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Home My WebLink About1000-46.-1-31.1 (Unit A7) r§ TOWN OF SOUTHOLD Rental Permit 1098 Owner Driftwood Cove Owners Inc (Davene, Inc.) Occupied as Apartment A7 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. 1 3/20/2024 e Erg r e t Official This Notice must be posted by the main entrance at all times C)n TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 1,197 l 0959, Telephone (631) 765-1802 Fax (631) 765-9502 l t,p :/�IANp,,w" soutliolcito Wn y.2 F F B 2024, RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) 3 0-0 V4 at 10lk��FQj Section A. Property Information: Rental Propery , dress: �f Tax Map Number: 1000 SECTION 0 -BLOCK QQc, -LOT 3J , ,�" SECTION B. OWNER INFORMATION: Property Owner Name: .t.. Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) . ,,f ° Telephone Number (s): DaytimeC�,3 (/3` ( vening ��_ Emergency Property Owner Email Address: 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: Section D. Managing 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 E. SITE MANAGER INFORMATION: (required for rental properties containing S or more rental units) Name of Managing Agent of dwelling unit, if any: i ' "P 0 c o"' `) Address of Managing Agent (no P.O. Boxes): � "4 'M Ark `' rr ) wo, 4n. oc Mailing Address of Managing Agent: q-1 Telephone Number (s): Daytime ning 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 "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: I Requested Maximum number of persons allowed to occupy Dwelling Unit: q p pY g 19 Number of rooms in Rental Dwelling Unit: ''"A E Use and Dimensions of each room in Rental Dwelling 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. Tsoel I am requesting a fire safety inspection to be performed b a Code Enforcement Official p Y 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. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I H-(f koe 1 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 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 Owners Si natuk - AKe, ir')ef4, 11 Sworn to before me this�day of �.��y, � " � . 20� 1 n"t G rlx Official 4otary Public Signa re and ri inal Notary Stamp 3O,2.0 Page 4 of 4 OW ' OF SOUTHOLD BUILDING I 31 75 1802 INSPECmTmmmlOmMmk � [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND X] FIRE LATIOWCAl [ ] FRAMING / STRAPPING L� [ ] FIREPLACE & CHIMNEY SAFETY INc, [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI C ] CODE VIOL AT ON [ ] PRE C/4 [ I REMARKS: 0 ov\ !-,dofzz CA A AA = k; - t IWO Tjljqj INSPECTOR Q) 77 ro -19 ki �iutni Acec,- l000 q* UO 14 A '-7 1 , 0 (_) Se(!_ vo oo Lo R #_v TOWN OF S UTHOLD PROPERT� CARS Aed OWNER STREET VILLAGE SUBt - _ o } r = FORMER OWNER �_ _ N E ACR_ e r7 r _ tit (TYPE OF BUILDING _ - __. r m� RES. SEAS. VL. FARM comm. CB. MICS. Mkt. a1 LAND IMP, TOTAL DATE REMARKS=f� r `, _ v a 3 Al e a e t 1 , - _ _ T110 FRONTAGE ON WATER �g Woodland House Plot BULKHEAD Tote f a -a - _ fi <' e _ " - COLOR TRIM AS � a R xe g . - - — r e U 7i7 t� s � _ M. Bldg.'^ - _ - - 97Al etension . � - _ . a L 5 tension _- - Extension Foundation Bath Dinette Porch � e �osement Floors K. e Porch Ext. Walls Interior Finish LR. Breezeway Fire Place Heat DR. Gara a =Type Roof Rooms 1 st Floor BR. 9 Patio Recreation Room Rooms 2nd Floor FIN B 0. B. 'Dormer Driveway Tort i c a v z r TRIM -. ---. � —� e 46.4-31.1 10/2014 e 46-1-31.1 2/03 --------------- €xtemian t E Extension Ex�ension ;Foundation Both Dinette , Porch ��sement .Floors K. s I _ .Ext. Walls Interior Finish LR. Porch _ f Breezewayi c^IFire Place Heat DR. e I Garage Type Roof [ Rooms 1st Floor ;BR. I Patio Recreation Room Rooms 2nd Floor FIN. B O. B. ' Dormer Driveway Thal i FORM NO. 4 � M TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. zw 50. . , . . . Date . . . . . . . . . August . . 16 . . . . . .. 19.74 THIS CERTIFIES that the building located at .Main. Rd 4- 5th-*t . • . . • • . Street Map No. .xx. . . . . . . . . Block No. . . .xx. . . . .Lot No. .xxx. . . Greenport. . .N.Y•. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . t/30/73 . . . ., 19. . . . pursuant to which Building Permit No. 6.527Z. . dated . . . . _ . . . . .4130/7-3 . . . ., 19. . . ., 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. hedro=, apartments. butld1..Ags.& .4.$. . .Drtf.W4ocl .Qpv. . . . . . The certificate is issued to . Xenophon. Damianos. . . . . . owner . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval existing. publio. .sewer. system. . UNDERWRITERS CERTIFICATE No.Az&17 ". 7t111.75791.tl'i7.5792.2. . .Hr-. X175786t $Ru$8. A=7poxe.t.0 .-O .044101.e4.PA .gQmp]:et�ori.9Y. .pro jest Building Inspector i 11 f f 1 r Y INS jj ofoo '" jrq�0'�111P'iNlfObfiw� � i,llNrlrl�P7nnH>N��S�[iddtAm �rrrrrrr��wrrrr�hrwJultyo,folvwp%!J��i01�5�i�iolr~ff��!lu�y>r,;� jN, / rrl r y j� I i Wool if gmgg yN 1 J I //