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Home My WebLink About1000-46.-1-31.1 (Unit A10) Of so TOWN OF SOUTHOLD Rental Permit 1450 Owner: Driftwood Cove Owners Inc (Greenport Holdings LLC) Occupied as: Apartment (Unit A10) Located at: 1000 Ninth St 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. Issued: 04/23/2026 Expiration: 04/23/2028 a�� f ��nt a' This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1197 1=0959 Telephone(631) 765-1802 Fax (631) 765-9502 llttl:as://wwwsouthol to tii�iy ov' ' ,f ll � 32 RENTAL PERMIT APPLICATION C Rental Permit Fee$300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1000 Ninth St., Unit A-10, Greenport NY 11944 Tax Map Number: 1000 SECTION 046 -BLOCK 01 -LOT 031 - 001 SECTION B. OWNER INFORMATION: Property Owner Name: Greenport Holdings, LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Derrick Cephas PO Box 2325 New York, NY 10163 Telephone Number(s): Daytime 917-865-2799 Evening917-865-2799 Emergeney917-865-2799 Property Owner Email Address: derrickcephas4433@gmaii.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Janet Mariarian Address of Authorized Agent (no P.O. Boxes): 114 Main St, Greenport, NY 11944 Mailing Address of Authorized Agent: as above Telephone Number(s): Daytime631-521-3711 Evening Emergency Email Address: lanetmarkarian@danielgale.com 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 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: one 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: 1000 Ninth St., Unit A-10, Greenport NY 11944 Requested Maximum number of persons allowed to occupy Dwelling Unit: 2 Number of rooms in Rental Dwelling Unit: 3 Use and Dimensions of each room in Rental Dwelling Unit: living/dining room 18'x20' (-kitchen); kitchen 7'FW8"; bedroom 13'x9"; bath 5W'7" 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. X I am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam 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 MUSTbe the owner of the dwelling unit. STATE OF NEW YORK) } COUNTY OF SUFFOLK) I c , . rtify 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 Aay of,1`!w\GJC;VA _us 2010 ❑ffici ota blic Sig2 reand Original Notary Stamp JENWItANG fa tw a oualfied� s Page 4 of 4 rM ArOg Stll TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802T1 A' N- �41D 1 [ ] FOUNDATION 1 ST/ RERAR [ ] 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 [ AENTAL REMARKS: DATE ANSPECTORS FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6050. . . . . . Date . . . . . . . . . ,August . . 16 . . . . . .. 19.7?+ THIS CERTIFIES that the building located at .Main. Rd A. nth•d-t . • . • • • . Street Map No. .xx. . . . . . . . . Block No. . . .xx. . . . .L.ot No. .mm . . . Green-port. - -14*Yt . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . / 0/73 . . . ., 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—bedroom. apartments-buildings.& A.'b. . .DrIftw o. d .9 prot . . . . . The certificate is issued to . Xenophon. Daulanos. . . . . . owner. . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval *Xishing. publiaa .sewer. system. . UNDERWRITERS CERTIFICATE No. 1757$7,1i1.75791.,NI7.5792-s. . .BK M17578610 17 NU6016 N176017. . Aug � ��.H J►US ER a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VR S6. nw-ois a.to .h4.044tgr-.e4.QA .C=P.10 pn.Qf. .Rro ect Building Inspector 13.9' S+ CLOSET 5.10'I BEDROOM 5' BATH 7I anypk� I CLOSET 3.8' 3.7'— 8,6' KITCHEN - smokelcwbon Aetector 17' LIVING/DINING ROOM 11.4' 18' dimentions are approximate 1000 Ninth St,A-10, Greenport e mtia Pig p��. . i-h i I I 2 ��uill II IIIIIIIIIIIIIIII uuuuuuluuuuuuuuuuuuuuu % Mary Hovey, CBR Real Estate Salesperson Daniel Gale Sotheby's International Realty � 114 Main St., Greenport, NY 11944 danielg le.com CN`a marvhovey@dariielgale.com o. 631.477.0013 c. 631.885.1743 Notice: Daniel Gale Sotheby's International Realty does not make requests for wire transfers via email; nor does the firm attempt to obtain confidential information through email including bank account numbers, credit card details, social security numbers, or other similar personal data. If you receive an email that appears to be from our company and requests that you wire funds or reveal confidential information, email fraud may be involved. Please do not respond to the message, and contact us immediately at: fraudalerts@danielgate.com or 800.942.5334. Notice: Daniel Gale Sotheby's International Realty does not make requests for wire transfers via email; nor does the firm attempt to obtain confidential information through email including bank account numbers, credit card details, social security numbers, or other similar personal data. If you receive an email that appears to be from our company and requests that you wire funds or reveal confidential information,email fraud may be involved. Please do not respond to 3