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Home My WebLink About1000-122.-2-14 } 3 TO WN OF SOUTHOLD 'Y 4�01 Rental Permit 1121 Owner Meredith Smith, John Murphy, Donna Smith & Kirby Smith III Occupied as Single Family Dwelling Located at 10450 Sound Ave Mattituck 122.-2-14 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. 5/9/2024 Code - fog a ent Official v This Notice must be posted by the main entrance at all times 177 re c:W o I A� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 dTelephone (631) 765-1802 Fax(631) 765-9502 httt)s://www,,sot,itholdtownnwao RENTAL PERMIT APPLICATIO Rental Permit Fee$300(Application must be renewed every ow � ' Section A. Property Information: Rental Property Address: 10450 Old Sound Avenue, Mattituck, NY 11952 Tax Map Number: 1000 SECTION 122 -BLOCK 2 -LOT 14 _. SECTION B. OWNER INFORMATION: Property Owner Name: Meredith Smith, John Murphy, Donna Smith, Kirby Smith III Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 38 Harvard Street#1 38 Harvard Street#1 Somerville, MA 02143 Somerville, MA 02143 Telephone Number(s): Daytime 617-800-4779 Evening Emergency_`} Property Owner Email Address: smithmeredithe@gmail.com jhmurphy12345@gmail.com Page 1 of 4 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 containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Henry Santacroce Address of Managing Agent(no P.O. Boxes):2520 PINE TREE RD, CUTCHOGUE, NY 11935 Mailing Address of Managing Agent: 2520 PINE TREE RD, CUTCHOGUE, NY 11935 Telephone Number(s): Daytime 531-235`33 :vening Emergency Email Address: Page 2 of 4 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, 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: 10450 Old Sound Avenue, Mattituck, NY 11952 Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen 16.2 x 12.8, Living Room 15.9 x 30.3, Family Room 11.7 x 13.8, Office 10.10 x 9.2, Primary Bedroom 15.9 x 23.8, Bedroom 9.8 x 13.8, Bedroom 11.6 x 9.7, Foyer 20.6 x 13.6 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. [.�Z I am requesting afire 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. 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) Meredith Smith 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: Meredith Smith Property Owner's Signature: A(4, GZG(iL Sworn to before me this/ day of e" ,_ , 20�•Y Official tart'Public Signature and Original Notary Stamp Page 4 of 4 ' +' �` * , TOWN OF SOUTHOLD BUILDING qf so 631 -765-1802 /tea INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN [ ] CODE VIOLATION [ ] PRE C/O [ joor lJ . REMARKS: Insloc"ll �vio6 . o .... so DATE 7 INSPECTOR Town Hall Annex Town of Southold 54375 Main Road I,P Cz r,4 Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SUM # ��+� S a Date Owner Phone Ad dress Visible Hamlet ' Inspector ..... :: :...... ..... .. _..... ... ._.w , �.. ... ..... ......... Floor Level Quantities Sub 1 2 3 ��..., . ..rv,..�� „�a. ..R, „ �... .., �.... ......�.�_...._ Smoke Detectors (not located in bedrooms) R w. �. . ......�.�..� �. .. ......,.-"... ...... Carbon Monoxide Detectors Fire Extinguishers �� . . .,_.. . .. �. ... Exits Bedrooms 1 2 3 4 5 .. 6 Smoke Detectors / ......_... .�.. . .a .... ...m„�,,, . Egress ��..� ...a. ..._ .. ... ..... w . �.m.,. ........ ... .... ....... Occupant Court [ �� /^Jl�'� � � � Building Systems Maintained &Operation ...... alCondition of Property } (Heating Building interior �o. ..... . . �M„ w� . ,. ,....... Hot water Building exterior Electrical � � Property clean, maintain �� ..H�.�a., maintained &safe �.. ..� ...,_ ,.aw. �,�.a..... .�.,oe...... �, o�, .a � w,a w...,.., Mechanical Handrails&guards installed &secure ...... am.. .� �.e..... . .....�.........�... .