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Home My WebLink About1000-46.-1-31.1 (Unit J80) tF TORN OF SOUTHOLD �1--:� Rental Perrot t 1036 T Owner Driftwood Cove Owners Inc. (Reed Kyrk) Occupied as Single Family Dwelling (Unit J80) 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. 12/13/2023 C4 Eno cement Of6bal This Notice must be posted by the main entrance at all times 4 WWI #�60 0114 Z b 0w,�irtCgr9 a:r TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 '�� .. a : . �V `„ RENTAL PERMIT APPLICATION DEC 4 20'3 Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Addre � � r J 30 goo Tax Map Number: 1000 SECTION BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: &—L.Tp4'x'V-- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: - " ' Ax-- 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):___Aoz 66 Cket kj �Y l if f Mailing Address of Authorized Agent: ..5VWF Telephone Number (s): Daytime?-010 Evening .� Emergency � Email Address: - OpT�tri Ne-' &Jff Section D. Managing Agent Information: Name of MAutHurtzar&Agent of dwelling unit, if any: �� 5L 0 r• � I Address of �) Agent (no P.O. Boxes): 25� !�)N5£� � �fl � ! ky ON Mailing Address of agent: Telephone Number (s): Daytime 2-Evening Emergency_' Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name o g tt of dwelling unit, if any: Address of a no P.O. Boxes): Mailing Address of Iaf Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 2. 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 � ._.. .......ermit Application ' ental Permit App Addendum." Rental Dwelling Unit Identifier: Requested Maximum tuber of persons allowed to occupy Dwelling Unit: Number of rooms in Rental DwellitVUi't: Use and Dimensions of each room in Rental D Iling 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. XI 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) w, 1 t � 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 read,oqd2wervet��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. Property Owner's Name: Property Owner's Signature: Sworn to before me this��ay of t�Q 20 0�3 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No. 01 BU6185050 Qualified in Suffolk County Commission Expires Aprll 14, 2 Page 4 of 4 TOWN OF SOUTHOLD BUILDING DI � 631 -765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. L l FOUNDATION 2ND [ ] INSUTATION/CAl [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (T11 ] CODE VIOLATION [ ] PRE C/O [ tell REMARKS: DATE INSPECTOR' � Town Hall Annex (631)765-1802 54375 Main Road P.O. Box 1179 f Southold, NY 11971-0959 �<< BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelli Unit Identifier: �� Requested maxim number of persons allowed to 7occu"pcIl-d-welling unit: Number of Rooms in R I Dwelling Unit: 3 Use and Dim nsion of each r / z ,. env ry, . _ 152-+,w t 4 o Ren welling Unit Identifier: quested maximum number of persons allowed to occupy each elling unit: 2 umber of Rooms in Rental Dwelling Unit: Use and Dimension of each o0 4111 r C- Pia 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 Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 ' ► Tel: 631-765-1802 Datew....... SCTM# ► �/! , . Owner Phone _.. . __._ JSO v AddressDV Visible Hamlet Inspector _ _ � . , . Floor Level Quantities Sub 2 Smoke Detectors not located in bedrooms) Carbon Monoxide ...._.. ._._ . ..._. Detectors Fire Extinguishers guishers Exits _ Bedrooms 1 2 3 4 5 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior, Propertyclean, maintained & e Electrical I . . ... ...... Handrails guards_ .m�.__ �. _.., safe-.- Mechanics drails & installed & secure Pool SafetyPool on Site alarm Surface water __.rc ... ...a. Date of CO issuance Door alarms Pool completely enclosed w ..vw Self closing/ latching gates Pool fence to code requirements CO's for all items presentPrio _ r Rental Comments: _. /000 Id y .. 0 IA M �. wr� to 000, CostT 0. e T, FORM NO.4 TOV N Ol= SOUTHOLD BUIL,bING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 210584 July 17 81 No.. . . . . . . . . . . . . » . . . . Date . . . . . . . . . . , » . . . . . » . . . . . . . , . . . . . ., I9 . , . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . Location of Property Main» Road and 9th Street, Greenport, New York House No. Street Hamlet County Tax Map No. 1000 Section . . . 46. . . . . .Block . . . . . . .1 . . . . . . .Lot » . . . 3 . . . . , . . . SalMMYFYx. . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 me. . . . . . . .N1Wx. . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated p 65292. . . . » . . . . . . , , . April 30 . . » , 19 . pursuant to which Building Permit No. dated . . ,April 30 . . 1973. ,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 Apartment Bldg. "J" Driftwood Cove The certificate is issued to Xenophon Damianan. . . ` . . . . . . . (owner �µ of the aforesaid building. Suffolk County Department of Health Approval Existing Public Sewer System UNDERWRITERS CERTIFICATE NO. . . . 317691-N317692-N317693N317694 * » . * * » ` µ r 4�L Building Inspector Rev.11131