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Home My WebLink About1000-79.-4-38 TOWN OF SOUTHOLD } Rental Permit 0813 e # 4 Owner Thomas & Patricia Sproat Occupied as Single Family Dwelling Located at 2055 Anchor Lane Southold 79.4-38 Maximum Permitted Occupancy 7 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. 1/26/2023 e orc t fficial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ° BUILDING DEPARTMENT JAVA 0 6 2023 TOWN OF SO HOLD LR OIWI DEF RENTAL PERMIT APPLICATION TOW140F80WHOt.D Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: "° �° ,�� ✓ �,v �/ // 7 / Tax Map Number: 1000 SECTION BLOCK-LOT �- SECTION B. OWNER INFORMATION: Property Owner Name: f � " Property Owner Legal Address: Property Owner Mailing Address: � . —12 m; Telephone Number(s): Daytime/ Evening Emergency Property Owner Email Address: ZV }�/ tl Pagel of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT OF SO MOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:ZIIA6111e. t,/ Address of Authorized Agent (no P.O. Boxes):--.e '". /6 I``ZL" '�Ze'X1Ze/-I j/ �7/ MailingAddress of Authorized A ent: � ' ,,�.� ",U£ W, Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Iia ging Agent Information: Name of Auzed"Agent of dwelling unit, if any: Address of Authorized Agent(n �. Boxes): Mailing Address of Authorized Agent: mow, Telephone Number(s): Daytime. Evening �_ ,Emergency Email Address: SECTION E., SITE MANA ,,,FORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dw tli g.unit, if any: Address of Managing Agent (no P.O. Boxes): . Page 2 of 5 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Manaing 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: oma'°'°` 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: ' Y WO) W X Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUT TOLD 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 ❑ 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) 7'N DMA 5 5 pr`0 A-T- V,k/' ' CA 04 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 mm m Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF sO"1L THOLD 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: S � ' Gj A Property Owner's Signature: Sworn to,b c,re met ay of�� 20�3 'OffidaKotiary Public Signatu d Original Notary Stamp DEBORAH A.WWOJCIK Notary Public,state of Now York No.4990159 Qualified in Suffolk Coun Commission Expires Dec.30, Page 5 of 5 �o�,A0F S0UTyo6 Y`�✓J �a1� ITR..// � `� * TOWN OF SOUTHOLD BUILDING DI 631-765.1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ J FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE C/O [� REMARKS: t h O DATE L� Z INSPECTO F � z� t ti s g r 3. r IA INF 3 a a i e m a 3 — . La a t es e F s s 0 3 =,4 : 3 s n a s E TOWN OF SOUTHOLD PROPERTY RE6 31 )-oa0 OWNER 15TREET VILLAGE DIST.I SUB- LOT --z—In ,FORMER OWNERS�.e I NI E ACR ?zk4 i S W TYPE OF BUILDING RES. SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS A & 45"1., S4 E. T V1 L) 4, —4- 1 43 L's 4g:J f'7a00 4 �-T U 5. xnm t 00 400 t 1-2- 0 Zoo in 6 1 i L g AGE BUILDING CONDITION L I PWI �r Uld 0- -A- NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER 1 Woodland FRONTAGE ON ROAD Meadowland DEPTHz/s- House Plot BULKHEAD Tot I DOCK a Y _. ----------- 1k, - RIM _ T E COLOR , m e , , E i - i a m 3 I Al 3 f k 4— e, M. Bldg. i 5" 1' 0 416 5 L Extension Extension Extension Foundation N ;Bath y' Dinette Porch sement �.I ;Floors W ►� b K. 54 q � C - 9 3AZc, z�� Walls �r� a Interior Finish LR. e 3 Ext _ t Breezeway Fire Place ix 5 Heat ,, DR. :Type Roof G pig L C Rooms 1 st Floor Patio— �=Recreation Room� :Rooms 2nd Floor � FIN B v _ 0. B ®�j 'Dormer-. ��.�� 2'Driveway �� f s > Toll �- 9 Nk- E 4 � f - E t � IL COLOR. .: TRIM _ o lig r � g ...E t L � � � r I _ •OS E 4� I i 22 r , I P g. I i ITT E i • . I .. _s Foundation -� - Bath Dinette POE, -, _ B sement I Floors ' i I<: - Ext. Walls _ Interior Finish LR. _ B� :lFire Place XZ5 Heat i ,y` Rooms 1st Floor SR. �TYPe Roof � Pai 'Recreation Room Rooms 2nd Floor FIN. B Y£. , Dormer i., ,._. Driveway Total . 4, SII .= FARM NA. 4 'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK`S OFFICE SOUTHOLD, X. Y. CERTIFICATE OF OCCUPANCY No. Z .2,509. . . . Date . . . . . . . . . . . ..... .A.u6Ust. . 19. ., 19.66 THIS CERTIFIES that the building located atWjXd3 0r .&. Asehor-Laft Street see I Map 0. . . Might-- Wk No. . . . . . . . . . . Lot No. 27.0. . . SoUthCUl. N#X* . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .. . .D+May• • 31.