Loading...
HomeMy WebLinkAbout1000-123.-3-11.1 TOWN OF SOUTHOLD CD Rental Permit r� a ,�Y 0302 Owner Christopher & Elizabeth Austin Occupied as Single Family Dwelling Located at 915 Bungalow Lane Mattituck 123.-3-11.1 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. 2/27/2024 4u�� >4, Code nforc nt Officia This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING D 631 -765-1802 I�3 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13 ,. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [ EO(2 DATE INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 x , Southold, NY 11971-1179 Tel: 631-765-1802 S I Date CTM# §Owner ! 17 Phone ;Address 'risible Hamlet ilnspector 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 i Building Systems Maintained &Operational Condition of Property Heating ��Building interior Hot water Building exterior Electrical iProperty clean,maintained &safe Mechanical Handrails&guards installed &secure Pool Safety i Pool on Site ;Surface water alarm Date of CO issuance Door alarms i Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: T OWN OF SOUTHOLD o" Rental Permit 3�r 0302 _gam Owner Christopher & Elizabeth Austin Occupied as Single Family Dwelling Located at 915 Bungalow Lane Mattituck 123-3-11.1 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. 1/27/2022 Code Enoce; nt Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex M �` 54375 Main Road PO Box 1179 Southold, R nt 111 Inspection �m NY 11971-1179 r Tel: 631-765-1802 Fax 631-765-9502 SCTM # 3 _ C Date 11'2 Owner Phone r Address l U/1 DW L Zip . Hamlet 00 Inspector Address visible from street? LEVELS SU13 1 2 3 Smoke Detectors (#-bedroom detectors excluded) ( Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows) ( /N) BUILDING SYSTEMS YCONDITION OF PROPERTY Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present MMM POOLS Y/N POOL BARRIERS Y 7N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- re uirements proof when unattended COMMENTS: (- TOWN OF SOUTHOLD Rental Permit Permit No. 0302 , Owner Christopher & Elizabeth Austin Occupied as Single Family Dwelling Located at 915 Bungalow Lane Mattituck 123-3-11.1 Village S/B/L 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. 3/6/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times f)p �� � �ZB t al � o�soUTi C- � ' ZOD Town Hall Annex Telephone(631)765-1802 54375 Main Road �s' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 915 Bungalow Lane Mattituck, NY 11952 Tax Map Number: 1000 SECTION 123 -BLOCK _ 3 -LOT 11 1 SECTION B. OWNER INFORMATION: Christopher Austin Property Owner Name:-- - Property Owner Legal Address: Property Owner Mailing Address: 915 Bungalow Lane Mattituck, NY 11952 PO Box-15 Laurel, NY 11948 Telephone Number(s): Daytime631.466.0124 Evening Emergency Property Owner Email Address: austin.chri@gmail.com Page 1 of 5 r a 0 Town Hall Annex � � � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 O Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency. Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 -Single family 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: 915 Bungalow Lane Requested Maximum number of persons allowed to occupy Dwelling U i : ? Number of rooms in Rental Dwelling Unit: 1 Bedroom, 1 bath, kitchen,living room,- inning room Use and Dimensions of each room in Rental Dwelling Unit: Bedroom 11 x 11' Kitchen 10'x 10' Bath 5'x 8' Dining Room 8'x 9.1' Living Room 11'x11' Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. ® I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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) 1 Chnstopher Austin ,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 Page 4 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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:- Chnstopher Austin Property Owner's Signature: 9 Sworn to before me this day of yYI�r_ 20 9 oe 7 Official NoIVY Public Signature d 0'rigina{ Notary Stamp a �4A TCEYL. pWYER NOTAR PUBLIC,SIATE OF No.OIDW63 69 0NEW YORE( QUALIFIEp IN SUFFOL C©MfvllS` ' ;1RES JUNE 30,2 Page 5 of 5 t� OVA ma�1dz- �OF SOGTyo� r # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. - - [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING- , [ ] FRAMING /STRAPPING [ INAL Q f! [ ] 'FIREPLACE & CHIMNEY [/IRE SAFETY INSPECTION T [ ] FIRE RESISTANT CONSTRUCTION "[ ] FIRE RESISTANT PENETRATION ( ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) : [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Awlw, 4* F 4—CJ 1 c �Iri DATE 3 INSPECTOR i Living Room Z Y_ 11`x 11` �" j� Kitchen 3'x11` Dinning Room 3`x9' Bathroom 5'x 3' Bedroom Covered Patio with 11'x 11` Basement Doo s :Closet :51x5:l2 SCTM_ # TOWN OF S• UTHOLD PROPERTY RECORD CARD OWNER STREET 'S VILLAGE DIST SUB LOT ACR. REMARKS r, _ . 33 TYPE OF BLD- / PROP. CLASS 10 4 CD LAND IMP TOTAL DATE t Q i i i cat FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL 7 717—� 7 1z TY, D $0 --7- A 7v 1AGE,, PI ST-.- -SUB. ' LOT STREET- [L 'Ah 8 LJZ_qk_-P pe 7 t�- FORMER OWNER N ,,,ACR. Y1 S T,��PE'OFAUILDING, 41 ,k:7 CB, MICS., �v6jue �FA�M- ts].- '.'f�--6, - 0 11 -SEAS. VL C S TOTAL �DATE Onp _T___ACv LAND'-- IMP. J� , .. ..... -0 t; f 0 V/ % 5_�4 V��73,,`S'� b Ar o N, L Ir w j w et D 4,A;P_H e�r- AL AGE BUILDING CONDITION 41 G SJ6 L NEW NORMAL BELOW ABOVE L ilml J1 huff a e FARNA Acre Value P -7 Ac re FRONTAGE-01�4.WATER-, Tillable Woodland' FRON-tA6 E ON-'ROAD _7 oWland DEPTH M6ad 7 �Housd r Lt 7777� �T" 03/ "9-0, & �..^``.: �.................. .. .. x .^.. ...,..w.X aa...... ........'@x' '..... �.,,,...e 'w,.... m\.�w..w�«.-.c.m.x. .m«. ...t r�.L"', ,^bo.. Zey77 „,.- ---- ° r C all V x OLO^R°,',j;j,�, ¢' TRIM c f;W I I � f � 1 nfl- y #P def.. + 123.-3-11.1 11/2015 h ' M. Bldg'l� �(+� I .79", Extens o S' / y _ I I _ Extension ,°,i Extension ti - �` �'�C '� PI— Foundation Bath ( �a Dinette ' Basement Floors .' K. Porch —� �- ---- IExt. Walls ;� s� F }�� ! Interior Finish j LR s Breezeway 'fire Place ` . � HeatDR.IR Garage � �Type-Roaf Rcoms,°lst, Floor I BR. f� ' I � M " z r P to �� o 'Recreation Room I �Roorrl§2nd'Fioor, ( FIN. B 0. - i _ iDorme�r r Driveway B. f' Total I i J'u } 1F >f ,�..,.�....w,,..� Sk-x.�..,,A..a.:..e„x........� ... .ea«,........n..w....r.wr...,`.d'a4..,.�.wte'W..e..==,,...................r�,.......,-......�.ra._,..A..,,_.,«i.„L.5^ ..w.>. :a+,e. �,. - "I SUFFOt,� Town of Southold 3/6/2020 53095 Main Rd Southold,New York 11971 a � PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41098 Date: 2/25/2020 THIS CERTIFIES that the stracture(s)located at: 915 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-341.1 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- 41098 dated 2/25/2020 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame seasonal one family dwelling with loft and enclosed porch(water side)and wood frame one family cote.*_ Notes: BP 1711 addition on cottage COZ-4692:BP 40318 electric service for cottage COZ40634:BP 43998 windows/alterations for cottage COZ-40871:BP 43991 alterations/additions to dwelling-house on the water-COZ-41081.BP 43706 accessory garage with storage COZ-40718:BP 44107 generator COZ-40706 The certificate is issued to Austin, Christopher&Elizabeth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0m , Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 915 Bungalow Ln,Mattituck SUFF.CO.TAX MAP NO.: 121-3-11.1 SUBDIVISION: NAME OF OWNER(S): Austin,Christopher&Elizabeth OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Duffner Family Trust DATE: 2/25/2020 DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: cement block CELLAR CRAWL SPACE: x BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered wood frame DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: propane AIR CONDITIONING: TYPE HEAT: WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: OTHER: this page for dwelling waterside ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWDOMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNS DATE OF INSPECTION: 9/26/2019 TIME START: 9:45am END: 10:52am BUILDING DEPARTMENT, TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 915 Bungalow Ln,Mattituck SUFF.CO.TAX MAP NO.: 121-3-11.1 SUBDIVISION: NAME OF OWNER(S): Austin,Christopher&Elizabeth OCCUPANCY: a ADMITTED BY: SOURCE OF REQUEST: Duffner Family Trust DATE: 2/25/2020 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY-ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil/electric WARM AIR: floor furnace HOT WATER: #BEDROOMS: 1 #KITCHENS: BASEMENT TYPE: unfinished OTHER: this page covers cottage roadside ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 9/26/2019 TIME START: 9:45am END: 10:52am FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.24692 . . . . Date . . . . . . . Jae 29 , 1972 THIS CERTIFIES that the building located at X/A.Braga jow Lane Street Map No. XX Block No. XX . . . . Lot No. SGC Matt;tizek. X..Y ,. conforms substantially to the Application for Building Permit heretofore filed in this office dated A.-9r:Ll 29, 19 fit. pursuant to which Building Permit No. 1711'L. dated . . . April. . 23 , 19. 62, 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 Prlvate .ons3 .f4ud24.dWA1:L1ng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to Wm* Ke Baer . to. L.L.Allmon. . . . .E7wner (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSI: NUMBER 90; Street. . . Bu'bgal.an LR . . . . . . . . . . . . . . . . . . Building Inspector - - --- ---- _ / ' FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE SOUTHOLD, N, Y. / BUILDING PERMIT (THIS PERMIT MUST BEKEPT{)NTHE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ��� � �� � . �� �� ° ��w ^��� u� Date _. ........ _ ........ ....' .- Permission inhereby granted to, ...........ftt~°=ulal,.................. ~^ ... ...... ........... ~'^ --- ^---' ' ' - ~-^~`^^-^^'^^-'^'-^-~^--`'~'`~^---' to .dvelling.^.. .................................................. `~~'~--^--`-` ` ` `~`~^^--~~^ .........................`^^^^^~~-~`-~^`^--`^--'~-`---`-``~--^^^` .............................. otpremises located ot .... .... . ... .............................................................. ..... '--^^-~~~-~—~~- --^~-'^'^~^^~-' '~~^'^ '' ' '^--'~~'-~'~^~'—'— ' ^^^~~^^'~~`~~--~~^ -^~^'` ~~-~~^---~~-^--^~^--~`^'^~~^~^^^'~^^^~^^~~^~'^~-~~ '~' ' ~--~--~~`~~~^'~''~ ~'^~'^^~~~~~~~~^ pursuant to application dated -.,-,.-.'......,.... ..'Q3 .' - ....l%xu.,,,, and approved by the Building Inspector ^ ~~ ���r~~~'`^~^~~^ ' Building Inspector Town of Southold 8/20/2019 e P.O.Box 1179 a • 5 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40634 Date: 8/20/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 915 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2015 pursuant to which Building Permit No. 40318 dated 12/3/2015 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: 200 AMP ELECTRIC SERVICE(COTTAGE) The certificate is issued to Austin,Christopher&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40318 08-13-2019 PLUMBERS CERTIFICATION DATED Authorized Signature Town of Southold 9/23/2019 o P.O.Box 1179 53095 Main Rd oy Southold,New York 11971 CERTIFICATE OF OCCUPANCY No:' 40718 Date: 9/23/2019 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 915 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/26/2019 pursuant to which Building Permit No. 43706 dated 5/3/2019 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: NON-HABITABLE ACCESSORY GARAGE WITH STORAGE ONLY ABOVE AS APPLIED FOR The certificate is issued to Austin,Christopher&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43706 09-10-2019 PLUMBERS CERTIFICATION DATED % uth ' ed 'gnature o\pg11FFOt,��o Town of Southold 2/14/2020 P.O.Boz 1179 0 o ` 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41081 Date: 2/14/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 915 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/6/1976 pursuant to which Building Permit No. 43991 dated 7/19/2019 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 and addition.including pergola,to an existing one family dwellings applied for. The certificate is issued to Austin,Christopher&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43991 8/13/2019 PLUMBERS CERTIFICATION DATED 9/26/2019 C pher Au Signature o�g11FRkjr G Town of Southold 2/14/2020 0 P.O.Boz 1179 o ` 53095 Main Rd 'jgy�l �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY - No: 41081 Date: 2/14/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 915 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/6/1976 pursuant to which Building Permit No. 43991 dated 7/19/2019 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 and addition,including_pergola,to an existing one family dwelling as applied for. The certificate is issued to Austin,Christopher&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43991 8/13/2019 PLUMBERS CERTIFICATION DATED 9/26/2019 C\CrNpher Austj ut o ' Signature �� guEE�t��OG Town of Southold 11/20/2019 e - P.O.Boz 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40871 Date: 11/20/2019 TMS,CERTIFIES that the building ALTERATION Location of Property: 915 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/19/2019 pursuant to which Building Permit No. 43998 dated 7/19/2019 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: window replacement,interior electrical work and electric heat in an existing accessory cottage as applied for. The certificate is issued to Austin,Christopher&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43998 10/25/2019 PLUMBERS CERTIFICATION DATED th rize S ature