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Home My WebLink About1000-46.-1-31.1 (Unit J73) TOWN OF SOUTHOLD 4a 40 Zft Rental Permit a - 0251 Owner Driftwood Cove Owners (Unit J73-Adler) Occupied as Single Family Dwelling Located at 1000 Ninth Street Greenport 46.-1-31.1 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. 9/20/2023 - Code Enffce nt Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING I a� 631 -765 1802 �— IN PEC ' ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F11 [ ] CODE VIOLATION [ ] PRE C/O [ DATE f ? INSPECTOR ' ^ der TOWN OF SOUT-HOLV-SUll' DING I 1 7518►UT IN ;; [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ 1 REMARKS: M - INSPECTORDATE Town Hall Annex �! Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 ` Southold, NY 11971-1179 , ► Tel: 631-765-1802 STM# Dat e Owners Phone . . . .. Address � ` �,� t�ove e Irisble.._ ., Vise vc Hamlet �� R � ector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits _ Bedrooms 1 2 3 4 _ 5 6_ Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails & guards installed &secure Pool Safety Pool on Site _ Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: Town Hall Annex UTHOLD TOWN S0 54375 Main Road P0 Box 1179 Southold Rental IDLo NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 0-F ........— Date 61 A; Si # Phone Owner Zip Address tyrl Inspector C i R, ........... nu WEIIIIIIIII'', 3 LEVELSSUB 2 Smoke-Detectors- bedroom detectors excluced,}, Carbon Monoxide Detectors Fire E)(tinguishers (,#) Exit s7// ]VIM 4 Egress (windows) OPE YIN BUILDING SYSTEMS Y/N C 0 N D I T ION OF PI,RO,P, -italedp systern -mai e�ationa, jBuikding Exterior is ciea water 1 Properly is c can sal e maintai,�ed.- rica se�.ter L Hanc),,aiJs & guards present Mechanical System, rnaintained/oper-ationai 20 wa W/ MEN F", Mr, 2"", �EOMMENTO !t ............ Oil .......... ,1 7 102I Re-lia, i.,SpzC,I0r `3,r' -73 Milwom"', ) -7 — ��< . m .. a.. = a�� - - ��» ^ la: v s » % 3 ��« \ .�.:�\\ TOWN OF SOUTHOLD X Rental Permit 0251 Owner Driftwood Cove Owners (Unit J73-Adler) Occupied as Single Family Dwelling Located at 1000 Ninth Street Greenport 46.-1-31.1 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. 9/20/2023 Code f rce of Official This Notice must be posted by the main entrance at all times �o, t1�SI7� TOWN OF SOUTHSOUTHOLD BUILDING DEPT. Icau . 631-765-1802I N S P T ti T w"A""a" N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ 14ENTAL d1 6a tZ �o n 1t4 osrr a DATEM ..... ..., SVf FO(,� Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 " ' Southold, NY 11971-1179 W Tel: 631-765-1802 Date Owner Phone Address acs � � _ Visible �.... _ r �� t < � Inspector pector Hamlet c � � � e,,, Floor Level Quantities Sub 1 2 3 Smoke Detectorsnot located " ( in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3_ 4 5 6 Smoke Detectors i Egress Occupant Count 3 Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails &guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance 1-1 Door alarms Pool completely enclosed 1. Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental �a Comments: _ . t NO klOWN OF SOUTHOLD Rental Permitg R 0251 Owner Driftwood Cove Owners (Unit J73 - Adler) Occupied as Single Family Dwelling Located at 1000 Ninth Street Greenport 46-1-31.1 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. 14 12/15/2021 e Enf rc m ffcial This Notice must be posted by the main entrance at all times f e6 Town Hall Annexu'„ l#(nill) o (631)765-1802 54375 Main Road 765-9502 y P.O.Box 1179 Southold,NY11971-0959 � �� 9 1OF sour BUILDING DEPARTMENT TOWTq 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 Era essional'seal re uii d or ircl itect or 6n ineer licensed erne Inspector must provide copy of valid current ce to ication Rental Property SCTM Number: Renta! Property Address: L T Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1—200 sq.,Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 0 LT I L LDIOCA 1 certifythat 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, Print N d i rAginal Si: nature Ple e� i1 ace�Iofe )ora,ai�ea M TOWN OF SOUTHOLDRental Permit 0251 Owner Driftwood Code Owners J-73 (Adler) Occupied as Single Family Dwelling Located at 1000 Ninth Street Greenport 46-1-31.1 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. 12/17/2019 John Jarski Code Enforcement Official This Notice must be posted by the main entrance at all times I � w Town Hall Annex isle hou d'631 765-1802 54375 gain Rom Fax 1)765-9502 P.O.Box 1179 Southold,NY 11971-0353 ...........PI�pY��1�u7� 110 �^ PERMITBUILDING DEPARTMENT DEC 2019 TOWN OF SOUTHOLD RENTAL Rental Permit Fee $200(Application must be renewed every two years) Section Property Information: Rental Property Address- ...................... fl� � � � �r s Tax Map Number: 1000 SECTION ' BLOCK � L01 SECTION OWNER INFORMATION: Property Owner Name �r. �..' 