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Home My WebLink About1000-144.-1-21 TOWN F SOUTHOLD Rental Permit 0576 Owner 2400 Sigsbee Rd LLC Occupied as Single Family Dwelling Located at 2400 Sigsbee Road Laurel 144.-1-21 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. 11/29/2023 Code ' fo e ment Gffi This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING 631 -765-1802 15� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {Fl [ ] CODE VIOLATION [ ] PRE CIO [ REMARKS: eztt�� INSPECTORo1e, ---4vtz cotl�rlutx DATE Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 CM Southold, NY 11971-1179 _ Tel: 631-765-1802 SCTM# Date Owner Phone i Visible Address —_ 'Hamlet Inspector Floor Level Quantities Sub 1 2 _�. Smoke Detectors (not located in bedrooms) -- Carbon Monoxide Detectors Fire Extinguishers --- — - Exits - - Bedrooms _ _ _ 2 4 5 6_ !. Smoke Detectors Egress Occupant Count Building Systems Maintained & OperationalCondition of Property 7 Building interior Heating _ Hot water Building exterior Electrical Property clean, maintained & safe Mechanical Handrails &guards installed &secure Pool SafetyPool on Site Surface water alarm i Date of CO issuance Door alarms Pool completely enclose Self closing/ latching gates -Pool-fence-to code requirements CO's for all items present Prior Rental Comments: ---- - --- - - -- _.� TOWN OF SOUTHOLD Rental Permit 0576 Owner James Ryder & Ors. Occupied as Single Family Dwelling Located at 2400 Sigsbee Road Laurel 144-1-21 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. 1 1/20/2022 `or �n _c rr � t official This Notice must be posted by the main entrance at all times Town Hail Annex ritl Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 m Southold,NY 11971-0959 " �' IE BUILDING DEPARTMENT JUL °' 2020 TOWN OF SOUTHOLD DEPT.BUEEWNG RENTAL PERMIT APPLICATION T -:rHOLD Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2400 Sigsbee Road, Mattituck, NY 11952 Tax Map Number: 1000 SECTION 144 -BLOCK 1 LOT 2. 1 SECTION B. OWNER INFORMATION: Property Owner Name: Lois A. Ryder Property Owner Legal Address: Property Owner Mailing Address: 535 Hawthorne Avenue SAME Boulder, CO 80304 Telephone Number (s): Daytime 0 -442-1544 Evening same Emergency 720-953-1437 Property Owner Email Address: Loisryder29@gmail.com * "�' C) ,Do Pagel of S � f r� Town Hall Annexa Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 > ° BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: James Ryder Address of Authorized Agent (no P.O. Boxes):..,,, 2205 Sigsbee Rd, Mattituck, NY 11952 Mailing Address of Authorized Agent: same as above 845-549-8291 Telephone Number (s): Daytime Evening, Emergency same Email Address: jsryder58@gmail.com Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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): IT _ Page 2 of 5 Rental Permit Application Section F: Property Description—room dimensions Kitchen 12'x 10.75' Bedroom#1 15.66'x 12.91' Bedroom#2 11' x 9.66' Bedroom#3 11'x 9.66' Living room 12'x 23.33' Great Room 15.66'x 23.33' Porch room 16'x 12' ,r Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 4ti Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address:. SECTION F. PROPERTY DESCRIPTION: 1 unit 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: 2400 Sigsbee Road, Mattituck, NY 11g Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 6 . / Use and Dimensions of each room in Rental Dwelling Unit: See attached Page 3 of 5 � Town Hall Annex rh, Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 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. X 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) I Lois A. Ryder 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 All Town Hall Annex lig Telephone(631)765-1802 54375 Main Road �� p° Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r 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: Lois,A. Ryder Property Owner's Signature- � PM �.. Sworn to before me this ZL day of $ 20� Official Notary Public Signature and Original Notary Stamp -- -MELISSA R DEROR NOTARY pUBLIC STATE OF NEW YORK SUFFOLK COUNTY LIC..