
53095 Main Rd
o4,j Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39898 Date: 9/13/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2375 Sigsbee Rd,Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/27/2018 pursuant to which Building Permit No. 42972 dated 8/27/2018
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:
electrical survey for an existing dwelling_
The certificate is issued to Ellinghaus,Joy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42972- 9/4/2018
PLUMBERS CERTIFICATION DATED
Authorized Signature