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Home My WebLink About1000-46.-1-31.1 (Unit J71) TOWN OF SOUTHOLD t Rental Ferric 1103 Owner Driftwood Cove Owners Inc (Schroeder-Mahaffy) Occupied as Apartment J71 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. 3/26/2024 Codefo c ant Offic" This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0.Box. 1179 Southold, 11 71.0 9 Telephone (631) 765-1802 Fax (631) 765-9502 h� =:��= .sotholdcnro MAR n)4 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must he renewed every�o ear' ' Section A. Property Information: N i 1 �O� 1 / Rental Property Address: d� zi"' ;z+- HF+ ] I Dcl -F N MA Tax Map Number: 1000 SECTION -BLOCK SECTION B. OWNER INFORMATION: �,S��nrpe �►�,� Property Owner Name: 1� o-F Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Numbers : Daytime Ev` in Emer enc p O Y Emergency_ E9I, �. lC�V � . C,ah^ PropertyOwner 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: if any: �.10V� unit Name •f Authorized Agent of dwelling y Address of Authorized Agent (no P.O. Boxes): �� SSr�C� � QVL_ Mailing Address of Authorized Agent: E> Telephone Number(s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: S �' 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: d� 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: no 's QS Use and Dimensions of each room in Rental Dwelling Unit: Or�e, - SOW\ A- 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. STATE OF NE M COUNTY OF Sid )M�`rtiCO�' 1 A&-joy) s7 hl" c ertify 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 Owner's Signature: Sworn to before me this ZQ day of , 20 filIllt#l7Jtll 1111 Official Notary Pu ' Signat ncl inal Notary Stamp :'�AQTAA '= _ My Comm.Expires March 13,2024 No-GG 969180 ��ffttl1114itk��4 Page 4 of 4 Telephone Tele 631 765-1802 Town Hall Annex P ) 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 1�� 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD ONI RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: .A Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allo to occupy each dwelling unit: Number of Rooms in elling U Use and Dimension of each room: Rental Dwelling entifier: Requested maximum no r of persons allowed to occu each dwelling unit: Number of Rooms in Rental D ing Unit: Use and Dimension of each room: ................ Alt TOWN OF SOUTHOLD BUILDING 631 -7651802 INSPEC -1 miON [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INI [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ) ELECTRICAL {FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS:DATE ' lq- INSPECTOR ho3�oeQ6 TOWN OF SOUTHOLD BUILDING D �grouxr,,�� 631.765.1802 tZ( INSPEC I I0N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ �I REMARKS: K-t Iola-Ce- kak&J GS % /E g444ft�O�s. &^-,otloyclj� 0(tALJore, I' t) l4VtA,-4X" AIX O U4 I vy G or balgev)JA . DATE INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # - Date • o? Owner 0 Phone ;Address �� J7 Visible Hamlet Inspector ^ (Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors I Fire Extinguishers Exits - - Bedrooms 1 2 3 5 6 Smoke Detectors Egress _ 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 alarm Date of CO issuance ;Door alarms -Pool completely enclosed _ 'Self closing/ latching gates Pool fence to code requirements 'CO's for all items present ;Prior Rental 'Comments: r, FORM NO.4 'rot N OF SOUTHOLD BUIL,bING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy 210594 July 17 81 No. . . . . . . . . . . . . . . . . . Date , . , . , . . . . . . . , < . . . . . . . . . . . . , . . . . ,, 19 . . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . = . • . . . Location of Property Main Road and 9th Street, Greenport, New he York f House No. Set arnlr County Tax Map No. 1000 Section . . . 46. . . . . .Block . . . . . . . . . . .. . .Lot . . . . 3 . .. . . . . . xx Sid K RJFxx. . . . . . . . . . . . . . . . . . . . . . . . . . . . .l . �c� x . . . . . . . .1:01 b.x. . . . . . . . .. . . , conforms substantially to the Application for Building Permit heretofore filed in this office dated p 6529Z. . . . . . . . . . . . . . . . . . . . . April . . , . . . . , 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 Xenophon Damiananon The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . • • _ • • . toWmr temert r .t- of the aforesaid building. Suffolk County Department of Health Approval , Existing Public S—. . System UNDERWRITERS CERTIFICATE NO. . . . 17691-N317692-H317693113147694 x . . . . . . . . . . . . . . Building Inspector Rev.1181