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HomeMy WebLinkAboutZ-41098 Town of Southold 3/6/2020 o�o� oG 53095 Main Rd v„ i Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41098 Date: 2/25/2020 THIS CERTIFIES that the structure(s)located at: 915 Bungalow Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1 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- 41098 dated 2/25/2020 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 seasonal one family dwelling with loft and enclosed porch(water side)and wood frame one family cottage_* Notes: BP 1711 addition on cottage COZ-4692;BP 40318 electric service for cottage COZ-40634;BP 43998 windows/alterations for cottage COZ-40871;BP 43991 alterations/additions to dwelling-house on the water-COZ-41081. BP 43706 accessory garage with storage COZ-40718; BP 44107 generator COZ-40706 The certificate is issued to Austin, Christopher& Elizabeth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. t o ' e Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 915 Bungalow Ln,Mattituck SUFF.CO.TAX MAP NO.: 123.-3-11.1 SUBDIVISION: NAME OF OWNER(S): Austin,Christopher&Elizabeth OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Duffner Family Trust DATE: 2/25/2020 DWELLING: #STORIES: I #EXITS: 3 FOUNDATION: cement block CELLAR: CRAWL SPACE: x BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered wood frame DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: propane AIR CONDITIONING: TYPE HEAT: WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: OTHER: this page for dwelling waterside 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: 9/26/2019 TIME START: 9:45am END: 10:52am BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 915 Bungalow Ln,Mattituck SUFF.CO.TAX MAP NO.: 123.-3-11.1 SUBDIVISION: NAME OF OWNER(S): Austin,Christopher&Elizabeth OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Duffner Family Trust DATE: 2/25/2020 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY-ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil/electric WARM AIR: floor furnace HOT WATER: #BEDROOMS: 1 #KITCHENS: BASEMENT TYPE: unfinished OTHER: this page covers cottage roadside 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: 9/26/2019 TIME START: 9:45am END: 10:52am Form No.6 TOWN OF SOUTHOLD _�-- BUILDING DEPARTMENT i� C' , TOWN HALL I I1 �-- 765-1802 - �� I � ,' FEB 1,_t" 2015 APPLICATION FOR CERTIFICATE OF OCCUPA �1 ,_t, This application must be filled in by typewriter or ink and submitted to the Building De artment with thefol,lowin : SOUTtIOL� 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 cqmpleted 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$15.00 7 Date. G' // / New Construction: Old or Pre-existing Building: (check one) Location of Property: ?/) (//Igo��/�/ ( 2 �� House No. Street Hamlet Owner or Owners of Property: 0V /IP/' �G l7%j Suffolk County Tax Map No 1000, Section Z,? Block —Lot—/I,001 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ po Applicant Signature CONSENT TO INSPECTION FEB --. 