HomeMy WebLinkAbout1000-46.-1-31.1 (Unit F51) of so TOWN OF S UTHOL
bc Rental e rm it
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0808
Owner: Driftwood Cove Owners Inc
Occupied as: Apartment Building (Unit F51)
Located at: 1000 Ninth St 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.
Issued: 01/24/2025
Expiration: 01/24/2027 c e Enf ment Official
This Notice must be posted by the main entrance at all times
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TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 4-I 3/
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] 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 [ ] PRE C/O [ RENTAL
REMARKS:
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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
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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
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SOUTHOLD BUILDINGT
765-1802 1.... �[.
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[ ] 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
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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*
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