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Home My WebLink About1000-34.-1-9 TOWN OF SOUTHOLD co W Rental Permit 0722 Owner Salt Boxx LLC Occupied as Single Family Dwelling Located at 1155 Main Street Greenport 34-1-9 Maximum Permitted Occupancy 3 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. 8/4/2022 Co a Enf ce e t fficial This Notice must be posted by the main entrance at all times SOUTH ao Pd Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 `1 4 Southold,NY 11971-0959 1 Ulm. BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) ® f1 �11E JUL m 5 2022 Section A. BUILDING DEPT Property Information: TOWN OF SOUTHOLD Rental Property Address: 1155 Main St. .Greenport, NY 11944 _ Tax Map Number: 1000 SECTION 34 -BLOCK - 1 -LOT 9 - SECTION B. OWNER INFORMATION: Property Owner Name: . Heath Miller Property Owner Legal Address: Property Owner Mailing Address: 1155 Main St. 1221 Main St. Greenport, NY 11944 Greenport, NY 11.944 Telephone Number(s): Daytime 646.761.2148 Evening Emergency Property Owner Email Address: Heath@chalko.com C/-fq0AL,aICOV) �a % ° �s61e), 641 Page 1 of S rr Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ®l� OWN � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: N/A Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 (One) 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: Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 2 Bedroo - 4 Per ns Number of rooms in Rental Dwelling Unit: 5 __ _ 3 'vu ` Use and Dimensions of each room in Rental Dwelling Unit: / Kitchen (25'x17'), Dining Rm (7'x16'), Bedroom 1 (12'x8.5), Living Room (14'x13'), Master Bedroom (12'x1') Page 3 of 5 1��of soU Town Hall Annex 41 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • O� Southold,NY 11971-0959 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. ❑ 1 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 Heath Miller , 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 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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. 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:. Heath Miller Property Owner's Signatur Sworn to before me this day of 20 a� O i ial Notary Public Signature and Original Notary Stamp THOMAS.S.VITALE .Notary Public,State of New York Registration No.01V16276776 Qualified in Suffolk County-�� Commission Expires 2/25/s�� Page 5 of 5 gso (o(ee^ r TOWN OF SOUTHOLD B��ILDtNG DEPT. 631-765-1802 INSPECTION I FOUNDATION I ST ROUGH PLBG. FOUNDATION 2ND INSULATION/CAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL AL) CODE VIOLATION PRE C/O i7RENTAL RKS: RE mg Mom DATE INSPECTOR ./oil L7 s rif SovTy® �o to Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ` y0 Southold,NY 11971-0959 z ;5? u 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 Professional seal required.for Arch_ itect.or Engineer, licensed Wome Inspector must provide copy of valid current certification. Rental Property SCTM Number: 1000-34-1-9 Rental Property Address: 1155 Main St. Greenport, NY 11944 Owner/Name: Heath Miller Rental Dwelling Unit Identifier: Unit 1 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) First Floor Bedroom (102 sq/ft) Second Floor Bedroom (168 sq/ft) Property Description (Include all improvements indicated on survey) 2 Story Stick Frame Single Family Residence w/ Detached Garage 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. Zackery.E. Nicholson Print Name and Title \S��RED Ay C, Original Si nature E. NiC- T� IQ- �`� l A s , ? ,u O Please place professional seal: i re► S� 044 , OAF T y OF N E`t'J 1 REFURBISHED BATHROOM UTILLIZING EXISTING STRUCTURAL REFURBISHED BATHROOM ELEMENTS AND PLUMBING \\\\1 EXISTING STRUCTURAL ELEMENTS AND PLUMBING L� b SHOR I EXISTIN62XB FLOOR J05T D g BDRM OOO 8 BTRM I® 3'REF !r -L . b I ii BERM .y�^1�I R.ge f lJ TO BE PANTRY HEN 2 I EXISTING GIRDER H I 5.8' D PROPOSED4X4 I 1 I II PROPOSED3'ADJUSTABLEJACK I I I CI I I II III 1 I I I 300.00 I I EXISTING FLUSH HEADER TO REMAIN 2-2'X10'- I I 7-7' ._____ .._ ._..I I_ _ __ __________ 4 GLUE 8 SPIKE I I ' I NOTE ERRED TO IF.