#01 CE634989 COMM.EXP. -' Page 5 of 5 fQNVEROFATTORNEY NEW YORK STATUTORY SHORT FORM (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the"principal," you give the person whom you choose(your"agent") authority to spend your money and sell or dispose of your property during your lifetime without telling you. You do not lose your authority to act even though you have given your agent similar authority. When your agent exercises this authority,he or she must act according to any instructions you have provided or,where there are no specific instructions,in your best interest. "Important information for the Agent" at the end of this document describes your agent's responsibilities. Your agent can act on your behalf only after signing the Power of Attorney before a notary public. You can request information from your agent at any time. If you are revoking a prior Power of Attorney,you should provide written notice of the revocation to your prior agent(s)and to any third party who may have acted upon it,including the financial institutions where your accounts are located- You ocatedYou can revoke or terminate your Power of Attorney at any time for any reason as long as you are of sound mind. If you are no longer of sound mind,a court can remove an agent for acting improperly. Your agent cannot make health care decisions for you. You may execute a"Health Care Proxy" to do-this. The law goveniing Powers ofAttorney is contained in the New York General Obligations Law, Article 5,Title 15. This law is available at a law library,or online through the New York State Senate or Assembly websites,www.senate.state.ny.us or www.assemblystate.nyus. If there is ahything in this document you do not understand,you should ask a lawyer of your own choosing to explain it to you. (b) DESIGNATION OFAGE (S): I,Lois Ann Ryder,having an address at 2400 Sigsbee Road,Mattituck,NY 11952,hereby appoint James Sean Ryder,having an address at 25 Winwood Drive,Newburgh,NY 12550,tel. no.: ,and Deborah Lois Skovron,having the address at 535 Hawthorn Avenue, Boulder,CO 80304,tel no.: 303-442-1544 as my agents. ww cpmpensation",you may do so above,under"1' O (k) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third parry for any claims that may arise against the third party because of reliance on this Power of Attomey. I understand that any termination of this Power of Attorney,whether the result of my revocation of the Pourer ofAttorney or otherwise,is not effective as to a third party until the third party has actual notice or knowledge of the termination. (1) T MON: The Power ofAttomey continues until I revoke it or it is terminated by my death or other event described in Section 5-1511 of the General Obligations Law. Section 5-1511 of the General Obligations Law describes the manner in which you may revoke Your Power of Attorney, and the events which terminate the Power of Attorney (m) SIGNATURE AND ACKNOWLEDGMENT: IN VVUNESS WHEREOF,I have hereunto signed my name this 3'd day of December,2013. Principal signs here Lois Ann Ryder STATE OF NEW YORK,COUNTY OF4+4s. On the 3`d day of December,2013,before me,the undersigned,personally q4mared Lois Ann Ryder,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to a within instrument and acknowledged to me that she executed the same in her aci and that by her signature on the instrument,the individual,or the person upon behalf of ch the individual acted, executed the instrument. tary Public My co uission expires on. -- - -. .., .... AW NO of Now Yolk o. i -�qpo S11 Y 6x �6 - ',W11f'1r /� TOWN OF SOUTHOLD BUILDING coo a�� 765-1802 -Iq INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] TINA`i4� - [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O i�jt P wlvlb vi ' 14.. ......................... c� ti 70/ DATE INSPECTOR T- V v w TOWN OF SOUTHOLD BUILDING DEPT. 765-11802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPINGINAL [ ] FIREPLACE & CHIMNEY [ ] IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: k W C- wte,-,,- DATE �� ,,. .. , DECK ........ .. a SUN ROOM ROOM O V i . _-__�...__..._,. ........ .......m.:. i u GREAT ROOM w BEDROOM 210 S F. O J V F a r 0 ..:.1........................ BEDROOM 001 1135.F. KITCHEN ^tl ��. II 'RIDGE •ryryyy.. Yv�k�W W.A ��auRa�Mrr�' �o�so — CLOSET.,_-.. ....... 0 s o. '9 ' BEDROOM � 113 S F. LIVING ROOM " o FIRST FLOOR PLAN RENTAL PERMIT FOR: SCALE: 311 = 1'-011 2400 SIGSBEE ROAD DATE: JUN. 23, 2020 MATTITUCK, NY 11952 PAGE: 1 of 1 l ` I 3 Y § 4 r 1 v 3 I - z i r 7 777 144.-1-212/06 I I M. Sld � � � � � � � Foundation ; Bath w 9 Ty E Extension 5tri Basement PC, Floors = J�� Ext. Walls c "Y' _ � � Interior Finish -z, Extension � e , Fire Place Heat ' ....Extension �/ _ �' '_ t - Porch =r I Attic I -3 C, -- x 7= 2-96 �'6 Z=� � 2 j Porch , � � Rooms i st Floor - -- - `� �� Patio o rezay r 19 _�. Rooms 2nd Flo I rageS t F- riveway a s a ,e r SCTM # 000 _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET y VILLAGE^ DIST SUB. LOT e e- MSS err ny, f ACR. , CKs - / 3 TYPE OF BLD. Y� GI � PROP. CLASS 7 3, t !r LAND IMP. TOTAL DATE -�- /C Joo �i f a - I FRONTAGE ON WATER HOUSE/LOT 1 BULKHEAD TOTAL FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT � � TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. CERTIFICATE'OF OCCUPANCY No. ..4100.............. Date ..........................sye.....`�............... 19.6.3.. THIS CERTIFIES that the building located at ....W/.S--81g-sby..; o .............................. Street Matte Pk fi �p Map No. .