HomeMy WebLinkAbout1000-111.-14-28 � TOW'. N OF S UTH LD
Rental Permit
0019
Owner: Wunneweta Holdings LLC
Occupied as: Single Family Dwelling
Located at: 4296 Wunneweta Rd Cutchogue 111.44-28
Maximum Permitted Occupancy: 4
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: 05/05/2025 /7 —M
Expiration: 05/05/2027 c e E cem'ent&tvai
This Notice must be posted by the main entrance at all times
f4f Oar
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] 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 (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
r
�;0 i con l UA-O( sort '
DATE s S" a S� - INSPECTOR
;` off Town Hall Annex
Town of Southold 54375 Main Road
+ ' Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
,w Tel: 631-765-1802
SCTM# _ — Date 5- 5--.2
Owner Phone
Address Visible
Hamlet U Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors(not located in bedrooms)
Carbon Monoxide Detectors
Fire Extinguishers
Exits 1
Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress -
Occupant Count C71 ¢ Ia'
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 J latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments:
TOWN OF SOUTHOLD
Rental Perrot
0019
Owner Wunneweta Holdings LLC
Occupied as Single Family Dwelling
Located at 4296 Wunneweta Rd Cutchogue 111.-14-28
Maximum Permitted Occupancy 4
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.
5/2/2023
Code E for t ent Official
This Notice must be posted by the main entrance at all times
so
TOWN OF SOUTHOLD BUILDING DEPT.
-�
FOUNDATIONINSPECTION
T ROUGH PL13G-
FOUNDATION
INSULATION/CAULKING
FRAMING1 STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETYINSPECTION
FIRE RESISTANT CONSTRUCTION FIREITT PENETRATION
VIOLATIONELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE IO [LI/RENTAL
DATE INSPECTOR
tt _
Rental Permit
Permit No. 0019
Owner Wunneweta Holdings LLC
Occupied as Single Family Dwelling
Located at 4296 Wunneweta Road Cutchogue 111-14-28
Village
Maximum Permitted Occupancy 4
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.
3/15/2021 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
£€ tA }_ii�k TOWN OF SOUTHOL
Rental Permit
Permit No. 0019
Owner Wunneweta Holdings LLC
Occupied as Rental Dwelling Unit
Located at 4296 Wunneweta Rd. Cutchogue 111-14-28
Address Village S/B/L
Maximum Permitted Occupancy 4
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.
3/26/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex
54373 Main Road Telephone(631)765-1902
P.O.Box 1179 Fax(631)765-9502
NY 11971-0959
BUILDIN(3 DEPARTMENT
RENTALTOWN OF BOUT-HOLD
IT APPLICATION
Rental Permit Fee$200(Application must be renewed every t ears)
..m. �
Section A.
Property Information:
Rental Property Address:
�JvN YU e w
Tax Map Number: 1000 SECTION 1 ROC L i LOT OaP'
SECTION .
OWNERF
Property Owner Name: �1CNN iotrTA- i-�o��c �u S U �d L/
Property Owner legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Telephone Number(s): _ 7S" d- 3 r
Property Owner Email Address: 1,3 Ll &r � ,• yK �-,L
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any
Add
r �ss of Authorized Agent ( P.O. Boxes): ° � ° "ok"
67? dC a "
Mailing Address of Authorized Agent:
Telephone Number(s):
2 2
)
Email Address: i ... � � ����� ° � 62 .
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):
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):
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, 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:
Requested Maximum number of persons allowed to occupy Dwelling Unit: d
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
,��/�� F���"� �12 aril,• �� .�)%rc�'NS�0 N�
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 NYS licensed architect, a NYS 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.
Page 3 of 4
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect,a licensed professional engineer,or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
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 r 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-LL day of . )a� °°P� 204 THOMM j MjHUNGER
ty
Official Notary Public Signature and Original Notary Stamp � tiili � �c � ¢Page 4 of 4
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TOWN OF SOUTHOLD BUILDING
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[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2D [ ] INSULATIOWCAULKING
[ ] FRAMING [STRAPPING [f] FIRE
INAL" AWA,,A�FIREPLACE CHIMNEY _ [ SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/
REMARKS: tmujum4_ C
DATE lol !lokl INSPECTOR
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I FNt Town of Southold Annex 11/18/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
G
CERTIFICATE OF OCCUPANCY
No: 37280 Date: 1 l/18/2014
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
w.., _ ....—....._.
