The URL can be used to link to this page

Home My WebLink AboutZ-40150 Town of Southold 7/15/2019 S�Q�gUEFO(�ca 53095 Main Rd � �' Southold,New York 11971 c o xI T(P Oyu• �4��jr; ��a:,"xXzrtfR=' PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40150 Date: 7/15/2019 THIS CERTIFIES that the structure(s) located at: 27835 Route 25, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.4-18.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40150 dated 7/15/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame church, brick school and wood frame rectory and accessory wood frame garage_* Rectory:BP 13222 porch COZ-14436; BP 35353 foundation COZ-34218;BP handicap ramp addition COZ-36875;BP 42885 as built central air conditioning and deck addition COZ-40141. School:BP 23022 awning COZ-34216; Church:BP 43919 air handlers COZ-40150. The certificate is issued to RC Church of Sacred Heart (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 102-1-18,1 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A6 or' ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 27835 Route 25,Cutchogue SUFF.CO.TAX MAP NO.: 102.4-18.1 SUBDIVISION: NAME OF OWNER(S): RC Church of Sacred Heart OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: RC Church of Sacred Heart DATE: 1/24/2019 DWELLING: #STORIES: 1 #EXITS: 4 FOUNDATION: brick CELLAR: partial CRAWL SPACE: BATHROOM(S): TOILET ROOM(S): 1 sink only UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: hydronic air HOT WATER: #BEDROOMS: #KITCHENS: N/A BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/1/2018 TIME START: END: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 27835 Route 25,Cutchogue SUFF.CO.TAX MAP NO.: 102.-1-18.1 SUBDIVISION: NAME OF OWNER(S): RC Church of Sacred Heart OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: RC Church of Sacred Heart DATE: 7/15/2019 DWELLING: #STORIES: 2 #EXITS: 9 FOUNDATION: poured concrete CELLAR: partial CRAWL SPACE: BATHROOM(S): N/A TOILET ROOM(S): 5 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: #KITCHENS: N/A BASEMENT TYPE: finished OTHER: this page School only-2 offices, 10 rooms(includes classrooms), 12 toilets,3 urinals and 9 sinks ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/1/2018 TIME START: END: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 27835 Route 25, Cutchogue SUFF.CO.TAX MAP NO.: 102.-1-18.1 SUBDIVISION: NAME OF OWNER(S): RC Church of Sacred Heart OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: RC Church of Sacred Heart DATE: 7/15/2019 DWELLING: #STORIES: 3 #EXITS: 4 FOUNDATION: brick CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): 2 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 3 GARAGE: DOMESTIC HOTWATER: TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 6 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: This page is for the Rectory only ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/1/2018 TIME START: END: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.0��0 fie — e ' 0 • Date. 7 /f New Construction: Old or Pre-existing Building: (check one) Location of Property: /c'�CGC�1 ` r'�O Id " House No.,y� Street Hamlet Owner or Owners of Property: cl rc 7Yt Lae,2� eQ�tij� Suffolk County Tax Map No 1000,Section l Block [ Lot l f Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature CONSENT TO INSPECTION le'l�e e-6e-, C 0c96-;--e , the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned(is) (are? the owner(s) of e premises in the Town of Southold, located at Val A , which is shown and designated on the Suffolk County Tax Map a District 1000, Section /D 2 ,Block / , Lot / 9,/ . That the undersign (has (have) filed, or cause to be filed, an application in the Southo/Y Town Building Inspector's Office for the following: That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: (Signature) (Print Name) (Signature) (Print Name) °F SOUryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �o roger.richert(a-)town.southoId.ny.us Southold,NY 11971-0959 Q l�eoUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Church Of Sacred Heart Address: 27835 Route 25 city,Cutchogue st: New York zip: 11935 Building Permit#: 42885 section: 102 Block: 1 Lot. 