The URL can be used to link to this page

Home My WebLink About1000-144.-1-6.2 � � = OWN OF SOUTHOLD ££ Rental Permit g Ni% �� 0917 Owner Samuel Fear & Anne Crom Occupied as Single Family Dwelling Located at 1380 Sigsbee Rd Mattituck 144-1-6.2 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. 5/26/2023 )/421o.� Code E forent Official This Notice must be posted by the main entrance at all times Town Hall Annex " Telephone(631)765-1802 dR� 54375 Main Road �a Fax(631)765-9502 P.O.Box 1 179 �" Southold,NY 11971-0959 4e BUILDING DEPARTMENT i APR 0 3 ZU23 ..� TOWN OF SOUTHOLD (D'VYiJO 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 _ ,L„q--,BLOCg_ SECTION B. OWNER INFORMATION: Property Owner Name: � Property Owner Legal Address: Property Owner Mailing Address: I _ ,C> - " Telephone Number(s): Daytime Evening_ Emergency 4G 26Z /q31 a�7 52-2- $178 Property Owner Email Address: arjaj* ayr m C T CVM wc1 63 y-3 -; 3 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1 179 Southold,NY 11971-0959 Q4a BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: � n I 11 Use and Dimensions of each room in Rental Dwelling Unit: !.- [(7 �t YdtM _. 1"ww _�_ �1 Itt� Page 3 of 5 Town Hall Annex k� Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 '2 ," x" 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 H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I M 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 Town Hall Annex �� Telephone(631)765-1802 54375 Main Road +� � � Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 J11 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: Property Owner's Signature: y� CAROLINE M MACAR7llUR 2 n— Notary Public-State at News Park Sworn to be r me this 3 day of /TYvi ( , 202_ NUJ.OIMA6384635 Qualified In S lk County My C*Mmi-"i gra Expires Dec 17,2026 Official Notary Public Signature and Original Notary Stamp Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. D �d631-765-1802 - 6 INSPECTION FOUNDATION 1ST I ROUGH PL13G. FOUNDATION 2ND I INSULATION/CAULKING FRAMING 1 STRAPPING I FINIAL RESISTANTFIREPLACE & CHIMNEY I FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION I FIRE ELECTRICAL (ROUGH) I ELECTRICAL (FINAL) CODE VIOLATION PRE / RENTAL REMARp KS: 2/2 6 �� ------------ V \\: vv \ A`�\�\\ { 1SO TOWN OF SOUTHOLD PROPERTY RECD OWNER STREET VILLAGE DIST. 5U t3. LOT I I f FORMER OWNER-7c " ACR E N I °. W TYPE OF BUIL QING ' IX rtFS, _ = SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS _ . o3 W546 cO a NES ' i NORMAL BELOW t.EOVL - -- -FAR IM I Acre Value Per l Value _ r ' Acre - FjJu Tillable i F Tillable 2 Tillable 3 Woodland1,18'10 ob _ l £ Swampland FRONTAGE ON WATER - Brushland FRONTAGE ON ROAD House Plot DEPTH I °BULKHEAD i DOCK Tatal p -> s _ l ,T } - T't LC R JA I S l qq Is 11 MW I F . x s t t 4- 144.4-6.2 144.4-6.2 10/20/2022 I - ' M. Bldg. Foundation Bath Dinette' Extension Basement Floors e Interior Finish I LF €F Extension � � � � � � oil_ _ s`� 1 DR r e Fire Place ;Type Roof i Rooms 1st F1r BR .a. etre Rooms 2nd Floor, FIN l R ation Root � B N I r Porch } : z Do. zZer _ BreezewayDriveway Garage Pfltio f Total 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- 27428 Date: LiLL@Lono THIS CERTIFIES that the building DWELLING Location of Property 1380 SIGSBEE RD LAUREL (HOUSE NO.) _ (STREET) (HAMLET) County Tax Map No. 473888 Section 144 Block 0001 Lot 006,002 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- 27428 dated NOVEMBER 28 2000 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 ACCESSORY' GARAGE '* ............. �_ The certificate is issued to ELEANOR MARCHICA (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. c Au orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD ODE INSPEI'ON REPORT HOUSING,...,C�.....,...