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Home My WebLink About1000-46.-1-31.1 (Unit F49) of so TOWN OF S UTH L Rental Permit 1352 Owner: Driftwood Cove Owners Inc (Stepnoski) Occupied as: Apartment #F49 Located at: 1000 Ninth St 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. Issued: 07/17/2025 Expiration: 07/17/2027 (Coa " rcement cial This Notice must be posted by the main entrance at all times -7 - 1'1 -- 2-b-- 30 Z (0`4 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Y2C'j*- °' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 -+30C)e0z Telephone (631)765-1802 Fax (631) 765-9502 litt s://wyvw.soud�LoidtoNviiiy.g�ci �� -I r=q ° :� RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1000 9th street Greenport NY 11944 Tax Map Number: 1000 SECTION 1000 -BLOCK 46 -LOT 1 - 31 F49 SECTION B. OWNER INFORMATION: Property Owner Name: Patrick Stepnoski Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 200 Broad street Greenport NY 11944 200 Broad street Greenport NY 11944 Telephone Number(s): Daytime 631-381-2172 Even ing631-381-2172Emerency 631-381-2172 Property Owner Email Address: pstepnoski@gmail.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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: N/A 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 8 or more rental units) Name of Managing Agent of dwelling unit, if any: N/A 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: 1 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: unit F49 Requested Maximum number of persons allowed to occupy Dwelling Unit: 2 Number of rooms in Rental Dwelling Unit: 5 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen 6'6"x8'6" living room 15'6'x11' Bathroom 66"x8' Bedroom 11'x14' closet 5'x6' 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. ❑ 1 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 NEW YORK) COUNTY OF SUFFOLK) Patrick Stepnoski ,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: Patrick Ste noski Property Owner's Signature: Sworn to before me this A2_day of 20Z5 BELEN GUZMAN !!ial Notary Public Signature and Original Notary Stamp Notary Public-Arkansas Benton County Commission#12713507 My Commission Expires Feb 9, 2031 Page 4of4 Town Hall Annex :gym Telephone(631)765-1802 54375 Main Road P.O. Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: unit F49 Requested maximum number of persons allowed to occupy each dwelling unit:, 2 Number of Rooms in Rental Dwelling Unit: 5 Use and Dimension of each room: Kitchen 6'6"x8'6" living room 15'6'x11' Bathroom 5'6"x8' Bedroom 11'x14' closet 5'x6' Rental Dwelling Unit Identifier: N/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: N/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: TOWN OF SOUTHOLD BUILDING DEPT. Vol 631-765-1802 1 N vlob` P E C T 10 N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: /7-74!j Ole- DATE INSPECTOR CTOR u� J Town Hall Annex ' Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P. O. Box 1179 r Southold,NY 11971-0959 q BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional Neal re uired for Architect or Engineer, Licensed Home Inspector must rovide copy of valid current certification Rental Property SCTM Number: 1000-46-1-31 F49 Rental Property Address: 1000 9th street Greenport NY 11944 unit F49 Owner/Name: Patrick Ste noski Rental Dwelling Unit Identifier: _F49 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) Bedroom #1 - 159 sgft Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State,the Fuel Gas Code of New York State,the Fire Code of New York State,the Property Maintenance Code of New York State and the Energy Conservation Construction Cop,„ ew York State. Print Name and Title n Signature Please place Professional Seal: w A FORM NO.4 f � TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . .Z10587 . . . . . , Date . . . . . . . ..Iuly. .t7. . . . . . . . . . . . . . . .. 19 W. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • " • • • • » . Location of Property . . 3.kr**t... .Qr0AUP9r.t. .111sx .Xvfk . . . House No. Street Hamlet County Tax Map No. 1000 Section . . . .46. . . . . .Block . . . . . . . 1. . . . . . •Lot . . 3.1..1 . . . . . . . . . . xida `3i=X . . . . . . . . . . . . . . . . . . . . . . . . . . . . x. . . . . . . A=MDX3L . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . .April .30. . . . . . . 19 73.pursuant to which Building Permit No. . . .6528. .z. . . . . . . . . . . dated . . . . . ARr1X. AQ. . . . . . . . . . . . . 19 .73,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. Bbdroom .Apar.tmewL .Bldg... ."F". .Ilriftixood. .Cove. . . . . . . . . . . . . .. . . . . . . The certificate is issued to . . . . . . . X.anophon .Da iazzax 08. . . • . . . . . • • . . . • • • . . . . . . . . . owner,le a or tenant1 of the aforesaid building. Suffolk County Department of Health Approval . . . . .Exio.t;ing. .PUblin .Sower. .SyxLtes. . . . UNDERWRITERS CERTIFICATE NO. . . . . . .N??5 DR9. r. AV 7.695. -. A 17.690. . . . , . , . . „ . Building Inspector " Rev. 1181 EX15TING CL05ET EX15TING BEDROOM EX15TING BATH EXISTING' KITCHEN DN EXISTING LIVING ROOM M IDUMT DRAVMG FOR low ft Street,Apt.F49 AS-BUILT FIR PLAN Gmmport,NY 11944 - 5CAU5 IA* U-7 FLOOR PLAN opm um JKG AS NOTED 07-15- 1 1 OF I