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential Indoor X Basement X Service Only Commerical X Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: "RECTORY" - 200A Service, 30A Generator Receptacle, Romex Wiring in Basement, A/C. "GARAGE" - Surface Romex Wiring on Garage Ceiling. Inspector Signature: Date: July 6, 2018 0-Cert Electrical Compliance Form.xls pF SOUTyo�o Town Hall Annex Telephone(631)765-1802 54375 Main Road CO- Fax(631)765-9502 P.O.Box 1179 aQ roper.richert(-town.southoId.ny.us Southold,NY 11971-0959 olyc®Uff N,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Church of Sacred Heart Address: 27835 Route 25 city:Cutchogue st: New York zip: 11935 Building Permit#: Pre-CO Section: 102 Block: 1 Lot 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential Indoor Basement Service Only Commerical X Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures t] TVSS El Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: "SCHOOL" - Outdoor Security Lighting "Defects Removed" Inspector Signature: Date: July 6, 2018 0-Cert Electrical Compliance Form(1).xls Pro- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST _ [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 0 poumi,�S I�r� I(` 'god �/' 2✓ �i fi1A-� �n & �Asw bkA`ff - DATE '?�e'!g INSPECTOR C # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION"y"L4 [ ] CAULKING REMARKS: v�t�s or G '�d'�` ✓ r Ulu frCAmmAcl-� iG • DATE INSPECTOR a SOUlyolo # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: bo. kA VXL4 sq� .avl �.gA KA . DATE ( INSPECTOR SOUTyO� TOWN OF SOUTHOLD BUILDING DEPT. courm 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 07ZI ((2 l l�� t ey(<w)Aa, 6,Ar 5a.". L e0l((444--&Y6� 4��t;2 -(0 DATE 5--- INSPECTORVVCS;��- FFlout D [ECIEOV% I I G DEPARTMENT- Electrical Inspector �O TOWN OF SOUTHOLD JUN 2 8 %In Hall Annex - 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 p� BUILDING DVMphone (631) 765-1802 - FAX (631) 765-9502 al TOWN OV SOWHOLD roger.richert(cD_town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: /%`/007--t- --- -- -- - Date: - Company Name: Name: License No.: email: /"'CIZ700ILee- /11�60IL®Q S �t�'1 Address: Phone No.: P e JOB SITE INFORMATION: (All Information Required) � 1001 Name: Address: ff Cross Street: Phone No.: Bldg.Permit Prt= email: Tax Map District: 1000 Secti n: -jVA@tg Block: / Lot r J BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: /<al<"e- PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls \� J 00 TOIP% W114" -OF SOUTHOLD PROrERTY RECORD CARD Aj o, 4,2 OWNER ISTREETf t, VILLAG DIST.! SUB. LOT d6 /e6a I_ V a vJ�6ve FORMER"WNER, E p ACR. S w TYPE OF BUILDING .5 RES. SEAS. VL. FARM COMM. C MICS. Mkt. Value( 14 LAND IMP. TOTAL DATE REMARKS zlS�4 d 1/2 3/6-< 1:1 t 9 L-, 4 ET '21L. 5 >? 2- o A;"D C4 11 C_ (s .g_ v 600 -711 1- X e- �O 7' 5_J 000 Z 12- ljqI� 2- RrmLZx) r=Ca. z C 91aalq f3p" 4- _0_-R Cki,)j tienC-Z tjlc �3jlbD qff�tl -4:�- 3-7y[(o ranla k-e- c4-b 6w Aj-X;961o, 4 ke-o'7� AGE BUILDING CONDITION ff NEW NORMAL BELOW ABOVE FARM Value Per Value C) Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland P DEPTH 11 0 House Plotg �4 BULKHEAD Total DOCK L a■■®Ina■aa■■��■m■aaia■ MOM o ma 3-4 a■■ai■■■Wia �_ _ CS)W1104 --- •• :. AP •• Ext. Walls i Rooms Ist Floor Recreation Room Rooms 2nd Floor FIN. B - • 3 Dormer Driveway Total cc 7 OWNER STREET VILLAGE DIST. SUB. LOT hlo a FORMER kkN ER NACR.V S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. /Mkt. Value LAND [MR. TOTAL DATE REMARKS . .................. 