2015 t� �;�� —4 o•`� DErT , the undersigned, do(es)hereby state: Owner(s)Nai� `•) That the undersigned(is) (are he owners of theprem'•es in the Town of Southold, located at which is shown and designated on tie SuffolV County Tax Map as District 1000, Section 12,I Block 3 , Lot , do/ . That the undersigned(has)(have)filed,or cause to be filed, an application in the Sou old Town Building Inspector's Office for the followinz 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:6S7 IJ 42 (� 5 (Signature) 14. GAEZ QA'L ;�E-NCJ- I J-- u 01� Q L4� UNAUTHORIZED ALTERATION OR ADDITION TC),,TH'S,SURVEY IS A VIOLATION OF SECTIO077;9 OF THE NEW YORK STATE EDUCATION"I&W. 1 5 IS SU%V' NAP NOT arxitr!6 !�S or THIS -Y T THE LA:,D SURWYOn'S SEAL EMBOSS:D SAL SFALL N::l CE COWDEPM TO Of A VALID IRUE COPY. GUARA111TEES INDICATM P.-"SON SHALL RUN ONLY TO THE MSOM FOR WIMM THE SURM IS KXA'[D.A—D O'v)HIS I.. -6- TITLE Ai4O LENDING INSTITUTION LISTED H:qkC)N,AND • TO THE AWGUELS or THE LEMDUMG IMGTI- TUT!ON.GUARAIJUS A., -Of NZANSM.AME TITLE 73S-03i75 TO ADDITIONAL INSTITUTIONS OR SUMSEQUE111 S 4--WNERS. 5URVEY OF THE NORTHWE5TERLY HALF OF LOT cl AS 5HOINN ON A CERTAIN MAP ENTITLED "MAP OF MARRATOOKA PARK" S <) N DATED MAY Ig10,REYI5ED DECEMBER 1913 AND FILED IN THE OFFICE OF N� THE CLERK OF COUNTY OF SUFFOLK ON MAY-7th Igl4 AS MAP No. 19 ° SITUATE: MA \ F�0 W E TOWN: ��o SUFF O15 N N �- S 5UR hq-21-20C \ S 5 K COUNTY TAX# IO - 123 -5- II.I OAUSTIN 7 � Tc CA®•II7tTLgIN COLOANY Q 9�y� �0 � e CO aye Q.oy�11/00 10 o` •*'p NOTES. \ �s 8 \ / MONUMENT FOUND o PIPE FOUND ,�3 off` —X-X-X- CHAIN LINK FENCE i Y Q ---a--O—o- STOCKADE FENCE FLOOD ZONE ANNOTATED FROM Y $000 F I R M.#56103C04521-1 \ Area = 13,Og5 50 FT JOHN C. EHLERS LAND SURVEYOR Area = 030 ACRES 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC srAL-E 1"= 30' RIVERHEAD,N.Y.11901 REF.C:\UmsUohnOropbox\15115-190.pm 369-8288 Fax 369-8287 - - 1 F T SUi?�Y OF THE 1�lOi�TH�STEiZLY HALF OF LO Q , �o AS SHOWN ON A CERTAIN MAP ENTITLED "MAP OF MARRATOOKA PARK" is <) 9T N DATED MAY 1910, REVISED DECEMBER 1913 AND FILED IN THE OFFIGF OF CLERK OF GOUNTY OF SUFFOLK ON MAY nth 1914 AS MAP No. 19 AJA�TF: M�TTITUGK ;f W E TOM: SOUTHOLD � ap�� SUFFOLK GOUNTY, NY SURVEYED 10-21-2015 UPDATE 08-06-2019 5UFFOLK COUNTY TAX # O 1000 - 123 - 3 - 11.1 CERTERED T®: o CHRISTOPHER AUSTIN o CMCAGO TITTLE INSURANCE COWANY t,! � D C-V ujv ,� S�-- ti��2 AUG 1 3 2019 S©udio.d Town +✓+ s G' `So + /�Q 0 of Trustees ` �0 j �0 �pc Q\0 otj 1 NOTES: \ ZRIlls ■ MONUMENT FOUND ry //pq �F N F� o /�/ \ 4,t� c.EH<��D,p �a aA_12 a aaan�w a x.ta R'W�ra'9 o I,ceroetl lora aVwyorS seal ba PIPE FOUND 630 � -� I o s � ��a��,�. ��.artt� N«+rat stato mcatm i.mr.' / p � y * •aay`°l�a`ak�t`"at w�i,"°t`a"e w�5 —x—x—x- CHAIN LINK FENCE ' YG g�D / I searywe seat sten ee sa,saeree w be vam ave pb5 a�—o- STOGKADE FENCE ' f 1 c-tffrate �4 ea s� teat o $o � ` K11�CocL'of FYacteb la LwG artveys aaopled / b!Me Nan+York Slat PssoUalfu+of Prowscta 9 O / (� Loa sarvoyors