HomeMy WebLinkAbout1000-104.-10-11.1 tit �WN OF SOUTHOLD
TO V W
14
Rental Permit
s
0873
Owner Kenneth Seiferth
Occupied as Single Family Dwelling
Located at 2000 Nassau Point Rd Cutchogue 104.-10-11.1
Maximum Permitted Occupancy 10
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.
10/22/2024
cede r;)rcer7et Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOL.D► BUILDING DEFT.
10
1 N S rE( TI10 N
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] F AL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
R M KS
VI
www ,�
DATE INSPECTOR
k to
TOWN OF SOUTHOLD-BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY,1 l 7t0 c-, 0 V L5
Telephone (631) 765-1802 Fax(631) 765-9502 lit S://www.soittlioldto 0
CT 2024
RENTAL PERMIT APPLICATION � : '� n$
Rental Permit Fee $300(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION. ja A-,Pe -BLOCK /' L) _-LOT-/Z-- /
SECTION B.
OWNER INFORMATION:
Property Owner Name: F . X
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Maf. s ,
.a '"Z y 14Y /ZZL mac► /)
Telephone Number (s): Daytime 9/7 (-FJ 3/y$vening 68.2-3/1i Emergency .4 pl - 3 �Z-
Property Owner Email Address: eourJ 4T
^41(- It C- '^
Page 1 of 4
Section C.
Authorized A 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.
le
Managing +ant 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 MAN ER 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):
Mailing Address of Managing Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
Page 2 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 4 NE
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: ✓4f "+
Requested Maximum number of persons allowed to occupy Dwelling Unit: /a
Number of rooms in Rental Dwelling Unit: -rd-m <' o 7
Use and Dimensions of each room in Rental Dwelling Unit: 57o9�,ey?£
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.
E I am requesting a fire safety inspection to be performed by a Code Enforcement Official
q g
from the Town of Southold
❑ I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I XEr►rFT/t Sf/oe f_ , 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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: /lrEp/Pf ET1# �S'E/GFi iy
Property Owner's Signature:
Sworn to before me this_day of 20_
Official Notary Public Signature and Original Notary Stamp
Page 4 of 4
x=. TOWN OF SOUTHOLD
Rental Permit
3$ 0873
Owner Kenneth S eiferth
Occupied as Single Family Dwelling
Located at 2000 Nassau Point Rd Cutchogue 104.40-11.1
Maximum Permitted Occupancy 10
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.
4/21/2023
nfo e t Official
This Notice must be posted by the main entrance at all times
�Town Hall Annex Telephone(631)765-1802
�'�, � � :
54375 Main Road
P.O.Box 1179 '
Southold,NY 11971-0959 pµ¢
BULC)ING ot.v l
BUILDING DEPARTMENT "FOWN OF OU'rHOLID
TOWN OF SOU' OLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
2000 NASSAU POINT ROAD CUTCHOGUE, NY
Tax Map Number: 1000 SECTION 104 -BLOCK 10 -LOT 11-1
SECTION B.
OWNER INFORMATION:
Property Owner Name: KENNETH SEIFERTH
Property Owner Legal Address: Property Owner Mailing Address:
2000 NASSAU POINT ROAD, CUTCHOGUE, NY SAME
917-682-3192
Telephone Number(s): Daytime Evening Emergency
Property Owner Email Address: KENNETHSEIFERTH@GMAIL.COM
Page 1 of 5 co
Town Hall Annex Telephone(631)765-1802
54375 Main Road ' " Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �� ,
r
BUILDING DEPARTMENT
TOWN OF 3O OLD
Section C.
Authorized Agent Information:
N/A
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): Daytimes.__Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: _ N/A---
Address
/A .....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: N/A
Address of Managing Agent (no P.O.
Page 2 of 5
f
Town Hall Annex Telephone(631)765-1802
54375 Main Road � I Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
a Ya spy sof ,u�
P
$l'A
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 UNIT
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: 2000 NASSAU POINT ROAD, CUTCHOGUE
Requested Maximum number of persons allowed to occupy Dwelling Unit: 10 PER ONS
Number of rooms in Rental Dwelling Unit: 5 BEDROOMS,2 LIVING AREAS,KFCCHEN/DI D DINNING
Use and Dimensions of each room in Rental Dwelling Unit:
First Floor-Living Room-273 sq ft, Dinning room-143 sq ft, Bedroom#1- 144 sq ft, Bedroom#2- 144 sq ft,
Kitchen/dinning-418 sq ft
Second floor- Bedroom#3- 166 sq ft, Bedroom#4-216 sq ft, Bedroom#5 204 sq ft, Den 186sq ft
Page 3 of 5
r
Town Hall Annex �� � �n Telephone(631)765-1802
54375 Main Road "i Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
'auk'j ` "q
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. t 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: )� .-I -S.F F
?
Property Owner's Slgnature:�^�..._��.�..�.�......�....�_ .�
Sworn to before me this/,/--,day of .1 � 20
Official N ary Public Signature and Original Notary Stamp
WFIRAINE?'_s0s'rER
Notary Pu6P'sc,Ste,-^0i New York
No 4x28373
Qualified in Suffoik County
Commission Ea vireo,Noa.30,:&,Z5
Page 5 of 5
Town Iiah 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
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect,licensed engineer or licensed home inspector
Separate form is required for each individuol Rental Dwelling Unit
ftof-e sia ea � it*, ar e4rchitect Fn ::seer licensed i name ins actor recast reav m + '
co o valid current certi cation
Rental PropertySCTM Number: 1000-104-10-11.1
Rental Property Address: 2000 Nassau Point Rd Southold
Owner/Name: Kenneth Seiferth � �
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.)
Bedroom#l: 144sq � Bedroom#4: 216 sq �w�Mn
Bedroom 2: 144 sq Bedroom #5:204 sq
Bedroom #3: 166 sq ...�..�....�....��.... ., ..,�.. ...., �. . .,�..�_..—..�.
Property Description (Include all improvements indicated on survey)
1 1/2 story bane house
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 Pl*o401Q!�,�
New York State,
the Fuel Gas Code of New York State, and the Energy Conservaof New
York State.
Anthony Portillo, R.A
Print Name and Title d Ai C Original i nature
" 4 M. f
raa
0
Please place professional seal: ��
R �I
,;rlmwaw#,
rOWN OF SOUTHOL D BUILDING &JPT.
631-765-1802 A OLJ , ^ 10, _ L tlm *vihuTl0N
. I
l
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] F
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FI L)
[ ] CODE VIOLATION [ ] PRE C/ [ RENTAL
iU
ZRE TMA 4k
v Pr 1:�N'l P040VA v
DATEyo Yui - INSPECTOR
{as d OWN OF SOUTHOLD PROPERTY RECORD CAR 7 fi-
STREET
OWNER € VILLAGE DIST.I SUB. LOT
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FORMER g $ _ _
11�14
6p :
OWNER
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ACR.
« )5>2 �-
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Y
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
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LAND IMP- TOTAL DATE REMARKS
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Brushland FRONTAGE ON ROAD -
House Piot ; DEPTH I
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WN 0F SUTHOLD PROPERTY RECORD c," 71 3�*
OWNER� _ - -- _
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FORMER OWNER
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s
COMM. CB. S Mkt. Value
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IMP, TOTAL DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FAR�i Acre
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Tillable 2 '
Tillable 3
Woodland ,
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Swampland ! FRONTAGE ON WATER
Brushlond ._
FRONTAGE ON ROAD
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DEPTH
'BULKHEAD
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Extension!! Ext. WaEls ' a i Interior Finish _ LR_
Ext \ Fire Place = Heat ; r DR,
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Porch Recreation Room Rooms 2nd Floog FIN. B
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
_Southold,N.Y. «.-...�..
Certificate Of Occupancy
No. . . 2.11070' . . . . . . . Date . . .December .15 . . . . . . . . . . . . . . 80
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 2000 Nassau Point, Road,. . . . y�t Q� „ .
House/Vo. Street H let
County Tax Map No. 1000 Section , , 104 . .Block 10 . . . . . . . . . . . .Lot . . 0107011
Subdivision .Nassau Point Prop.. . . . . . . . .Filed Map No. . . . . . . . .Lot No. 180
conforms substantially to the a :Cpx k 0u for to
April 2 57 Certificate of OccupancyZ10302
. . . . . . . . . . . . . . . . . . . . . 19 . . .pursuant to which lI1tlt n . . . . . . . . , . . . . . . . .
dated December 15 t 4 . . w . . . , . 19 .80,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 with accessory two car eas e. . .
The certificate is issued to . , Robert W. CampmanowacrOra. . w
( rra,. . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval , .N f R . . . . . . . . . . . . . .. .
UNDERWRITERS CERTIFICATE NO. VR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . .. .
r
.
Building Inspector
Rev 409
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location `ear,-5o0 r --,vi c c v G�
(number—& street; (Mun cipa i
Subdivision '" Map No. Lot(s)/�/d"o
Name of Owner(s) O ( ,e5
Occupancy ,
type) (owner-tenant).
Admitted by: Accompanied by;
Key available �� -` Suffolk Co. Tax No. r / /C -oeo -os/
Source of request " cG . '"c Date
DWELLING:
Type of construction, stories
Foundation r ,�. ,-. �"" '.
Cellar / Crawl space
Total rooms, lst. Fl " 2nd. Fl 3rd. Fly
Bathroom(s) Toilet room(s)
Porch, type�F/ss Deck, type — Patio, type
Breezeway Garage
Utility room
Type Hea " , 4 .Warm A rr� � _Hotwater
..._.,..„
Fireplace(s),//, 2 /C o. Exj.ts:E�j " irconditioning
Domestic hotwater � Type heater �� .
Other
ACCESSORY STRUCTURES: dboop Fir4AJ '
Garage, type const.] -p Storage, type const.
Swimming pool — Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
L cation Descri tion Art. Sec.
Ile A (J
r'P cL
�.,
29
Remarks:
Inspected by: `""µ Date of I'nsp. u._.., /� �
4
Time start M '/011 endclµ,po A
AIS
FORM NO.4 0 P 0 J
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ?10628. . . . . . . . . Date . . . . . August 1 1 . . . . . . . . . . . . . . . .. 19 8w1„
THIS CERTIFIES that the building . . . . . . » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 2000, Naasau, ,Point Road, _ , . Cuteho�ue, New York
Hou:a No. Street Hamlet
County Tax Map No. 1000 Section . . . .104. . , . .Block . . . . . .0 T d. . . . . .Lot . . , �10 & 011. .
Subdivision . Point Club ,Prop, .Filed Map No. 9 56 . . . .Lot No'79 . & P/0180
conforms substantially to the Application for Building Permit heretofore filed in this office dated
March. ,1.7 - - - , 19 8.1. p g . .1 10.74 „Z . . , . . . . .
. pursuant to which Building Permit No.
25
dated . . . , March . . . 19$.1. ,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 (Addition)
The certificate is issued to „ , , ,Richard Wall ZZI
of the aforesaid building.
Suffolk County Department of Health Approval , „ . . . , �, . . . , , „ , , , , , , , , ,
UNDERWRITERS CERTIFICATE NO. . . . . . .N52,8095 „ F
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.00CUPANCY
No 219874 Date SEPT. 20 1990
THIS CERTIFIES that the building ADDITION AND ALTERATION
Location of Property 2000 NASSAU PT. RD. CUT �ME
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 10 Lot 11
AMENDED MAP A NASSAU
Subdivision CLUB PROP INC. Filed Map No. 156 Lot No. 179
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JAN. b 1987 pursuant to which
Building Permit No. 15618Z dated JAN. 12 1987
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 ALTERATION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to RICHARD A. WALL III
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H017208 JULY 25 1990
PLUMBERS CERTIFICATION DATED ALBERT GIULIANI SEPT. 13 1990
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-34686 Date: 11/17/10
THIS CERTIFIES that the building ELECTRIC SERVICE
Location of Property: 2000 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 10 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 21, 2010 pursuant to which
Building Permit No. 35963-Z dated OCTOBER 21, 2010
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 UNDERGROUND ELECTRIC SERVICE AS APPLIED FOR.
The certificate is issued to KENNETH SEIFERTH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 35963 11/17„ 10
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
....................... .... ..........
Town of Southold Annex 12/3/2013
P.O.Box 1179
54375 Main Road
Southold,New York 11971
.............. .......... ...
CERTIFICATE OF OCCUPANCY
No: 36629 Date: 12/3/2013
.....................................
THIS CERTIFIES that the building ACCESSORY ALTERATION
- --------------................ .......
Location of Property: 2000 Nassau Point Rd,Cutchogue,
.......... ................. .....................................................................-
SCTM#: 473889 Sec/Block/Lot: 104.40-11.1
..................................- .................. .......................—......................-
Subdivision: Filed Map No. Lot No.
.......................................
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/6/2011 pursuant to which Building Permit No. 36869 dated 12/12/2011
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:
ADDIT'JON AND ALTERATLQNIS� 'rQAXjNjLE-ATFDA -,A
Cq,S Slam' Q A&Ag
.
011—1 (SE--Ef—,0N1? ONAL USEQL?q,�YS APPLIED TED FQk�
—L
The certificate is issued to Seiferth,Kenneth
..........
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF]HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36869 10-03-2012
.. . . .....................................
PLUMBERS CERTIFICATION DATED
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