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Home My WebLink About1000-46.-1-31.1 (Unit D30) � m TOWN OF SOUTHOLD 4, d � p Rental Permit 1086 Owner Driftwood Cove Owners Inc. (Adler) Occupied as Apartment - D30 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. 3/11/2024 Code EkorcUent Officia' This Notice must be posted by the main entrance at all times 1136-14 A -6coao Keck- 10(0,TS-4 TOWN OF SOUTHOLD—BUILDING DEPARTMENT 1015,19 A141q-q Town 1-fall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1 1 97 1-0959 Telephone(631) 765-1802 Fax(631)765-9502 hit ' RENTAL PERMIT APPLICATION JAN 3 Cn Rental Permit Fee$300(Application must be renewed every two years] Section A. Property Information: 'RentalProp"t Address., t f D Tax Map Mim,bey. IDDLI SECTION -B1.DCX -107' OWNER INFORMATION: Propertr Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) D �D" SIMQI . Z!� Icy T� reff — -Q,S- () -- 7�0 Telephone Number (s): Daytime Evening Same- Emergency_ Same- Property Owner Email Address: or -lei CAVrfl Ma Page 1of4 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: Section D. q, Managing Agent Information: f I 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: SECTION E. SITE MANAGER INFORMATION: (required for rental properties ontaining 8 or more rental units) �� Name of Managing Agent of dwelling unit if any: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: 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, Q 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: V 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: �1►�1 eure fcA 3 =_ � k = � r` I A 'Ile P 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STAIT OF NEW YORK) COUNTY OF SUFFOLK) Ai N a V i e ij- certify under penalty of perjury, the following: I. 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 a" 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 ffiereW, 1 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signatu e: --Dlworn to be ore- me thi 3 day of 20 36 ice. 2437177 My mniw. Expires 0—] ISWQEL it-MENDEZ Now puw-S-rate of New Jos" q*a d &OM8 Page 4 of 4 TOWN OF SOUTHOLD BUILDING D 631 -788-1802 t ja INSPEC 10N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: SM0f Aa teV PA , DATE INSPECTOR 0fat Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 QM + = Southold, NY 11971-1179 � _sY Tel: 631-765-1802 SCTM# _ — Date c� (o-o2 E Owner lee— 1 Phone ;Address 90 =Visible Hamlet drispector 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 I Occupant Count ;Building Systems Maintained &Operational ;Condition of Property Heating 'Building interior Hot water Building exterior ;Electrical ;Property clean, maintained &safe "Mechanical :Handrails&guards installed & secure -Pool Safety !Pool on Site Surface water alarm 'Date of CO issuance Door alarms IPool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: Bathroom 8'3"x 6'8" Bedroom r 14'10" x 14'1" i N ['� ;• N O 0 V Kitchen Closet 6'8" x 87P 3'6" x 4'5" Living Room 16'6" x 18'3" TOWN OF SOUTHOLD PROPERT CARD OWNER STREET VILLAGE SUB LOT ..w� FORMER OWNER � ` ` N E y ACR S W TYPE OF BUILDING d - f �- . .... RES. � � .SEAS. � � VL. FARM COMM. CB. MICS. � Mkt. � � ..._- a + _ ........ ... .. !.__..... . . .... _. ._.....