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Home My WebLink About1000-34.-3-52 TOWN OF SOUTHOLD Rental Permit 0499 Owner Hull Z Protection Trust Occupied as Single Family Dwelling Located at 555 Bridge Street Greenport 34.-3-52 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. 8/14/2023 Qjw"AL- Ifo e Official This Notice must be posted by the main entrance at all times Q so TOWN 1O SIS► " "'HOLD BUILD G DEP. corn, - 631-765-1802 INS" PECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /FIRE LATION/CAULKING FRAMING / STRAPPING [ L FIREPLACE & CHIMNEY SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETFIATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE. C/O [ RENTAL REMARKS: —44�� *-::;-0(40Pi oftl .40 C&VAJ ��✓ DATE to tW14 INSPECTO FF, TOWN OF SOUTHOLD Rental Permit 0499 Owner Hull Z Protection Trust Occupied as Single Family Dwelling Located at 555 Bridge Street Greenport 34-3-52 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. 7/14/2021 ode fficial This Notice must be posted by the main entrance at all times orce e t q Town Hall Annex ,µ#.< .' ; < ,:'. 'Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 - Southold,NY 11971-09599�;_ t',�=, `-�;;q. ,;;� �,��• :� ; �'1 0 V BUILDING DEPARTMENT JUL --r7 2029 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION T0".�"; ,`ya'- '^"i T Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION R. OWNER INFORMATION: Property Owner Name: �` Pr = CSC- 1y_S- Property Owner Legal Address: Property Owner Mailing Address: o-1 61 Telephone Number(s):Dayt me$ 0211 3 Evening Emergency Property Owner Email Address: PLL 00 TCYQ� Co M _ Page 1 of S kjV Town Hall Annex ` _pr i ;. w `• Telephone(631)765-1802 54375 Main Road '' Fax(631)765-9502 P.O.Box 1179 '" Southold,NY 11971-0959 , ' .. f; 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: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Eveni g " 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): Page 2 of 5 P Town Hall Annex '' �r; �'=, s - Telephone(631)765-1802 (' 54375 Main Road s `` ( .: Fax(631)765-9502 7 P.O.Box 1 179 ` �-z r v I Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evenin 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, 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: h t Requested Maximum number of persons allowed to occupy Dwelling Unit: L Number of rooms in Rental Dwelling Unit: ��n.____ ..�..____b �°° ' Use and Dimensions of each room in Rental Dwelling Unit: QPen ►C� FloCr �,0 ��o� ��fS�Jk��dneti��h„o .wWpm . 1.�uaK, or►�° room Vvt Fi n►S�ed 10 4t-X0 Sm cue ��e C-��.5 (�V1t— Page 3 of 5 ► VA 4P- caf b:):1 e n&*LckC lS M oto oe'+ccr-& % v`rs_�__r L) ayv&, PL tcA r ,41�`��•�r C��J t�"Frt ,`r. Town Hall 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 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 ❑ 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 � 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 ` r ° a; Fax(631)765-9502 54375 Main Road }; *° P.O.Box 1179 C 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. ! 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 fame: e D Property Owner's Signature: Sworn to before me thislL day of Z-� u(,- , 20 Zl 50 OfficialrNpuig ' oeofflOr final Notary Stamp * commission No.G302850 0782023 „� Commission Expims Page 5 of 5 `✓ o�a�F 50UlyO / GJ �( ( L � . CorfflK,,00?+ # TOWN OF S UTHOLD BUIL ING DEPT. %y 765-1802 INSPECTION-, [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND /FIRE L TION/CAULK GFRAMING /STRAPPING LFIREPLACE & CHIMNEY SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ .] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: (4) T z1vv Q& DATE 41 INSPECTOR �_ NA CCJL( FL L.- CA get fi y �S�e S h i Def (2- Yv� Town of Southold 10/24/2020 'r�� d 5t 53095 Main Rd 1 it Southold,New York 11971 f- :E EXISTING CERTIFICATE F OCCUPANCY No: 41561 Date: 10/2412020 TRIS CERTIFIES that the structure(s)located at: 555 Bridge St,Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-52 Subdivision: Tiled 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- 41561 elated 10/24,2020 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: se-axonal wood frame-one fainiy dwelling wMi covered iiontop rch. : i The certificate is issued to Hull Z Protection Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED __...... *PLEASE SEF,ATTACHED TNSPECTION REPORT. �a -L �V - �iitsrKlzc Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 555 Bridge St,Greenport SUIT.CO.TAY MAP NO.: 34.-3-52 SUBDIVISION: NAME OF OWNER(S): Hull Z Protection Trt OCCUPANCY- ADMITTED BY: _..... _ _ _................_...._.......--........................_...._......_._.......................... ..,,.. .... SOURCE OF REQUEST: Hull.__ Z Protection Trt DATE: 10/24/2020 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: stone CELLAR: full(low) CRAWL SPACE: BATHROOM(S): l TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered front DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: - GARAGE: -- DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: none WARM AIR: — _ HOT WATER: #BEDROOMS: 2 #]KITCHENS: 1 �� BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood frame SWE MING POOL: -__ - GUEST.TYPE OF CONST: OTHER: _ _.._.._._._ _ VIOLATIONS: REMARKS: -= ._--.................... _. _— INSPECTED BY: JOHNS DATE OF INSPECTION: 10/23/2020 TBIE START: 10:32am END: 10:50arr: ............ .................................................................... ............. ................. ........................ Town of Southold 5/18/2021 j L-':1"", P.O.Box 1179 53095 Main Rd N, Southold,New York 11971 out . ............... ........................ .................. CERTIFICATE 0,F OCCUPANCY No: 42028 Date: 5/18/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 555 Bridge St,Greenport ........................... SCTM#: 473889 See/Block/Lot: 34.-31-52 .............................. - .................................:.................................................................................................................................. ................. Subdivision: Filed Map No. Lot No. ............................... ............I..................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/19/2020 pursuant to which Building Permit No. 45176 dated 9/9/2020 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-- -.b.u..i.le.'-a.lte.r.ations and additions. including covered.porch and brick stoop.to an existing single family dwelling as applied for. The certificate is issued to Hull Z Protection Trt ............. . .......... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45176 3/24/2021 ............... ....... ................................. .................................... PLUMBERS CERTIFICATION DATED 5/6/2021 (A -ge FrC u-'(0t irks ........... A tho d it Signature