HomeMy WebLinkAbout1000-46.-1-31.1 (Unit J66) TOWN OF SOUTHOLD
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Rental Permit
1071
Owner Driftwood Code Owners Inc. (Harbes)
Occupied as Apartment 066
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.
2/15/2024
Code of r emet Offi i
This Notice must be posted by the main entrance at all times
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Town Hall Annex „` Telephone(631)765-1802
54375 Main Road f+ � Fax(631)765-9502
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P.O.Box 1 179
Southold,NY 11971-0959
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BUILDING DEPARTMENT �` )rw"x
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
1000 9th Street J-66 Greenport, NY 11944
Tax Map Number: 1000 SECTION -BLOCK 1 -LOT 3 -�
SECTION B.
OWNER INFORMATION:
Peter Harbes
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
1002 Bluff Drive North 1002 Bluff Drive North
Calverton, NY 11933 Calverton, NY 11933
Telephone Number(s): Daytime 1-631-356-3530 Evening Emergency
Property Owner Email Address: ptharbes@gmail.com
Page 1 of 5
J
H
Town Hall Annex �
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,
01
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Joseph Divello
Address of Authorized Agent (no P.O. Boxes): 4280 NY-25,Southold, NY 11971
Mailing Address of Authorized Agent: - 4280 NY-25, Southold, NY 11971
Telephone Number(s): Daytime 16316557999 Evening _,,,, Emergency
Email Address: icdivello@gmall.com
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: John King
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent: 25 sunset Avenue,Westham ton N 11978
Telephone Number(s): Daytime (631)288-2162 Evening Emergency
Email Address: john@islandeastmgmt.com
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: John King
25 Sunset Avenue,Westhampton Ny 11978
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
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Telephone 631 765-1802
Town Hall Annex � ` P ( )
54375 Main Road Fax (631)765-9502
P.O. Box 1 179 jr,
Southold,NY 11971-0959 r`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: _ 4280 NY-25,Southold, NY 11971 �mw
Telephone Number(s): Daytime 631-655-7999 Evening Emergency_—..-.,,,,-,-
Email Address::
jcdivello@gmail.com
SECTION F.
PROPERTY DESCRIPTION:
Unknown(Driftwood Cove)
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."
J66
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Unit: 8
Number of rooms in Rental Dwelling Unit: 1 bedroom
Use and Dimensions of each room in Rental Dwelling Unit:..
This is a one bedroom Driftwood Cove Co Op Apartment
Page 3 of 5
Town Hall Annex �f 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
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
❑ 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)
I Joseph Diyello ,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 Hall Annex Telephone(631)765-1802
54375 Main Road Y Fax(631)765-9502
P.O.Box It 79
Southold,NY 11971-0959 Cl
�d�
,
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: Perter Harbes
Property Owner's Signature:
Sworn to before me this)q°dly of -I�CCe4-K) .-I-eI . 20_s6
C-n-n,-V
Official Notary Public Signature and Original Notary Stamp
CONNIE D. BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified in Suffolk County
Commission Expires April 14, 2_ LI
Page 5 of 5
TOWN OF "OUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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: Un i l J& � .
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DATE INSPECTOR
EO(, ' -, Town Hall Annex
I ` Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SCTM#
Date
Owner �,p . .. p��. � - Phone I
. .. .,_.. Visible
Address . Inspector
.e....... ..
Hamlet
. ...._".. ._n.._._ 2
Floor Level Quantities Sub 1 _.. .._.. . i
Smoke Detectors (not located in bedrooms) --
_" .._. e Detectors
Carbon Monoxide
Fire Extinguishers - - -- --- .--- _
Exits
Bedr , 5 6
ooms _ :1.
Smoke Detectors a�
Egress.
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
". Pro . 1l - m, ..i. ed &safe,
fe
Handrails &guards installed
perty clean, maintain
Mechanical secure
Pool o." Site
n
Pool Safety
. .o . .n
Surface water alarm Date of CO issuance
Door alarms completely enclosed
Poom e n
P y
Self closing/ i11 atchi
n g gates Pool fence to code requirements
_ . , _
COs
' for all items present Prior Rental
Comments:
04LAJ 0
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RI FORM NO.4
,ro%IN OF SOUTHOLD
BUII-DING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . . Z10584» . . . . . » » Ju.ly. 17. . . . . . . . . . » . z . » » , 81
Date ., I9 .
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property Main Road and 9th Street, Greenport, New York
House No. arae# Hamlet
County Tax Map No. 1000 Section . . . 46. . . . . .Block . . . . , . . » , . . » . .Lot . . . . 3 . . . » . . . .
S49M 159xx. . . . . . . . . . . . . . . . . . . . . . . . . . . . . i�.
. x. . . . . . . .MW t* . . . . . . . . . .. . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
April 30 19 - 7.3 ursuant to which Building Permit No. . 6529Z . . . . . . .
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
Xenophon Daniananos
The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . » . . .
towner,to `-
of the aforesaid building.
Suffolk County Department of Health Approval . Existing Public Sewer System
UNDERWRITERS CERTIFICATE NO. . . . N317691-N317692it3176g3N317694 ` ` . .
4L
Building Inspector
Rev. 1/81
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