1 Property Owner Legal Address: Property Owner Bailing Address: (Cannot be the same as Rental Property Address) lq F Telephone Number(s): a ( Property Owner Email Address4 p y � Page 1 of 4 Section . Authorized Agent Information: Name of Authorizede of dwellingunit, if any: Address ri oces): Mailing Address of AuthorizedAgent: Telephone Number s): EmailAddress: Section D. Information:Managing Agent Name of Authorizeda eliunit, if a : Address of AuthorizedAgent(no P.O. Boxes): Mailing Address of AuthorizedAgent: Telephone r s): EmailAddress: INFORMATION:SECTION E. SITE MANAGER (required for rental properties containing 8 or more rental units) Name of Managinge of dwellingnit, i s Address of Managingn (no P.O. Boxes), Mailing Address of ManagingAgent: _ .....__ Telephone u ber(s): _...__ __........� . Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I 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 nit: Number of rooms in Rental Dwelling Unit: 4 Use and Dimensions of each room in Rental Dwelling Unit: X 2,OV o /— Ix T7 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 NYS licensed architect, a NYS 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. Page 3 of 4 I am submitting a completed f Southold certification form from license architect, a licensed professionalengineer, licensed o inspector who has a valid New York State Uniform Fire Prevention BuildingCertification. SECTION H. Signature ized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) SUFFOLK)COUNTY OF certify under penalty of perjury,the following: 1. l am the owner of the property identified in "Section A" of this application. . The property owner's legal address set forth in "Section " of thisapplication is my legal address and I understand the Town will use the address for service pursuant to all applicablel s and rules. I further acknowledge that I will notify the Town of Southold Building Department of anchanges f address within five ( ) days of any changes thereto. . 1 havera received a copy of Chapter 207 of the Coe of the Town of Southold.and agreed i same. . I will notify the Town withinfive ) business days s to any change to the information regarding Authorie a Managing n , or Site er. PropertyOwner's e. Property Owner's Signature: Sworn to before me this 14 day of 20g Official Notary Public Signature and Original Notary Stamp DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK Page 4 of 4 1 147 593 Quolif ed in Suffolk County MV CoMmisgion Expires April __ Town Hall Annex Telephone(631)765-1802 54375 Main Road � �', v Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ,a' "n(irAll, BUILDING DEPARTMENT RENTALTOWN OF SOUTHOLD T CERTIFICATION Form to be completed licensed architect, NYS licensed engineer or licensed home inspector Separateform is requiredfor each individual ental Dwelling Unit Pro essional seal teqyired fr Architect or n lheer��r ease 'l e Insp ctor M� Li cqpy o`a valid New Yorlk State Un orrn I"'ire l reventralj uildin Code Certification. Rental Property SCTM Number: Rental Property Address: lPI) F-T VJ04E�ov - 1 Owner/Name- Rental Dwelling Unit Identifier: Number&Squarefootage of eachbedroom s depicted in the attache r Ian: i. . Bedroom#1—100 sq., Bedroom#2-90 sq., c.) — - � Property scri tion (include all improvements i is survey) � ) ( I t.e — 1 , twi LTi "= I Ly I certify that I have done a physical inspection the subject rental dwelling unit and find that e unit is in compliance i all of the provisions of the code of the Town of Southold,the laws and sanitary si regulations the County of Suffolk and by the laws adopted by the New York State Fire Prevention and BuildingCouncil. Print Title Arriginalnature —� D Please place profession 4� X ,r�" 41 P�. ®J L ; T � TOWN OF SOUTHOLD BUILDING DEPT. -1 INSPECTION [ FOUNDATION IST [ ] ROUGH PL13G. CFOUNDATION 2ND A ]NSULATIOIWCAULKING� [ ] FRAMING /STRAPPING [ ] FINAL pe"",4 FIREPLACEI F I SPECTION [ FIRE RESISTANT1 RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL L) CODE VIOLATION CAA% ok", 1 DATE INSPECTORO/$� i etc f mn ,ry nm 1 w T ,,.m_... Mj 9 � xi- G VORM NO, BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Ju No- . , . .1. . . . . .. Date , . , . . . . w .1 . . 1 7 19 B1 THIS CERTIFIES that the building . . , . . .. . . . . . , , . , oad and 9th KeV York Location of Property in R _ . . . . . . . . . . . .Street, r House JVo. �tHarnlet County Tax Map No, 1000 Section . . . 46. . . . . .Block ® . . . . . . . . . .. . . . . . „ . . . , . . . . .. . . . . . . M . . . o` b ;. „ „ „ . . . , . .. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 3® 6529Z ' . . . . . . . , 19 . 73 pursuant to which Building Permit No. . . „ . „ ,. dated . . .April 0 , , 1973. ,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 Bedroom Apartment Bldg. "J” Driftwood Cove Xenophon Dami The certificate is issued to , pa.nenos of the aforesaid building. Suffolk County Department of Health Approval .Lusting Public Suer System UNDERWRITERS CERTIFICATE NO.. . N31769i- 3176$2-.N3176 3 1769k , tl . . . . . . . . . . B'11ilding Inspector Rev.1/81