HomeMy WebLinkAbout1000-38.-1-18 = TOWN OF SOUTHOLD
Rental Prrnt
0593
Owner George Grammatikopoulos
Occupied as Two Family Dwelling (1st Floor Apartment)
Located at 1695 Shipyard Lane East Marion 38.-1-18
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.
2/5/2024
Code fore rn nt Official
This Notice must be posted by the main entrance at all times
. s #s TOWN OF SOUTHOLD
AJ
a
Rental Permit
f. E 0594
Owner George Grammatikopoulos
Occupied as Two Family Dwelling (2nd Floor Apartment)
Located at 1695 Shipyard Lane East Marion 38.-1-18
Maximum Permitted Occupancy 6
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.
2/5/2024 _
Code orc er�t Officia
This Notice must be posted by the main entrance at all times
so
TOWN OF SOUTHOLD BUILDING DI
631 -765-1802
INSPEC ION
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] 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 [ l
REMARKS: Zcell�L��
13
CIL- con-y�ae-w
ci
DATE INSPECTOR
Town Hall Annex
Town of Southold 54375 Main Road
t Rental Inspection Report PO Box 1179
, x f Southold, NY 11971-1179
Y
'J
Tel: 631-765-1802
SCTM # - Date
.. __. .. ... � ....... __ .........,
OwnerPhone
µ ._
Address Visible
Hamlet Inspector
Floor Leve) uantitie 3
w. � ,w .o.RR_R...... ,.�.w..w ��w ,aaw ��..
Smoke Detectors (not located in bedrooms)
Ywww. _
Carbon Monoxide
Detectors /
Fire Extinguishers
Exits� �. .. ��.. ..... , .w. ........ .._
Bedrooms 1 2 3 4 5 6
Smoke Detectors ✓
Egress
[--&-c uant Count � �W�.. ..._._�-.�...�.,�..� .. . ... F .. ........��._ ��... .....!....... . ..... -w..,
Building Systems Maintained &OperationalCondition of Property
�.. . .,�
Hm
eating Building interior
w .a
Hot water Building exterior_
Electrical �Propertyclean, maintained &�safe �
f
--- � ..,.
Mechanical Handrails&guards installed &secure
Pool Safety Pool on Site
.... ,.
Surface water alarm i 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
.. .�.e... ..�.e m .. . ..... . 0 ..� . ...... ._. m mm . ...
.. _ ....... _ ....
..
.�.
Comments: � „„ �
TOWN OF SOUTHOLD
Rental Permit
A g
0593
Owner George Grammatikopoulos
Occupied as Two Family Dwelling (1st Floor Apartment)
Located at 1695 Shipyard Lane East Marion 38-1-18
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.
2/4/2022 P�e�f
qrEofficial
This Notice must be posted by the main entrance at all timesr
'OWN OF SOUTHOLD
Y Rental Permit
0594
Owner George Grammatikopoulos
Occupied as Two Family Dwelling (2nd Floor Apartment)
Located at 1695 Shipyard Lane East Marion 38-1-18
Maximum Permitted Occupancy 6
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.
a
2/4/2022
ode er e nt fl
This Notice must be posted by the main entrance at all times
i
Town Hall Annex Telephone(631)765-1802
54375 Main Road �a � Fax(631)765-9502
P.O.Box 1179 a:
Southold,NY 11971-0959 � '^ % �
BUILDING DEPARTMENTI, �
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION o\N
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Pro rt Ad s // r-g 27
r
Tax Map Number: 1000 SECTION a BLOCK
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): Daytim �' " ening Emergency��f0 �—/��.�
Property Owner Email Address: �s 0. O - C
Page 1 of 5
Town Hall Annex p`°°� o� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 a ��
Southold,NY 11971-0959
OUR
a
BUILDING DEPARTMENT
TOWN OF SO HOLD
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:
Telephone Number(s): Daytime Evening Emergency
Email Address:
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 containin 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes):
7
Page 2 of 5
Town Hall Annexe Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
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: A7�
_ m
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: s�7
,
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Us and Dim ens O of each room in Rental Dwelling Unit:
a;
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �y,
Southold,NY 11971-0959 ✓, ?ori
Mrd.
BUILDING DEPARTMENT
TOWN OF SO .TTHOLD
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/I 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)
p j 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 1179fk,'
Southold,NY 11971-095900
k
BUILDING DEPARTMENT
TOWN OF SO HOLD
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, ging Agent, or Si Manager.