Location of Property: 4296 Wunneweta Road,Cutchogue,
�...... _.__ ..�... _. ..�......................._....__...__
SCTM#: 473889 Sec/Block/Lot: H L-14-28
.... ... .. ......... _..
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/9/2007 pursuant to which Building Permit No. 33458 dated 10/9/2007
ed and conforms to all of the requirements of the W w
was issued, q e applicable provisions o the law. The occupancy for
which this certificate is issued is:
unt seasaaral gauze f�amil dwellin- with front roof overlay and attached two car eat fear.
The certificate is issued to Wunneweta Holdings LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0102 5/24/2013
..................2037780....... 11/8/ 0............
ELECTRICAL CERTIFICATE NO. 2 OS
PLUMBERS CERTIFICATION DATED
11/14/2014 LL. Jack Gismon„
dint re
CONSENT TO INSPECTION
B 0 -14;e QV4trr", the undersign4 do(es)hereby stage.
—er( s)
That&e i eat(is)( )1he o er(s)of the premises in the Towno
located
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section I' ll Block_L�L_,Lot
That the undersigned(has)(have)filed,or cause to be filed,an application in the
Southold Town Buildi�g Inspector's Office for dw following:
That the undersigned do(es)hereby give consent to the Building Inspectors of the
property,Town of Southold to entw upon the above dc=93ed including any and alt
buildings thereon,to conduct such inspections as they nay dem necessary with
respect to the aforesaid application,including ctiornis to detevmine that said premises
comply with all f The laws,ordinances, regulations of the Town of Southold-
The
undersigned,in consentmg to stich inspmfions, )so with the knowledge
and ucnderstandmg that any information obtained in the conduct of such inspections may
subsequentbe used in prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold.
DaW: 1 !
-(Print Name) �...,w
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET Z-1 �i VILLAGE DIST. SUB. LOT IL
ukttvitf-a Raad iv A" A 's 1, 40, AL 4L
10 MEdR0 ER N E ACR.
S W TYPE OF BUILDING
L L -------L—j-
#0 vi
R.E . 3 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND imp. TOTAL DATE REMARKS
66
J
,z q0 0 2 goo -ffjoo 170,cop ClkEEEc-: `2aworz L-954,5 JID-Aoo
1 I9 0) -7,
6L00 6 Q 0 i.1 f _,Oo-( 4L-)
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29 0 0 5-100 9320 li� wiln gp dAdKu u25 -
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AGE BUILDING CONDITION )01q ke 94 334SI,ifew a pjit: �,cj E-1 Y,, 3-)
NEW NORMAL BELOW ABOVE 02, —L L2�2 6g�o 0 Ak&61 /U
Ugn&
--FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
3 0
Noodland
oR
;warnpland FRONTAGE ON WATER
3rushland FRONTAGE ON ROAD
douse Plot DEPTH
BULKHEAD
DOCK
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ion lr� A? = 170 3.ro S Basement �.o�.0 Floors ego �ere� K
ension Ext. Walls Interior Finish LR.
•ension Fire Place /VoAdC Heat DR.
SPp T Type Roof, Rooms 1st Floor BR.
ch Recreation Room Rooms 2nd Floor FIN. B.
ch Dormer
aezeway Driveway i
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February 15,2021
Southold Town Building Department
54375 RtI5
PO Box 1179,
Southold, NY 11971
RE: Rental Permit No.0019
Expiration March 26, 2021
To Whom it may concern:
I am the agent for the Wunneweta Holding LLC, whose property is located at 4296 Wunneweta Road,
Nassau Pt,Cutchogue, NY. I was advised that presently there were no permit renewal forms available
and to write a letter requesting the bi-annual inspection to renew the existing rental permit noted
above and enclose the required rental fee of$200.00. Please find check#4667 in that amount enclosed.
I am available to meet the inspector when an appointment can be made. Please contact me at
,�uqu �° Y'q,urgA ruru, or my cell phone 516-319-0323.
Thank you,
Regards,
Tom Uhlinger �
Licensed Associate Broker
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