�..............,.w.._..�.......,,....,,,._,,... LOCATION: ,__._...........r1380 StSBN_RI) ....... LAUREL�.......,_ ..... SUBDIVISION: _ MAP NO.: IAT (S) NAME OF OWNER (S) : ELEANOR MARCHICA OCCUPANCY: RESIDENTIALELEANOR MARCHICA...........w_..�.w......ww_......._...., ......................�..�..._. ADMITTED BY: ROBERT MARCHIA ACCOMPANIED BY: SAME........ XEY AVAILABLE: SUFF. CO. TAX MAP NO.: 144-1-6.2 w ... ..� SOURCE OF REQUEST: ELEANOR MARC(;B,2 CA 11/9 0 0 .www.,,,, DATE. 11/28/00 DWELLING: TYPE OF CONSTRUCTION: ,WOOD FRAMEM # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK _w......wwww_.....� CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOMS: IST FLR_: 7 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): ,,,,,....0...:...0 UTILITY ROOM(S) : PORCH TYPE: DECX TYPE: PATIO TYPE: ...ww_„ ....�. BREEZEWAY: FIREPLACE: ................. .. . GARAGE: .�._ .� .._w......................... w _...,. DOMESTIC BOTWATER: YES TYPE HEATER: LIPA G,,ASAIRCONDITION335G: TYPE HEAT: LIPA GAS WARM AIR- HOTWATER: XX OTHER: WALK IN CLOSET ...w...._..w..wwww_.... .� �...�................a.......,_.._.................._,._,. ACCESSORY STRUCTURES: GARAGE _ _ FRAME — 1 CAR STORAGE, TYPE CONST.: GARAGE, TYPE OF CONST_: WOOD P SWIMMING POOL: GUEST, TYPE CONST.: _k.,w . ..w_.,..,....., OTHER: ..M.......................................W.W._..,........._.w..,....,............................................._.........,...._............. ...............__...m__.� VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE PART". ._�.._ SEC. _ ....... LOCATION._.._....,._........................._ DESCRIPTION.. ._...w_......_ ..wwww._...� ....................... .. Q _w ...., Q N Q Q Q Q e Q Q Q Q Q f n Q Q Q Q Q RTa1sAYC INSPECTED BY: DATE ON INSPECTION: 11/17/00 CRY S11 TIME START: 9:S0 AM END: 10:15 AM r Town of Southold 5/14/2022 ,,ter P.O. Box 1179 53095 Main Rd Southold,New York 11971 ..,, CERTIFICATE TIFICATE OF OCCUPANCY No: 43081 Date: 5/14/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1380 Sigsbee Rd.. Laurel S . 9: 473889 See/Block/Lot: 144.-1-6.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/3/2021 pursuant to which Building Permit No. 46491 dated 6/25/2021 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: "gas-buill"°..lilt :{1.i s ,t m t rc„ app .. �c:td ly,.(INN c ap11 The certificate is issued o Fear, Sarnuel&:Cro , Anne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46491 3/16/2022 PLUMBERS CERTIFICATION DATED ....................... ------------- ------------------- ----------- --------------------------------------------- AN jonIjUaV4 peoy®egsBiS OSE 6 � o aouapisa�j Jee j wojo 7_1 rtl I� � I%'r ilii III Ili it wi ou I ori mu im w! ua nm m, uo k 9 u L u_' ��- 9 � iii our. oo `J uu i uui m. uu �uu un ou ' kl a l .g s Al s _.... -..........._ ..:.:W_._. .__._. A.N..H ltueW�.....__...._�:...... ...... .. '— '-- a peoa aagg6lS 0m 0Lo E aouapisau Jea j woj:D .._.. . ... �.I . ............ gN X tl (WAX h � W �� l• 6. s X LAw r t x w u .... .... .... ... ... ..... .... .... .... ._........ -_......,,._-,....,. ,..