Property Owner's Name `/ , 3
Property Owner's Signature:
Sworn to before me thl's gym ) day of Com(, 1 i 20 �
Official Notary,Public Signatureiand Original Notary Stamp
nl 1 a
v
iv "RAY Aa W� uc d
Of
i�v �d Wv Vi k,, i4 4.0124
Cera.Filed In 7"ork County
Cot ,r ss:�a E:r ti 1a 1,Div
Page 5 of 5
Town Hall Annex `� Telephone(631)765-1802
54375 Main Road •' Fax(631)765-9502
P.O.Box 1179
m m 'v
Southold,NY 11971-0959m ,
ID
BUILDING DEPARTMENT ni OV 1 8 2021
TOWN OF 50UTHOLD
BUILDING DEPT
RENTAL PROPERTY CERTIFICATION TOWN OF SOUTHOLD
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
it ro, lonol se l re aired or r hi e+ct air err fr eer 06cer sed l + m+ lr� ecfor rl +u t vide
c� o vcr/ld la°rrent cerrt°i itatictn
Rental Property SCTM Number: '��-� � � �' ""
Rental Property res: 9 �* �",—, ,. "• �"`
Owner/Name:~
Rental Dwelling Unit Identifier: "I
Number&Square footage of each bedroom as depicted in the attached floor plan:
( J Broom#2-90 sq., etc.
i.
e. R'e oom#1 -100 sq� ... ...�,..". ..;..� , .., ..��... .__. ......_. ....
Property Description (Include all improvements indicated on survey)
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State e4' ergy Conser�atlon Construction Code of New
York State.
Print Name and Titlen a`' Original ignatur
n
Please place professional seal: ;
Town Hall Annex Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1179 w f
Southold,NY 11971-0959 w ��
nµ
BUILDING DEPARTMENT
TO OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: '��r �
Requested maximum number of persons allowed to occupy each dwelling unit: —7—
Number of Rooms in Rental Dwelling Unit:
Us and Dimens n of eac room:AAC r
P a
42
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
TOWN OF SOUTHOLD BUILDING DEPT.
tt�
765-1802
�g •- -
[ ]
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
I l
FRAMING/STRAPPING FINAL ), Rv,k*o
[ ]
FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
a A-
wv � �
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1f
Town Hall Annex Y Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 °' °_ (
a Y rveww (' Yui [..a
NOV 1 8 2021
BUILDING DEPARTMENT
TOWN OF SOUTHOM BUILDING DEPT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
P'r eslc►nl sezl rerlred drircllltect ar n lneer licensed llcmnte Ins ectcar rnlstProvide
c � alid'current certi icotlon
Rental Property SCTM Number: C 2
Rental Property Ares : t AavChi � 9
Owner/Name:
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. m#1 -100 sq,, Bedroom#2_90 sq., et .
Bedro
Property Description (Include all improvements indicated on survey)
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold, the Residential Cade
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Cade of New York State,�.Ojh,, Energy Conseion Construction Code of New
York State. N
Print Name and Title �-" r°�G � '� a� Original
Please place professional seal:
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TOWN OF SOUTHOLD PROPERTY RECORD 6
STREET VILLAGE DIST,I SUB. -LOT
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FORMER OWNER ACR.
Lu Cvno, r _ _
i, �r� 4 S z TYPE O BUILDING
UILDING
W T
- { y
t�ES. _ SEAS. VL. FARM Comm, CB_ MICS. Mkt. Value e
IMP. TOTAL DATE REVAR€ S °
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—00
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rc) 756o fis ' 04j
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AGE BUILDING CONDITION
NEW NORMAL I BELOW ABOVE _
�FARtv1 Acre Value Per Value
Acre Ceti� J
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowlcnd DEPTH
House Plot BULKHEAD
Tote DOCK
COLOR TRIM
-- - - ------
s.
--------------------
t"7.
3.
L
L
.g.
AIA
Extension
PU
Extens;on
-Extens ior,
X
Foundation i 16th
Dinette
Basement Floors K.
L
t
i77
'Interior Finish
Ext. Walls LR.
%
Fire Place 'Heat
Type Roof !Rooms Ist Floor DR.
Patio Recreation Room, #Rooms 2nd Floor FX B I
0. B iDormer Driveway
Total
31
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
'CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES No. 212472
May 17, 1984
THIS IS TO CERTIFY that the
Land
/X/ Building(s)
r/ Use(s)
located at 1695 Shipyard Lane East Marion
Street Hamlet
shown on County tax map as District 1000, Section 038 , Block 01
Lot 018 , does(not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the property has insufficient area; the dwelling has insufficient
front yard and side yard setback; the two (2) accessory sheds have
insufficient setback, One shed is approximately six (6) inches
over the northerly property line.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_X/Land I!/Building(s)
/_/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and'wise fo"hich this Certifi-
cate is issued is as follows: a rivate(I one-fail elling
one accessor shed and one accessory �VdT .n re corner
in dilapidated condition.*
The Certificate is issued to JOHN F. BRYANT, JR.
(owner, lesme-ortenazrt)
of the aforesaid building.