sort oertetconore 15an rva a,y Q/ ti 5020 o a oau t°"6OnwrFia t"w Rt is a "°raa' FLOOD ZONE ANNOTATED FROM /��� ��n LAND S ^o ' �-taw— F.I.R.M. #36103GO482H � Qo t,a�ae wt t m taa�a w amt aaat btn to a Area = 13,095 50 FT JOHN C. EHLERS LAND SURVEYOR Area = 0.30 ACRES 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 ORAPHIG SCALE I"= 30 i RIVERHEAD,N.Y. 11901 REF.C:\UsasUohn\Dropbox\15\15-190.pro 369-8288 Fax 369-8287 YfM G it 01:11/94 16:26 $ 7651356 MICHAEL HALL (12 BOUNDARY S.7NE AGREEM-NT AGERDMENT made thio day of 199® among ELSTE KASTNF.R, residing at 025 Bungalow Lane, Mattituck, New York, hereinafter called "Kastner", JUNE DUr NERD residing at 234 149th 5treat, Whitestonee Now Yuxke hereinafter coaled "Duffner"i and f)AVID 14= M. GORDON an4 ROSALINDVGORDAN# ttu+iband acid wire, both residing at 29 North Drives Great KecK# Nees Yorke hereinafteL called "Gordon". WHEREAS, KaStner is selling to Gordon her home and iMprovements located thereon and describes as Lot Nos. 0 and p/o 7 on a. certain map entitled "Map of Marratooka Park" tiled in the Office Of the Clerk of the County of Suffolk as Map No. 19, as more fully shown on the annealed survey map prepared by Roderick Vats Tuyle P.C* last; dated Dec. 7, 1993, and WHEREAS, Kastner is the ovner of Lots Nos. 8 and plc 7 on the aforesaid Mara, vhinh lots are adjoining &ot Na. 9 and contiguous therrato, which said Lot: No. 9 ig owned by Duffner, and WHEREAS, the parties hereto wish tO reafflirm the? boundary line between said Lot fro. $ owned by Kastner and Lot. No. 9 +�vrind by Duffnex, and WHEREAS, it has further been determined that a, certain shed, as depicted on the dfuxesdid survey, has been constructed by Kastner, which shed extends appruxituatelY 1.5 fust, onto Lot Noa 9 owned by Duffner, and WHERERSe all of the parties nereto wish to reaffirir'. the common boundary line betWeen Lots d alld v and turther desire to settle the question of the encroachment of the shed onto Lot 9- ©1/11/94 16,27 $ 7651356 MICHAEL HALL 03 NOW, THERErURE, in consideration of the sum of One ($1.00) Dollar and other valuable consideration, it is agreed as foi?owa: 1. That the common boundary line between Lot A on the north and west and Lot 9 on the south and east is hereby reaffirmod as set forth and described in Schedule► A attached hereto. 2. That Duffner, as kbe owner of Lot 9 does hereby release, remise and disclaim any right, title and intorcat in and to any land lying to the north and west of oaid boundary line. 3. That Kastner and Cordon, as the owner and contLdc:t vendoes reapeetively, do hereby release, remise and dfwrlaim any right, title and interest in and to dccy land lying to the south and Boat of &aid boundary 11"e- 4* That ttie wiled extending onto l,ot 9 may remain, in place and undisturbed for as Long as the same shall stand, but that in the event the shed is to be rebuilt, same shall be rebuilt entirely on the premises of Kastner; that Ruffner waives any claim or right to said shed or the property over and