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Home My WebLink About1000-46.-1-31.1 (Unit B17) TOWN OF SOUTHOLD NN Rental Permit 0777 Owner Driftwood Cove Owners Inc (Michael Lee) Occupied as Single Family Dwelling (Unit B17) 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. 11/16/2022 e or _ � of Mali This Notice must be posted by the main entrance at all times Town Hall Annex �f Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 Southold,NY 11971-0959 wV Aj °m'ld BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: p Y 1000 9th STREET UNIT 1317 Tax Map Number: 1000 SECTION 46• -BLOCK 1 -LOT 31.1 _ SECTION B. OWNER INFORMATION: ' Property Owner Name: oW Lte Property Owner Legal Address: Property Owner Mailing Address: 90 e( CAme , # y Telephone Number (s): Daytime 631-2 -60i� Evening k Emergency Property Owner Email Address:_J45L_ ass °1 ��h�°U•Qd�( 0 Q.n✓c� 4oa`�`�� Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road 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: f 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): /600 fel r Mailing Address of Authorized Agent: P.0- V3 IIM 1 6 11M" (,3I-agS-SOI _ Telephone Number(s): Daytime venins _Emergency Email Address: S�� l5�ml- qw 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): 1000 IN A Page 2 of 5 t , , Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 Southold,NY 11971-0959 zr- BUILDING DEPARTMENT TOWN OF SO rUTHOLD Mailing Address of Managing Agent:w, p,mmm &X `'� 4 9" N�r��?7 Telephone Number(s): Daytime6N-asp'-%61 Evening_....... Emergency w�... Email Address: ` �J: S mM Wer• ..... SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: b l _ ,_............._ �. 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: UNIT 1317 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: 595 SF +l / KITCHEN : 6 X g r ' y�sP LIVING ROOM: I S.0 X 16-. BEDROOM 1: r�z�Y' 15`/SF BATHROOM: 77V 6'_ 3q Page 3 of 5 Town Hall Annex ^� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � � s 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 X 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. 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 Nall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 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: ,,,,./A Property Owner's Signature: Sworn to befo e e this /y day of � - 20�„,2� Official tary Public Signature and Original Notary Stamp KIM A TASHER NOTARY PUBLIC-STATE OF NEW YORK No.01TA6327039 Qualified in Nassau County My Commission Expires 06-29-2023 Page 5 of 5 Town Hall Annex Telephone(631)765-18102 54375 Main Road Fax(631)765-9502° P.O.Box 1179 " CC , Southold.NY 11971-0959 BUILDING DEPARTMENT TOWN 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 pro n l seal re fired&r Architect or dEn f eer llcen do a Ins ctor mut grovide My of Mild current certification Rental Property SCTM Number: 1000-46:1-31.1 Rental Property Address: 1000 9th STREET UNIT B17 � Owner/Name: �� Rental Dwelling Unit Identifier: UNIT 617 ._„w Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq.,Bedroom#2-90 sq.,etc.) BEDROOM#1 Property Description(Include all improvements indicated on survey) QNS 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. ITECT Print Nam 6”Sigel re PI se 0t30 PN c0) , t (X9WP04' Vn11 TOWN OF SOUTHOLD BUILDING D1 631 -765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. I l FOUNDATION 2ND [ ] INSULATION/CAL ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ 1 FIRE RESISTANT PE' [ ] ELECTRICAL (ROUGH) [ ELEC `RICAL (F f [ ] CODE VIOLATION [ PRE C/0 ] REMARKS: DATEl ' INSPECTOR SRS SF t000 APF 1317 6n�mpor+ NIX O s W96 5F Al 3! L►'rrla� Raaw, � e r L4 PQ > ;Loi �- f . TOW N >_ SUTHOLD t — a - – 76 OWNER STREET VILLAGE DIST SUB. `i`, — — a Nvo �1 EO N ER OWNER - cra. E "� -.1, `.; i max- F ACR. `� LL � _ is EBUILDING W ICES. /� SEAS. VL. - FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL Y DATE REMARKSS/&,/ v _ ## ,4 . t ,.. �7 �'�; : t� # 2 - _ r 3 s a F �" IfL _ . �. L4 4- � 4 .11 % z a � e Ti Itl�l FRONTAGE ON WATER I FRONTAGE ON ROAD Woodland _ Meadowland DEPTH Hause`Plot I BULKHEAD 3 g Tota 1 - I a a { e I l COLOR TRIM f i f ..� 71 Jr iL.r E Tf I I F = ai 1 g 13 S 17 I. 1 r [ M. Bldg. SCD s_ t /• -- E 9 1 Gad ; � l �g • - � [ �-21< _ `n:tea��_�� ! E�'�' .� �t t' I � a Extension I,xtension I I I Extension ; I ' "`1 Foundation .Bath Dinette I Porch . Floors K. Bement Porch i - ;Ext. Walls i Interior Finish LR. Breezeway Fire Place Heat i : DR. a Y Garage ' !Type Roof I !Rooms 1st Floor 1 BR. Patio 'Recreation Room i Rooms 2nd Floor ; FIN. B 0. B a — t Dormer ` Driveway { Total 1 f I I m a._ _ AACI- �� IM -� a i ! - � Is i a x t z ! � t - a nit i t _. E , 46.4-31.1 10/2014 � 5 ' 46-1-31.1 2103 '€ 5 I I t i ! txiension E n3 ion l { i i Foundation Botfi Dinette Porch I � 13*sement i Floors i �K. Ext. Walls Interior Finish LR. Ranch Breezeway Fire Place Heat DR. Gar YPe Roof E Rooms 1st Floor -! BR. _ I �' Patio Recreation Room Rooms 2nd Floor FIN. B a, O. B. i Dormer Driveway Tial r 4 FoPM X0. 4 ti TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z60�0. . . . . . Date . . . . . . . . . ,August . . 16 . . . . . .. 19.74 THIS CERTIFIES that the building located at .Main. Rd 4. 9th•int . • • • • . . Street Map No. .xx. . . . . . . . . Block No. . . .xx. . . . .Lot No. .x= . . . Greenport. . .N.d.. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . /30/73 . . . ., 19. . . . pursuant to which Building Permit No. 6.527Z. . dated . . . . . . . . . .4130/7.3 . . . ., 19. . . ., 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. bedro.Qm. apartments. buildings.& .4.13. . .J)ri;f.%wood .90T.4k . . . . . The certificate is issued to . Xenophon. Dawianos. . . . . . owner . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval existing. gublio sewer. system. . UNDERWRITERS CERTIFICATE qNo.�L*x1757$79NI-75791•VN17.5792.1• • -Br-. X175786, HOUS96TI16 6. 0. .Ol�ER�71.7. . Aug. . Stree?74. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75- Building Inspector