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HomeMy WebLinkAbout1000-46.-1-31.1 (Unit L97) TOWN OF SOUTHOLD - eel- Rental Permit 0456 Owner Driftwood Cove Owners (Eli Adler) Occupied as Apartment Unit L97 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. 6/5/2023 Z/—' Code c ment Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION I FOUNDATION 1ST ROUGH PL13G. FOUNDATION 21ND INSULATIOWCAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O fid. RENTAL REMARKS. ........... .......... DATE .... INSPECTOR TOWN OF SOUTHOLD a L- Rental Permit 411 Permit No. 0456 Owner Driftwood Cove Owners (Eli Adler) Occupied as Single Family Dwelling (Unit L97) 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. 6/9/2021 ` od Enforce nt icial This Notice must be posted by the main entrance at all times So Town Hall Annex Y }� Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 #� �,, Southold,NY 11971-0959 -A� BUILDING DEPARTMENT A PR 20 202, TO'VVrT OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: � J T J . Tax Map Number: 1000 SECTION_q(Q^_--BLOCK 1 -LOT, SECTION B. OWNER INFORMATION: F Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: io NY t Telephone Number(s): Daytim k�4)-9-f�"064f .� �6 'Em7rgency .2I 6/,37 7 f Property Owner Email Address: 1 2 Int PJ 11A OU' '� Page 1 of 5 f� a' ��4F SON� . Town Hall Annex T ephone(631)765-1802 54375 Main Road 49 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 Evling Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dw ing unit, if any: Address of Authorized Agent o P.O. Boxes): Mailing Address of Author' ed Agent:. Telephone Number(s)• aytime .Evening Emergency Email Address: SECTION E. SITE MA AGER INFORMATION: (required for rental properties containing 8 or more rental units) Name f Managing Agent of dwelling unit, if any: Ad ress of Managing Agent (no P.O. Boxes):. Page 2 of 5 Town Hall Annex F,l Telephone(631)765-1802 54375 Main Road j Fax(631)765-9502 P.O.Box 1 179 i G 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: 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: �--cirl Requested Maximum number of persons allowed to occupy Dwelling Unit: �. Number of rooms in Rental Dwelling Unit: .5 Use and Dimensions of each room in Rental Dwelling Unit: WV t"Q Ldp X 14C� 11 Ox 12 5 Page 3 of 5 ry• y� t�'} .:L Town Hall Annex Telephone(631)765-1802 54375 Main Road i Fax(631)76.5-9502 P.O.Box 1179 'tt i5 Southold,NY 1 1971-0959 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. 0 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) �fi���— E E I 1 , 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 ©��pF SQ(/pyo ; �. fo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Of�CDUR� . 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: Property Owner's Signature: Sworn t ,fore m this day of 202 Offici Notary ublic Signature and Original Notary Stamp KE-ft LOPEZ Notary Frublio,State of New fork Registfallo No.091-083131399 Qualified In N4 York County Comnafssirrn May 6;20023 Page 5 of 5 951 SOUTQ Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O/ CO u �1 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) certify under penalty of perjury, the following: 1.' I 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 3 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOI D 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 Architect or Engineer,licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: �f Rental Property Address: U nil- -L q-1 i 'Dn DO V u 1 00© _ .—ee Owner Name: F-L 1 ,4 L Rental Dwelling Unit Identifier: L 4" Number&Square footage of each bedroom as depicted in the attached floor pian: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Pvf✓p n-,oo t-I (1 ) �--&cD dF; Property Description (include all improvements indicated on survey) \\l00.Dth� \Y l"Tl-1• �,ITCI-�l�—L .4 iJ.II� c�jb.