—..............x',..OBlock No. .....Xl=....... Lot No. )+8&4.9q........1latt$:tallak..........I............. • conforms substantially to the Application for Building Permit heretofore filed in this office dated ..........„........N4.V.OM .0;r.....1.9..•, 1962%... pursuant to which Building Permit No. .. dated .......................WAK�!�(R '..... 19...�. , 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 ........ ......P=Lvate.,-0M..Xamily..dwe-iling......... .... ...--.................................. ....... .....-- ..... The certificate is issued to ...0D.L11d..Ry.da '...... ........... QSaner. ..... .......... ........ ..... ............... (owner, lessee or tenant) of the aforesaid building. .. ......... Building• lnspecto "....... FORM NO.4 G TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date . . . . . .MaY 29— . . . . . . . . . . . • ., 19 ,80 THIS CERTIFIES that the building . . . . . . . . . . . . . . • • • • . • • • • . . Location of PropertyCLQ. Sigbee Road . . . . , _ , , . . . . . , , ,Mattituck�. N.Y., Haase No Street Ham/et County Tax Map No. 1000 Section . . . .144 . . . . .Block . . . I. . . . . . . . . . .Lot . . . . . . .21, . . . . . . . Subdivision . .Nlattituck ,Park .Prop.. . , , . .Filed Map No. . .PQ . .Lot No. conforms substantially to the Application for Building Permit -heretofore filed in this office dated . . .jeam? qu. 2Q. . . , 19 .BQpursuant to which Building Permit No. . . 1 Q55 , . . . . . . . . dated . . tiT.eAWY.. .28, . . . . .. .. . . . . . . . 19 PQ,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 . . . . . . . . . . . 1 . 1 . . . . . . . . Me.FMIAIy. Cellar Alteration , . . . . . . . . I . . . . . . The certificate is issued to . . . . . . . . . . . . . . . . . . C".qp;� j�yder (o, nv; 7 TLC l of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . , , . . . . . . . . . . . . . • . • . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . NSR . . . . . . . . Building Inspector Rev 4/79 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33789 Date: 06/18/09 THIS CERTIFIES that the building ALTERATION TO ACCY GAR Location of Property: _ 2400 SIGSBEE RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET} County Tax Map No. 47: 889 Section 144 Block 1 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2008 pursuant to which Building Permit No. 33966-Z dated JUNE 9, 2008„ _. 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 ALTERATIONS TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to ROBERT J RYDER & WF (OWNER) of the aforesaid building.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 9581 11./..15/08.„„„... PL” 'LAS CERTIFICATION DATED _, N/A t A horized Signature ure 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-33790 Date_ 06/18/09 THIS CERTIFIES that the building DECK ADDITIONS Location of Property- 2400 SIGSBEE RD ..... LAUREL RE � (HOUSE NO.) (STET) (HAMLET) County Tax Map No. 473889 Section 144 Block 1 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 2008 pursuant to which Building Permit No. 34082-Z dated JULY 31, 2008 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 DECK ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J RYDER & WF (OWNER) ofthe aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED _ N/A �w uthorized Signature Rev. 1/81 Town of Southold Annex 3/17/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36732 Date: 3/17/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2400 Sigsbee Rd,Laurel, SCTM#: 473889 Sec/Block/Lot: 144.-1-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/4/2014 pursuant to which Building Permit No. 38699 dated 3/4/2014 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: three season porch addition to an existing-one fan-i dwell l„g SM �i pf., The certificate is issued to Ryder,Lois (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36375 3/11/14 .................................................. m,,........ PLUMBERS CERTIFICATION DATED ............................................................. ._._. e.....,. . .,.... — utkaSi atr . u Ul f i4�Jlihuu 1f11, .iui�ra�rE Gds+, /i./, �I� � Poll�rrIi f„ ^^I (I��VI�� III O �� 1111 y, I �� j, �/i /��/ l��j l/ Vii. �� J r, l.� -. �, �� INh �: �It �. �. t�J�. y,✓F' �r I�glpi�ui it� l��y. fi�u�II�V V icy ; i r u��H�I„�II Y 1°a h�iRr�r„i , �,,; .�� (/ %KRB F, ��,�� i �� N § �� f � / I, �n I ��', �M�m o � /1^ �i t i. � �%MJF (, �mm. � � ; �� i ��i may;{�i�+� �, �u, /l � o� ' ��' � u "� 1 1,V x '�r�.' � � ( mJ, r. I t of � ;�� J 1 y� Vu ,� ;�� <��11,�r/��1� �� llJ ��r tir Ra i�G i) � i � �� «�a�il�� r� �' iyyyi ��i(1pUl� I11 1✓�0 � i � (.� �, r," i ,�/� ;.��'��i�r a li'I'7�� i � //fir"'��/y�j��'�/ V ( �lb�� } �� J ,� '� r�, ,,,��° � � I J �; , .. r � % ,,,,,,,,