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Home My WebLink About1000-46.-1-31.1 (Unit F51) TO W. N OF SOUTHOLD Rental Permit 0808 Owner Driftwood Cove Owners (Jedi Group LLC) Occupied as Apartment Building (Unit F51) 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. s 1/13/2023 Cod n or e ent Official This Notice must be posted by the main entrance at all times Telephone(631)765-1802 Town flail Annex 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 SDILDING DEPARTMENT TM TOWN OY SOUTHOID RENTAL PERMIT APPLICATION MAF -.IAOermit Fee $200(Application must be renewed every two years) Section A. Property Information: rmation: Rental Property Address: st Number: 1000 SECTION 1 (.0 -BLOCK -LOTS Tax Map SECTION R. OWNER INFORMATION: Property Owner Name: i o Lc- Property Owner Legal Address: Property Owner Mailing Address: 44rrjlkr� AVL IJ i L Aly f0al "` c'• 0Emergencyime�37z7 � `d o Telephone Number(s): Daytf , Eveni3g Property Owner Email Address: -c4z C) Page 1 of 5 Town Hall Annex °� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 1 Southold,NSC 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: ISAAC ` Address of Authorized Agent(no P.O. Boxes): E® �o w.�n� �- "° e` 103 Mailing Address of Authorized Agent: Telephone Number(s): Daytime • � Evenings Emergency Email Address: I kt 2 6)c��,a� FSG CL v o. co Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: 3014 c I S i(FA � L Address of Authorized Agent(no P.O. Boxes): o --oPoL F• Mailing Address of Authorized Agent: � tw,(�S Arc L 2y2.r �Y I I"r � I Telephone Number(s): Daytime .901. Evenings Emergency Email Address. �kc &(444 �v '• C �`L 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). __— Page 2 of 5 Town Hall Annex ` Telephone(631)765-1002 Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold;NY 11971-0959 BUILDING DEPARTMENT TOWN OF'SOU'l HOS , Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address:__ SECTION Fe 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: Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road � � Fax(631)765-9502 P.O.Box 1179 f Southold,NY 11971-0959 w BUILDING DEPARTMENT TOVVN OF'SOUTHO ` SECTION O. 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 YORK) COUNTY OF SUFFOLK) L-t-c- l . 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 t i. Town Ball Annexa elephone(631)765-1802 Fax(631)765-9502 54375 Main load P.O.fox 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF soviTHOLD applicable laws and rules. I further acknowledge that I will notifythe 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 f o n J L ,'. Property Owner's Signature: a of 1 " V�vOL 20-2*-0� Swor to fore rn th s y Offic al Notary Pu b Signature and Original Notary Stamp TAR iii AR HER I�lotary F obiic,Mate of New York Flegiatration WAR63353"97 Qualified in Suffolk County ommiaaion Expires Jan. 11, Page 5 of 5 1 aD SOUTHOLD BUILDINGT 765-1802 1.... �[. mm"" EC N [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [ FINAL 40t4 [ ] FIREPLACE CHIMNEY [/]l FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O I 7 . ....... ow A-- ( 3vI TE INSPECTOR P�EDfZaoM �� M , hip sm e I F.NIWe, pzoom �F z l_4Vii4 bGsA/4 Tit x .c,s —w c w T`ADSL. ,. TOWN OF SOUTHOL a y a f OWNER ®STREET - VILLAGE a DIST. SUB, - , F F - t� 5t ' FORMER OWNER N r C •� 4 �m E S W TYPE OF BUILDING a SEAS. VL. FARM ' COMM. CB. MICS. Mkt. Value , LAND IMP. TOTAL € - [SATE I REMARKS �/, -�2 � el-%e �$ y � z Ah w w s F <_ f - ' z 3 Awr f 57 re y adA - -. - 4L- WIZ I CJI ' - Z4� a I - - . -1— f m , ( !� . Till FRONTAGE ON WATER W land ,FRONTAGE ON ROAD j Meadowland ; DEPTH I House Plot A `BULKHEAD Tota I , a i� 01 � r ✓✓11 COLOR TRIM r'-4 � i 1 I i if s4-1 I - CdI r , I r� } ` 4-1 e M. Bldg �� Drolta �' �'` ° � I, Iw, i �?' � �� Extension I I { I lyktension I 3 Extensioni 7 A V Foundation Bath Dinette Porch s Floors K bsement Porch I IExt, Walls Interior Finish i LR 6 I Breezeway ; !Fire Place Heat DR I Type Roof =Rooms 1st Floor ;BR Garage ' Patio Recreation Room_ Rooms 2nd Floor I FIN. B ; Drivewa 0. B I Dormer Y I Total s I I I a a _ � , .: a t RA \ ` TRvv IM a � E � 3 - ' t 3 gg I 3 m 96:1-31.1 10/2014 E d t. gg pp a 46-1-31.1 2103 I 3 Extension y I g = s ry t)Ciension I ' I ' b6orision roti Bath Dinette , .' Porchasement Floors K, , Porch 'Ext. Walls Interior Finish LR. 5 Breezeway IFire Place Heat DR. Type Roof Rooms 1st Floor IBR. Garage Patio Recreation Room Rooms 2nd Floor FIN. B A. B_ 4 Dormer Driveway i 't`al e Gm 4 � TOWN CF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Bali Southold, N.Y. Certificate Of Occupancy No. , . . .Z105a97 . , , . . . Date . . . .. . . .July. .17. . . . . . . .. . . . . . . . 1988 THIS CERTIFIES that the building . . . . » . . » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . », , » . . . . . , . Location of Property , . A ,B9AA .4000 fib. 3 rsot,,. .0re.6.4991°.t, .Nidi .Yo , . . Hoarse No. .Street Hammet County Tax Map No. 1000 Section . . . .46. . . , . .Block . . . . . . .I. . . . . . .Lot . . 3.1.a 1 . , , » . , , . . . x1xx . . . . . . . . . . . . . . . . . . . . . . . . . . . x. . . . . . . Axabboax . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . .April .30. . . . . , 19 73.pursuant to which Building Permit No. . . .6528. .2 . . , . . . . . dated . . . . . ARrt'k IQ . . . . . . . . . . . . . 19 .7 , 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 . . . . . . . . . m . . . .One. B,adroom .Apar.tment Bldg... .1F!'. Mrift,Kood. .Cove. . . . . . . . . . — . . . . . . . The certificate is issued to . . . . . . . Xenoph.Qn .Da ian an. a. . . . . . . . . . . . . . . . . . . . . . . . owner,lessee airYA termant�» of the aforesaid building. Suffolk County Department of Health Approval . . . . .Exis.t ing. Zubl;LA .3*wjet° ,$yx.tiem. . . . UNDERWRITERS CERTIFICATE NQ. . . . . , . , , , , , , , , , , , Building Inspector* Rea.1/B1 u