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HomeMy WebLinkAbout1000-144.-2-18 TOWN OF SOUTHOLD � Rental Permit 0772 � w Owner 2075 Sigsbee Road LLC Occupied as Single Family Dwelling Located at 2075 Sigsbee Road Laurel 144.-2-18 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. 11/15/2022 ode fo c e t Official This Notice must be posted by the main entrance at all times pf SO!/pyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • iQ Southold,NY 1 197 1-0959 BUILDING DEPARTMENT LE TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION AUG 0 0 2022 BLDING TOWN OF SpUTHoLf) Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION - �"r -BLOCK Z -LOT I SECTION B. OWNER INFORMATION: Property Owner Name: T- C .NM f}-cit Property Owner Legal Address: Property Owner Mailing Address: ! - - �g6— `40 S9L/ Telephone Number(s): Daytime ._ Evening Emergency Property Owner Email Address: �� -4 za'�'���. t�M�-e l-. C'0M �� Page 105 � to tt Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 a�Q Southold,NY 11971-0959 '© BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:-f mPon— ft-1'614-- om Address of Authorized Agent (no P.O. Boxes): -?-250 Mailing Mailing Address of Authorized Agent:: k-;�--Poo �t�s Telephone Number(s): Daytime b �ening i' J Emergency Email Address: 0A*1 L?y►1<,iZ C4=q)6 �. Cmc `--e}C oM 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 containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes):. Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 '0 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: 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: 7 Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: IBJ Use and Dimensions of each room in Rental Dwelling Unit: Boy"g u.4- 1, 1 1 D S j2z6VftpoA �1 10!1 S•�i T��-i�c�rsrs t t 5� s.�• ; I r(Z-10 li l vi n1 OM JI '2,1 S� S��r. tiaoM 24-- 1 L470 Page 3 of 5 �pF soUro Town Hall Annex Telephone(631)765-1802 54375 Main Road v� Fax(631)765-9502 P.O.Box 1179 G Y Southold,NY 11971-0959 mUIR ISN 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. am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 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� I�= C cwM :,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 o��pF SO(/T�a . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O l'��0l1Nr1,�� 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. f 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:: �NU� LAN Property Owner's Signature: 4,4e-c<;> Sworn to before me this o day ofAI u 202-2 Official ry Public Signature and Original Notary Stamp MARY DIANA FOSTER 1Nowy Puma,State of New Yo* No.62.4655242 Duaftd In Suffolk County Commission Expires Aug.31.2015 Page 5 of 5 of so11Tyo` Town Hall Annex i Telephone(631)765-1802 54375 Main Road 7 Fax(631)765-9502 P.O.Box 1179 d Southold,NY 11971-0959 O Y l�4'0Uhln 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 seal reauired for Architect or Engineer, licensed Home Inspector must provide copy,of valid current.certification Rental Property SCTM Number: �"'Z✓��� Rental Property Address: 2--0+67 <.. Owner/Name: Tim 1. C.l►Il 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.) s -2- o �c 115 5f l Z 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, and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place professional seal: i o��OE SOUTyo * # TOWN OF SOUTHOLD BUILDING DEPT. TycoUMV 631-765-1802INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: O u o K -��✓ v dr �/ • Deco/ C10,7K, Wkq-f 61- vr,A-01, 10 1 DATE INSPECTOR / OF 50UTyO� # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION Llf-,�f t [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ 4/RENTAL REMARKS: S ol � S - DATE �'Ia"� a'�� INSPECTOR � 1 INDOW AND DOOR 5CHEDULEI :a f�}t$�, •qd • � '?-' `�,'. �® -�e'3�r0 ci.i�,. .c,e�! -- ..- ''I ..tr c '�.,�". ;^^- v •'' D 5.03 9.0 10 5 25.9 -34.7 50" g PG UPGRADE REQUIRE W I TW284G TILTWA5H .3.28. 5.7 .I D, 4 25.9- -2B,J- W2 TW248.6 71LTWASH �• yV3 TW2032 TILTWASH 2.47 4.2 10 4 25.9 -28.1 30 I Z W4 GN23 CASEMENT 2.3 7.0 10 4 25.9 -28.1 50 I IL AWNING 1.2 4.4 10- 5 25.9 34.7 35 1 r AW28 I M PEAK B W5 �2, I W5 OVLI 824 OVAL - 4.9 t0 4 25.9 -28.1- 70 1 O N 23.2 -29.3 40 1 FWGG068 FRENCH WD.GLIDER 14.72 23.78 50 5 1/2 ,( Z 6-O I/2• I a-2' 4'-9 D I I 1 2- 14 X 91" LV HEADER 2- 14"X 9z" LVL HEADER ALL WINDOWS TO BE ANDERSEN.400Dy _SERIES.UNLES5 OTHERWISE SPECIFIE - - - - - m 2a4 yy{pDO+tF'i0 BE WPiTiE OYTfR10R.Yf1NE INTERIM CLf.591C'SfRtE-S tOCICS a HARDY•fARE SN W1•tiTE FlNi5t1 AND fUtt EXT£RIORSCREENS N Z WI WI WI W6 DI _... ----- -- - { - r Q 1W- I SIUATED DIVIDED LIGHT GRILLE5 WHERE SHOWN ON ELEVATIONS - - - . . _ ----- -`--- � W I � n it Ms fl m - _ -- - I - MUST HAVE DP UPGRADE___K__IT. 1 - SL;TION 3 Z2): CUSTOM WOOD BOOK r` SECTION FOR WINDOWS BASED UPON EXPOSURE B i, - A O CASES EACH SIDE OF FIREPLACE PROVIDE 2"SUPPORT A i COEFFICIENT I.O WITH I 1 O mph BASIC WIND SPEED. A5 PER _E I MEETS NY_5TATE E_G_R_E55R_EQ_UIREM_OES -- I FOR HABITABLE SPACE.I - - C.Y. Dolt- .2(2)NEW YOPJC STATE BUILDING CODE. �---- - - -` PACK� ____ --- - 1 ILUSTA.M GRILLES-SEE-ELEVATlON.S W I ' I _ I'--- - - f�-�` - WALL OPENINGS INCLUDWG WINDOWS AND DOORS SHALL BE PROTECTED WITH REMOVEABLE 518'WOOD STRUCTURAL PANELS_ ' _ NEW GREAT ROOM a --- _ _ I- -- WITH MAXIMUM OF 8'-0'SPAN. FASTENERS FOR SPANS UP TO 6'-O'SHALL BE 2 I/2 A`8 WOOD SCREWS AT 16'O/C,FASTENERS I - -- - - J____-L-�.�- - . - . - . . FON£SPANS UP Tf?8'-0�SHALh BE 2 N2_98_AT 42'O!G_.FABLE 301.2.F.2� -_�- -.-- , _ V' _ ' .- . - . --- . �_ CATHEDRALCEIUNG Q N d- --;-- j-_-t -_ - m > �f --------- FIREPLACE OPENING; I ---'------- -- Z _ALL UNITS MUST MEET OREXCEED THE MINIMUM_DE51GN PRESSURE REQUIRED.ANY MULLED UNITS MUST MEET OR IXGEED - Z Q _ 15_TIME STHE DESIGN_PRESSURE REQUIRED AND MUST TRANSFER LOAD5TO_THE ROUGH OPENING SUB6TRATE_ ALL FJCTERIOR_� PROVIDE RAISED HEARTH,WOOD O Q GLAZING_MUST MEET A5TM E 1996 TEST REQUIREMENTS AS PER NEW YORK STATE RESIDENTIAL CONSTRT UCf10N CODE. MANTLE,FI)=LD STONE FINISH AND �_ - - REFERTO SECTION R 1609.1.4 FOR ALTERNATIVE OPENING PROTECTION. GLA55 DOOR ENCLOSURE ' I� v W m z u� Q Z ALTERNATIVE FOR OPENING PROTECTION P05T HEADEKTO O _ <= FOUNDATION WALL WOOD STRUCTURAL PANELS WITH A MINIMUM THICKNES5 OF 7/16"_AND MAXIMUM PANEL SPAN OF 8'-O" 1 14,-3, ` W I SMALL_13E_PERMITTED_FOP OPENING PROTECTION IN ON AND TWO STORY BUILDINGS. PANELS - �� - _ - •_ -_- r:O SHALL BE PRECUT TO COVERGLAZED OPENINGS WffH ATTACHMENT HARDWARE PROVIDED. 3- II 8 V H�DE(Z (REFERTO SECTION 1609.1.4 AND 1 609.6.5 AND TABLE 1609.1.4) - '-o" 5'- " ��-�W/2_ +�jr L I�Iif•CH PLATES -- - -- - (----- - I �( 1 II 1USE 51MP50 U SERIES o TABLE ! 609. ! .4 _ AUs VEN F ��,'� - LJi iCONt ¢13t� CEtttv�- - - }- _ 0 INTERIOR BATH - X Z T WINDBOKNE DEBRI5 PROTECTION FASTENING SCHEDULE FOR WOOD STRUCTURAL PANELS F� i H HEADS - LU U i FASTENERP SACING(INCHES) - 246 I `r� a I ` V L t i z I I C7 W. /, PANEL SPAN<2' 2'-O"<PANEL 4'-0"<PANEL 6'-O"<PANEL SADDLE I 1 -1 ��I I I z - �,J __ _� ^/ p" SPAN<4'-0" SPAN<6'-0" SPAN<6-0' N BATH 2 8 I _0 -- ---- !�. �Z FA5TENERTYPE M LE. ` NEW D� �-" `.y �� 2'f/2"'#6 YVfJOtTSCRf�vS 1 G 9`G 12 "I _ ' 068 \� n FRIDGE I -� W W 2 I12" #B WOOD SCREWS 16 16 16 12 LOUVEREA IS TABLE 15 BASED ON A MAXIMUM WIND SPEED(3 SECOND'GUST)OF 130 MPH AND MEAN ROOF y -.` __ _ A. _ , e.. =w+�= --_ _ _ Y _ , - _-- -- • _ _ r _ -_ -- -- _ .,PANTRY T 2" _-_- y^' - r k�'9TAGED GADJ- GIOS€T a HEI FiT OF 33.0 OR LESS -�! ,-J._-___-------..L-_- - CLOSET 1 z-,N LAUNDRY" SHELVES Ui - -- - - -- - B, fASTgNLRS SHAtt 11VSTAtLfD AT OPPOSING EN95 Of THE WOOD'5TRUCTURAt PANVL: _-.- 2668 26 -. ...----- HAt --N5TA---- -- - - -----....._-___------ -- --- -- - I 1 3'-4' C. WHERE 5CREWS ARE ATTACHED TO MASONRY OR MASONRY/STUCCO_THEY SHALL BE _ 2068 / LNG ELECTRICAL .Q ATTACHED UTILIZING VIBRATION RESISTANT ANCHORS HAVING A MINIMUM WffHDRAWL ----- -.PANEL TO R0014 - CAPACITY OF 490 1_155. I 2668 U Q 2668 / /i WALL LEGEND: �- z Q R-19 INSULATION U WI WALL TO REMAIN __- BEDROOM =� �.YPIGALALL,AREAS� � � J EX15TING TO REMAIN N 0 ---� 0 D_ WALL TO BE REMOVED 17.5%WRIT � �, � BEDROOM ------ 9.6%VENT YARELOCATED r W is%ucr+r S/ n NEW CONSTRUCTION - V Sh%VENT 2"X 4" FRAME R-15 1N5WATION W/ I LAYER? PLYWOOD Z SHEATHING 4 1 LAYER R"GYPSUM BOARD ON INTERIOR 14070 FGRE TR1 MED EGRE9 2"X 4"STUD FRAME W Z t I OPENING 3'_ � WITH 1 LAYER 2"GYPSUM L! " BOARD 013 EACH stDE;USE MOISTURE RESISTANT BOARD IN ' Sf nON ALL KITCHEN, BATH 4 LAUNDRYAREA5 EXISTING 2668B 4 USE WONDERBOARD ON-ALL AREAS v 1 M CLOSET 2668 ENTRY TO RECIEVE TILE U z p i EX15TING TO REMAIN W2 > 1 PROVIDE 2- 14"X 74" LVL HEADERS, z U 'u (CUT TO FIT UNDER EXISTING PLATE) d Z l-�I s ABOVE ALL WINDOWS 4 DOORS z Z UNLESS OTHERWISE NOTED;MATCH JYi5T`ING fW5T f LOOK HfAVER tifiGtff � �OIL _ w `=LOOK Pq t3 a ��„ �'�{��,� I�l�►���i civ �1��`T�' �� PAGE: -7/ 3 s) �ais TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER j STREET VILLAGE DIST. SUB. LOT t—�Ot(�MER OWNER —7 „I�� N E ACR. S W TYPE OF BUILDING RES. 40 SEAS. ✓ VL FARM COMM. CB. MISC. MI(t. Value t A2 LAND IMP. TOTAL DATE REMARKS fl/ .L J I ZZ- ),ar -i:' eino.,4 u, j a f'0 27 " j Z rr2 n0 O� 000 y z_� !2 ' 3/�8"1" - , ,fian AGE BUILDING CONDITION 7 ; _ �..� S - �+ lull P • �.� 1 4W- NEW NORMAL BELOW ABOVE _ E 20'4 'V FARM Acre Value Per Value Ac re Tillable 1 ( � ------'- - Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER J Brushland FRONTAGE ON ROAD Q �� House Plot DEPTH /('e-e) BULKHEAD Total DOCK �✓" -40- -4k- i\ r ��, •j' .. r 3 . -�., .AF .As r ..■■■ ���■■■■. Milli.■ .-„ , � ■ ■■■ 1 1 MEMOMEMO MEN ■■ ■■■■■ , ` � µ • iiM ■■E��� � IEMMEMM■■ IMEMEM M■M 91 �� 1 MM■MM■MME■■■' i11 :'f ;, a t• MMM1�11 ONE I ■■■M M■MMM■M : . . ■ IMEMM MEN ■MEM MEE OEM■ , - - - = ■■. IOBN MMM EnoM■■ ■ ■ ■■.. i ...■C B.... ■ ■ . . .. ■ ■� IDormer r , t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29253 Date: 02/06/03 THIS CERTIFIES that the building SEASONAL DWELLING Location of Property 2075 SIGSBEE RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 0002 Lot 018 Subdivision Filed Map No. Lot No_ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29253 dated FEBRUARY 6, 2003 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 ONE FAMILY DWELLING-SEASONAL OCCUPANCY - SEE ENGINEERS REPORT ATTACHED The certificate is issued to ARTHUR BROOKS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. y Au oriz Signature Rev. 1/81 1 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2075 SIGSBEE RD LAUREL SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ARTHUR BROOKS OCCUPANCY: SEASONAL DWELLING ARTHUR BROOKS ADMITTED BY: VALERIE GOOD ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 144.-2-18 SOURCE OF REQUEST: RICHARD BROOKS 1/10/03 DATE: 02/06/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: PIERS CELLAR: CRAWL SPACE: FULL TOTAL ROOMS: IST PLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROON(S) : 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTNATER: YES-ELEC. TYPE HEATER: NONE AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. I I I I I I I I I l I I I I I I I I I I I I I I I I 1 # I I 1 I I I I ! I I I I I I I I I ! I I REMARKS: NOTE: SEE ENGINEERS REPORT ATTACHED INSPECTED BY: DATE ON INSPECTION: 01/06/03 reinspected on 2/3/03 GARY J. TIME START: 10:00 AM END: 10:15 AM Town of Southold Annex 6/3/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY /N . ®RTthat D 6/3/20.13 THIbuilding RESIDENTIAL ADDITION Location of Property: 2075 Sigsbee Road, Laurel, SCTM#: 473889 Sec/Block/Lot: 144.-2-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 12/23/2011 pursuant to which Building Permit No. 36897 dated 1/3/2012 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 to an existing one family dwelling as applied for. The certificate is issued to Steve Crom&Nike Beckmann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36897 5/14/13 PLUMBERS CERTIFICATION DATED 5/24/13 Bill Gremler Auth Si ature' Qt,f Town of Southold Annex 11/27/2013 P.O.Box 1179 }` 54375 Main Road �► ��t Southold,New York 11971 ,40 "�`rAXl11t� CERTIFICATE OF OCCUPANCY No: 36622 Date: 11/27/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2075 Sigsbee Rd, Laurel, SCTM#: 473889 Sec/Block/Lot: 144.-2-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/16/2013 pursuant to which Building Permit No. 38284 dated 8/27/2013 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: FIREPLACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Crom, Steven&Beckmann, Sabine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ti A o ' ed Si ature