HomeMy WebLinkAbout1000-37.-4-9 of so TOWN OF SOUTHOLD
Rental Permit
1369
Owner: Barbara Pagano
Occupied as: Single Family Dwelling
Located at: 2435 Cedar Ln East Marion 37.4-9
Maximum Permitted Occupancy: 8
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: 09/03/2025
Expiration: 09/03/2027 c eEn m nt official
This Notice must be posted by the main entrance a all es
raki W66 //070,�;_ i�as
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 tt .//w wr W s aut l�tpw . C o U E
G
RENTAL PERMIT APPLICATION
Building 0nannr1I
Rental Permit Fee $300 (Application must be renewed every two yea
n of Southold
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION -BLOCK -LOT 1 -
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Cyr v�/�aa.r o � ,►� ��4 � �, � �� ��g�+y
Va0'U C -)-361A(e9Y
Telephone Number(s): Daytime Evening Emergency 9 0—30 9—$4 4Y
Property Owner Email Address: -S POV-2jD Z-d (a- A-6L- L4,
Page 1 of 4
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 Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: 0'
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 properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes):
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
Page 2 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, 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."
� �.m
00"
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: S RP yot n S
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
❑ I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
a
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
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:
Property Owner's Sign A e:
Sworn to before me thisLV day of 2tz7)S-
l n
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01BUB165050
Ouallfied in Suffolk County
Commisslon Expires April 14, Page 4 of 4
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TOWN OF SOUTHOLD SLD16G DEIST.
631-765-1802 - - 1,9
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P ETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL INAL)
[ ] CODE VIOLATION [ ] PRE C/O ] RENTAL
REMARKS: '�'� _(.� ._:.........
DATE I� _ INSPECT0 _.. _..
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-20221 Date SEPTEMBER 16 1991
THIS CERTIFIES that the building, ONE FAMILY DWELLING
Location of Property 2435 CEDAR LANE EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 37 Block 4 Lot. 9
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-20221 dated SEPTEMBER 16 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 ONE FAMILY DWELLING *
The certificate is issued to WILLIAM AILEEN JOHN PARROTT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. NZA
PLUMBERS CERTIFICATION DATED N A
*PLEASE SEE ATTACHED INSPECTION REPORT.
/,euild'ing Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2435 CEDAR LANE EAST MARION, N.Y.
num e r & ;street urd iTanTy
Subdivision Map No. Lot(s)
Name of Owner(s) WILLIAM PARROTT
-
Occupancy A-1 RES. OW[ER
type (owner-tenan
Admitted.by: WN• PARROTT Accompanied by:SAM
Key available Suffolk Co. Tax ItiTo.M 37-4-9
Source of request WILLIAM PARROTT Dat O 9/16/91
DWELLING•
Type of construction WOOD P #stories 1-1/2
Foundation CEMONT BLOCK Cellar YULL Crawl space
Total rooms, lst. F1 4 2nd. F1 2 3rd. F1
Bathroom(s) 1 FULL BATH Toilet room(s) 1
Porch, type Deck, type Patio,, type RAI' ED SLATE
Bree eway Garage 1 CAR- SINCE Jility room "" Ate'
Type Heat OIL Warm Air xx Hotwater
Fireplace(s) ONE No. Mnits 2 Airconditaona.ng - -
Domestic hotwater YES Type heater OIL (SEPARATE)
Other
ACCESSORY STRUCTURES: HONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
1, cation Description Art. Sec.
Remarks: BP #16212-5" Z-19724 BP i19691 CO Z-20068, BP i20143 CO Z-20220
Inspected bye" �� Date of Insp. Sept. 16, 1991 -
CAR . ISH Time Start 11:30 end 11:45
FORM NO. 4
TOWN OF SOUTHO.LD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20220 Date SEPTEMBER 16 1991
THIS CERTIFIES that the building ADDITION
Location of ;Property 245 CEDAR LANE EAST MTONt N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 37 Block 4 Lot 9
Subdivision ;Piled Map No. Lot No.-__-_�.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated UL"SP 2 1991 ___pursuant to which
Building Permit No. 20143-Z dated SEPTEMBER 16 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 WOOD DECK ADDITION TO DWELLING AS '.BUILT & TO ZRA CONDITIONS
APPEAL #4044.
The certificate is issued to WILLIAM AILEEN & JOHN PARROTT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA
UNDERWRITERS CERTIFICATE NO. H-022028 - MAY 10 1991
PLUMBERS CERTIFICATION DATED N/A
BuIld ,ng Inspector
Rev. 1/S1
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20068 Date JULY 11 1991
THIS CERTIFIES that the building ADDITION & ALT ERATION
Location of Property 2435 CEDAR LANE EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 37 Bloch 4 Lot. 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 25 1991 ,----Pursuant to which
Building Permit No. 19691-Z dated MARCH 5 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to WILLIAM AILEEN & JOHN PARROTT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
UNDERWRITERS CERTIFICATE NO. H-022332 - MAY 29 1991
PLUMBERS CERTIFICATION DATED N A
Building Inspector
Rev. 1/81
V
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19724 Date FEB. 13 1991
THIS CERTIFIES that the bujiding____ALTERATION
Location of Property 2435 CEDAR AVE. EAST MARION
House No. Street Hamlet
County Tax Map No. 1000 Section 37 Block 04 Lot 09
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 6 1987 _______pursuant to which
Building Permit No. 16212Z dated JULY 12 1987
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 BATHROOM ALTERATION-
The certificate is issued to WILLIAM AILEEN & JOHN PARROTT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL gLA
UNDERWRITERS CERTIFICATE NO. H020330 FEB. 4 1991
PLUMBERS CERTIFICATION DATED JOHN L. PARROTT JAN. 2 1991
Buf1ding Inspector
Rev. 1/81
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 46467 Date: 09/03/2025
THIS CERTIFIES that the building. ALTERATION
Location of Property: 2435 Cedar Ln East Marion 1193
Sec/Block/Lot: 37.4-9
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 01/18/2024
Pursuant to which Building Permit No. 50725 and dated: 05/22/2024
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:
Alterations and repairs, including deck repairs in kind,to existing single-family dwelling as
applied for.
The certificate is issued to: Barbara Pagano
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50725 08/07/2025
PLUMBERS CERTIFICATION: Ratsey Construction 09/04/2025
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N.J.MAU1tFERRO,P.E. Ks
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PROFESSIONAL ENGINEER DATE:HIGU24
7 " � P.O.BOX 57,GREENPORT NY,11 S*1 SCALE:
EXISTING FIRST FLOOR PLAN PROPOSED FIRST FLOOR PLAN ` y ;_ 51(IAS7.5596 EMAIL:maz_bn@msa.cdm
SCALE: 18
SCALE: Ii8"-C-0" �E� o.p Iog 2j RESIDENTIAL SHEET NO:
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PROFESSIONAL ENGINEER DA q"�,za
P.O.SOX 57,GREENPORT NY.?19
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SCALE: 'i8"=L-0' � �� 057� I RESIDENTIAL SISETNO:
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SCALE: 1/8"=1'-0" SCALE: 118"=1'-0" # ISSUE IREVISION DATE
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