Suffolk County Department of Health Approval no record
UNDERWRITERS CERTIFICATE NO. no record
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
* The Town Assessor's records indicate th t in 10/7 the dwelling
was in poor condition.
Building Inspector
t
h
AFFIDAVIT
i
1
STATE OF NEW YORK) SS . : q
COUNTY OF SUFFOLK)
JOHN F. BRYANT, JR. , being duly sworn, deposes and says:
1. That I am the owner of premises situate at the East
Sade of Shipyard Lane in East Marion, New York.
e
2. That my family initially acquired the said property
when my mother purchased same in 1954 from a William Patterson.
Thereafter, title was transferred to my father and then to me
k
in 1968.
8 3. That judging by a cornerstone found as a part of the
original structure, it appears that the original structure was
erected in 1824 or 1927.
4. That we were told by the former owner of the premises
that additions were made to the main structure, bringing it to
its present size and shape. The said additions were completed
a
sometime around 1900.
5. That the said premises have been utilized by my family
as a summer residence throughout our ownership of same.
JOHNF, BRYAN`1`,
Sworn to before me this
� c9h day of April, 1984 . !
1
� T# J GUTTTFRT � SSIY)
Notary i.c, State of New York
No. 52-4754237 Suffolk County
My Cc[tmission Expires Manch 30, 1985.
V
B
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Half
Southold,N.Y.
Certificate Of Occupancy
No. .Z 14353. . . . . . , . . Date . .April 22. . . . . , . « , . . . . . . . . » „ 19 86
THIS CERTIFIES that the building . . . . . . .Addition. . . .. . . . , „ . . . . . . . . . . . . . . . . . . . . . . .
Location of Property , . . .EA_S.T .MARION
House No. .Street Hamlet
County Tax Map No. 1000 Section . 3 8 . . . . . . . .Block . . . . .a 1 . . . . . . .Lot . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . .Lot No. . . . . . . . . . . , „ .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
M a Y. .? . . . . . . . . . . . . 19 8 5.pursuant to which Building Permit No. . .1.3 9 2 Z . . . . . . .
dated , June 3 . . . . . . . . , . 1985 ,was issued,and conforms to all of the requirements
of the applicable provisions of -law..„"I"he occupancy for which this certificate is issued is . . . . . . . . .
Addition to existin two f mily dwelling.
The certificate is issued to . . ,s TtW;E'.tk . .„. .!j fjy gNK0
of the aforesaid building.
Suffolk County Department of Health Approval , . . „ . . . . .N.1A. . . . . . . . , . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N.7.3 7 9 8 6 . . . . . . . . „ . . . . . . . . . . . . . . . .
PLUMBERS CERTIFICATE Feb. 17 , 1986
✓c. . . . . . :. . . . . . . . . . . .
Building Inspector
Rev.1/81
Vk- .
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18887 Date MARCH 13 1990
THIS CERTIFIES that the building ALTERATION & REPAIR.
Location of Property 1695 SHIPYARD LANE EAST MARION N.Y.
House No. Street hamlet
County Tax Map No. 1000 Section 38 Block 01 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 22, 1989 pursuant to which
Building Permit No. 17941-Z dated MARCH 23 1989
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which t")Z x'tificate is
issued is ALTER & REPAIR FIRE DAMAGE TO E: ISTI'X TWO FA ILY
DWELLING AS APPLIED FOR. 'N"111— )
The certificate is issued to PANTEUS FAKIRIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
UNDERWRITERS CERTIFICATE NO. N-094067 - SEPTEMBER 29, 1989
PLUMBERS CERTIFICATION DATED MARCH 9 1990 - INNOVATIONS PLUMBING
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20241 Date SEPTEMBER 25,-122L
THIS CERTIFIES that the building ALTERATION
Location of Property 1695 SHIPYARD LANE FAST MARIONZ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section SS Block 1 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 1 1990 -----Pursuant to which
Building Permit No. 19432-Z dated OCTOBER 2 1990
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 ALTERATION TO ENCLOSE BOILER ROOM STORAGE ROOMS & PLAYROOM
IN NON HABITABLE CELLAR AREA AS APPLIED FOR.
The certificate is issued to GUSMAR REALTY CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
UNDERWRITERS CERTIFICATE NO. NIA
PLUMBERS CERTIFICATION DATED N A
1V r7l-e� 44J�
Build ng Inspector
Rev. 1/81
. .
EIQI �� k Town of Southold
3/28/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41938 Date: 3/28/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1695 Shipyard Ln,East Marion
SCTM#: 473889 Sec/Block/Lot: 38.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/25/2021 pursuant to which Building Permit No. 45841 dated 2/25/2021
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:
rc_c nncction of twQ c .t tt g 1€seervice .
The certificate is issued to Gusmar Enterprises LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45841 3/9/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature