HomeMy WebLinkAbout1000-70.-12-3 47
TOWN OF SOUTHOLD
Rental Permit
{ 0318
Owner Stephen Marone Jr.
Occupied as Single Family Dwelling
Located at 3500 Pine Neck Road Southold 70-12-3
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.
9/15/2022 A
Code Enfoient Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
Rental Inspection NY 11971-1179
�r Tel: 631-765-1802
Fax 631-765-9502
SCTM# D , — Date � Z -z-
Owner Owner Phone S/� 33 5
Address p� P Zip
Hamlet linspector z"
Address visible from street? 1"S' 10
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers(#)
Exits(#)
BEDROOMS 1 2 3 4 757
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#) '
Egress (windows) (Y/N)
BUILDING SYSTEMS /N CONDITION OF PROPERTY N
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails&guards present
POOLS Y/N POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48"high
resent
POOL GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching Max. 2"clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS:
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0318
Owner Stephen Marone Jr.
Occupied as Single Family Dwelling
Located at 3500 Pine Neck Road Southold 70-12-3
Village S/13/1-
Maximum
/B/LMaximum 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.
7/8/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
A
Telephone(631)765-1802
Town Hall Annex
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOII.D
RENTAL PERMIT APPLICATION 7'—J
z"F'�J',\14,
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E51�5 LE--;,lul V
Rental Permit Fee$200(Application must be renewed every two yea
LJ SEP 2 3 206
Section A.
Property Information: TL 10 N IPI-,T Q F 3 0 U r 1'1�G 1,D
Ren Property Adc�ess.
Renta Pro
0 r- �-e cy- Gad- - SO4kolk K)q
0
Tax Map Number: 1000 SECTIONq 7-S6 BLOCK LOT 12—
SECTION B.
OWNER INFORMATION:
Property Owner Name: �)ftx� MA'Luic ,J K-
Property Owner Legal Address: Property Owner Mailing Address:
SW6ne- N-c - 1 1
4 1
SUZ
Telephone Number(s): Daytime- 'N Evening Emergency
Property Owner Email Address: '0CL+( 00
'4 �o
i4e- 61616a
Page 1 of 5
f so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 g
Southold,NY 11971-0959
l'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit,if any:
Address of Authorized Agent(no P.O. Boxes):�2 hoquoT-ftepi;nw lit `Iv
Mailing Address of Authorized Agent: 2
Telephone Number(s): Daytime Evening Emergency51 b-330-6-3
Email Address: A (�lS
Section D.
Managing Agent Information: n
Name of Authorized Agent of dwelling unit,if any:
//��II (,
Address of Authorized Agent(no P.O. Boxes): ®�/Wd� �1V�,.
Mailing Address of Authorized Agent: �-
Telephone Number(s):Daytime -Evening Emergency (36'
Email Address: A T dn C ((JIEI 9MOj C d
SECTION E.
SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units)Ocue6tName of Managing Agent of dwelling unit, if any: &uw—
'Ai
Address of Managing Agent (no P.O. Boxes):
�boftepdwor- �JkI
Page 2 of 5
q� a � f .
Town Hall Annex fl' O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 140-u
®
UIQ
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency57/(D
Email Address: Qflat.d
, COM
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1 l 1 1
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: i n roliq r OM
Requested Maximum number of persons allowed to occupy Dwelling Unit:
NuInber of rRRoms in Rental Dwvelling Unit: Z C6093's &Aro"� Ltdcny rcom
xr Jcscd Vc rch, ILt tU►rn LXI\I a rats% 21. AJ-
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
ig sour N
Town Hall Annex "l Telephone(631)765-1802
54375 Main Road " _ `ac Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
co(j
[
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 la s 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 i IQ 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
1
•,moo ��or��
Town Hall Annex s Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �rf�
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, M aging Agent, or Site Manager.
Property Owner's Name: �' I I C,
Property Owner's Signature:
Sworn to f me thisday of Sof � /gs' , 20-)5
ficial N tary Publ' ture and Original (Votary
MICHAEL A. MORAITIS
NOTARY PUBLIC-STATE OF NEW YORK
No,01 M06216393
Qualified in Nassau County
My Commission Expires 01-11-2022
Page 5 of 5
i - - - -- --
o��OE SOUTyo
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
-- INSPECTION
[ ] FOUNDATION IST y [ ] ROUGH PLBG.
[ ] FOUNDATION,2ND ' -- [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING FINALAdittl A*j4L_
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [" ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: 1V o l `-
-1,_PSWA0L h &rflAVj&A
DATE INSPECTOR
Soo i A-e )�)e c4e- -fid: -7o-- 12 -3
OF 50(/Tyo�
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] -INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FPKL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
-[ ] FIRE RESISTANT CONSTRUCTION ' [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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COCKTAIL COTTAGE
Anne Riley
3290 Pine Neck Road
Southold,, NY,11971
'Fin e We-c1--
pINR NECK ROAD
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TOWN OF SOUTHOLD PROPERTY RECORG
Aa r nejl rn , STREET VILLAGE DISTRICT SUB. LOT
r
F R4ER O NER N , E ACREAGE
,0 r d r � �.� -� f --
Ik j IC' S,. ' W j TYPE OF BUILDING
RES. SEAS. �VL. FARM COMM. ( IND. CB. MISC. Est. Mkt. Value
-� /—----
LAND IMP. TOTAL DATE REMARKS
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be
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r to 4 3- �_ 44r
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland p !'f E':. tY �iO
Swampland 6 q/9a G " ' 0, -���,s Y CO � .o
- _ --
Brushland
House Plat
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--- ------ a )of
Total 3 2 2 1 r 1
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Z' � ,► � _._—_-__ `. �.. -_ ��J��,�:."tri r� ___-—,_- -_—_.-___._..