__w............._ . . . Value.. ,g� LAND IMP. TOTAL DATE REMARKS,,,, 7 v„ .... . ,� .,�,., ....,� .. ,.w.,......m�,..,�...�...,....,.�.�.,.....,...,.,,. x fi r } Ar d 1 l f X) n f _ Tillable FRONTAGE ON WATER (,l w�` S7� � Or" Woodland 5 .. Meadowl-and House Plot BULKHEAD ,.._._n. _ . . m.., .... ..._ _.,.._...... .......... Total 'J COLOR TRIM ., .. gNJaA l .7 'w W � a „ y q^ ��a�� e�d �� try_ , q .L !»�� ",,,2 ... r I � rdr _. ..,,C',�,", c�' �w. .,.� .," " ,r11✓ � ''1 q�l�ro . .�. ., ;,..+ice-...� !"M�„ ,.� iJ,W ,. ...,. ..._ �,f� ..eaM,�.., ........ e iC ... r � el r . . .. .._ .w .., Emension a &fiension �d r _ ._ ...r ....,.....,�,,...,.,. _._......,„........ ...$.,.,,,._..,.....,..,,........... �.._.,.,._.m.m,,,.,.._.,�.,... »,.,. .wm.....,....c _. ...�.,. d...,..-....„,„I,� ,,..4,«V.....,...n.Qy. ...�.,..N.,+ ,m,. ..,,.N..,,.,...rt. .......,�,,...,.,. «M. ... ...�ll...w,.....,., .r'. r,(r✓a, mw.«.. + ..„„.„„.,.,.,.�..�.m. ........ A Extension Foundation Bath Dinette . ..............M Porch .. ` ._ ... asement... Floors K. Ext Walls Inte ...... � � �� it Place ..Finish �LR ; Porch r� nor Fin . 1 1 Breezeway !Fire Heat DR _. _..._.........__.......a._.......� ..__. .......... �.._..w ._� ......_ ...... �__......m_ __._ .... __m..._ ......._� ,_._ ......... _ _......_.,...... _. _. Garage w._ .. . .. ...nw.'Typ Room Floor BR ..,,.. ......_..__...._....._ _.._.._.._..._.._.��.�_rv.rv_.w.. Recreation Room _. _...... ..w_...... Rooms 2nd �__,„��_� _..__... ..........„.._M_...�,,._�. ._.._........ �..�..._� .�....._. � Roof s 1st Patio Floor I FIN B _.. ........ ._...,..._. .._,....._.......__ ...... __ ......._.. _.__. , m..........__. _. w, . 1 _,rt.__....__ ±. --------_ ...... 0. B. Dormer I Driveway Total 1 9 / � w `�K��✓i. r I `ski, ., .., . TRIM Y 1 t v i r „ ln ✓r .S��w!4'��aw,r;mJlYrlrrnlr'm �% .,_.. rt t 46:1-31.1 10/2014 �., Y, a 46-1-31.1 2/03 Extension � tension ... Ex,ionsion .. _� Foundation Both Dinette _._ .. _.. .......� m. ..... ......... ... ...... __... .....__ ....... _..m _ _....,._.... Porch &3sement Floors lK Interior Finish LR ._ _.... . Porch Ext Walls Breezew Fire Place Heat 'DR. ._,.._. _.._. ..M _.,, Garage Type Roof Rooms 1st Floor BR � Patia_�. .�M�MM.. Recreation Room �. .K_Rooms 2nd Floor ._.,._.-_..� .._....,�.�N8� .-_.....�........M...._-_,__.. O. B, gDormer Driveway TgpI FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 16W. . . . . . Date . . . . . . . . . . . . . Ro4. . . f.l . . . . ., 19. 75 THIS CERTIFIES that the building located at .Mai&- ad( 5).# .9tg. S% Street Map No. . . . . . . . Block No. . . . . . .Lot No. .Orsoapart,. $.Y*. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . .April— -3Q_, 19.73. pursuant to which Building Permit No. 611W. dated . . . . . . . . . . . .April . .JP, 19.73., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .one. bedrock. apartment. m .buildings -V. 9"D"q. M".DriftyAod. C. The certificate is issued to E.X.Construets.on•Carp- - - • r• -(X.Dast s)• • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Pub. water. .A A. Sager. approval. . . . LITNIDERWRITERS CERTIFICATE No. V t'r its 17. 7-9D 9D"14 it 22550249 !12 2 S22 ; "x t 12 502 17 - HOUSEER . . . . . . . . . . . . . . Sit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Romwo xw6ers to be assigned on o lttioa of proJaot Building Ins to