The URL can be used to link to this page

Home My WebLink About1000-46.-1-31.1 (Unit J79) fill� TOWN OF SOUTHOLD Rental Permit 0524 Owner Connor Stepnoski (Driftwood Cove Owners) Occupied as Single Family Dwelling (Unit J79) Located at 1000 Ninth Strret 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. 8/23/2021 Coder ce Officia This Notice must be posted by the main entrance at all times Town Hall Annexa Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179fi Southold,NY 11971-0959 � 1 IDII BUILDING DEPARTMENT TOWN OF SOUTHOILD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: wo Tax Map Number: 1000 SECTION to -BLOCK -LOT 11 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: @ P 3 ,4 k 0 31m 6 - 9 +4,D Telephone Number (s): Daytime - Evening Emergency Property Owner Email Address: Pagel of S Town Hall Annex irk Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 cou BUILDING DEPARTMENT TOWN OF SO HOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:M e r Address of Authorized Agent (no P.O. Boxes): ?� N Mailing Address of Authorized Agent: Telephone Number(s): Daytime316-I';14-07 1 Evening Emergency Email Address: kn � � 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: Address of Managing Agent (no P.O. Boxes):_M ,m_—.__, ,.., - Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ., UN � 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: Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: I-ell Page 3 of 5 w. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 0 � A Southold,NY 11971-0959 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. ❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold C�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) 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 Hall Annex 4Telephone(631)765-1802 f 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ,A, �. Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD 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: �_ r " lis m► Property Owner's Signature: Sworn to before me this�� day of � 2.Q Official Notary Pu II ature and Original Notary Stamp ROBERT A MAZZAFERRO NOTARY PUBLIC-STATE OF NEW YORK NO.01 MAfi?f1717Fi QUALIFIED IN SUFFOLK COUNTY " COMMISSION EXPIRES JUNE 15,20�"1 Page 5 of 5 NlAq........... TOWN OF SOUTHOLD BUILDING DEPT. 765-1,802 I N S E%C'rk T I 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 [ I PRE C/O I - 0 V DATE It mINSPECTOR , Telephone(4631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 >xr BUILDING DEPARTMENT TOWN OF SO .IT'ilO RE ICATION Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro essiona seal required or Architect ar Fn Ineer iicensed Home Ins ector must provide a to o a valid New Ya ric State Uni orm Fire(Prevention Buildin Cade Certi rcatian. Rental Property SCTM Number: 3 79 Rental Property Address: tL -Owner/Name: _ I Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description (include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that the unit 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. � n Print Name and Title 141ginal Signature " Please place professional seal: � 14' 51611 a0s�f 6' 5'66"X6' 11' ren POOM ill x 19' PATH ROOM f6"X 8' 1 A $ C- 8' 611 8' CHX 11' ATN cart 11' LIVING ROOM II'X 15' 316" 15" 18' 6" Y w g�p loan fl te. n f nim« p 5^MmMen /gym d� .a V n .w g G ' w: M, r .0. AI " w �nrwmy�uvPo'mmrrem 4z. w R ( ` r a y. 'mom tag it �p ni F N w 4�. I �u ~e. '..kxumr„' x+cmr -u'*�•+-�r....+uxn u:.w�.,.vw�um ,.. rv':�www.. i .a i mr 0 r , 5 Ir FORM NO.4 'rot N OF SOUTHOLD BUiLbING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy 210584 July 17 19 81 No. . . . . . . . . . . . . . . . . . Date . . , . . . . . . . . , . . . . . . , . . . , . . . , , . . . ., , . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of PropertyMain Road and 9th Street, Greenport, .Now York House,No. Street N*,1rr►ler* County Tax Map No. 1000 Section . , . .416 . . Block . . . . . . . . . . . . .yy � Lott . . . . 3 .1. . . . . . . . S149A i:5ii*ff*3C. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Iv avl�x . . . . . . . .LO[ NOxx. » . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated April 30 . . . , . , 19 . ?pursuant to which Building Permit No. . 6529Z .. . . ... . . . . . . . dated . . .APril 30 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 Damiananon The certificate is issued to . . . . . . . . . . . . . . . . . . . „ (owner,*s . . .)— of the aforesaid building. Suffolk County Department of Health Approval _ Existing Public Sewer System. . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . N3176.91„-N317692rt',H31769311317694 Y Building Inspector Rev.1/81