•. 1 � F _
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111.Al
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70-12-3 10103
M. Bldg. v � f.y Foundation Both
Extension _ r Basement lc✓ Floors _–
_ _
Extension Ext. Walls _ Interior Finish
/
/5+.�0 �
Extension � _ � a � ' Fire Place Heat ---_--_--
, — Porch _ Roof Type - — -
^ ! , Porch Rooms 1st Floor
Patio Rooms 2nd Floor
Bsoy I X Z-7 –
Garage -,IS11 D–ri—veway- -- ---- ----
Dorm_er-
zio ?o >
---- --- - - - --
-46 40
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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-22086 Date JANUARY 7, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 3290 PINE NECK ROAD SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 12 Lot 3
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-22086 dated JANUARY 7, 1993
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 2 CAR GARAGE
The certificate is issued to RICHARD & ANNA PEDDLE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED I N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
r
BUILDI::G DEP:li T.1E,T
TO:r•I OF SOUTHOLD, N. Y.
HOUSI::C CODE IISPECTION REPORT
Location 3290 PINK NECK RD. SOUTHOLD, NEW YORK
�numoer x street) ki•iunicipatity)
Subdivision Map No. Lot(s)
Name of Owner(s) RICHARD PEDDLE
Occupancy A-1 Res. Owner
(type) owner-Lenani)
Ad.-aitted by: RICHARD PEDDLE Accompanied by: SAME
Key available Suffolk Co. Tax No. 1000-70-12-3
Source of request RICHARD PEDDLE Date JAN. 5, 1993
D?•TELLING:
Type of construction WOOD FRAME fistories 1-1/2
Foundation CEMENT BLOCK Cellar PARTIAL 'Crawl space PARTIAL
Total rooms, 1st: Fl 6 2nd. F1 2 3rd. Fl
Bathroom(s) 2 FULL BATHS Toilet room(s) 1 TOILET ROOM
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat OIL alarm Air Hotwater gx
Fireplace(s) I USABLE'ABLB No. Exits 3 Airconditioning
Domestic hotwater. YES Type heater OFF BOILER WITH HOLDING TANK
Other
ACCESSORY STRUCTURES:
Garage, type const. 2 CAR WOOD FRAHEStorage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STNIE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncatior. I Description IArt. l Sec.
I I
I I
I I
I I I
I r
i I
Remarks: BP #19788 CO Z-20305 BP #207012 - CO Z-22085
Inspected by: XA� Daze of Irsp. JAN. 6, 1993
J. FISH Time start 1:40 end 2:00
roam No.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE f�1 I_tJ�n
SOUTHOLD°, N. Y.
CERTIFICATE OF OCCUPANCY
No. ..`�r ,�Qi�`.............. Date .......................Zmuar,y.....4.......... ig.62..
THIS CERTIFIES that the building located at ...8/.9.....Pi7cte.-NS01C.-feed.................. Street
Map No. . ............. Block No. .. ..=............ Lot No. ... €:.........PPAth'40.1.....4'!X2►............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...............................Sept....26................, 1961.... pursuant to which Building Permit No. .;�..�� `
dated .........................Ase.pt.....?A......... 1S61...., 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 ..........
.........Prigate..-one..fatxally'..dove"11.11,99...... .................:............................. ..................... ..........
This certificate is issued to ...........,X3"1 qr...... ..............................
(owner, lessee or tenant)
of the aforesaid building.
��
........... ............. ...................................................
Building Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20305 Date OCTOBER 25 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 3500 PINE NECK ROAD SOUTHOLD, N.Y_
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 12 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 15, 1991 pursuant to which -
Building Permit No. 19788-Z dated APRIL 18, 1991
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 RECONSTRUCT ROOF & ENCLOSE PORCH AREA AS APPLIED FOR.
The certificate is issued to RICHARD PEDDLE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-207947 - OCTOBER 15, 1991
PLUMBERS CERTIFICATION DATED N/A
wilding Inspector
Rev. 1/81
FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22085 Date JANUARY 7,- 1992
THIS CERTIFIES that the building ADDITION
Location of Property 3290 PINE NECK ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 12 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 5, 1992 pursuant to which
Building Permit No. 20701-Z dated JUNE 9, 1992
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to RICHARD & ANNA PEDDLE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
1 y
77
e
Bui ding Inspector
Rev. 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-30172 Bate- 05/04/04
N
THIS CERTIFgES that the building ADDITION/ALTERATION
Location of Property= 3500 PINE NECK RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 12 Lot 3
Subdivision Filed Map No. Lot NO_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 6, 2002 pursuant to which
Building Permit No. 29103-Z slated JANUARY 15, 2003
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 AND ALTERATION TO AN EXISTING ONE FAMILY AS APPLIED FOR.
The certificate is issued to STEPHEN J & ALTA MARONE JR
(OWNER)
of the aforesaid building.
SUFFOLK CONY DBPART@E7T OF EIPM .TEb APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1203334 04/12/04
PLUD93ERS CERTIFICATION DATED 11/10/03 BERTSAND PLUMBING & HEAT
Authorized Signat e
/
Rev. 1/81
�psU�t'fca Town of Southold 7/8/2020
�O G
o -
P.O.Box 1179
o i 53095 Main Rd
ryy�jal * � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41240 Date: 7/8/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 3500 Pine Neck Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-12-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/11/2020 pursuant to which Building Permit No. 44817 dated 5/28/2020
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:
"as built"air conditioning unit as applied for.
The certificate is issued to Marone Stephen Jr Fam Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44817 7/6/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature