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Home My WebLink About1000-111.-8-17 t ¢. TOWN OF SOUTHOLD A Rental Permit 1055 Owner Kumber Husain & Farzana Morbi Occupied as Single Family Dwelling Located at 3475 Wunneweta Rd. Cutchogue 111.-8-17 Maximum Permitted Occupancy 8 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. 1/24/2024 d of c nt Official This Notice must be posted by the main entrance at all times o� SO b 12,0 1 Z6 ?QZ0(j3W Town Hall Annex ` Telephone(631)765-1802 54375 Main Road re �- Fa! 6,31)765 9502 P.O.Box 1 179 t ye tt105 -7 Southold,NY 11971-0959 * t� �r p p coo BUILDING DEPARTMENT TOWN OF SOUTHOLD 0 C (J RENTAL PERMIT APPLICATION TION Rental Permit Fee $200 (Application must be renewed every two years) j Ky l l Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK_ . __ _ .-LOT _- \`1 ,_SECTION B. /'� OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: �3 ro-O . y � 1145 Telephone Number (s): Daytime Cl "�tw � Evening_ Emergency Property Owner Email Address: Page 1 of 5 0 � Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road , P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 ik �o � Telephone Number. (s): Daytimd; a.�` �-�Evenin g�._.�--�-- Emergency IZI -7 4,-7 Email Address: ` `' b t—C)P � Section D. Managing Agent Information: t of dwelling unit, if any: 24 , Name of Authorized Agent g 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) �4-S Name of Managing Agent of dwelling unit, if any: -- Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Q Q ,? Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 MO ° BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime ning Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: +— G N 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 D elli g Unit: Number of rooms in Rental Dwelling Unj : Use and Dimensions of each room irfental Dwelling nit: .� Page 3 of 5 p (fir" , Telephone(631)'765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road P.O.Box 1 179 Southold,NY 11971-0959 BUILDING D P RTMFNT TOWN OF SOU HOLD 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. ZI 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) � rtify under penalty of perjury,the following: 1. I 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 Page 4 of 5 Soo Town Halt Annex Telephone(631)765-1802 54375 Main Road µ Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ,, w BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: .r Property Owner's Signature: �- Sworn to before me this�Liday of cJz � , 20 Official Notary Public Signature and Original Notary Stamp Tricia Shannon Notary Public, Sty O of Ne7York Reg, No+ DI H 0 76 Oualfflod In lla sau cuntyr Commission Page 5 of 5 TOWN OF SOUTHOLD BUILDING M 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. C l FOUNDATION 2ND [ ] INSULATION/CAt C l FRAMING / STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESIST T' ISE [ ] ELECTRICAL (ROUGH) [ ] EL C IC L [ ] CODE VIOLATION [ ] PRE C/ODATEC I INSPECTORAeA- rn 'l so TOWN OF SOVTW&i� BU DING D --.T 10 L l FOUNDATION 1ST [ ] ROUGH PLBG. C l FOUNDATION 2ND [ ] INSULATION/CAl L l FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TI [ ] CODE VIOLATION [ ] PRE C/O [ ] DATE INSPECTOR � �j TOWN OF SOUTHOLD PROPERTY RECORD C1 3SIRE VILLAGE OWNER I ,� g � � DISTRICT SUB, LOT `. . Z� l FORMER OWNER m N E ACREAGE = ' R E t S W TYPE OF BUILDING RFS �$ == SEAS. VL. FARM COMM. IND. I CB. MISC. 1 Est. Mkt. Value LAND IMP, TOTAL DATE REMARKS - r s , a _ _ r kGE l NG_GNDITIOE _ a, A JOVE FRONTAGE ON WATER �ALELO FarmsAcrelu PerAcre .-� Value I FRONTAGE ON ROAD Tillable 1 I BULKHEAD Tillable 2 DOCK Tillable 3 i Woodland Swampland i Brushland , i House Plot t '� i E s Tota sc - m TOWN OF SOUTHOLD PROPERTY RE+ OWNER STREET VILLAGE DIST. SUB_ LOT if ACR. REMARKS TYPE OF BLD. _ PROP. CLASS , :. LAND IMP. TOTAL DATE £ - i I FRONTAGE ON WATER HOUSE/LOT I I } BULKHEAD _ TOTAL COLOR a a 13( 3TRIM g , t 6 aspV \ \ 7 -_�T :har 111-8-17 03/2016 a Ajr 7 1 st 2nd Foundation Bath Dinette OTHER 1 <_e ,_�� 7 7FULL COMBO Extenssoh . � Z,,%7_ Basement 'CGRAB L PARTIAL Floors Kit E Extension Finished B Interior Finish 75-11-12, L.R. Extension Fire Place Heat D R §} :R Garage Ext. Walls BR. Porch € r` Dormer Baths �. V Deck/Patio Fam. Rm. 77-7 _ Foyer P00 • a c ft'r � A.C. / br �,�F f Laundry .e Library/ O.B. ,;' i Study 17350 €_. . K v s e eA _ � z N- A _ Vidg. F oundation Bath Extension Basement F-loors ar , ExtensionExt. Walls !nta;iar Finish i Extension Fire Place mea: Porch . z --, i vpe N Porch R „rs 1 st Floor Breezeway Fano Rooms 2nd Floor Garage Driveway Garr,.er Q. B. ox=ZAtat�C Town of Southold 8/12/2016 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38444 Date: 8/12/2016 THIS CERTIFIES that the structure(s)located at: 3475 Wunneweta Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-8-17 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38444 dated 8/12/2016 was issued and conforms to all the rexldriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: la cetnelnt block one,f.4_,_lyI LtLc a creLd_frgnt;por :lr acid two acc ssor l ed4! Note: BP 7 71 a dit Q C� - !44 Ili' L„ ()7 additions/alterations terations C -3 4 a , The certificate is issued to North Fork Investors LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Auth ized Sign. re N BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE.INSPECTION :REPORT LOCATION: 3475 Wunneweta ._..... R. d,CutchosgLu�Le� C.