�. .. ...... ......... �., .. _.�.�.AM . .� �.....,,.,,.�..W„ .... .. .. .a ..,......w ..min .w..... ..._., ......,., _...� ., ['P ool Safety Pool on Site Surface water alarm Date of CO issuance j q ace ... ,a, ,o.R, �. M ..... .. ....... /... Door alarms Pool completely enclosed . u....� ...a. ._.. .. Self closing/ latching gates ..Pool1 fence to code requirements CO's for all items present Prior Rental Comments � f. ... . u .. _..ry.... . .. , .._. ........... _. �.. .� �.... ........ ._..a m.� . . .........,..... .. �.. .. ..... ., .e ... .............. ... i ........ ............................ w. _....... ... _. ... . . .........._ TOTAL: 1999 sq.ft FLOOR 1: 1165 sq.ft, FLOOR 2: 834 sq.ft EXCLUDED AREAS: COVERED DECK: 259 sq.ft, DECK: 125 sq.ft, PATIO: 1663 sq.ft, FIREPLACE: 8 sq.ft,LOW CEILING: 39 sq.ft Measurements Are calculated By Cublcasa Technology.Deemed Highly Rellable But Not Guaranteed. / � \ \ } / ( : � } ! ^ 1 / \ mmRoom \ . p s»e �^ _. �o . . . 26-1x37'E \ . / \w 41 1 \ - - } ! . . . � Gi } w z \ ess.1 : y - � \ \ Family Room a t \ | lmxi, m y m - , : Kitchen \ ` =_ . , .12'8" y Dining Area - ( 1 a,1 j Foyer : 3 z� . . . . . Office ^ y - ; < ,om.s - - v . e _ . . Covered o. . .- - - 20'«x"14'8" p/ : : e C x ■ . .. Ems TOTAL: ss,sq.ft FLOOR 1: 265 9.% FLOOR 2: e4 sq.K EXCLUDED AREAS: COVERED DECK: z9 sq.% DECK: 13 n.% PATIO: l66a sq.% FIREPLACE: e sq.%LOW CEILING: 39 9.a Measurements Are Calculated&Cub..Technology.Deemed Highly Reliable But Not Guaranteed. A _ Primary Bedroom 15'9"x 238" S i W.i.c. 6'4„x 6,1 g a� 1 Bath 1_ x12'3"E-i L .E Bath ? 710 x68 t u Bedroom W Hall9,8„x 13,8,E I i 10'4"x 97" Bedroom 11'6"x 97' TOTAL: 1999 sq.ft FLOOR 1: 1165 sq.ft, FLOOR 2: 834 sq.ft EXCLUDED AREAS: COVERED DECK: 259 sq.ft, DECK: 125 sq.ft, PATIO: 1663 sq.ft, FIREPLACE: 8 sq.ft, LOW CEILING: 39 sq.ft Measurements Are Calculated By Cublcasa Technology.Deemed Highly Reliable But Not Guaranteed. 777 TOWN OF SOUTHOLD PROPERTY RE PtD OWNER STREET VILLAGE IUB. LOT Ic v f z-KiM FORMER OWNER N E ACR, I Of ✓ � w e TYPE OF BUILDING`RES.,� SEAS. VL. EFARM icom M. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS ai N iA j! 7,C- AGE DING C 0 N Q�T- J- _ NEW NO RMAC Ow- -OAF --fi gx ,FARM Acre Value Per V lue "3 0 L5re 7no v c S ILI, Tillable/ il J-I Tillable 3 - ------ 60 t Woodland Swampland FRONTAGE ON WATER !FRONTAGE ON ROAD -y Brushland L House Plot DEPTH �BULKHEAD '0 L 0 3 Total 76 , C--DWIS 3 -v 6e 1- x COLOR I TRIM F AVI I IT � 1 lot x f 2 7 ? (� m� aNc 122.-2-14 3/06 a 1st 2nd CB Bld 1 Q 3 j f Foundation OTHER Bath Dinette ivt 9• x I`F = / - FULL Extension iZxt�/ _ /f Basement GRAWL PARTIA Floors Kit. / t Extension x I� = 3 �/ Finished B. �� Interior Finish �f� L.R. - - Extension Fire Place Heat D.R, Garage 2—"S h S vZ — :! . 5-o -a i Ext. Walls __ BR. Porch / x 1 ` 1 �3 d ,-j � Dormer Baths � x �n _ 4-0 /Patio G1eCk 1 x3 = Fam. Rm. b,- Z , ` a Pool 0 (') Q Q Foyer A) Laundry Library/ 'T- 1/ = -/ 7 S study so T moo 'i aI v,41 5000 A rt 3116 I %�a1 �117 a �/ r r 'r�� 1 III IIII / J 0 I I I I��' I �J IIIIIIIIIIIIIIIIII I i 'i Iw l�''llluuuulllli(luuuilgl IIII Illli li; VV � I I ,. III I 'III i II I IV II ri f V ili J 1 I I p Y �uu. I III III o I I Ii I� I III IA 3 / Nu "pp iiuuum I�G a/ I I I Iw II � I I I jllmuuu I Ilil I G I j 1t 1 uu �� YuiiiiiuuuulV I i IIIIIIII'�I IIII � I qlu� ' illti I / I II � Iy "I II Ili 1 / g„ T y I,I it r MR, ... ... i8, 0 o : of/�, ✓�l/u�, r .