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Home My WebLink About1000-144.-2-26 � TOWN OF SOUTHOLD Rental Permit 0415 Owner Michael Snow Occupied as Single Family Dwelling Located at 2615 Sigsbee Road Laurel 144.-2-26 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 ins do . 7/11/2023 ode nforcement Official This Notice must be posted by the main entrance at all times � 631 -,765-1802 ._..--- INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEG. ] FOUNDATION 2ND [ ] INSULATION/CA ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII ] CODE VIOL EN PRE C/O I 7, ,, ' , s," DATE LIDn INSPECTOR � � 4 z TOWN OF SOUTH gt-TTG DII 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATI [ ] PRL C/O [ ] F SC_d f ' wwwrm , ,a re m r r- n � ltt{}_£ TOWN OF SOUTHOLD Rental Permit Permit No. 0415 Owner Michael Snow Occupied as Single Family Dwelling Located at 2615 Sigsbee Road Laurel 144-2-26 Village 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. 4/17/2021 e Lnt ern Official This Notice must be posted by the main entrance at all times kx Town Hall Annex a Telephone(631)765-1802 54375 Main Road "` , Fax(631)765-9502 P.O.Box 1179 ; Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION � D Rental Permit Fee$200(Application must be renewed every two ye ) AUG 1 4 2020 BUMPING DFPT- Section A. Property Information: Rental Property Address: L` Sa Tax Map Number: 1000 SECTION -13L6tk0002 -LOT04` - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: ) 7Jo s Eezej I<G 6doc,�f l �� _-20)Al,L As c , on.2r #- 1/( o,\A6 Ae ►.c6,,CA 9 e27L /6 3961 ny o ! Telephone Number(s): Daytime Evening Emergency cs Property Owner Email Address:_ 6 �� I 5/)oc�✓ Nxi Pagel of S i Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ' Ss� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: yo� +� C r✓trr - _ Address of Authorized Agent (no P.O. Boxes)- I0 C-�0 5 / i 2 '� �� 0 Mailing Address of Authorized Agent: foe, Telephone Number(s): Daytime �3 f 0 1 Evening/ Emergency Email Address:jal-�h o dr- rl?ra d-cl- efI Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: do '\ y� �d- Address of Authorized Agent(no P.O. Boxes),, ) 0')66 All ,, /1'0' Aev- � p Mailing Address of Authorized Agent: 1�t"� ,M4r _CGj 631 -a�' - 6��r Telephone Number(s): Daytime vening Emergency Email Address: ok np d 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 ; GTelephone(631)765-1802 54375 Main Road �'"'' ., Fax(631)76.5-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: /—Y Telephone Number(s): Daytime - --- Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:" �' �� y ``" 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: Ji Requested Maximum number of persons allowed to occupy Dwelling Un' : __6,- Number c Number of rooms in Rental Dwelling Unit: -- _ I _ __ J Q(r Use and Dimensions of each room in Rental Dwelling Unit:` 1A' L /Z ®n X01' !q P✓'1 �G��ov�-aka C/0y) y/j�'&e 3 of5 zrc , Town Hall Annex Telephone(631)765-1802 54375 Main Road " a, Fax(631)765-9502 s t , P.O.Box 1 179 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION W. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 0�''� ;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 , o � Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 °COS' Southold,NY 11971-0959 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!6-C,k-e Property Owner's Signature: X� — - --- - f Sworn to before me this 14day of- v?��4A ,y,20 2 Official Notary Public Signature and Original Notary Stamp Lori T McBride NOTARY PUBLIC,STATE OF NEN'YORK Registration No.01MC6368447 Qualified in Suffolk County Commission Expires December 11,2021 Page 5 of 5 x 4 o�aOE SOUTyO -/YC 1 * TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 _ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] �ewt4L--� FIREPLACE & CHIMNEY - [VI FIRE SAFETY INSPECTION - [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ " ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O MARK : S M (sp ( Dow; 4A vql�y% c�Jr "Q. DATE4-�O-XINSPECTOR 8/10/2020 IMG-5366.JPG j_n' y I'D SEPTIC: rF �3IL TAN,,,,' ( ' \ i E `FURNAC i w Ll j .. hftps://mail.google.com/mail/u/0/#inbox/WhctKJVzbLcfjjfRFnnkQzXVtxLScFKtCLMPWJfPxPtDFHZCfpZzJwLhcwLWskdpsskHKZg?projector=l&mess... 1/1 � 1 -7/ a�laoi� I TOWN OF SOUTHOLD PROPERTY `MRD OWNER STREET Z r /�� VILLAGE DISTRICT SUB. LOT �3 FORMER OWNER N E ACREAGE / S W TYPE OF BUILDING I _______T _RES. l bf� SEAS. VL. FARM COMM. I IND. ( CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS F w -? o c Als 6 e - 'i" c Q / cr 0 , - 37co �/ r ' a ac Q 9- Li 4&rs to S ,,L _ __ Q off_ 1�.1a5a3nrp03-I�rtar��c��anD• � S'rwu)-'��oo AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm AcreValue Per Acre Value FRONTAGE ON ROAD IzI 0, Tillable 1 , BULKHEAD Tillable 2 DOCK Tillable 3 — - ---------- - Woodland [ Swampland Brushland House Plot Total I i Ipoo- 144,-'Z-IDLtb i- {{ i -r 3"i em -_ ai M. Bldg. Foundation Bath Extension i Basement Floors r e, ` -- --- - ---- Extension ; Ext. Walls J's'GJ`' '~ Interior Finish y O"c!C Extension i Fire Place Heat Porch Roof Type Porch Rooms Ist Floor Breezeway Patio Rooms 2nd Floor Go rage Driveway Dormer i O. B. 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- 32558 Date: 08/24/07 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 2615 SIGSBEE RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 0002 Lot 026 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- 32558 dated AUGUST 24, 2007 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 ENCLOSED PORCH AND ACCESSORY SHED.* The certificate is issued to JOSEPH & BERNARD BRACHFELD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Au orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2615 SIGSBEE RD LAUREL SUBDMSION- MAP NO.: LOT (S) NAME OF OWNER (S) : JOSEPH & BERNARD BRACHFELD OCCUPANCY: ONE FAMILY DWELLING JOSEPH & BERNARD BRACHFELD ADMITTED BY: BOB CELIC ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 144.-2-26 SOURCE OF REQUEST: JOSEPH BRACHFELD DA 108V/224/07 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: .0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: LL CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOK(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S) . PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: YES HOTWATER: YES OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 91X 6' SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE _ LOCATION DESCRIPTION ART SEC. 1 REMARKS: INSPECTED BY: DATE ON INSPECTION: 08/23/07 GEORGE GILLAN TIME START: END: ti _l FES u�21 F E a 2 b X021 Friday, February 26, 2021 � : yy Re. 2615 Sigsbee Road, Mattituck, New York Premises belonging to Michael Snow SCTM 1000 14 02 026 Dear Building Department: Per our rental permit inspection on Friday, February 5, kindly note the following: 1. Smoke and CO detectors have been installed on the main level as shown. Detectors were tested and the installation date was noted on each. Here is a composite photo showing the smoke and carbon monoxide detectors installed in the living space: Y 1� fix - i NW Bedroom Middle Bedroom NE Bedroom CO and Smoke Below is a photograph of the detector installation in the basement. The photo was taken from the stairway under the exterior BILCO access hatch. _5 . J �i i f 2. As shown on the floor plan, there is an outside shower on the east side of the home. The enclosure is approximately 5 feet wide by 10.5 long. Here are the photos requested by the building inspector: r