HomeMy WebLinkAbout1000-31.-17-13.5 TOWN OF S UTHOLD
Rental Permit
0611
Owner Peter & Marisa Patinella
Occupied as Single Family Dwelling
Located at 475 Rabbit Ln East Marion 31.-17-13.5
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.
5/22/2024
� Official
This Notice must be posted by the main entrance at all times Code rce
so v
TOWN O�A4 N�G QDVE P T.
IF SOUTHrD
631.765-1802
lNbrECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] INAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( NAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS
co
MATE INSP"ECTO
TOWN OF SOUTHOLD
- Rental Permit
=z
.g 0611
Owner Peter & Marisa Patinella
Occupied as Single Family Dwelling
Located at 475 Rabbit Lane East Marion 31-17-13.5
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.
4/4/2022
re ent Official
This Notice must be posted by the main entrance at all times *Cod
Town Nall Annex Telephone(631)765-1802
54375 Main Roads Fax(631)765-9502
P.O.Box 1179 ,
Southold,NY 11971-0959
ar
Of
BUILDING DEPARTMENT
TOWN OF SOLVI"HOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years), .
Section A.
Property Information:
Rental Prope y Addr ssr L-al+q
Tax Map Number: 1000 SECTION .w_ .� _-BLOCK_ _ _ LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: Pei Q�r co+/ ,j %/-1
Property Owner Legal Address: Property Owner Mailing Address:
'
Telephone Number(s): 7a time ._ Evening— —Emergency,_L`"".�„�
Property Owner Email Address: 4
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ��g
Southold,NY 11971-0959
ou
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):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime„_,,__,,,,,,„, Evening ,_,__
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent(no P.O. Boxes):.._..
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime,,,_._ ,Evening Emergency
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required for rental prop sties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: .... ..........
Address of Managing Agent (no P.O.
Page 2 of S
10
Town Hail 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 Managing Agent:--,JIL
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:
N
Requested Maximum number of persons allowed to occupy Dwelling Unit: , , t
w
I l
Number of rooms in Rental Dwelling Unit: � �' �1 �J��� `"�.... .) )
Use and Dimensions of each room in Rental D elling Unit. � _ 1)
.............-
X"J I I
L P-/fA, 011/k -01 -OL ---- --- 6W�
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X—r)
n Gio�s,e(I j- 0 J- /11,
Page 3 of 5
Telephone(631
Town Hall Annex i� Tele P )765-1802
54375 Main Road V Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SO HOLD
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.
V 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
El 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.
Fl.g2�D14
STATE OF W�' l )
,.�-aRRA5 114
COUNTY OF )
I J ...._.. .. 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
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 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: r\. "" ,...._._. �..._.............
Property Owner's Signature:
Sworn to before me this eday of 20,,?
Offici Notary Public Signature and Original Notary Stamp
� GAIL WER CSR
Commission#GG 28W4
�. xp1res A r113,2023
� t,� : yzd��lana tua�k�r�y&�rwraa
Page 5 of 5
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* TOWN OF SOUTHOLD BUILDING DEPT.
0 765-1802
INSPECTION ,
FOUNDATION 1ST ROUGH PL13G.
FOUNDATION 2ND INSULATIOWCAULKING
FRAMING / STRAPPING YFINALA-0,4�fptm,�'
FIREPLACE & CHIMNEY FIRE SAFETYINSPECTION
CONSTRUCTIONFIRE RESISTANT IRESISTANT
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION PRE C/O
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t1F(1 Town of Southold 4/2/2022
53095 Main Rd
Southold,New York 11971
PRE :EXISTING
CERTIFICATE OF OCCUPANCY
No: 42967 Date: 4/2/2022
THIS CERTIFIES that the structure(s)located at: 475 Rabbit Ln,East Marion
SCTM#: 473889 See/Block/Lot: 31.-17-13.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42967
dated 4/2/2022 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
seasonalwood frame i1me family dwelling
The certificate is issued to Patinella,Peter&Marisa
_. ..._..._.. ._......................_. (OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. `
_....... ii ho ze Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 475 Rabbit Ln,East Marion
SUFF.CO.TAX MAP NO.: ...�..............wv...------_._
DIVISION:
NAME OF OWNER(S): Patinella,Peter&Marisa
.__
................................
._.................
.......
.....
... ��__.............. �..._.. . ....... � _...u...
OCCUPANCY:
ADMITTED BY: owner
SOURCE OF REQUEST: Patinella,Peter....................._�.�._.._.v.....
_._...wu_....... .. �.�........._—....DATE: 4/2/2022 _..._.
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION ....... _...
piers CELLAR: CRAWL SPACE:
BATHROOM(S): -.......ww M -._ k .. �TOILET ROOMS): UTI
LITY ROOM(S):
_._..................._.....—_._._.� ............ .__.. ................. ., _ w.w......
PORCH TYPE: DECK TYPE: PATIO TYPE:
. .. v..._._ .. m__.. .. ..__........
__,
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HO_ww.�._w__�._..._...... ............. ...........M....w...u..._...__,. ._..ww......._�.......................�......�
TWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER:
#BEDROOMS: ..---------2_..........._.._. #KITCHENS:..... _.M............. _ _ __ .._w_._...
BASEMENT TYPE:
_.....�.�.�.�.�.._..................�.�.�............ �.___._......_...._ ...�_..........-.._www...._.. .._ .... ....._�.__.......�..
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
.................._...._�_�__.. .. w. ................. ............
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/29/2022
TIME START: 10:45am END: 11:15am
FORM NO. 4
TOWN OF SOUTHOLD Addihol)
]BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD. N. Y.
CERTIFICATE DE OCCUPANCY
No. Z. .30-57. . . . Date . . . . . . . .. . « .«.« aP�' , . . . . . :L9.6.0
THIS CERTIFIES that the building Iocated atKA )a4tbbit.«4I«le. ... . .. . . . . . Street
Map No. XX « . . «. «. . Block No. . . . XX. . . . .Lot No.XXX. . . .EASE. .oar.JC)n . . .N .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . « . .. . « .. . « Oatober . .28 19. 67 pursuant to which Building Permit No. 3688Z. . .
dated .. . « . « . .« . .00t. . . .28 . . ., 19.67., 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. ono. tamily. -dvr-e:.j•Ing . . . . .. . . • . « , . « « . . .. . . . . . . . .., . « « . .. «. . .. . .
The certificate is issued to . Bx Aesqt .Ourraa. «.. .. . «« , .Owner . .. «. „, .. «.
(owner, lessee or tenant)
of the aforesaid building.
.Suffolk County Department of Health Approval « . . .« . , « . , . . . . . . .. «.
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-29864 Date: 12/02/03
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 475 RABBIT LA EAST MARION -
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 4473889 Section 31 Block 17 Lot 13.5
Subdivision _ Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 1, 2003 pursuant to which
Building Permit No_ 29758-Z dated SEPTEMBER 24, 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 INTERIOR RENOVATIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to FRANK & JOANN M VENTURA
(OWNER) -
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 112237 08/30/02
PLUMBERS CERTIFICATION DATED 12/01/03 KING PLUMBING & HEATING
Authorized Si. ature
Rev. 1/81
ttt" t*, Town of Southold 1/17/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40177 Date: 1/17/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 475 Rabbit Ln.,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-17-13.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/7/2018 pursuant to which Building Permit No. 43291 dated 12/7/2018
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:
STORM REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Patinella,Peter&Marisa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38030 03-26-2014
PLUMBERS CERTIFICATION DATED
T
Signature.._,_.