HomeMy WebLinkAbout1000-79.-4-38 Of so SOWN OF S UTH L
Rental Permit
0813
Owner: Thomas Sproat , Patricia Sproat
Occupied as: Single Family Dwelling
Located at: 2055 Anchor Ln Southold 79.4-38
Maximum Permitted Occupancy: 8
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.
Issued: 02/03/2025 .
Expiration: 02/03/2027 c Enfor4rn4tOffiicial
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS: � �
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DATE �3/a-� INSPECTOR
Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
k � tiroG
Tel: 631-765-1802
SCTM # — ?j$� Date
Owner Phone
Address Visible
Hamlet linspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors(not located in bedrooms)
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 3 4 S 6
Smoke Detectors
Egress
Occupant Count
Building Systems Maintained&Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained&safe
Mechanical lHandrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed'
Self closing/latching gates jPool fence to code requirements
Cas for all items present Prior Rental ; w
Comments:
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
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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:
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TOWN OF SOUTHOLD PROPERTY RE6 31 )-oa0
OWNER 15TREET VILLAGE DIST.I SUB- LOT
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LAND IMP. TOTAL DATE REMARKS
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Tillable FRONTAGE ON WATER 1
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'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
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