• • •, 19". pursuant to which Building Permit No. .a.107. .Z,, dated . . . . . . . . . . . . May . .A- - -, 19.66, was issued, and conforms to all of the require- ments sof the applicable provisions of the law. The occupancy for which this certificate is issued is .Private, -One •f azi3.7• eil ,ng. . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . The certificate is issued to John.Lind • • . . •••••• . V .. . . . . .. . • .. . . .. . . . .. . . . (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval . it . . 14j. .1966. • by- av V131a. . • . Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . . . . . . . Date . . . . . . February. 6. . . . . . . . . . 19 8 4 THIS CERTIFIES that the bual>iing . .p9o1, .�. deck. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 2055 Anchor .Lane &. 685 Windjammer Drive, Southold House No . . . . . . Scree[ Hamlet County Tax Map No. 1000 Section . . . .. ... . . . .Block . . d.4 . . . . . . . . . .Lot . . ..38. . . . . . . . . . . 27 Subdivision . . . . „Lights. Est: 's . .Filed Map No. . 4362 .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated October 18 19 . 82pursuant to which Building Permit No. 11988 Z . dated . . . . . . O,ctQ12er ,27„ . . . . „ . . . . 19 . 8?,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 . . . . . . . . . an .ingraund, swimming. 'roof with deck and fence enclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . PETER. . „ „ „PETER LUHRS . . . towner, ezev*wiw#v, of the aforesaid building. Suffolk County Department of Health Approval . . .. .SIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .N597232. , . , , . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector new. 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 1666„0 » Date . . . , KebruarY. .1.9 , 19.88 . . . . . . . THIS CERTIFIES that the building . . „ .A 1 t e r a t i o n m . . . . . . » . . » . . . . . . . . . . . . . ». Location of Property 2055 Anchor Lane Southold„ House/Vo. Hamlet 079 County Tax Map No. 1000 Section . . . . ?.9 . . . . .Block . . . . . a.. . . . . . . .Lot . . .3 8. . . . . . . . . . . . Subdivision . ,Harbor L i.g h t s S e c... I w , ,Filed Map No. . . . . , . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov 2 6 , . 19 8 6 pursuant to which Building Permit No. . . . 5 3 2 Z. . . , , _ . . . . . . dated . , Nov; 2 8 , 1 9A6 . 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 . . . . . . . . . , , , �onvgrt existin�, attached garage .to living quarters on an existing one, family dwelling. The certificate is issued to . . . . . . . . . . . . . . . . . . .MICHAEL & ANNE HALL . » µ „ (owner, ��" x. of the aforesaid building. Suffolk County Department of Health Approval . . . . . » .N/A. . . . . . . . . . . . . . . . . . . . . . . . . . . » . UNDERWRITERS CERTIFICATE NO. . , . . . „ . . . , . , . .N Q a 3 0 4 9 . . . . . . . . . w . . . PLUMBERS CERTIFICATION DATED: N/A . . . „ . . . . , . » . . . . . . . . . . . . . . Building Inspector Rev. 1/61 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17842 Gate MARCH 13 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 2055 ANCHOR LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 04 Lot 38 MAP OF HARBOR LIGHTS Subdivision SECTION #1 Filed Map No. 4362 Lot No. 27 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 15 1989 _pursuant. to which Building Permit No. 17851Z dated. FEB. 16 1989 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 ACCESSORY BUILDING IN REAR YARD. The certificate is issued to JESSE & DOROTHY WOLF {owner, XXX E'XXA) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED NLA B ding Inspector Rev. 1/81 i s ^ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18844 Date FEBRUARY 23 1990 THIS CERTIFIES that the building RENOVATION Location of Property 2055 ANCHOR LANE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 04 Lot 38 Subdivision HARBOR LIGHTS ESTS Filed Map No. 4362 Lot No. 27 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8 1989 ursuant to which Building Permit No. 17917-Z dated MARCH 14 1989 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 RENOVATE ROOM & CREATE NEW BATHROOM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY & JESS WOLF (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE N0. N-108249 - DECEMBER 26 1989 PLUMBERS CERTIFICATION DATED AUG. 6 1989-M.DAWSON PLUMBING & HEATING Building Inspector Rev. 1/81 ,l,, r�// rJ /i„ ,,,. /%/'/:./%//%��%�/%�%/ {//�/�//' ,/r /✓,: ///fir/��l��/ �.�� K i J y r mom" Mill r