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HomeMy WebLinkAbout1000-46.-1-31.1 (Unit D33) TOWN OF SOUTHOLD 20 Rental Permit 0578 Owner Driftwood Cove Owners Inc (Kotula) Occupied as Single Family Dwelling (Apt. D33) 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. 1/20/2024 Code En orc nt Official This Notice must be posted by the main entrance at all times 631 -765-11802 IN PEC ION [ ] FOUNDATION 1ST [ ] ROUGH PEBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ken?�LAW sv_.IulzcY 1 . OIL, DATE INS " m.. Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 V* Southold, NY 11971-1179 O Tel: 631-765-1802 _ .. Date Phone caner Visible Address 1 I �,e _ .. _ ' ��. Inspector Hamletjee _. .. Floor Level Quantities 2 3 Sub 1 Smoke Detectors (not located bedrooms) Carbon _..... Monoxide Detectors Fire Extinguishers _ __-- --- ---- .--- Exits Bedrooms__ 3 5 6 Smoke Detectors Egress Occupant Count O Building Systems Maintained & Operational /Building ondition of Property Heating uilding interior Hot water exterior Electricalroperty clean, maintained &safe Mechanical Handrails &guards installed & secure Pool on Site Pool Safety . to _ Surface water alarm Date of CO issuance Door alarms poolcompletely enclosed Self closing/ latching gates code requirements Pool fence to CO's for all items present Prior Rental Comments: __ s TOWN OF SOUTHOLD Rental Permit 0578 Owner Driftwood Cove Owners Inc (Kotula) Occupied as Single Family Dwelling (Apt. D33) 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. l 1/20/2022 oc E f c� �n Official This Notice must be posted by the main entrance at all times Town Hall Annex " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 D' BUILDING DEPARTMENT OC"T 0 021 TOWN OF SO HOLD BUILDING DEPT TOWN OFSOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: p Ct CA Tax Map Number: 1000 SECTION -BLOCK -LOT—.5- t(300 (Woo 1000310d t SECTION B. OWNER INFORMATION: Property Owner Name: oc— Property Owner Legal Address: Property Owner Mailing Address: 00o q n sr -33 100 � Telephone Number(s): Daytim •M "A ening Emergency Property Owner Email Address: l vv�—g YL 0 M Page 1 of 5 Town Hall Annex Telephone Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 1 Z BUILDING DEPARTMENT TOWN OF SOO;D 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 Evening Emergency Email Address: Section D. Managing 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 Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: 1 coop— Address of Managing Agent (no P.O. Boxes): \JJF-S' /V rc ty 1J L QQ►�ct� `( t 7 9 Page 2 of 5 Town Hall Annex '; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 y Southold,NY 11971-0959 NNe .. a BUILDING DEPARTMENT TOWN OF SOUTHOLD ?b Go y- (t'ae, Mailing Address of Managing Agent. gv" u yj[51,8 Telephone Number(s): Daytime 1' 8- vening Emergency Email Address: � �tJ - M 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." �. 33 Rental Dwelling Unit Identifier: " Requested Maximum number of persons allowed to occupy Dwelling Uni - Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: I. r fh r`�rNti +0 L( II1 Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1197 1-0959 BUILDING DEPARTMENT TOWN OF SOOTHOL;D 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. 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 P��i ��`����-P� 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 qa Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box It 79 Southold,NY 11971-0959 BUILDING DEPARTMENT TOS 'OF SO OLD 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: WR E- (CaTOLIN Property Owner's Signature: Sworn to fore me this,.-I 0 day of O CT a btl 20�\ Official Notary Public Signature and Original Notary Stamp Page 5 of 5 1.�-b - 1-31• 1.0 00 q+` ST (tn cd 6---5 0' TOWN! OF SOUTHOLD BUILDING DEPT. coin 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /ST' APPING [ ] INAL [ ] FIREPLACE, CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 1 INSPECTOR Unit D33 Driftwood Cove 1000 9th Street Greenport New York 11944 . .... �..19.5"_i X3'10"► X4'7"► 44'10" 3'4, ",V .Orl1:�. tvinoom W CO M M z iD 0 StairWa o Y N f OJi,° 5'U........... i u Kitchen .... .5'S �, ®� �.._e.... 14-0"._ _.. Full Bath 11'2"► 0 0 ,w„. u7 Bedroom o o - �5 W ® o f .44 0 ► 14 0 5'0'... .. J l ..... ............ Smoke and Carbon Monoxide Detector= 4 - yqLJ # 1.. TQ Ill 0 �W- 06-5101 41 Mh -- a FORMER OWNER c,�x�=• [ mss. SIG `.. — S � � � ;TYPE OF BUPLD.ING' RES. ;••. SEAS, VL. ii ���� �1I� �� _ d — _ LAND TOTAL ' _ 7, , b- l , ._• �= � �7 C> a �' E f in 61 _s r . 6 t '' _ 4.- � �.� •. . _ r -r§ rI . e �. � � • a t € ` j - - P 'is a � bI./ 11 7 - ctrLtn ('i c a. 3 = t VIA _ 4 ' .. me- Tillbbie N - 3 - .. f - g Meadowland ` House Plot Total v� yr w TRIMi He f . F. » i t t a a� M. Bld g i '� i �' = t6 j Extensionell i t Extension 1 e Extension , i u i a "Fidttr Din 9 e - tte Porch '_ `. .. crt \ iors i<, Porch � 1i ' ' Interior Finish I LR. E rtL yy v Breezeway Fir i t DR_ s Garage i ' \ �`. Rs Int Floor' Patio E � t t rs r Floor FIN. B h o By ? o ILL- Toto Tota I i ' A F TRIM 3 T� a 3 �. S NO 150 1 46.-1=31=. 10/2014 -71 46131.1 2/03 I i b JC�BlYSIOfI� Extension , � . .g 6 = Ex-rens ion f_ ` e ;Both Dinette ��`y^ Porch 1 \ re Floors s I Rorch � 41 Interior Finish i LR, \ l~€ o Heat" DR, Breezeway _ � I Garage \ Tye Roo rns. 1st Floor BR. Patio F���� nd Floor IN. B `_:„ \ _ F O. B T01 Fes' s . E , . `\ �\ I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. X6W. . . . . . Date . . . . . . . . . . . . . . . . . ., 19. 73. THIS CERTIFIES that the building located at .Main Rd(IT25)-, .9th. $t Street Map No. J= . . . . . . . Block No. . . . . . .Lot No. XXX . .ar-eeapartX.Y.. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . .APrUL. . . .30-, 19.73. pursuant to which Building Permit No. 607. dated . . . . . . . . . . . .April . .; , 19.73., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .one. bedraox. apartment. -. .buildings. %r 9"D"9. ' ".Driftxnod.Cave The certificate is issued to H.x..Gonstruction•Coria ar• .(X ,Dsx s)• • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pub. -rater A. Saver. approval. . . . UNDERWRITERS CERTIFICATE No. '"CV,1+ lits M177 4 C . ."V1 .units 1225D249 x'22 C2 X2250271 "I"-bunits-122 'D2, �r� � HOUSE �U ER . . . . . . . . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hous numbers to be assigned on Completion of proJsot . . . . 1 .. Building lnspecto