44 z 1,3 J 6-, 40 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM C% Acre Value Per Value kn C% Acre Tillable 0 FRONTAGE ON WATER Woodland j, FRONTAGE ON ROAD Meodowl,A t- DEPTH o House Plot 0 BULKHEAD Total DOCK l 4- " C �+� T IIIEII OEM& IM NNE CIMA y ■■■■■■�■IQ�■■■■Q■AI■■■owl DOW ■■■■ x ■■■■■■RSNONE■■1fii■■■■■■■■■■ FoundationON MEMO :. y Basement . .. , I.nterior Finish IL IType Roof —�MRRooms Ist Floor •. lRecreation Room .. • Tota! 7/oR 7, .` r=w, n r�•Sa: _-�L—, fil�.;.: J'. •> ---'�s'z.-a`.. ,a'-y-.:- �` t .SRO �1 O, ter. ' , 1®'ltd• �R - - - -- - --- - 1v OWNER _ _ STREET - LLAGE _ I DIST:, SUB. - LOT k — t' ��! FORMER RWNER N- -� E ^� i`,ACR. -- W / °i,TYPE OF BUILDING Fbl RES. SEAS. VL. ;!FARM ii COMM. CB. MICS. Mkt. Value 1�r� LAND IMP. DATE TOTAL '� - � -REMARKS EGO - — --- - - - ---- - --- -- -- - - - -- -- - CN- --- - --- - - - - - - - Tillable ° FRONTAGE ON WATER Woodland FRONTAGE ON ROAD r --` ---- -- -- -- _ Meadowland o aD, o i DEPTH -- - -- House Plot - - -= BULKHEAD Total '� I MEN NOME ilii WEEM No 0 ENO ME ME M M ME lilli■lil ME iii v NOME INCC �. .. ent J&t. Walls r, IFire Place Rooms Ist Floor Rooms 2nd Floor Drivew oy LOCATION: (number & street) (m pality) SUBDIVISION: MAP-NO.: _ LOT(S): NAME OF OWNS (S)': OCCUPANCY: wvlf (t pe) (owne tenant)- ADMITTED ED BY: _ _ A-CCO14PANIED BY: KEY AVAILABLE: SUVF. CO. TAX MAP'NO. 000- D • SOURCE OF REQUEST: DATE: ' 911 --- N 194 G TYPE OF CONSTRUCTION: STORIES: # EXITS: J o , FOUNDATION: �7ir1�C��. . BASVMENT: CRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLR: q. 3RD FLR: BATHRO'OM(S); TOILET ROOM(S): �� UTILITY ROOM: , ' r �p a 5 PORCH-TYPE: DECK, T YiPE:W 4ATIO;TYPE: BREEZEWAY: FIREPLACE:17.1r.�9� .� GARAGE: �C-C, DOMESTIC HOTWATER: TYPE HEATER:-'-' O l AIRCONDITIO . II . TYPE HEAT: _V t Io WARM AYR: _ HOT'WATER: ✓ # OF KITCHENS: Ovieoe FINISHED BASEMENT:- YES NOt OTHER: ACCESSORY STRUCTU +S GARAGE; TYPE OF CONST.- �/i11r1I1P� STORAGE, TYPE CONST.: SWIMMING P*O-OL: GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FARE PREVPNTION & BUILDING CODE LOC TIONA A DESCRIPTION ART. SEC. 'r m- !!* y4 gg, r V{AlrAl 0.41.J v hvi WIrre-11. " rrl!2A REMARKS: INSPECTED BY700= 4 � DATL OF INSPECTION: Aoq i - TIME START: END: r L C . LOCATION: �J (number & street) (muni ' ity) SUBDIVISION: MAT ft.: LOT(S): .. NAME OF OWNER(S): Vr � OCCUPANCY: F1WIT (type) (owner-tenant)- ADMITTED BY: _ ._ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'P O. 1000^ � M • SOURCE OF REQUEST: DATE: TYPE OF CONSTRUCTION: IN f Yft I� # STORIES-: _# EXITS: _ FOUNDATION:IfI(iI,L BAS9MENT: ,!'CRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLIM: BATHROOM(S): T (S): St�✓�� t UTILITY ROOM: PORCH.TYPE: DECK, TYiPE: .. PATIO;TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: O l U WARM AIR: HOTWATER: # OF KITCHENS:�' d�hi FINISHED BASEMENT:- YES OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,-TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATIO DESCRIPTION ART. SEC. VlyC� -Y,~n jr G � le ML01 REMARKS: INSPECTED BY: ��v� �A✓�le DATE OF INSPECTION: TIME START: END: LOCATION: (number & street) (mun' i ality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: giiillwC . Slgadl (type) (owner-tenant), ADMITTED BY: ACCOMPANIED BY: eft+- KEY AVAILABLE: SUFF. CO. TAX MAP' O. 100- «. • SOURCE OF-REQUEST; DATE: 1�1 �"d�G�G�/IdD TYPE OF CONSTRUCTION; # STORIES: # EXITS_j FOUNDATION: 6BASEMENT: !/CRAWL SPACE: # OF BEDROOMS: IST FLR:` N A' , 2ND FLIT: 1✓� 3RD FLR: L Tbt l-s SIw S TOILET ROOM(S)S UTILITY ROOM: PORCH TYPE: - _ b'ECK, TYPE: .. . PATIO, TYPE: 1 BREEZEWAY: FIREPLACE: GARAGE: Y DOMESTIC HOTWATER: _ TYPE HEATER:*'6AIRCONDITIONING: ` TYPE HEAT: D l✓ WARM AIR: _ . HOTWATER: y/ # OF KITCHENS: fVIff FINISHED BASEMENT:- YES NO OTHER: OW lead AD Res lK v -: o(wr . ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE'UNIFORM FIRE PREVENTION & BUILDING CODE VOCATION DESCRIPTION ART. ' SEC. G ' ` �r +"Aq K iFb O r REMARKS: 1 INSPECTED BY: J ft J • J v DATE OF INSPECTION: TIME START: Ems;