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 .
CCL✓IDe'►o. lW6vLO ik\bn "�- -
1,4-1'-0' •- �S"ZG'
net
rl VIDT- r�tc.
i I i I'
LAY
.10
Be
Cr
-DP,,7.�.k
rlet Me Uvog(i TOOKII
li4cu"rf- jlS VVL
o-4'
' �� r 11 ( :41 I's
JL
e.,.AAqple.14
or N
----------
Or 1V
f � Et>a �/-ca� . R P� c�c`ra�riT i
-
�_Q+"
3'ql' - a': •e. pay..w/Couutaca a` oa� ,/ - '6�5� oal s .. �I -a �I
m �- •� aea: o w. —�.o-o-- z-`o z i-o"- }d�—I � '4 F• !
N' �, 'I ~' 17
1 8
MEl ERBL� S'�QO jl:,
:,.t---a it r. - t .. .: _ r.:x� !1 ! if.!`!-Vol
-r
n+I I--_Ln'' • I -' ��p•ry 3I vyi !:(+'i, '• ,�. :
D'
Xtu-• 1 U'
I h �� ,4ASN ORY. 2.6 S•6'4.>xc v1pH �G� � Z3+2x..-�uxteE SL[R. .�__ __ l J
ig
Oc7hr,,
l,d• I I G�_q7'
i
v - � ci 4.z.":2—�:-zA����.a=za',a::RoeZ 2.2
di f
Go C1Rc�GE '.li v1
O14 I
I� N
I
Z, T®1�N ®� S®4�T'HOL® P��PEIRTI� RECORD', al 19 ��o 61
r`dVNER STREET f��' VILLAGE D-IST1 SUB. ' LU 1*
,i{i,977 �i/C'. '"t 'Pf(J %;,Yi-+�-•,rte-.•r„-•��^"w;'"r'-`.,�,rr` �r
FORMER OWNERNr ' E - ACR.
1r�GLYlCs„_ivllarlS �ws 1t.I.rvL�' .e -Crt�" r:. . 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