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Home My WebLink About1000-104.-2-16 (2) T 0*'WN OF SOUTHOLDRental Permit ta,10 0261 Owner Imelda Corcoran Farrell Occupied as Cottage (Unit 2) Located at 2800 Pine Tree Road Cutchogue 104-2-16 Maximum Permitted Occupancy 4 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. 1/10/2022 f Code Enforr 'int Official This Notice must be posted by the main entrance at all times CD 0 n al (D rbc "wfi xf CL (D� N N o Cn CDC) rte+ Y CD o .< O 3 CD CL m o o CD � `" X �. o' y U) v U) c0 o 3 CCD zCp -� �. CD � � � 3rD m 3 CDCr C-) O 3 m (DCD CD Qr Z rD z o CD -� 0 0 r--F fJQrqL a -n 0 0 o CD C/) Q =3n' o Q cnCD o n n rD cU T � [7 O -+ cD =rC 1 v m P" O O v mP 2 cn m (7 CCD � �' T El N rD � Q CD CWcn Q :3 �. 6 LL D o co m — CD N rt X C c 01 O O _0 N v n = o d1 v' 0N O v,- o F;uLk TOWN OF SOUTHOLD �ez �g Rental Permit Permit No. 0261 Owner Imelda Corcoran Farrell / Unit Two-Rear Cottage Occupied as Single Family Dwelling Located at 2800 Pine Tree Rd. Cutchogue 104-2-16 Address Village S/B/L Maximum Permitted Occupancy 4 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. 12/24/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times em'j � �- �- Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 a goe utii� r N "w P.O.Box ]179 Southold,NY 11971-0959 lv 7UN w ' BUILDING DEPARTMENT JUN 2 6 2019 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION TOWN, OF sou—k Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2800 Pinetree Road, Cutchogue, NY 11935 Tax Map Number: 1000 SECTION 104 -BLOCK 2 -LOT 16 SECTION B. OWNER INFORMATION: Imelda Corcoran Farrell Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: 760 Peconic Flay Boulevard 760 Peconic Bay Boulevard Laurel, NY 11948 Laurel,rol, yr _ mm ._._...___...�.._......... 11948 Cell: (631) 379-9116 Home:(631) 298-4461 Telephone Number(s): Daytirne_mw_w Evening_ Emergently Property Owner Email Address: ifarrell@optonline.net Pagel of 5 4 Town Hall Annex gg. Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1 179 Southold.NY 11971-0959 BU11-DING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT LI I g Unit One ( &n 1�- - Rental Dwelling Unit Identifier:, Requested maximum number of persons allowed to occupy each dwelling unit: 4 Number of Rooms in Rental Dwelling Unit: 6 Use and Dimension of each room: (See floor plan) 1 Living Room BedroolIn it r R'w 1 Kitchen I Rental Dwelling Unit Identifier: Unit Two � ea-r-) Requested maximum number of persons allowed to occupy each dwelling unit: 3 Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 1 Living Room 1 Kitchen 2 Bedrooms 1 Bath Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: a......... Use and Dimension of each room: r Town Hall Annex w + Telephone(631)76.5-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �d Southold,NY 11971-0959 a o 66 0111 w` 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: 2 For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: Page 3 of 5 Town Hail Annex fir ¢_ "Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 ,N Southold,NY 11971-0959 pard ri 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 C 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 NEIN YORK) COUNTY OF SUFFOLK) I Imelda Corcoran Farrell _..mW..............,.--- .... certify under ofPer1urY,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 1 rv, Telephone(631)765-1802 54375 Main Road i Fax(631)765-9502 P.O.Box 1179 ale ,k u"I Southold,NY 11971-0951.9 " ron 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; Imelda Corcoran Farrell Property Owner's Signature: Sworn to bef A day of June 2019 Official Notary Pub Signature and Original Notary Stamp MARTIN D. FINNEGAN Notary Public, State o' New York No. 01 F16056707 Qualified in Suffolk County Commission Expires Mar- Page5of5 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINALA,e, . .r [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 14L 1ko/Tv co tom tA, A 4w 6o *Rx.. 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C -i o rO m fZ Zai -p r m O �, `�• m ",. „ CD D rm z m (D m f7.1 Q m T ��.�,' O C X ;u " Gl 7C 7rC Z Z m O QCIS- Z Z o � C7 i C�. • D v_ � � n m m 70 O D — ou n w� m C - CD 0 N C N V a P 6 a. m 0. p- m � Z o — 0. OC a. N m n r f� , m < C r p oo r O D—' m m r D m r LA Z CD v_ r - f'1 O 'z ' D Gl Gl vii m m Z O D Mi ol 03 D v m � n F Y " o Cl — m r Gl r-w 9 4� 1s i` R I d I P � O y� C1 O m � O X k X ? O ( (� ` .. (l ro ro (D3 7 S n fl O O G iE„G o OJ f n roa 7 7 N � 4 r 41 Ilp C y r� v � i o0 �. p_.�� CD 71 _.._ n rD 0 1 f e � w N w �o d 0 �z ro — zr h 0 ., o gg 1 w I 1 M ooa it �_. f ---------------- -.-J- 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- 32278 Date: 04/03/07 THIS CERTIFIES that the building DWELLING Location of Property 2800 PINE TREE RD CUTC'HOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 0002 Trot 016 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- 32278 dated APRIL 3 2007 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 SINGLE FAMILY DWELLING WITH ACCESSORY SEASONAL COTTAGE* The certificate is issued to IMELDA CO;RCCAN FARRELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BRALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. A c -Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2800 PINE TREE RD CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : IMELDA CORCORAN FARRELL OCCUPANCY: RESIDENTIAL IMELDA CORCORAN FARRELL ADMITTED BY: IMELDA FARRELL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 104.-2-16 SOURCE OFREQUEST: IMELDA M.C. FARRELL 6/9/06 DATE: 04/03/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT CELI•aR: PART. CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 HATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: COVERED DECK TYPE: PATIO TYPE: ENCLOSED BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: HOT WATER WARM AIR: NO HOTWATER: YES OTHER: CELLAR ENTRANCE OIL HOT WATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: `........... STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.- SEASONAL COTTAGE OTHER• VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION 1F R P1ION _........� ART SEC, Q 1 f A C V p N u Ii..CE" _............ �. REPREMARKS: BP#320672-CO2-,32278 (HEAT„NG M CN �'0 T7�'�E}, INSPECTED gy, DATE ON INSPECTION: 04/03/07 GEORGE GILLEN TIME START: END: FORM NO. 4 TOWN OF SO HOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY a® Z®32277 Date® 0 03/07 THIS CERTIFIES t t the building HEATING S"Y TEM Location of Property: _ 2800 PINE TREE RD CUT OGUE (HOUSE NO.) _ (STREET) (HAMLET) County Tax Map No- 473989 Section 104 Block 2 Lot 16 Subdivision Filed Map o- Lot No- conforms cmconfo s substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2 ® 2007 pursuant to which Building Permit No. 32867-Z dated MARCH 30, 2007 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 _ INSTALLATION OF NEW HEATIIJG SYSTEM FOR REAR COTTAGE "AS BUILT" ,-- The e ce ificate is issued to IMELDA CORCORAN FARRELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF REALTH APPROVAL �A ELECTRICALTIFI NO. 3023333 02/15/07 PLUMBERS CERTIFICATION DATED N/A v Authorized Signature Rev. 1/ 1.