-A PROPOSEDNEWTRPNSFERRED TO I KITCHEN LOCATION app pp OUTER WALL I ll O OP • OUT ,FOR n FIRST FLOOR IOTCHEN FRAMING PLAN III 1/2'=1'-0' OUTLEiIFOR INSTpN1IH0T 30000 I I M OUTLET FOR 0 ELECTRIC STOVE NEW 12'-O'ANDERSON DOOR EXISTING HEADER AND I OUTLET FOR FRIDGE OPENING TO REMAIN I I �; a0 25.9 OOifERTFNOP¢HiW00EBI0N DlU:FIIPTEeStY iEOERVEBRBCOYYON UW COTt00NfNIDOT1¢RFPOPFAIY f00Me TIffSE fr.OgllEff PING Ng MTro IR CN4WEDORCOi981WNWfOfY ORYN88i (�FlfSt FlOd' �$ecmd FlOOr w,t,TeocvER�mee�ssmlmroNx TNrmPNmwnNour 3 1/� 4'=7'4r 1/ s<vaoum aNre°1PR°�oF�wmw 'iueu 0°rnc".wvE�oN'ro% n+remuwwolNNrrwa uuESB•cmmaomtse aoEm181oxoT•mre PrmfEsaluErovawNur.rEcr. sEa.rmem.Nrt.rm IRn»aros,wrEs No sPErarcwTroNB nRE I.N Rmnwmr a SERVICE n Ne ll�PROPERl1'O f OW f EiR E W PIEEPoNO LE90N 6 CON.ORNCf bN BERVIC� C61pbEYEM BEPWBCLUfFD.PfWff NIET.9N600111OBRNLm A-1-.13--A- FMWN0,.WLLNOTBEUffOfORAM' RYPOBE OTIEItTNWTINTi011 W WCH IT6L04NE0 MBGtUWNONOITNE B CesmNs eoNnu4:olasa:w,wElsslmroPRwle TEowuLEsorauTaN ro YE PPOJEOTTENI.TW04dOR11�1pN90REN0E0iORUBE ONIIW MWECf ofar. ® � � rxagramw4srwsmrnnEorooara�mbarwrtumasa w 6I Otl14DA10a W 16 CODE ROIREEIIR ilEg MLY:S H10LLD H use m nocREBEca ale)auasm 1RImE caf m�ttoRs vw e ro If wrsawecauYBEa7�vPEmlaaa amnEmoYnERarrFREwovu rnccrnawusanomm¢o R6NOIUEOR CGDE tOIRYNa�BBaoo 1YYuaEEmw rxcsE mawcsooYor a1Bw4lav 1EIT REreO11YIw4o EaE�nsr¢auEoromanwlcrnmirrREsoE�,alwwuwwsrc rxEEYIa�IEwmwmKrcur slEErsYunBEn4srtrmrorlaErxu • Oi RECpN roCafWcaraucErmlOEscY�rm. SCALE: AB iMimted LEGEND SMOKE&CO DETECTOR 1 FOR PERMrt ONLY SY19/2021 6 REVISION DESCRIPTION DATE r _ ':'• Minor RenorBtion -•EXISTING 2X9 FLOOR JOISTS• -•r•P- �'° ,:iw .�• •f•• .iJ 1221 Main STeet•GreenpoMW11944 :.i!. :--PadPosEoaxs'-.. �r'••f� �rr '`� '•T; �/ DJJSTABLEBTEEL-WC ��d4 �'• - '+° �' Floor Plan q �Y: ".PROPOSED 2X8' '�l_:--�• .,.{,� .��\/ s•" •< •.3 "1:1: ATE: 0411921 '>•'` ,�� "•t.��,.� /// ROJECT NO.: 70407 DRAWN BY: LP • // �y •-i!•V �� MECKED BY: MAC MEET NO.: Ktdten Section Slaving Floor 2 rZRpL_cer ent 3 4 , _ TOW a '�HOL� -PROPERTY RECO LLAG VI STREET: -.� pa" E ,z R \W ER'`\_ ., i,, d;,it�r.� Es ACR. ,,-. T +a<..+ ;`\ �'W��',�Y '~ „+^„°x..Y4'...b+`P°�` :'-'��'^ f✓,-i.N.a�.�,�Y�^'`i r'i..1�'v.d-.sd R' °��:C .'� 5g N�,w-w."aY�+ ya TYPE OF BUILDING M .. - .,. AA– ----.._ __•__....... __.._ __ ..d,^:r;d.^4 :,+7.¢:<4's•..A^'�.•moo RE ' SEA'S. s VL'. 'FARM COMM. CB, -MICS. Mkt. Value ;.'LAND IMR. .. . I TOTAL DATE REMARKS . tl [_1 U5 F , a -- P i ` ' a —ate' ay.o a-,-4�' co 6 T, 9 pi �ur 3 ! c�av Z _� ✓ . R,'7 X 1z-12-12 - A'GE. _ BUILDING CONDITION ��/ 1 .. [`�J+J I �j}} J �jF'"5'.}fJ (f(j(/{� \ .��J�22— 4,..-• (f+. --y'{�e( d! f ff J j d / 0,s�� ,. Ep',� fie•' {),F[,�s.a , NEW- NORMAL BELOW ABOVE FARM Acre. Value Per Value Acre �(,� +� d•'a• �� O 3'? �� I r'I 7 Tillable. FRONTAGE ON WATER `,Woodland — .FRONTAGE ON ROAD 'Meadowtdnd DEPTH House Plot °• BULKHEAD R ;-Tota! - DOCK: rt z, a SCTM # f TOWN OF SOUTHOLD PROPERTY RECOR 3 OWNER I STREET { � VILLAGE 3. LOT I ACR. REMARKS CAA , TYPE OF BLD. - c,p PROP. CLASS We LAND IMP. TOTAL DATE cDo1 3q, 2,% ,o j v r ,r FRONTAGE ON WATER HOUSE/LOT .BULKHEAD TOTAL E � Me 0 so 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-22888 Date MARCH 7, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1155 (a/k/a 1085) MAIN ST. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 1 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-22888 dated MARCH 7, 1994 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 WITH ACCESSORY GARAGE The certificate is issued to THEODORE C. HENKEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Pluirding Inspector Rev. 1/81 ..rte.__,__..o_..._..