� (d 1 r� iIVVVV uqq f 9, �rUr i TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN I-LkLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES DATE: January 7, 1985 THIS IS TO CERTIFY that the Pre C.D. #Z 1 3 1 1 2 /XJ Land /xi Building(s) Use(s) located at 10450 Sound Ave. Mattituck Street Hamlet shown on County tax map as District 1000, Section 122 , Block—, D2, Lot 14 doesfnotNconform to the present Building Zone Code of the 1 46 J Town of Southold for the following reasons: lng,ufficient fgtal area . Mon-conforming mobile home, insufficient Aide yard set-back on mobile home. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /x /Land i X/Building(s) F/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 appU- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows:Pro2erty contains a 2 story wood framed one family dwelling with accessory garage and mobile fixed home, situated in an "A" Residential-Agricultural zone with access to Sound Ave. a town maintained road *B.P.#12857 --C.O. #Z13108 Alteration to existing porch. The Certificate is issued to Geraldine Wort.hingtoLi (Qteraleine Davis) (owner, )1VgRR§tMkq ; kX of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN MISPECTION 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. ulspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-26728 Date OCTOBER 6 1999 THIS CERTIFIES that the building ALTERATION Location of Property 10450 SOUND AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 2 Lot 14 Subdivision Filed Map No. Lot No.___ _� conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1 1984 pursuant to which Building Permit No. 12857-Z dated FEBRUARY 2 1984 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 EXISTING PORCH AS APPLIED FOR. * - The certificate is issued to GERALDINE B. WORTHINGTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED i N/A *THIS UPDATES CO Z-13108 DATED JAN. 3, 1984. .. Bu ding inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-26729 Date OCTOBER 6, 1999 THIS CERTIFIES that the building ACCESSORY Location of Property 10450 SOUND AVS. MATTITUClC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 1.22 Bloc➢c 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 25 1985 _pursuant to which Building Permit No. 13713-Z dated MARCH 1f 1985 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 INGROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to GERALDINE S. WORTHINGTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. AUG. 16 1985 -N-705168 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO 2-14768 DATED AUG. 6, 1986. uil ng Ins sector Rev. 1/81 TOMOPSOUTHOLD Bul G 09PAR*MkNT Office,of ow Hala l for 7� N.Y. Cedific0a Of Oca"ncy No. ..z14770 Date . ....August. 6 86 ...... .. .. . .. .. . 19.. THIS T that the b Accessory.storage .building ... . ..• --. .. LocathonofProparty 10450 Sound .Avenue... . ' . • Mattituck,. New. York 014County Tax Map No. 1000 on .. ....... ..Block ..rt.....W w MM r N 0 M w Subdivision......... ....... ...............Fated Map No. ........Lot No. ............. conforms substantially to the APOCatiOn for Building Permit heretofm filed in this office dated December. 9 , ,,, 19S5.pursuanttowhichBuildingPermitNo. 14456z dated , December 9. 85 . ....... ...... 19- - was issued,and cWorms to all of the requirsnumb of the appiica<bhe PTOYMOM of the law.The occupancy for which this certificate is issued is .... .. ... accessory storage building ♦....... . . . . .. ... ... ....... ......w....... ....................I..........w........... The oertiftcate is issued to , Geraldine itortbington . ... ....µ..rt+.w..... rt. ....r w ... . .. . .. ... .. ..... of the of id building. Suffolk County Department of Health Approval . ...... .N44. . .... . . ... ... .... ..... ....... UNDERWRITERS CERTIFICATE NO.... ..... .. .....N/A..... ... ... ... .. . .. .......... . 000, ... . ... .. . .. .. ............. .i . r Rw.flat m FORM No.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . z,14770. . . . . . . , August 6 , 86 Date . .. . . . . . . . . . . . . . . . . . . . . . . 