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Home My WebLink About1000-144.-1-22 TOWN OF SOUTHOLD Rental Permit 1367 Owner: George Ward , Alexa Ward Occupied as: Single Family Dwelling Located at: 2470 Sigsbee Rd Laurel 144.4-22 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. Issued: 08/18/2025 Expiration: 08/18/2027 Code kfor �ent Official This Notice must be posted by the main entrance at all times �P " �' 6pc �- � TOWN OF SOUTHOLD—BUH,DING DEPART `:FNT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �Awm� Telephone(631) 765-1802 Fax(631) 765-9502 ;i,: RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 'LL110 S " Tax Map Number: 1000 SECTION ILL-I-1 -BLOCK -LOT 27 - SECTION B. OWNER INFORMATION: Property Owner Name: to(Cve 5 tuvi l + A lexa a C Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): Daytime ` I ii p�' Evening Emergency Property Owner Email Address: CAteXaf-O ctIr G " Cli I , Cm(VI Page 1 of 4 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: Use and Dimensions of each room in Rental Dwelling Unit: 2tedyoom ( ( r 2 10.5' al ,rv--� 3 (21 Y' rRn Room Ci ox W) 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 afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 Al<)( \ Mk:(d 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 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 s to any change to the information regarding Authorized Agent, Managing Agent,or Site Manager. Property Owner's Name: A Property Owner's Signature: Sworn to before me this la day of att6jtf 5J, 20,E —cArHERI -— — WARD C /' Notary Public-State of New Yark N0.01WA0038041 Qualifled in Suffolk County Official Notary Public Signature and Original Notary Stamp My Commission Expires Jun 3,2029 Page 4 of 4 vf,o qf so TOWN OF SO THOUD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O RENTAL REMARKS: .74.2 DATE file- 5' _ NSPECTOR . S�FFO(x Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SUM # — Date $ �� Owner Phone Address 70 Sk Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors f Fire Extinguishers Exits r Bedrooms 1 2 3 4 5 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 Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: 1131c2 OQ4 TOWN OF SOUTHOLD PROPERTY RECORD CARD OW N STREET,-'-) VILLAGE DISTRICT SUB. LOT FORMER OWNER E ACREAGE N� YSeJI � s W TYPE OF BUILDING v, z X RE SEAS. VL. FARM Comm. IND CB_ MISC, ND lmp. TOTAL DATE REMARKS ego c- &DPr 4 fo i N, A N CQN0,r_TJ0N cm- nABOVE L; 4G-Rit NcIfl'e f*i At,* Vdjue "v v Tillable "7 �L 44- aj Tillable 2 4, Tillable 3 Woodland C-b Swomplapd 4 Brushland Ftess-wot mime i a - - -- y , . i � T - - 144.4-22 10/20/2022 - ia Ioe - MMUM u.�� N t --�ate-- 4 pa, up _ Foundation -— _ Bath_ ` - — — m - - Floors 0 Extension Basement Ext. Wales Interior Finish Extension / ;` 3 Fire Place Heat A K Extension _ — -- r = 8 Attic _ Porch r Porch Rooms 1st�Pi r Patio Rooms 2n door _= Driveway 0r i i -- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z. 4916. . . . . Date . . . . , . . , . . . NRvoin.bo r. . 29. ., 19.72, THIS CERTIFIES that the building located at . .Sigsby Road. . . . . . . . . . . . . Street t park prop 52A Laurel A.Y. Map No. , . .+ ate. +Block No. . . . . . . . . . .Lot No. . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . r ts- for --ome-1011z, el &..housing code conforms substantially to the built before ;il 2 Certifie of occupancy dated . . . . . . . p . . 3. . . . ., 19 57. . pursuant to which � No. .Occupancy b . dated November. 29 . . 19 7.2 . was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . Private. one .fa;RiIY. dWeI1in9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .I0t, .Dorgt11y. .FaYRQr. . . . Q?/Mer. . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Pre- .existing . . . . . . . . . . . . . . . . . .. UNDERWRITERS CERTIFICATE No. . Pre-_ !k4Wn HOUSE NUMBER. . .21+70. . . . . .Street. .Si.gsby. Road. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Exceptidbi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 .Cellarl temporary electrical connection to Crater pump; lnsecured outlet over furnace 528& Jury rigged outlet ove bench 528b 2* Second floors bedroom - broken window glass 302b Building Inspector electric mire plugged in outlet- cannot be traced sec 528a 3. Outside of building- jury rigged electric wireing to lightfiature 5284 ��FFCIt;� Town of Southold 7/30/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43295 'Date: 7/30/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 2470 Sigsbee Rd,Laurel SCTM#: 473889 Sec/Block/Lot: 144.1-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/19/2021 pursuant to which Building Permit No. 46624 dated 7/27/2021 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: interior alterations at existina sin le familv dwelling as anolied for., The certificate is issued to Ward,George&Alexa of the aforesaid building. SUFFOLK CWJNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46624 7/8/2022 PLUMBERS CERTIFICATION DATED 7/12/2022 omanelli ig ture .� 0. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY �•-•� u ... . No Z-20308 Date OCTOBER 29 1991 THIS CERTIFIES that the building ADDITION Location of Property 2470 SIGSBEE ROAD MATTTTUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block I Lot, 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22 1976 ______pursuant to which Building Permit No. 8669-Z dated JUNE 22 1976 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to WILLIAM & ELEANOR PEDERSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-299910 - AUGUST 24t 1976 � PLUMBERS CERTIFICATION DATED N A uildi.ng Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . . . . Date . . . . . Ma,y. . . .5. . . . . . .. 19. .7.7 ROa THIS CERTIFIES that the building located at - ')?'.• . . ... • Street Map No. Ms.tt -PX. . . . Block No. . . . . . . . . . .Lot No. • •52A.. . . .Mat-titUck . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . Scp.t . . 2. ., 19.75. pursuant to which Building Permit No. .8173Z 4 dated . . . . . . . . .Ziopl-_ . • • • • 19.75, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is -PT'�. 4tQ. QUe. -fAmilY -dvo-�l.jrg.w.i.th. gF.Lrago. .addi.t:i.on . . . , . . . . . . . . . The certificate is issued to 31:01.i M•& .Elelvior. Pederson • • • . .Eimers• (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval !R UNDERWRITERS CERTIFICATE No. X 539 BQ. . . . ..109Y. 3 . . 9 9.75. . • • • . • . • . • HOUSE NUMBER . . . if70. . . . . . . Street . . . aigsb-y: .l,oad. . . . . . . . . . . . . . . . . . . . . . . . . . . ° .. Building Inspector e— a .a.—r.a. a-a»bvwerM netauoaea � _.._. .€1- tt iv dumapm.mmnweteim,m+nnre.m. j i (t1 j �g a t'. ..€ mgtwweea.a®ame,m.nm�r.m�m f,6 ffit X �`� 1�1 � e, cvrws=a�rwmoaxamaa.m�M � _# � �� CS ;I < ec t , € _ v t S I I ®® m Its _ �Y m.a i a,n , 1st Floor Framinn Plan 2nd Floor Framing Plan F - N I r�t As s = o It t 1 r �.ar � i t I�aS� Detaits `�D= Flitch Beam Details LA - DetailsS.ft+eat' [ate Condon Engineering,P.C. Ward Residence =D ...gym.�. ...... ., .�,.�.� ,-.� .. - .,d,..,.�......�...�...x�...�4,.rrn -. t7s5 erm.a tfg k. Road �7 1�-_ ... e.,......,a.�..a�.m,.»m.,,...r. bourses.ra,.vwk ttesx Mattllude,Ntnr York 4--70 S p i Framing Notes: z �� 41 rn�o.,o-xarwx ammx..om,xam d<n ab EL§ [ ' Ism z ros � �m =t. an weM kmEe no iveaEaW yuaFt t>Rrn IM xW Hv 4pwe0 mem�v pCheoair � � � f z s t - ] Y<cen•dzsw `s a I = s-rwaaadw � � '� �- �'�s m #s� frI- P.W � � _ MPmuue beNNtMnrhhlp YLO Na]vde9r9oimmi YeM Pwe - `-� g- } rr•gM �-� � � - wruwaa..mroeemmwamadmaem sncc++wmamsr,xda�o..al ] s rw � mn.aa.,.xwr�.•�dmww�uv,medxe�axw.a cm,asxa.a.v..ceu�rnrau� §tea t {� � 3� S a- S 5 Al har M�eaV�V hmLe aNn tNAC MPs�IYq�I A+a Pnw0.we.mMA roa�nBM[ - �Ca � £v �® € � Naha PuwwYdxd C�a dnaal and tesxdmNe dar iexr(d'OGewgn oM l2' _ Pa G�Ai CW d MwdlpgaYwg wx de tY}2 m.M MAf MFaW+Wal y,�pQ rbtldt ha�uMM1W r£ 's - —"`— — - . #e�s§YRel aw•'A>r9 osnron oeax rTOC b%>W i?•PChW � �i�s�' d - - - - L m mg-- Mil� I'nsgi�l�( �9 ttiHt It� ;iStfl = Ig( c u.wufMd.wflmwa smxx o,eod.. i HIM � 3 -ram i s --- f r I 3 U Tfl 3 r T_3TIcal Window and Door Header strapping Detail EaGh Corner WS °cry. €F 1 10 $rortea Premed Condon Engineering,P.C. Ward Residence IT"S IRW Slgsbee Road S-2 Mom€.ww rM#r�z MettiWck.New York 5�CONI2 FLOG: PLAN - Dab:537A72 Lch. ..Y.98