on which it is ereotedi and that Duffner agrees that she Will not remove, attempt to remove or disturb said shed and it may remain undiaturbed and in place, as aforesaid. -'5. This agreement shall be hinging upon and inure to the benefit of the parties haareto and their respective heirs, A 4. TOWN 'OF -S-OUT-Nd, -j-.YffLLAGE SUB. LOT STREET Fbu ORMER OWNER ACR. ,*Ir e -,E" :7-7 (L2 L LU r)r) 4rvyl N��7 S TYPE OF BUILD[ (31 -0v -Oro . EAS. VL. FARM comm. CB MICS. Mkt. Value NN D IMP. TOTAL DATE REM-ARKS or CIO 7 1113 s4LZ 63, d P-41 -r-moly ,Duq- W,r 7Z zz r--ate- P-A-0-e 'k AGE BUILDING CONDITION NEW I NGRMAL BELOW ABOVE FA.IZI%A Acre Value Per Vclue Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON:-.ROAD I Mdoclowland DEPTH- Housf-eV'tof' -A,6-7 ib 1 ate . 7 MIA14t�Aja44h lyr.�t S I ,i�. ft v Y� �f114 '�` 1�• y+,v. .'+r t r •..y+ y;y,.z. el"�.: I+rrj .�r Y`° �.:,ctf r r._- ■■ ■ man m plopNMIZ— i _-.y l IJP..�'-�4r Z��4�i+1�1)�.. 1}�t ®■ �� ■■�■■� Flow ,y 4 �✓,' �S ` d! tl 5 I Jr ■ - ■�■� � � � /■ In isand � �fi�11\ r ■���� ■■� � •� :� �. — a.�..;gip .. � � � � �� �■� • • Ili ��. i. SCTM__# _ TOWN OF SOUTHOLD PROPERTY RECORD CARD -/� OWNER STREET ��5 VILLAGE DIST SUB. LOT Sun /0.7 At:* ACR. REMARKS . 3 3 ,5-13119- 13r' �i'3 70b - TYPE OF BLD. PROP. CLASS ry/D, / LAND IMP. // TOTAL DATE /1-2Jr (�' 0 I I I FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL `4 4 4,AA,.VT -Irv, I I k�v 010-1 o L q. 11.7 Ix R r V �v LOCATION; d, VA dw (numler & street) (municipality) SUBDIVISION: lAP,N,O : 'LOT(S): .. NAME OF OWNER(S)': QW05 ftt O-CCUPANCY: .t, f i D (type) (owner-tonant)• ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUET. 'CO. TAX MAP'N 1 , 11. 1 , [ SOURCE OF REQUEST: DATE: 'r .. r✓, Yot DWELLING TYPE OF CONSTRUCTION: ✓ ?�, �,# STO'RYES:` V _'# EXIT§-. F'OUNDATION:C4A6A hd4, ;tASVMPNT-. CRAWL SPACE: # OF BEDROOMS: 1ST FLR: Y 2ND FI R: 31W FLA: . -BATHRO'OM(S): TOILET Mti00M(S): UTILITY ROOM: 1 . PORCHTYPE: 044" W4, D'E•CK, TYPE: .. . PATIO;TYPE: _ BREEZEWAY:'_ . FIREPLACE: QARAGE: DOMESTIC HOTWATER: TYPE HEATER: fl-019A, wel-I AIRCONNDITIONING: TYPE HEAT: WARM AIR: HOTWATER: 4 OF ICTCHENS:�n.Q/, FINISHED BASEMENT YES NO OTHER: ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: _ SWIMMING P'O'OL: _ OUEST,'TYPE CONST: OTHER: •VIOLATIONS: CHAPTER.144 &N.Y. STATE:UNIFORM FARE,PREVENTION & BUILDING CODE LOCATION DZSCPJPTION ART, SEC, tea✓ d 4- ni: W ,p-eR1. WP,z ,ri o A- it IrVS��CC. v ; . REMARKS: INSPECTED BY; J-rs1�� DATA OFINSPE'CTION: S .tn�I�Gt� 14 ?�I_ TIME START:.�%�� AIY� END; 10' 3Y, 04*1 OF SOOT I yob # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ _ ] FIRi'SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRI4(RH) [ ] ELECTRICAL (FINAL) [ ] CODE VI [ ]nCAULKING REMARKS: v� �� -C -FW v oh, o hV �rY�P/LSI� 1 C�Qi a f o "14 ( G 1 V %WlAa 47VI r DATE JW, IA91 INSPECTOR- - - �vj LOCATION; _11( �VVIAAA) b"Zef (numbe street) (municipality) SUBDIVISION: MAP.N'O.: LOT(S): NAME OF OWNER(S)': ,�I, _ i OCCUPANCY: S.IvVk to (type) (owner-tenant)- ADMITTED BY: ACCONTPANIED BY: KEY AVAILABLE: SUET. •C0. TAX MAP:*N . 