� ��.._�..M..m._ww.__....... w_w._.__..... �_.._...w.�.........��..�......._..�.�......_�....._........�.. ..w....�...w._ww.._....____._..........._.............._....w.....__M...._...._........... SUFF.CO.TAXMAPNO.: 111-8-17 ...... SUBDIVISION: NAME OF OWNER(S): North.Fok � .ww......... ...... ....� Investor....www.._._._._._._......__ .............................. _ ._...... .._. - ............w. OCCUPANCY: ADMITTEDBY_. Donald Rafuse ww...._.��, .w.�.�....�.�.�.�.m.�.�_�_._....ww.._......._.��www........... ._.�..._...................ww_._ SOURCE OF REQUEST Rafuse,"Do n-al dDATE: /12/2016 �.._....._ _.._w DWELLING: #STORIES: 1.5 #EXITS: FOUNDATION: concrete CELLAR: CRAWL SPACE: slab BATHROOM(S): 1 TOILET ..w_ ... .... _. ROOM(S): ......_ _... 1 ..�.�.�.�.�.�..................,......UTILITY ROOM(S): x ....w PORCH TYPE: cov fronporch . _ ,.,,. t poo rch DECK TYPE: PATIO TYPE: BREEZEWAY:..��_.. .....� ...mvwv_.............. W..-._FIREPLACE: _ GARAGE -_.w.�.�.�.�.�.�.�.�.��M� .�...... . _.... ...._ &� : DOMESTIC HOTWATER: x TYPE HEATER: off boiler AIR CONDITIONING: ..�_. TYPE HEAT: OT oil ..............W... .......w.- _�......................�,......_. ' ARM AIR: � HWATER: x #BEDROOMS: 2 #KITCHENS: 1 BASEMENT.TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: _ 2 small sheds SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 6/27/2013 TME START: END: Yg FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NO-&929. . . . . . . Date . . . . . . . . . . . .Dec . . . 5 . . . . . . .. 19.72 PA THIS CERTIFIES that the building located at . W�unaewnta. & .Little .l0ff Street Map No.Nas.* •Pt• • . . Block No. . . . . . . . . . .Lot No. . a44.045. . . Cutchogue. . Nolo. conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .Jul- y . . . 26 19.71 . pursuant to which Building Permit No. . 5.'+.'2?"z. . dated . . . . . . . . . . . . .duj.y. . . 2!b 19.71., 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 .Private- flue• family -dwelling•& aaeeosory. build. • . . . . . The certificate is issued to . .hdward•Di,ek • . . . . . .-WROV . . • . . . • 4 • . � , . w . . • . . . . . (Aver, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N«R. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . .N!R.! . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . . .2015. . . . .Street. . . .Little. -Peconio -bar .Rd. . . . . . 3475 Wunneweta Road Building InspectorN . . FOIKK Ifo. i TOWN OF SOUTHOLD DEPARTMM T 's Office Southold, N. Y. Certificate Of Occupancy No. . . . . . .' . . . . . Date . . . . . . . . . . . aui. . 4. . . . . . . .. 19.M THIS CERTIFIES that the building located at . . .MAMWt4..RQad. . . . . . . . . Street Map No. A40r. R%P. % to ' ROD?0. . I . . . . . .Lot No.t44. A .145. . . . �xtG�P . . R.X . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .�Y . . .3 , ., 19. 75 pursuant to which Building Permit No. 797.1.4. . dated . . . . . . . . . . . . June. . 19. 21, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this catEcate is issued is �F " is . f►!►. . Y.��►4� -�A4. ?f .4�. AAd1tio4. . . . .. . . . . .. . . . . . . . The certificate is issued to .EAy.�k. A.K.. p4okmum. . . . . . ', p . . „ . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.e.14 e . . . . . . . . . . . . . . .. . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .jAWIIAS. . . . . . . . . . . . . . . .. . . .. . . . . . .. . . . . . H4USllE NUMER . .3475. . . . . . . Street . . . . .. , , ewota.Road. .. . .. . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . . . . . . . . . . . . . .. .. . . . . . . . . . . .. . . . . . . .. . . . .. . ... ... .. .. " » . . . . 1�� ect � . . . . . . . tl Town of Southold 7/22/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38405 Date: 7/22/2016 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 3475 Wunneweta Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-8-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/1/2014 pursuant to which Building Permit No. 39407 dated 12/8/2014 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: alterations,ago@ ag_ldlttps inclttdiat cove+�rltry,.tc� n e cistn o:te fazt �ym �rlli�, s a lied 4or er IIIA# 775,, dated 8/21/2014. The certificate is issued to North Fork Investors LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-14-0079 6/23/2016 ELECTRICAL CERTIFICATE NO. 39407 5/25/2016 PLUMBERS CERTIFICATION DATED 7/22/2016 North Fork Investors _`._.w_.. .. ._................ . .w --_w._____. . `M.M..M. ,.., . ignatut f� t Wuuuuu uuuuuY ��i / r v / i , / r / i / iirrrrr i 1 r rr �Ifiii ri 2 { i S le. s a _ lit z LEGEND Y jj ry 1 c� _ t