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Home My WebLink About1000-46.-1-31.1 (Unit F52) u TOWN OF SOUTHOLD 46 Rental Permit 1035 Owner Driftwood Cove Owners Inc. (Reed Kyrk) Occupied as Single Family Dwelling (Unit F52) Located at 1000 Ninth Street Greenport 46.4-31.1 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. 12/13/2023 Code En trc€ ent official This Notice must be posted by the main entrance at all times ��(l1 P9C, ��0 � '✓ � la`,�+ —�ii,j� la+1aIZ3 TOWN OF SOUTHOLD—BUILDING DEPARTMENT � 4' ' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoaldto%vi-iiAv.aov RENTAL PERMIT APPLICATION L Renta ermit Fee $300(Application must be renewed every two years) Town OI southoi Section A. Property Information: Rental Property Addres : i � � A�fWr /jy /I4F ��n C�l� Tax Map Number: 1000 SECTION BLOCK IT • SECTION B. -. OWNER INFORMATION: n Property Owner Name: &_uvp Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 20:2- Ok tq Ur Telephone Number (s): Daytime IN6� / Evening Emergency Property Owner Email Address: _WWkz_1W '" � ^ r Page 1 of 4 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 );� Evening Emergency Email Address: �PTO.9i , C� Section D. Managing Agent Information: gl lM��m Name of eAgent of dwelling unit, if any:AkN y Ift Address of wA r ( Agent (no P.O. Boxes): 2S ja15� i; �t/ �/�/ A`s AN Mailing Address of gent: a Telephone Number (s): Daytime - 2-Evening `" Emergency sk Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name o t of dwelling unit, if any: K Address ofa-04�9(no P.O. Boxes):. Mailing Address of Ma ,inrg Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 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 "t!221 Permit Application Addendum." Rental elling Unit Identifier: Requested Maximum rber of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dweliirg-Unit: Use and Dimensions of each room in Rental 6vMling Unit: 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) :4 I 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 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 ready pf 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. 0 Property Owner's Name: n Property Owner's Signature: Sworn to before me thisay of20 > > Official Notary Public Signature and riginal Notary Stamp CONNIE D. BUNCH Notary Public,State of New York No. 01 BU6185050 Qualified in Suffolk County Commission Expires April 14, 2—ck� Page 4 of 4 Town Hall Annex o„ � � Telephone (631)765-1802 54375 Main Road ILJ P. O. Box 1179 yip. Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM ' Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dim nsion of each room: Re welling OM enfifi so Reque to mum umber of _. o allowe -to.. KKups each dwr (ling..0 %ti--L-2� Numb of Rooms ntal elling it: Use an Dimension of /1 C- w ------------ 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: Vjf so TOWN OF ,, 631 -765-1802 � INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: INSPECTOR " . Town Hall Annex ° Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 i:p6* 0z'�� Tel: 631-765-1802 , 9 Date Id A SCTM# _ _ .. ..� � ..w _ b Owner Phone Address Visible Hamlet Spector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) --..- Carbon Monoxide Detectors Fire Extinguishers Exits _. Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior - - - — -- ----- ----------- -- Hot water Building exterior Electrical p safe Property clean, maintained & Mecha11..11 natal Handrails &guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance a Door alarms Pool comple,ely enclose Self closing/ latching gates Pool fence to code requirements p Prior Rental CO's for all items present Comments: _. l000 Ptn.7'h 51ceet, Roo Ir 1 4e uw� M " FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold,N.Y. Certificate Of Occupancy No. . . . .Z10587 . . . , . . Date . . . . . . . .July. .17. . . . . . . . . . . . . . . .. 198-1. THIS CERTIFIES that the building , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • . • . • • • • . . . Location of Property MaiA .$Oasd. .Szad. .Qth. s. raa ., .Grs.anpor.t .NAx .York . . . . . . House No. Stmt Hamlet County Tax Map No. 1000 Section . . . .4 6. . . . . .Block . . . . . . . I. . . . . . .Lot . . 3.1..1 . . . . . . . . . . xfdmbKkid3i axx . . . . . . . . . . . . . . . . . . . . . . . . . . .x81 µ x. . . . . . . 1=2&xx . . . . . . . . . . . . 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 . . . . . Apr1l. IQ. . . . . . . . . . . . . 19 .73,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 .Apar.taxen: .Bldg... ."F'. .Driftwood. .Cove. . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . X.anoplwn.Dajianaaos. . . . . . • • • • • . • • • . • • . • . • • . . owner,le a or rtrn rtit�"' of the aforesaid building. Suffolk County Department of Health Approval . . . . .Exia.bing. P.14blip. .3*W.9-' .SYS.te®. . . UNDERWRITERS CERTIFICATE NO. . . . . . . 7. .14317695. 117 4. . . . . . . . . . . Building Inspector Rev. 1/81 Please let me know if you need anything else.When can I pick up the certificate? Best regards. Reed Kyrk 908-2 27-8310 4 u /� iii„ r �r4 / ;, r YyS� ii. i��/ � � ,,,; i �' i,,i �� l/� ,., a� h�,,, �„��, , �, f«��r> ��i I y y r l� �u oWa � III'�I� ��Mr�w« �;�� .... f �'; 3 y SUSS & CARBON. NOXIDE ALAIWi t �IIlllii.';I y � r i 2