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HomeMy WebLinkAbout1000-71.-1-24 IV T "WN OF SOUTHOLD Rental Permit k 0681 Owner John & Julie Carbonara Occupied as Single Family Dwelling Located at 215 Northfield Lane Southold 71.4-24 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. 5/28/2024 Code"tnf&ement This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING qf son 631 -785-1802 t, l-/.�4 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE C/O [ tj I REMARKS: o n✓ a DATE �' INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Cz Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Te1: 631-765-1802 _................_ ... ....... ....._w.. .....,......._, ........ ....................................-.........._...._........ ........................,..................... ....... _. ..................... ...a.,................... ....,.................. Date 5--, �SCTM# m . .... .. .w� a._�- .. ..w ...._ -... ......... ..�.. ...... _................._._......�... Phone . Owner ...._. ._..... .... .......... .w_... ham_ Visible Address c�/� IC)d ...-... _........ Hamlet. -.�..�� �...w......��._ _.. ..._ ��.......� ._w��w.w...... . .. .. . . ..... +�....,... Inspector Floor Level Quantities.. Sub 1 2 3 Smoke Detectors not located in bedrooms) � u.� / _...... . . Carbon Monoxide Detectors Fire Extinguishers ......... �. .. ................. �....I Exits ..m �..w.w..._..M._ ... w. .... _ .. .. . .. .... .w.. ..�._..... �.. room �Bes ..��.,�. .. ..��.��.., .....�..� .. � ...�.. .. �..�� .... ....2 / .�...... ..�..3 .. w......�4 � 5 6 Smoke Detectors �..��....... Y � Egress . _. _ . Occupant Count ... . wa..w._ . ��� �.. 0 9�.......... _w mm . . ... . _ .....,...._.. . ..,,�..._._,.... �.... ... ... .. ..... ............... ...... ... ,.. ,. .._ �w .... .... .1 Buil . ......�.._ ........''Buildin inte P �rt Heading Systems,Maintained &Operational Condit n of tinrPoo e... ., . ...g. . ... _.a.... ...... .... ... ... . .....�,, ...� ..... _... ...a. �� n .... _.... .... _ .... ... ...�.�. Hot water Building exterior Electrical , . .. ., .... ... Property clean, maintained d &safe ., .ech ._ .. .... �..na . _.w_.......... ..... .�tl0P4µ...... _.arils Mechanical . a Handrails& wards installed &secure . ...Pool Safe .� �..._.�-.��_.m.m.�....�.�...-.....�...�.............w.........�.....�.�... .....�....�..,.Pool on Site , �.......�-.. ...�.�.........._..,,..�....�.w���_�..�... ..._�_......�.�....� .......... .-..�. ....... Date of CO issuance.�. ����- .... ._.. ...... a.�_a...� . Surface water alarm fa" Door alarm M ._.... ...a. µ ... .... . .. ............_ Pool completely,�....a...w....�.........µ�. s enclosed �. . m... ..�_.�..... .. . .. . ...... .... . . ..... .-.. ......... �� ... a �� Self closing/latching gates ........Pool fence to code requirements of ... p .., . �. N. CO s for all items resent a Prior Rental ��? .. . Comments:. .,.....� �.�..�.�.�.�.. � ��� .._._._...� �........................__........�m.m...............�..�.... .............. ...��..�...._..�...�.......�...._�....�.�....-�.... ._� ............_.w..��..._.... _..._._�_.........._._.......�...��..������.... ��-�.._.........� ...._...�.�.�.�.�..�.�.�w _-..� .........._.�.� ................................... .�..�.� .......�.�.�.�.�.�_...�..w..... .... � .. .. .....� �.... ._,a_,.............�...........� ........... .....�.�..... .... �.._...�.�.. ..�..�........................... ............. ._... _......... .. ... .� ....._. _. .. ........ . .. ....... .. ._.., 46 TOWN OF SOUTHOLD Rental Permit a. 0681 Owner John & Julie Carbonara Occupied as Single Family Dwelling Located at 215 Northfield Lane Southold 71-1 -24 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. 6/27/2022 Code c nt Official This Notice must be posted by the main entrance at all times ) 1 i p�.SOd��y�! Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 4 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION MAY - 7 2021 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 01 q-1 -L^,-c,- d ,,- Tax Map Number: 1000 SECTION �' ) -BLOCK ( -LOT g4 SECTION B. OWNER INFORMATION: Property Owner Name:.- Property ame: -Property Owner Legal Address: Property Owner Mailing Address: s�c0 SS�3 Telephone Number(s): Daytime co(DL' Evening SCO— Emergency Property Owner Email Address: O C0_1&k C' C,C VCU Pagel of 5 i 00 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Q Southold,NY 11971-0959 umr(, :. 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 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: S t A ,6 -&W t[�A U Ili Requested Maximum number of persons allowed to occupy Dwelling Unit. o Number of rooms in Rental Dwelling Unit: L1 -9oontiS �e�YoaA­N, i7f.A,\- Use and Dimensions of each room in Rental Dwelling Unit: - �5� kt l,\ 053 [�10.�w ►�.aC1M, ��`t�n.� l�vin5�a61+��f�►t�;�g D�w Q'SS��'''�• 1 (� Page 3 of 5 l �a►sewuer���sk���us�e�C,� S. Town Hall Annex Telephone(631)765-1802 54375 Main Road _ Fax(631)765-9502 P.O.Box 1 179 Q Southold,NY 11971-0959 coil }� z � 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 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) I. 3Dko-, (2,(}4"( P0Y161W—.;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: �VVV1✓ e rel.✓ �0 n u GLY�— Property Owner's Signature: Sworn to before me this-6 day of LA in SA 2091 Official No ublic Signature and Original Notary Stamp CAITLIN MAE MCGOWAN Notary Public-State of New York NO.OIMC6403948 Quallfled in Suffolk County My Commission Expires Feb 10,2024 Page 5 of 5 �alaf so ly0 /•� �' K �o �o # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] 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 9X-1/REMARKS: i Vl 414- to lam • �. DATE 30 INSPECTOR Town Hall Annex D�i Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Q BUILDING DEPARTMENT 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 Professional seat required for Architect-.orEnaineer,,.licensed.Home-Inspectormust provide copyof valid current certification Rental PropertySCTM Number: 1000-071-1-24 Rental Property Address: 251 .North-Field.Rd Southold NY 11971 Owner/Name: John Carbonara Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq.,Bedroom#2-90 sq., etc.) Master Bedroom - .411-sq Bedroom 1 - 133 sq Bedroom 2 - 132sa Property Description (include all improvements indicated on survey) One story frame house..- I certifythat 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 PI bing Code of New ork State, the Fuel Gas Code,of New York State, and the Energy Conserv ti n•C 51ruc i ode of New York State. Anthony Portillo, R.A Print Name and Title4 !? 0 ' al S ature C ASC, ll M. PQ ��. Please-place professional seal:. '� 0370 0 3 . Gi1 i y� < GLoS� T i =F _ I . 'Erl, iTG F ts i=3 I 2 _ I r r i : a j v „ v NIAs�R 0 0 0 on _ , i 3q•4{ „ x mL I , 3 .l M }-.1'11=•I ..,.}.. , r tjveP%A Ge s Roots J E�rR :1: „ �jf-,.,.�..g E': ,�v•ice � �a -=--�—���-- ,7� - •vg7ED Rbo N1 2 �oRm `I ...gy�pp M � x$ x.. T x 3 i I � I 3 : .1, 1 x , e i 1 j Q�sI 6i) 'a a Sm ,I- �BVMS}a1I�3 J yl Tm h `PRoalDa.ka�a Nr� -OIL blts'CO'E 'omo- •�� _._�.