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Home My WebLink About1000-34.-3-47 TOWN OF SOUTHOLD w Rental Permit '�V 0965 �F Owner Negin Haj izadeh & William Woods Occupied as Single Family Dwelling Located at 235 (aka 330) Bridge St. Greenport 34.-3-47 Maximum Permitted Occupancy 2 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. 8/2/2023 I This Notice must be posted by the main entrance at all times %- de Enf ce ent i OOW Telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 '— .r BUILDING DEPARTMENT TOWN OF SOUTHOLI RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address. NX Tax Map Number: 1000 SECTION ® _ -BLOCK LOT— SECTION B. OWNER INFORMATION: Property Owner Name: At i 46 A Property Owner Legal Address: Property Owner Mailing Address: I r02 Telephone Number (s): Daytime 401-1357,i Evening Emergency Property Owner Email Address: Wj`woj S ' �"' _ 5�, �� V Page 1 of 5 -91 70 Town Hall Annex V, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Co 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, 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: 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: � '0a M, I — �1 X 101 a^ �— ` V, — '@ �C2c� I6W J�h - lox 114 Page 3 of 5 1)4.1/3 Maul K080 1 .aw war r arr9w< P.O.Box 1 179 £- Southold,NY 1 197 1-0959 hum 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: IF '7 Use and Dimensions of each room in Rental Dwelling Unit: o t� Page 3 of 5 iv Town Hall Annex Telephone(631)765-1802 a Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 V BUILDING DEPARTMENT - TOWN OF SO O 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. J' 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) I 6,1J11'4,4,t �14)el , 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 Av AV Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 3 _ 1uh - BUILDING DEPARTMENT TOWN OF SO HOLD 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: mz A Property Owner's Signature: ,---Sworn to beforP me this'I day Ad�, 20>LD C-4y?Nk A 1�11A/) ficial Notary Publi nature and Original Notary Stamp DEBORAH k WOJCIK Notary public,die of New York l�lo,493(1159 Oualifted in Suffolk Cour Cornass`on Evires Der:.30,Y Page 5 of 5 SOWN OF OUTHOLD BU DING DEP 631-765-1802 ,— n,- N,le, INSPECA" TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING 1 STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [-V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL AFI L) [ ] CODE VIOLATION [ ] PRE CO [ RENTAL REMARKS: owl, DATE `� ' � Y� IINSPECTORvq-�4 FED 171, t s i -1 Di&WL e_ W 5 far o� Snivd� pIG45 fir- rem6del: 'IG 15 IS CI �e c c 6,.r3vA 4—i& Close- + �„ . A. i l t . I I EXISTING I ST FLOOR PLAN ; July 2, 2023 Town Hall Annex _ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r" BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit pro seal required for Architect or loaieer,licensed tole iroector rratarolrlde g9py of valid current certification Rental Property SCTM Number: 3 �' J —L(7 Rental Property Address: 235 Bridge St., Greenport NY 11944 Owner/Name: William Woods & Ne is n Haiizadeh Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom #1 180 sgft Property Description (include all improvements indicated on survey) single MilY bQme I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Original Signat ref Please place professictial seal: �. ... ..._ �w_. _ - -.....w._._.. . .._�_.w.. STREET VILLAGE DIST. SUB. LU i* �� t ,FORMER OWNER N OR . S �_ V' TYPE OF BUILDING RESP SEAS, VL. FARM COMM. CB. MISC. Mkt. Value ... .... .... _ _ .. LAND IMP. TOTAL DATEREMARKS W r 4 r� n N 2 ra �rw ww_ J... 1L _... � ... tM m /J/ r'z AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per VOlUe Acre Tillable I ._�..___-__.www_... _.__ .. ...�. .. . �.. .,�..,._ ...