__._.....,.. . . . .... .... - ---sem BUILDING DEPARTMENT TOWN OF SOU711OLD HOUSING CODE INSPECTION REPORT LOCATION: 1155 MAIN STREET GREENPORT, N.Y. number 6 street municipality SUBDIVISION MAP NO. [.OT (;) NAME OF OWNER (s) THEODORE C. HENKEL OCCUPANCY A-1 RES. type owner-tenant) ADMITTED BY: . NICK LAGUDIS ACCOMPANIED By: NICK LAGUDIS KEY AVAILABLE SUFF. CO. TAX MAP NO_ 1000-34-1-9 SOULC-Z OF REQUEST: WILLIAM PRICE, JR.-ATTY DATE: FEB. 3, 1994 DWELLING: TYPE OF CONSTRUCTION ROOD FRAME Q STORIES_I-1�2 EgITS 3 FOUNDATION STOW CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. .4 2ND FLR. .3 3RD FLR_ BATHROOM (s) I FULL BATH. TOILET ROOM (s) UTILITY ROOM PORCH TYPE FRONT COVERED DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE ONE (CLOSED OFF) GARAGE DOMESTIC IJOTWATER TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT LILCO RWARM EAR AIR TS TUATER S OTHER: FMTKY-or ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. MOOD FRAME STORAGE, TYPE CONST. S4IMMING POOL GUEST, TYPE CONST. OTHER: VIOi1TTONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE LOCATION DESCRIPTION ART. SEC_ ELECTRICAL Electrical fixtures, devices, wiring and systems shall be 4.Y.S.R.R. 9 (B) maintained in safe working condition in a manner which wil 124 .8 A avoid a potential source of'ignition or shock. Deteriorat material and equipment shall be removed and replaced, as may be required. 2ND FLOOR Ceilings, walls, floors and stairways shall be maintained 1242. (A) in a safe and sound condition. FOUNDATION. Exterior walls, including foundations .shall be maintained 1242. A so that ground and surface water does not -penetrate into basements 6 Cellars. EXTERIOR Exterior surfaces shall be maintained in good condition. 1242.5 (E) Surfaces not inherently resistant to deterioration shall be treated with a protective coating of paint or other suitable preservative. HEATING Chimn@ys, flues, smoke pipes and connectors shall be 1243.1 (b) maintained structurally safe smoketight, so as to saeyc prouc so RI?MARKS: INSPECTED BY: DA'T1-' ON INSPECTION FEB. 7, 1994 FISH TIME START 9:45 ENp 10:15 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28221 Date: 02/19/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1155 MAIN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 2002 pursuant to which Building Permit No. 28043-Z dated JANUARY 28, 2002 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 SHED AS APPLIED FOR. The certificate is issued to ROBERT W BRUCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authori4kd Signatu e 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-32227 Date: 03/07/07 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1155 MAIN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2006 pursuant to which Building Permit No. 32582-Z dated DECEMBER 18, 2006 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 REPAIRS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT W BRUCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A F1'.BCTRICAL CERTIFICATE NO. 3024048 02/21/07 PLUMBERS CERTIFICATION DATED 02/27/07 GREENPORT PLUMB.& HEATING r' ed ignature Rev. 1/81 �}oSUFFO(,tcG Town of Southold 6/24/2022 P.O.Box 1179 W ► i� 53095 Main Rd el Southold,New York 11971 .l CERTIFICATE OF OCCUPANCY No: 43183 Date: 6/24/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 1155 Main St., Greenport SCTM#: 473 889 Sec/Block/Lot: 34.-1-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/28/2021 pursuant to which Building Permit No. 46395 dated 6/10/2021 was issued, and conforms to all of the requirements of the applicable provisions of the lay. The occupancy for which this certificate is issued is: interior alterations and"as built"alterations to existing single family dwelling;as applied for The certificate is issued to Salt Boxx LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL j ELECTRICAL CERTIFICATE NO. 46395 6/17/2022 j PLUMBERS CERTIFICATION DATED 12/27/2021JotW tec age Signature i i