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Home My WebLink About1000-34.-1-16 £R TOWN OF SOUTHOLD 40 Rental Permit 0815 Vie. Owner Matthew Maddy Occupied as Single Family Dwelling Located at 375 Main Street Greenport 34.-1-16 Maximum Permitted Occupancy 6 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. 1/31/2023 A 4" C dr rc ffical This Notice must be posted by the main entrance at all times Town Hall Annex » roto ephone(631)765-1802 54375 Main Road � Fax(1x31)755-9502 P.O.Box 1179 Southold,NY11971-0959 P R BUILDING DEPARTMENT JAN 2 h 2023 TOWN OF SOUTHOLD D RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: A0 Rental Property Address: 1111 Main St.Greenport NY,11944 Tax Map Number: 1000 SECTION 1000 -BLOCK 34 -LOT 1 - 16 SECTION B. OWNER INFORMATION: Property Owner Name: Matthew Maddy Property Owner Legal Address: Property Owner Mailing Address: 1111 Main St.Greenport NY, 11944 1111 Main St.Greenport NY, 11944 39; - Zs Telephone Number(s): Daytime 646-387-4602 Evening 646-387-4602 Emergency Property Owner Email Address: nico.arze@gmail.com Page 1 of 5 so `, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1 179 ' t Southold,NY 11971-0959 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 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: Home Requested Maximum number --. umber2 of persons allowed to occupy Dwelling Un : 6 Number of rooms in Rental Dwelling Unit: 9 Use and Dimensions of each room in Rental Dwelling Unit: Room 1:Garage 21x23 Room 6: Main Bedroom 12.5x12.6 Room 2:Sunr m 11x1 ,1 Room 3:Kitchen 18.411.4 Room 8:Bedroom 03: 15.5x12.3 Room 4:Dining Room 12x13.8 Room 9:Basement 32.2x26 Page 3 of 5 � w� Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(63l)765-9502 P.O.Box 1179 Southold,NY 11971-0959 enu 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. ❑ lam 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I Matthew O.Maddy 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 sore . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 K Southold,NY 11971-0959 coyer w BUILDING DEPARTMENT TOWN OF SO THOLD 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: Matthew O.Maddy Property Owner's Signature: State of: Texas County of: Harris Sworn to before me this 23rd day of I January , 2023 Official Notary Public Signature and Original Notary Stamp 1��K 99�dwda�d�r/ Nlcholas Collins ID NUMBER + 132561618 COMMISSION EXPIRES ` PsIkIYllI4 July 9,2024 Notarized online using audio-video communication Page 5 of 5 TOWN OF rB*UlLDlNG D E E 631 -765-1802 .-. ... INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INO. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII E ] CODE VIOLATION [ ] PRE C/O [ Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 m �' 'o P.O.Box 1179 Southold,NY 11971-0959 U � BUILDING DEPARTMENT TOWN OF SOUMOLD 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 Profiessional seal required for Architect or Engineer licensed Home Iris actor must provide coo of valid current cerci kation Rental Property SCTM Number: Rental Property Address: 1111 ,N1 iN $7v� 6 O PST Owner/Name: _ Rental Dwelling Unit Identifier: H014 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) 0 196F 80-1 w4r6R• g6l'�roz, / ti l &, Property Description (Include all improvements indicated on survey) ( S a Q s 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. r 6, Print Name and Title TE, ' Original Signature Please place professional seal. 40 �0 Opp 21' 23' GARAGE Fire Alarm + Carbon Monoxide + x 0 i Fire Alarm SUNROOM Extinguisher 13' 11' 14' 0 DINING 18.4' 12' 12.5' KITCHEN 7.1' 11' MAIN 38 IK +- + 19.6' BEDROOM 6.5' LIVING 14' 9.3' BATH ROOM O 6ED Gi iM NEY 25' 15.5' 4' 32.2' c 12.3' BEDROOM 3 S E 6ED T �Zwffxw BATH <--- 26' BASEMENT 82" ROOM / CLOSET X 13' � BEDROOM 2 6ED 20' ;2,0 TOWN OF SOUTHOLD PROPERTY RECO OWNER ISTREET-1A l VILLAGE �I' —D LOT C/ 4 1 -�4o ACR. ra 1 TYPE OF BUILDING 41 > z % t ' RES. .'SEA� VL. FARA" COMM. C-13, MICS. Mkt. Value IMP. TOTAL DATE REMARKS RKS A) 12 fl 19 12, U U 1-7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 0 0 Meadowland DEPTH House Plot BULKHEAD DOCK Total a } CQLOR TRIM it i g - A z � a a g 3 � . r M. Bldg - � � f Extension _ _ -- Q a Extension ° = _ i e a�� Extension E _ - Foundation 'Bath Porch EBasementF[cars '- Porch Ext. Walls Interior Finish gLR. i E } BreezewayPlace - 4 ; Heat[ Garage � � � � " ` �� ! � � � �� Roof iRooms 1stFloor QR; � Patio ` A eQ ion Roon- � Rooms 2nd Floor FIN. B O. B. Dormer p,V, J !Driveway Totals a 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- 29910 Date: 12/12/03 THIS CERTIFIES that the building DWELLING Location of Property 375 AKA 1111 MAIN ST. GREENPORT (HOUSE NO.) (STREET) _ (HAMLET) County Tax Map No. 473889 Section 034 Block 0001 Lot 016 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- 29910 dated DECEMBER 12, 2003 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 ATTACHED TWO CAR GARAGE* The certificate is issued to ANTONE A STRAUSSNER JR. (OWNER) -_..........,._w�,� of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. N/A PLUM$ERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION R R. Authorized Sick ure Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: w 375 AXA 1111 MAIN ST. GREENPOR"T" SUBDIVISION: MAP NO_: LOT (S) NAME OF OWNER (S): ANTONE A STRAUESNER JR. OCCUPANCY: SINGLE FAMILY�w� ,_,,,,_�_,__ FMN7'C?Nffi TRAUSSNFII 3R, ADM73THD BY: ANTONE,,,,S,',t",......... ��,U SNER:....JR..,,_,.�............_.,. ACCOMPANIED BY: SAME_................._....., KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 34.-1-16 SOURCE OF REQUEST: ANONE A. STRAUSSNER JR. 12 5 03 DATE: 1-2/12/03 DWELLING: TYPE OF CONSTRUCTION: _WOOD FRAME _.. _ w_.. .... ... # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FI;; CRAWL SPACE: TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 2, 3RD FLR.: 0, BATHROOMS): 2.0 TOILET ROOMS): .,._.w..0.....0 UTILITY ROOK(S): PORCH TYPE: _ w DECK TYPE: w PATIO TYPE: SLATE REAR BREEZEWAY: ONE FIREPLACE: ONE GARAGE:102 CAR DOMESTIC ROTWA'(RR: YES TYPE HEATER: NAT.GAS AIRCONDITIONING: TYPE BEAT: NAT. GAS WARM AIR: HOTWATER: XX OTHER: BILCO ACCESSORY STRUCTURES: GABA-GE, TYPE OF CONST.: ...w STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST- OTHER: ONST-OTHER: _ _.. .... ... .... VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCA"ZION ....____DESCRIPTION _..... ..._.. ART. SEC. f V q RESARIKS: --i6INSPECTED BY: .........W. DATE ON INSPECTION: 12/11/03 OHN M. BOUFIS TIME START: 9:45 AM END: 10� 0 AM