�_.... Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD . .. _ .._......... _., __.. m._ ... _ .. ......... . House Plot DEPTH BULKHEAD Total I 'POCK ,e r ........_.. ..... .. .._ _.. .... ......... .... ... . .._. _ _w w �, TRIM ............ t o e � o ;(I 9 iY+ i(�r�;,.crrm �P�;r�i;,�r ,,s� r,.: ��'7d°�� ,�rl'✓ .,.... ,�.._ .. � ., r , 0 g a � , �s Fw'�Y Foundation �, Bath Dinette 0 l _ ....... . .. .` d... ..._ . �.��_ �.w�w w teraoi o _A =Basement 1 Floors K. ExtenonExt, Walls Interior Finish iont LR. Extens � f�. ."°r � .a._.: ..��... ..�.�..__._.,..._�,.�.. ...�.. Fire Place Heat b DR. _._ BR. 'Type�Rec ,Roof Rooms 1 st Floor ..._ .. _.._ _. _.. _._.... _ ..._ eation Room Rooms 2nd Flooi FIN. 13, Porch Dormer y Breezeway Driveway Garage .b Patio O. B� Total n Town of Southold 10/29/2019 53095 Main Rd - Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40793 Date: 10/21/2019 THIS CERTIFIES that the structure(s)located at: 235 Bridge St,Greenport SCTM#: 473889 See/Block/Lot: 34_-347 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- 40793 dated 10/21/2019 was issued and conforms to all the requricments of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelline with rear enclose.porch.* Notes:BP#44181 "as built"electric CO-240791:BP 44237"as blt"glass enclosed porch and gnjry `O -40792 The certificate is issued to Johnston,Maureen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. q d6 Ut Y 3 �g 3 L g aturV E BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 235 Bridge St,Greenport SUFF.CO.TAX MAP NO.: 34.-3-47 SUBDIVISION: NAME OF OWNER(S): Johnston,Maureen OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Johnston,Maureen DATE: 10/21/2019 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: rear enclosed porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: off burner/coil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: _ VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/28/2019 TIME START: 12:41pm END: 1:05pm Town of Southold 10/21/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40791 Date: 10/21/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 235 Bridge St, Greenport SCTM#: 473889 Sec/Block/Lot: 34.-347 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/18/2019 pursuant to which Building Permit No. 44181 dated 9/18/2019 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 b1t"electrical survey. The certificate is issued to Johnston,Maureen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44181 9/17/2019 PLUMBERS CERTIFICATION DATED , Authorized Signature fat x c Town of Southold 10/21/2019 P.O.Box 1179 53095 Main Rd ` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40792 Date: 10/21/2019 THIS CERTI US that the building ADDITION/ALTERATION Location of Property: 235 Bridge St.,Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-47 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/19/2019 pursuant to which Building Permit No. 44237 dated 9/30/2019 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 built"alteration(reconstruct qqqy and glass enclosed orch)as applied for. The certificate is issued to Johnston,Maureen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL'CERTIFICATE NO. PLUMBERS CERTIFICATION DATED sriz ignature SURVEY OF PROPERTY SITUATE: 6REENPORT N TOWN: 5OUTHOLD SUFFOLK COUNTY, NY E 5URVEYED 07-16-2019 1 s SUFFOLK GOWTY TAX# 1000-34-3-4-1 S i CEfTEMO TO: SAMUEL R.RAYN MARY T.RAYNOR i r -1} l rj .� tip f ir 1� 0 trn " + Xy It vl% o tVk ik �-1 i b r !50= ` � Win NOTE- -o—��-o— 5TOOKADE FENGEt _ -x—x—x—x— GRAIN LINK FENCE Ao7p`� AREA=5,128 5F OR 0.1171 AGRE5 JOHN C. SURVEYOR Y EYOR _ 6 BAST MAIN STREET N.Y.S.LIC.NO.50202 ]C ALP= 20- RMMHEAD,N.Y.11901 REF.C:\U,=Vdm\Dmpbax\19\14-142a.pm 3694288 Fax 369-8287