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Home My WebLink About1000-46.-1-31.1 (Unit L101) � 66 TOWN OF SOUTHOLD Rental Permit 0991 Owner Driftwood Code Owners Inc (Kohl-Unit 101) Occupied as Single Family Dwelling Located at 1000 Ninth Street Greenport 46.4-31.1 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 Enfoice Official This Notice must be posted by the main entrance at all times 3 V-.c C_ Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r 7 f / BUILDING DEPARTMENT A 20 23 TOWN OF SOUTHOLD 13 Lr , I . RENTAL PERMIT APPLICATION TC°PIVI Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address A Tax Map Number: 1000 SECTION �` �; -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime'/I"'.,"' 2 '� itr ening_, Emergency�� ,, Property Owner Email Address. Pagel of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 F' Southold,NY 11971-0959 , 1 � 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_w 1BM.... _. Evenings,,. 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):./4"/// � Mailing Address of Authorized Agent. _..... - 1 . Telephone Number (s): Daytime ' '' " "'" ening Emergency---.,,,, 1 n Email Address: __ l _ r �: r �, f www � _. ._ SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: �' �� r _w Address of Managing Agent (no P.O. Boxes) Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1179 Southold,NY 1]971-0959 e0UN BUILDING DEPARTMENT TOWN OF SOUTHOLD "p j S4 Mailing Address of Managing Agent: Y' x",K" Telephone Number (s): Daytime" Ge' ning_.,.._,,_,_.,,,..._ 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, 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." Rental Dwelling Unit Identifier: .................- Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: �Air Use and Dimensions of each room in Rental Dwelling Unit: I tK 7 Mee f Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 w P.O.Box 1 179 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 ❑ 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 Annex 1 Telephone(631)765-1802 5437.5 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 to before me thi c)day of i u > , 20_-) Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14,2 ()AV Page 5 of 5 Town Hall Annex uit Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 ZA Southold,NY 11971-0959 a' , i"j JT BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM � Rental Dwelling Unit Identifier: �LIO Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: --- Use Use and Dimension of each room: 1 IVC, kEZ7 7x 1"' f/ 9!I _ _. ............ L J 6 " . Lp It Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: TOWN OF 5 UTH TT BUILDING T � 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE CIO [ I REMARKS: r� lev ok- DATE INSPECTOR Town Hall Annex ` Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 ' Southold, NY 11971-1179 Tel: 631-765-1802 Oil$ -. Date ,/ ". SCTIVI # m_ _ ., w. .w... Owner 0A Phone _. .w Vis Address ' ible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits _ Bedrooms1 2 3 4 5 6 .... ... ..... ..... Smoke Detectors Egress OccupantCount Building Systems Maintained & OperationalCondition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained & safe Mechanical _ g secure Handrails& guards installed & Pool Safety ;Pool on Site surface water alarm Date of CO issuance Do11 oral I arms _ Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: cl Photos c BATH f ur 0 FELT o R � WD e > >>.. O , tu NT.=R6 r C�L C V TOWN OF SUHLD PROS ARD CARD OWNER STREET VILLAGE IST. SUB as FORMER OWNER ; . N E -ACR. S w _ I TYPE OF BUILDING -24i �e RES, ,SEAS, VL. FARM COMM. CB. MICS. Mkt, Value __ - LAND IMP_ TOTAL DATE REMARKS A a � a E e z z , Tillable FRONTAGE ON WATER T Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total I I COLOR TRIM �.-- - _ � -• ~moi _ 091 v� F s 1 3 3 � . W M. Bldg- i f V.X I _ - a Extension E Extension s - t - t a I Extension jFoundation Bath Dinette Porch ate_ _ �- cement Dors K 'Fl _ _ Porch Ext. Walls Interior Finish LR, Breezeway Fire Place Heat I DR. Garage I _ Type Roof °:Rooms 1st Floor BR. Patio i = Recreation Room I Rooms 2nd Floor FIN. B O. B. 'Dormer Driveway Tota s r� R TRIM x l = 46.-1-31.1 10/2014 - - - a. } 46-1-31.1 2/03 _ Extension - s Exension Foundation ; Both Dinette ; r K. Porch [ 3nsement Floors t i ;Ext. Walls Interior Finish LR Parch I ._ Heat Breezeway _ ;Fire Place { DR. s � �.-_ , 'Type Roof R _ [. ooms 1st Floor BR rcnp i lRecreation Room _ Rooms 2nd Floor Patio N. B I !Dormer I Driveway f O B Tfal I I -- ._ 41, ;.� _ .� ate - - ,_ _ � '`-',i�v `r;,€� 'a... ' ll, e V-45 1 _ � 4 - t , erSi :per sure , v GEORGE S . KOHL and PATRICIA M. KOHL r a� _ - -�� yA- eight hundred forty six- � '- �4 . II0�tsPQ 5= � Tie s; mNN — — ` a � t InAeS �t T E SO 1 _ Wiz- -�� .. � ,�_ �� ,� 'ice ,>._ ' - ,. > � «. __ ,. � = _ £„rte-_� � �_ •_�. a � ' ','�� --- M. L. GOLDMAN & SON, INC �w FORA NO.4 TOWN OF-SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 210582 Date , , . .. . . J lx 1.7 . . . . . . . . . . . . . . . .. 19 -61 No. , . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . ° . . . . . . . . , Location of Property Main Road & 9th Streets t#reet:portr New_ York . Hausa No. Street ./hamlet County Tax Map No. 1000 Section . .46. . . . . . . .Block . . _ . 1, . . . . . . . . .Lot 31 .1. . . . . . . . . . . . Sa*Idjffsiomx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .fcifacitDkX . . . . . . . .Xk x. . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .Aprkl .3P. . . . . . . . . , 19 .73 pursuant to which Building Permit No. .653.1 .Z. . . . . . . . . . . . . dated . . . . .4p>rjl .30. . • • • . • • • • • . • . 19 . .?4was 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" Dr.if twoad Cove The certificate is issued to . . . . Xenophon . . . . . .Dazi&nanoe . . . . . . . . . . . . . . . . . . . �o wrr�er aara� _ of the aforesaid building. Suffolk County Department of Health Approval . . . .Existing .Public 3erier Sys tem UNDERWRITERS CERTIFICATE NO. . �I3 j 768�- 3z•76�g= 3 t 7bQ8'i�3.1.T699 . . . . . . . . . . ilding Inspector Rev.1/81 FORK NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N96531 Z Date ...................! 7 .........,3. ...,.... ., 197...... Permission is hereby granted to: ........Xenophon....'.amianos.......................... ............. .N.a iry..;;t. ............................................. .................Stony..L�sook..... to bu.: :: .n�w...o ? .. .. W.4.. o 'Y... ??ag�m0.j.& . . .4.�1�...c.gjX.gom) 14 wood, ... . .......krril..2b..�.9�, ... `.ain Road qth ilt (.pvt ir.� crior !to_.�s) rov" at premises located at - by..Bd.Ap ea�.a..isc..)✓l..:3c�. ...............Greer4.or.t....... ....................................—....... ...... r pursuant to application dated ......................Apxi2........26.......... 19.7.3,.., and approved by the Building Inspector. Part 101 too Fee . .f. ......... /V�)o,4, -L.�i i4in, nspector.