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Home My WebLink About1000-38.2-1-33 r TOWN OF SOUTHOLD Rental Permit 0878 Owner Maureen McCann Occupied as Single Family Dwelling - Unit 3M Located at 2820 Shipyard Ln East Marion 38.2-1-33 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. 4/24/2023 This Notice must be posted by the main entrance at all times (I Town Hall Annex Telephone(631)765-1802 54375 Main Roadd Fax(631)765-9502 P.O.Box 1179 , ,by Southold,NY 11971-0959 Cot, f a, BUILDING DEPARTMENT TOWN OF SOUTHOLD o RENTAL PERM'"APPLICATIONag . p , Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTIOP BLOCK -LOT - V -3` SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: lovdi. 14 fie ( Telephone Number (s): Daytim r r �"- veenn - nergency Property Owner Email Address: CP . 0 Page 1 of S P d rl�Ye Town Hall AnnexTelephone(631)765-1802 Hq 631 Fax 765-9502 54375 Main Road ( ) P.O.Box 1 179 ku Southold,NY 11971-0959 � f 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: 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 U it: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: -* �C Page 3 of 5 Town Hall Annex ' Ey Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ewe ` ti Via, COU 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 ❑ 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) 1 Malt)[Pe-lql T (b ( 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 w Town Hall Annex 7 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 H t 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: /911,L)("ee4--& V1, Property Owner's Signatur t &J—� Sworn to before me this (o day of 1' I 202-2- J—Q Official Not Public Signatur nd Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC; l'ATE OF NEW YORK NO.01 rnil ;,'06000 QUALIFIED IN ,,,,jFF,0LK COUNTY COMMISSION EXPIIdES JUNE 30, Page 5 of 5 i u �OL C e` deo ni- DOOJ° + Lock— wtMoo es rel A�A A ljiever bedroa m a ll Ito N a TOWN OFsdUTHOLD 13UILDING Di 631 -765-1802 Ulm INSPECT'' ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INc [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL ( UGH) [ l ELECT ICAL (F [ ] CVIOLATION [ ] P C/ [ F TREa RKS O V 'eom eUTIHOLD T N E E►E EE NG DI ? -1802 �m C31 $5► INSPE'CTION [ FOUNDATION 1ST [ ] ROUGH PL13G. [ FOUNDATION 2ND [ ] INSULATION/CAl [ ) FRAMING 1 STRAPPING [ FINAL 1 FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) j ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE CO [ 1 REMARKS: Ow a34�, oy.Aao& -(4 c, ntePAl"ll vn "I'll"(dp) 6�v r(yv�w4z uvcPoo �;o ---------------- ------------- - - - -- ------------------- ------------------- i 38.-2-1-33 9/10 M. Bldg. _ g' ► $$ foundation Bath Extension Basement Floors Extension o ext. Walls nterior Finish Extension Fr dace Heat I — _ Porch _ Pooh Attic Deck Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage l O. B. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 214036 . . Date . . . allovember 26 . 1965 THIS CERTIFIES that the building . Condo .unit .#3M Bld* .#3 w . . Location of Property . , 2020 Shipyardne La . . . M East Marion. . . .. . . .. . . . House JV0. Street Hamet County Tax Map No. 1000 Section Q3$.•2 . . .. . .Block . . . 0.1. . . . . . . . . .Lot . .33. . . . .. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . .. , . . . . . .Filed Map No. . . . . . . . .Lot No. . . .. .. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated r--- . . . . Feb... .24. . . . . . . . . . 19U.pursuant to which Building Permit No. 1 2w2 01 Zw w . . M w w dated . . . . .MpLr.•. .22. . . . . . . . . . . . . . . 1953. ,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 . . . . . . . . . Mu].tiD]e. .r�,s,idgnce ,Unit .#3 Apt. M includes detached 1car garage . . , The certificate is issued to . . U F A V E S _N I N T VILLAGE INC 16;s!/; 6r' rs!rler, y . of the aforesaid building. Suffolk County Department of Health Approval .EM8R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . .#N.71 726.3 . . . . . . . .. . . . . . . . . . . . . . .. LOFT AREA IS NON-HABITABLE Building 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-34333 Date: 05/12/10 THIS cERTIFIBs that the building DECK & STAIRS Location of Property: 2820 33 SHIPYARD LA EAST MARION (HOUSE NO.) {STREET) (HAMLET) County Tax Map No_ 473889 Section 38 .2 Block i Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16 2009 pursuant to which Building Permit No. 35247-Z dated DECEMBER 29, 2009 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 AND STAIR REPLACEMENT FOR AN EXISTING CONDO (UNIT 3M) AS APPLIED FOR, The certificate is issued to MAUREEN ANDREOZI w (OWNER) of the aforesaid building. SUFFOLK COUNTY DRPAR7MENT OF HEALTH APPROVAL N/A SI,ECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED NZA _ .......... ._ �...... a or/ed i nature�� Rev. 1/81 m 5 nm ` FORM NO. 4 2 1 � TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34333 Date: 05. 12 10 THIS CERTIFIES that the building DECK & STAIRS Location of Property: _ 2820 33 SHIPYARD ISA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 38 .2 Block 1 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 2009 pursuant to which Building Permit No. 35247-Z dated DECEMBER 29, 2009 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 AND STAIR REPLACEMENT FOR AN EXISTING CONDO (UNIT 3M) AS APPLIED FOR. The certificate is issued to MAUREEN ANDREOZZI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NA ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED _ -- N/___ _....._ u lor/edi ature �� Rev. 1/81 Gf% i1 i7r 11 i /l///��/ l 4 w n I 11 Ali ..,.... ed. ��..