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Home My WebLink About1000-117.-9-22 TOWN OF SOUTHOLD Rental Permit 1486 Owner: Ronald Ekster , Diane Ekster Occupied as: Single Family Dwelling Located at: 16900 Main St New Suffolk 117.-9-22 Maximum Permitted Occupancy: 5 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: 05/28/2026 Expiration: 05/27/2028 code�nforceWnt official This Notice must be posted by the main entrance at all times ' TOWN OF SOUTHOLD—BUILDING DEPARTMENT "5 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-092 a � Telephone(631)765-1802 Fax (631) 765-9502 b�t.t:a�'�vwvv.sout oldiownriy,.g RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION739 -BLOCK C _ LOT� �. SECTION B. OWNER INFORMATION: Property Owner Name:�� Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): Daytime Evening 6Rwe— Emergency,59+� Property Owner Email Address: DW AbJaa`I'- Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling , an unit if : Y V6Q, rj UOL IA Address of Authorized Agent(no P.O. Boxes): 471 n " Mailing Address of Authorized Agent:1 CT Telephone Number(s): Daytime r g ��]�;Lrgenc' y Email Address:. Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: �D �-- Address of Authorized Agent(no P.O. Boxes): ° - Mailing Address of Authorized Agent: AL S Telephone Number(s): ;4e �nji 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!�; .. f I d _f+0 OL Telephone Number(s): Daytime � 1 reenrn mer ency Email Address: -- �VL� — 5 C' Cl I 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: Ur one 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: C k1 flo 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 flaws adopted by the New York State Fire Prevention and Building Code Council. EV 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) { . ' , 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 Owner's Sinatu'te �kA Sworn to b ore me is d f L 20 ..___..._.... Richard 0.fY onca Kota Public tatq of New York fvo.c� lc .4t0 Offici Notary P lic gn ure d Original Notary Stamp Qtatilied in Suffolk �u Y Oarnrndsan 20 Page 4 of 4 a sntr,��,�• TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INS "r" ECTIVA"' N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINA ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL i REMARKS: Ok, (z s a_ OCC • a;A _ 1 DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 lNbrEt; TION [ ] FOUNDATION 1 ST/ REBAR [ ] 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 [ ENTAL REMARKS: tC. ✓ w i h (COL 1 94 l IY �fe DATE INSPECTOR 11 � 4 Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 � a Tel: 631-765-1802 SCTM # Date a Owner S Phone Address C? Visible Hamlet Inspector 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 Occupant Count 1 I 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 Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO s for all items present -- Comments: 5 TOWN OF SOUTH SOUTHOLD PROPERTYC OWNER 'STREET VILLAGE DISTRICT SUB. LOT r � cno I t s v I FORMER OWNER L N ACREAGE .• g Al TYPE OF BUILDING _ F �S I � � m RES, j j 1 SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND I IMP. TOTAL DATE REMARKS g fm _ r I � i I i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre I Value Per Acre Value FRONTAGE ON ROAD lj s - z i Ald Tillable 1 BULKHEAD E I Tillable 2 = 1 DOCK Tillable 3 Woodland Swampland j Brushland I House Plot Tota I I _iL e _—� 1 _ w _ Z <<. i Foundation Bath a M. Bldg � � � e Extension Basement f Floors 3 - Extension ' Ext. Walls f-), Interior Finish 13 Extension Fire Place =' Neat i , e ;a Parch -' �' Roof Type Porch 'Rooms 1st Floor e, Breezeway Patio Rooms 2nd Floor Garage Driveway Dormer O. B- N. J. MAZZAFERRO P.E. PO Box 57, Greenport,N.Y. 11944 Phone-516-457-5596 Consulting Engineer May 19, 2026 ` e i n Construction, Ins ection Town of Southold-Building Department 53095 Main Road Southold NY 11971 Re: Exter/Reiner 16900 Main Street New Suffolk,N.Y. 11956 District-1000, Section-117. Block-9, Lot-22 Application for Pre CofO and Building Permit This is in reference to existing property located at 16900 Main Street, New Suffolk,N.Y. 11956. Please be advised that I have been retained to produce the documentation necessary to complete the application for and obtain the Pre and Current CofO's for the existing conditions at this property. I have inspected the property and it is structurally sound. If you have any questions, please contact me by phone or email, Thanks, Nicholas J. Mazzaferro, P.E. OF 0 t5 " x fr 4 Y 2. 1 2026 � c.) 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