HomeMy WebLinkAbout1000-34.-3-45 .¢ � ��ire TOWN OSOUTHOLD
Rental Permit
11 0 0407
Owner Chad Somodi & Melissa Flores
Occupied as Single Family Dwelling
Located at 155 Bridge Street Greenport 34.-3-45
Maximum Permitted Occupancy 10
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.
3/23/2023
Code Enfoice e,t official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTIO N
d
[ ] FOUNDATION 1ST [ ] ROUGH PL .
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
C ] CODE VI LATI N [ ] PRE C/O [ ENTAL
REMARKS:
OL..........Aje Lo t�4��j oc yp—ap
DATE
v
TOWN OF SOUTHO.LD
co aff Rental Permit
Permit No. 0407
Owner Chad Somodi & Melissa Flores
Occupied as Single Family Dwelling
Located at 155 Bridge Street Greenport 34.-3-45
Address Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 10
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.
3/24/2021 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
c
Town Hall Annex 4 t Telephone(631)765-1802
54375 Main Road , Fax(631)765-9502
P.O.Box 1179 + `
Southold,NY 11971-0959
I�jGUUPI�,`a��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
155 Bridge St, Greenport NY 11944
Tax Map Number: 1000 SECTION 034.00 -BLOCK 03.00 _LOT 045.000 _
SECTION B.
OWNER INFORMATION:
Property Owner Name: Chad Somodi and Melissa Flores
Property Owner Legal Address: Property Owner Mailing Address:
155 Bridge St, Greenport NY 11944 155 Bridge St, Greenport NY 11944
646-532-9775 646-532-9775
Telephone Number(s): Daytime 201-819-0159 Evening 201-819-0159 Emergency 414-339-8904
Property Owner Email Address: somodi.chad@gmad.com, melissaidlores@gmail.com
Page 1 of 5
Town Hall Annex ,xt, x -, e i Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G® ;r. f
Southold,NY 11971-0959
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 Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: William(Bill)Walters
Address of Authorized Agent(no P.O. Boxes): 114 Main St, Greenport NY 11944
Mailing Address of Authorized Agent: 114 Main St, Greenport NY 11944
Telephone Number(s): Daytime 631-553-6533 Evening 631-553-6533 Emergency
Email Address: williamwalters@danielgale com
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):
Page 2 of 5
�
} tf so '
Town Hall Annexe, "s,A �w Telephone(631)765-1802
ac'
54375 Main Road c✓D ">,`F' xr,_, x Fax(631)765-9502
P.O.Box 1179 "
Southold,NY 11971-0959
Mum�
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: 1 -single family home
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: 155 Bridge St �®
Requested Maximum number of persons allowed to occupy Dwelling Unit: 12
Number of rooms in Rental Dwelling Unit: 5 bdrm, 3.5 bath, living room, kitchen, basement rec room
Use and Dimensions of each room in Rental Dwelling Unit:
Bdrm 1 = 19x10 Bdrm 2=11x9.5, Bdrm 3=12x9 5, Bdrm 4=12x11, Bdrm 5 14x12
Bath 1 =9x5, Bath 2=9x5, Bath 3=7.5x7, Half Bath=6x5
Living Room=20x15, Kitchen =20x12, Basement Rec Room=17x14
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179 G ��
Southold,NY 11971-0959
'� <
UflN,a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G. 7 dLkr ce��'i�`c,��-�e
INSPECTION: co'A 1� Lx� .
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r�n� L�i 5'
�-- hflrne< tvccs zt �� �` o
-�
Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety (fzt�c O
inspection by Code Enforcement Official is required. If the owner chooses not to have said "1
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
AMY 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 Chad Somodi and Melissa Flores , 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
p� SOUS
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 'Q�/,�a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. I further acknowledge that 1 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: Chad Somodi and Melissa Flores
Property Owner's Signature:
Sworn to before me this 5 day of c r1 20;� ANNETTE IANNUCCI
NOTARY PUBLIC-STATE OF NEW YORK
No.01 IA6409771
Offi i Notary Public Signature and Original Notary Stamp Qualified in Suffolk County
My Commission Expires 10-05-202
Page 5 of 5
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CpG,` Town of Southold 1/21/2021
P.O.Box 1179
i t 53095 Main Rd
+^o :
Southold,New York 11971
CER'T'IFICATE OF OCCUPANCY
No: 41745 Date: 1/21/2021
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 155 Bridge St., Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-45
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/22/2020 pursuant to which Building Permit No. 44988 dated 7/16/2020
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:
single-f dwelling with finished basement and three entry landings as applied for per ZBA 7367 dated 2/20/2020.
The certificate is issued to Nicholson,Bryan&Boger,Scott
of the aforesaid building.
i
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _ R-20-0582 12/18/2020
i
ELECTRICAL CERTIFICATE NO. 44988 1/5/2021
PLUMBERS CERTIFICATHION DATED 1/6!2021 ad nbing& ting
A riz• ignature
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® g�FFOj ®G^� Town of Southold 1/21/2021
jt - � P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41746 Date: 1/21/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 155 Bridge St, Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-45
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/20/2020 pursuant to which Building Permit No. 45042 dated 7/28/2020
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:
accessory in-ground swimming pool fenced to code as applied for.
The certificate is issued to Nicholson,Bryan&Boger,Scott
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45042 1/13/2021
PLUMBERS CERTIFICATION DATED
Au o ` d t ature