-TN 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. Print Name and Title Original Signat 4r;� jlJb, `L ; Please place professional seal: oraSOUj GwgaA- UA(V � OF # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 = INSPECTION— [ ]' FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL4vwt , [ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] -ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR +byw;ie>.ni>,+-Mr.:na _.:v...re;.;:r�+�.a: I.:.�,r-:ae•: ,rir-spa. .w. t- - RAT°.. .• ""r f {' =_ :��t`�b•,� 1f'Wi`5�+r ' N:Rr twi«ere: ,1,waa - ia _ ^� � �y''N .'cY;Zn I�F..V,fiI A � nRr+v'lrra �•• on��arncw@t4Aam"rf� .tt.�a.u:.ivaJ«�, Y � A � TOWN OF SOUTHOLD PROP 1q ;RD. CARD OWNER STREET F VILLAGE DIST. I SUB. iLOT E ACR. - ,'f / FORMER N OWNER ' �. aHi', �r . S / W TYPE OF BUILDING r > L ! rin �/ ' I, VL. FARM COMM. CB. MICS. Mkt. Value--6r'--f-01-6- RES. ���%� 'SEAS. , LAND IMP. TOTAL (�' DATE REMARKS S �/` 1 �' "J J /o�r7�w♦r�, —? -0r tAk A 6 t . S Q 1J� J�I'�/�' d(l�'�?!' �/I"�{f���).� �1�'`,3� -( f: '}`r/' p`r` /�f`=' ,`��''1�,1't�9',L1',�:''r••. ' tPt Cl l��P l'�• �1 1 T f �J G C1�. C—CSl/fh l rC'.`0 rt f.y 4 C�w,� V !✓ CJI J (Ga J �� '� / // /! 2' ,`--:d`� t - ."`_ PP�` (( ?�D ✓� 'C_i�Si:!moi 14)4. kr r `P,r1 ► r a �P� �tL ' r :r; ,_ ���, / d'S"r,` �' °i ',� 1 1 6p7 ��c, T - �iect ricr,,l 7 ': y c7 S rn P lilt" 1r(f1e6ftsi,yl)Ci-i6)� ��t�1a.c���i;,,_�'• ���;� qo ,000 y l3 ` 7 15, 07 I• G tD-2-(D . I � g '2n0fi � .�� l Ll a t - T'I ble FRONTAGE ON WATER - - • -'� � FRONTAGE ON ROAD Woodland �I l � Meadowland I I .DEPTHL,9 77 House Plot I BULKHEAD ' Tota T7, •-� t a ^4 ��".,,�_� .;s�::¢g� gas lit COLOR TRIM'' ' �. s i s a 3 S0� Q� e J 7- • •"' 67 ID , �,�-�,1.� r��.n �d�-,�' � Vic.> - � ' `� f•: ' -- ;- - -: f i 1,1.3'a ?t` • i -�� s Y, :`l.'.;";.gid,./ IVt. Bldg. 7D r N' s L�G,5 __ -`� -o�� i•,.� { i• i�;. 'E ;#ensioniJ tensiah Extension " f Foundation Both Dinette Porch j�: sement Floors K. (Ago go �i Porch' Ext. Walls' Interior Firiish 'LR.' F Breezeway Fire Place Heat_ DR. '',,Garage Type Roof Rooms l,st Floor BR. + ' Pdtio, E Recreation Room Rooms grid Floor'. FIN. B Dormer Driveway.. _O. B. i Total. 7 MEN -id V7- {..�., ■ NOON■■ NNo so MEME No OON■■®■■■■■■■■ 7' ■■■■■■■■■■■■■■� t _ , ■ mom MOM ■ ..-_k M ." ,, "" ' J .:• NOON■ ■■■■■■■■■■■■■■ ■■■■■ ■■■■■■■■■■■■■■mom■■■■E■■■■■ ■■■■m■■■■■■®■■■■■■ ■ ■ ■ ■■■mom■■■■■■■■ ■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■NONE■ ■■■■■■■■■■■■■■■■■■■®NOSINESS ■ _ �. �_ q; ■■■■■aE■E■■■■N■■■ ■■■■NON■■■ r_ __ .. .. _ e■e ■■NONE■■■■■■■■®E■■■■■■■■C _. - - _ ■■■N■■■Na■■■N■■NON■■■■■■NN■■ NOON■■E■■■■■E■■N■■■E■■■■■E■■■ ■ ■■■mMEEMENNNNN■i■■ NEN■i■■■■ !Ext. W611s 1:1—nterior Finish Fire Place' Type Roof .. � ®;Recreation ••• • ��'• - FORM NO.4 TOWN Oe-SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . .Z 10582 . . . . . . . Date . . . . . . . JA1Y- 1.7. . . . . . . . . . . . . . . . 19 -61 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . Main Rand & 9th StreetP. aresnport� Herr. York House No. Street .Hamlet County Tax Map No. 1000 Section . .46. . . . . . .Block . . . . 1. . . . . . . . . .Lot .31 .1. . . . . . . . . . . . &dD3disci6i=X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:Fj1% bdxxJb5c. . . . . . . .xb 0b&Xx. . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated AprA .30. . . . . . . . . . 19 .73pursuant to which Building Permit No. .453.1 .T. . . . . . . . . . . . . dated . . . . .Ap>r it .30. . . . . . . . . . . . . . 19 . .74was 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. "L" Driftwood Cave The certificate is issued to . . . . Xenophon Damiananom (owcr ner,jaea or-tan w-,L.._ of the aforesaid building. Suffolk County Department of Health Approval . . . .Existing .Public. 3erter. System, . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . ilding Inspector Rev.1/81