�-- .-.�ICoRS r.�...rn cn�:Yra d 44 I '� W I bxrP Bu'6 rtta6a� I 3• ... �i'_j.� _._ .__ Lp" -- OTE' � o' -F'-'.-F' �. +--�� -�. .`379: ,a Su is ,� �Mlrt iocTis.e,Ypei4 ca � ,� N• of llc= •8'•P,G FOVNG 69 1AK.j '1 (6AP,Cuvr,P.(,.prcnu6S m c vlYzdtn-P-G,'FTris" I I VNP-ICC'AY A,M ♦DGJB!11. 4:�i,f01511 VNC�I. w T[Preui.1egw,LL If LL.xON P;c,-Ft T- eAr Pu-ODF.I��ltt�. N: / I N GfiRzon t - I I �0 ` � rA_AS:p'tl 9°-aM1 Dlv 9 .9 fN.�°WSuD N ' FOUN.DI�TlO1S I�l.Atl . 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I7�-.. :.• -.f�f Y. �. -.- n .Va J t,(r _q�j-}�Nt. M0rn S W. 'S W TYPE-OF BUILDING T. f . SGC � . . RE EAS. VL. !P FARM COMM. CB. MICS: Mkt. Value LAND I IMP. TOTAL I DATE , REMARKS - ow)-; , W 15 f J o a ��/o o S9 v ! ,�'J f.?/ ! : ' a.I�r' .�,,.. #/a 7 Q// �7 �f'. dG »Zp'[ ° 27,c-. Co .113 6 no C : 4,; r• ' _ 2 8 ri, -L1J � 5 -f 'loms.-fa. M1 fr 4 r-1 e' Q 'ris Y.. �'f r. 7. J 00J AGE BUILDING CONDITION 'q2,C� c-1 NEW NORMAL I BELOW ABOVE r� t I FARM Acre Value Per Value i Acre ., Tillable FRONTAGE ON WATER i Woodland I FRONTAGE ON ROAD r Meadowland DEPTH ! !House Plot BULKHEAD � Total r—�— �-� DOCK N r r M MEN ■C ■■■■ ■■■■ ■■■■■ . ..■■ ■ kNo ME ■■MM M 0 MEMO No ■C■■■■■� C ■ MEN No ME NEI r ONE ■ C■ +, 'e s. +.. G.'Sk■■■ ■C aA' IS 0 No No Is 1110811 REM 0 ® ■ ®■ MEN■■■■E ME slung ■■■ ■■■■lung M■■■■■ ■■■■■■ ■ ■ C■■MOWN■■OMEN�■NEI■■ ■C■■■■■■■■■■■■■■■■■■■ • ■■C■■■MEN "■E ■■■■■■■■M •• Basement t'Ext. Walls Interior Firli8h I G • • '• • ••• ••• • Floor orme MINIM ` ' FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Torun Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . Z95b6 . . . . . . . . . Date . . ►?'44k1e. .25,. .19.79. . . . . . . . . . . . . x X. . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property1Qrthield Roa� �et5ou�ho7 d House 110. Ham/et County Tax Map No. 1000 Section .7.1. . . . . . . . .Block . . . . . .1 . . . . . . . .Lot . . . 24. . . . . . . . . . . . Subdivision . . . . . XXX. . . . . . . . . . . . . . . . . . . . . .Filed Map No. .xxx . . .Lot No. . . XXX . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 1;9,. • . . • . . . , 19 .7 pursuant to which Building Permit No. . . 1013 5z. . . . . . . . . . . . dated . . . . . . . . . . . .Marah.20.,. . . . . . 197.9 . ,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 . . . . . . . . . . . . . . . . . . . . . . . . . . .Y1 T1.V i. QN3. ;U.M.1�,X .I?�lB14LING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .N;WNA'FIc MpMI$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . -Sfl-95. . . .6AA/7�. . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . .N43,BA20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4179 FORM NO.4 TOWN OF SOUTHO•LD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold, N.Y. Certificate Of Occupancy No. 7,1:1364 . . . . . . . . . Date . . . . . . .Decembex. .16. . . . . . . . . . . .. I98.2 . THIS CERTIFIES that thebuioldrin. . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 21.5. .Nort,hfie.1,d .Lane 9putbpl;a . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section .7.1. . . . . . . . .Block . . . .. . . . . . . . . . .Lot . . .24. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated June. .1 . . . . . . . . . . , 19 .7.9pursuant to which Building Permit No. ,102.542 dated . . . . .June. .7. . . . . . . . . . . . . . . . . 19 .7. 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 . . . . . . . . . . ..., . . . . . . .ingr.ouiacl. .swjmm>,ijg. p•QQl. . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . The certificate is issued to Michael. MQrr i's. . , of the aforesaid building. Suffolk County Department of Health Approval . . .n1.a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t UNDERWRITERS CERTIFICATE NO. . . . .N4.42055. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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. . 7U 1. 65. . . . . . . . . Date . . . . . . . . .December, 16 19 2 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property215 •Nor.thf is.ld.Lane,. S.Qutho,3,cj, , . , , , , , , , H0'use No. Street Hamlet County Tax Map No. 1000 Section .7.1 . . . . . . . . .Block . . . . . . . .L . . . . . .Lot . . Z4 . . . . . . . . . . . . Subdivision . . . . . . . ,X. . . . . . .Filed Map No. X Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated April- .30 . . . . . . . 19 80 pursuant to which Building Permit No. 106412 dated . . . . April. .30 . 19 B.O. ,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 . . . . . . . . . . accessory. storage .bu.-,Jd in.g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Michael. Morris . (owner,aessee-cr-tenant) of the aforesaid building Suffolk County Department of Health Approval . . .N,IA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .N A. . . . . . . . . . . . . . . . . . Building Inspector Rev. 1191 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold,N.Y. Certificate Of Occupancy No 216550 December 29 , 1987 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . , Add i t i o n and .a 1 t e ratio n Location of Property 215 Northfield Lane Southold House/Vo. � � � Sheet Hamlet County Tax Map No. 1000 Section . . 4.7 1 . . . . . .Block . . . .1. . . . . . . . . . .Lot . . . . 24. . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated N ov...,2 0., 19$5 pursuant to which Building Permit No. 14 4 8 9 Z dated . . ??e c . 2 7 .1.9 8 5 . . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . Addition and alterations to existing one family dwelling Yxciudirj- deck.. . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .MICHAEL & DIANA MORRIS (owner,h.isMbX XeXa WX'X$R, . of the aforesaid building. Suffolk County Department of Health Approval . . . . .N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . N825397 8/6/87 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A . . . . . . . . . . . . . . . . . . . . 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 217212 Date AUGUST 22, 1988 THIS CERTIFIES that the building ADDITION Location of Property 215 NORTHFIELD LANE SOUTHOLD House No_ Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 9, 1988 pursuant to which Building Permit No. 17035Z dated MAY 26, 1988 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MIKE & DIANA MORRIS (owner, XXXXXXXXXXXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A FC_, (0 Building In ector Rev. 1/81 �uFFO(k �0 �oG Town of Southold 7/21/2019 y� P.O.Box 1179 w ra 53095 Main Rd Southold,New York 11971 04- CERTIFICATE OF OCCUPANCY No: 40532 Date: 7/21/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 215 Northfield Ln, Southold SCTM#: 473889 Sec/Block/Lot: 71.-1-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/21/2019 pursuant to which Building Permit No. 43896 dated 6/21/2019 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: 200a electric service and panel replacement. The certificate is issued to Carbonara,John&Julie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43896 6/25/2019 PLUMBERS CERTIFICATION DATED Authorized Signature