19 . . . THIS CERTIFIES that the building . . . . Accessory storage building. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . „ . . 10450 Sound Avenue Mattituck, New York Location of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . . . . I . . . . . fiou e)Vo, t emt Hamlet County Tax Map No. 1000 Section . . .1.2 . . . . . . .BIock . . . . . . . . . . . . . . .Lot . . . ..1. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated December. 9 t . . . 19 8 5.pursuant to which Building Permit No. 1445 6 z . µ , . December 9 ' 85 dated . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . ,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 building The certificate is issued to . . . . . . . Geraldine Worthington (owner, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . MA. . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . N.1A . . . . . . . . . . . . . „ Building Inspector Rev. f/af a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32918 Date: 03 11 08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 10450 SOUND AVE, MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 2 Lot 14 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 2006 pursuant to which Building Permit No. 32400-Z dated OCTOBER 2, 2006 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 & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH PRIMAMORE (OWNER) of the aforesaid building. SUFFOLK COUNTY 0EPAR"1"E NT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3052478 02 28 OEM PLVMBMW CERTIFICATION DATED 02/06 28 WM. GREMLER Au orized Signature Rev. 1/81 � tftit;� � Town of Southold 9/25/2015 P.O.Box 1179 53095 Main Rd �jy> ^' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37793 Date: 9/25/2015 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 10450 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-2-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/31/2014 pursuant to which Building Permit No. 38774 dated 4/9/2014 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: AIIITIONS AND AI"1"1'l .ATl C .!QAN 1 ; Tll ( wNE FAMILY I1EIIlNC1 AS APPLIED I OR The certificate is issued to Samaan,Martin&Bekian,Ari of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ............... ELECTRICAL __.._. M.._._.._._......... . ELECTRICAL CERTIFICATE NO. 38774 06-17-2014 PLUMBERS CERTIFICATION DATED a t r' Si t tur Town of Southold 4/8/2023 P.O.Box 1179 53095 Main Rd iw Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44005 Date: 4/8/2023 THIS CERTIFIES that the building OTHER Location of Property: 10450 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-2-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/6/2016 pursuant to which Building Permit No. 48918 dated 2/15/2023 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: pg9jt f rl . ..gappli d t , The certificate is issued to Samaan,Martin&Bekian,Ari of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. ___._.... .. ..._._._._._.._.._._.__ PLUMBERS CERTIFICATION DATED Au h� ._-Si ��t r fat* Town of Southold 10/11/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44563 Date: 9/24/2023 THIS CERTIFIES that the building HVAC Location of Property: 10450 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-2-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/27/2023 pursuant to which Building Permit No. 49642 dated 9/5/2023 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: -as- uelt"RVAC tc existing sin me familv dwel line as a n lied for. The certificate is issued to Samaan,Martin&Bekian,Ari of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49642 9/13/2023 PLUMBERS CERTIFICATION DATED IT tlt+ t°" nature L