1000- Iv — 3— . SOURCE OF REQUEST: DATE: VVew 1 DWELLING TYPE OF CONSTRUCTION: OjM4, !�rAywle # ST0-=S: # EXITS: FOUNDATION: f' QIO4�- AS Iti'TENT: 1fl���'CRAWLSPACE: # OF BEDROOMS: IST FLR`j_ 2ND IrLR: 31tt.D FLIM: 8ATHRO'OM(Sj I TOILET AbOM(S): UTILITY ROOK PORCH,TYPE: DECK, TYPE: .. PATIO;TYPE: _. BREEZEWAY:' FIREPLACE: QARAGE: J � � DOMESTIC HOTWATER: TYPE HEATER: A-IRCONNDITIONING: , TYPE HEAT: bl V ' � t FARM AIR:Rpo✓ &rhAtAf HOTWATER: 4 OF KITCHENS: FINISHED BASEMENT:- YES NO v OTHER: ACCESSORY STRUCTURES' GARAGE; TYPE OF CONST.: STORAGE,TYPE CONST.: SWIMMING P0-OL: _ GUEST, TYPE CONST: OTHER VIOLATIONS: CHAPTER]44 &N.Y. STATE:UNIFORM F';RE PREVENTION & BUI�,DING CODE LOCATION D SC PTION . ART. SEC. 0,11 REMARKS: INSPECTED BY; o -dDATE OF INSPECTION: r TIME START: 1 END: _10-' N N Y AM, ®n LOCATION: 91( blvii4(K) rm� !' (nu & street) (municipality) i SUBDIVISION: MAP NV 4` `` NAME OF OWNER(S): OCCUPANCY: ' .7 _ (type) (owner-tenant) ADMITTED BY: i"j� ACCOMPANIED B'Y: � W KEY AVAILABLE: SUFF. CO. TA,X'.MAP N ,.u1000- SOURCE OF-REQUEST: DATEi ° d 1.y 6 DWELLING Qa i4 � TYPE OF CONS 1 : # STORIES�i' / # EXITS: FOUNDATIO r, BASEMENT: CRAWL SPACE: # OF BEDROOMS: IST FLR: _� 2ND FLR: Q� a 3RD FLR: BATHROOMS TOILEt O BATHROOM(S): ROMS �- � � ( ): iJTIL'ITY ROOM: _ PORCH-TYPE �a�®� DIueL�CK, TYPE: PATIO TYPL ° VIC6 MAI& BREEZEWAY: _ FIREPLACE Good, GARAGE: DOMESTIC HOTWATER: 1/ TYPEjt4,Vc.., NEATER: AIRCONDITIONINGY-004 TYPE HEAT: WARM AIR�G igm WATER: # OF KITCHENS: FINISHED BASEMENT: YES ;�7NO OTHER: on6hqhoo GARAGE, TYPE OF CON T.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: A1� l 0 /w� ` � A✓f� VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATIONDESCRIPTION =ART. SEC. ` •�/ REMARKS: INSPECTED BY: Aij J• ,� DATE OF INSPECTION: �P TIME START: END: 10: �. �, ,; ,. ��� , � - . �t ., � , � �� c t . , .� , . § _�.-. � �� _ - � . . �� .. . .. �� -�� � � - o �� ���- � �� ,�� r . . � _ _ � • Y� ' �. a s � �`� ` ' , , ! � i p � � i � i i e ! � � .' ` , � ' 4�e . ''u Y On LAJV71tL)/ LOCATION: At._ & StMeol (munici ' 4y pat 4 SUBDIVISION: ' 0.. 1,, NAME OF OWNER(S): OCCUPANCY: Gljp�,P�Kl 1(4 -1,;, ­(typp • (owner-tenant) Vh4,10 ADMITTED BY: ACCOMPANIED B KEY AVAILABLE: SUFF. CO. MAPN q o SOURCE OF REQUEST: A DA- El. A A. DWELLING TYPE OF CONSTRUCTION: % # STORIES:' f 'kXXIT FOUNDATION: BASEMENT: CRAV�L_'­S�'ACM 9 OPBEDROOM' s. 1ST 'FLR:\' 2ND FLR: 3RD VLR: IL 'UTIhiTY R06M: BATHROOM(S), TOILET ROOM(S): L PORCH.TYA DECK, TYPE. PAT"i i�,Typ Tom 4 BREEZEWAY: FIREPLACEO _Wtf�, GARAGE:Ar-' DOMESTIC HOTWATER: TYPE HEATER: C-1 AIRCONDITIONING. l�P� 6pialPtON, WARM I pea 2&qv� 1 TYPE HEAT: AIR HO WATER : # OF KITCHENS: m NO FINISHED BASEMENT: YES Aw _�2� ql OTHER: 0,07-P h -;o 0 T ,A-2 ftj T%-I aTa f P,?" owtj GARAGE, TYPE OF COt?NqT..:- STORAGE, TYPE CONST.: SWIMMING POOL: DUES TYPE CONST: I "I-V % , I ,A OTHER: <A.Wo� " �t . 440M L4);,,; VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM ARE PREVENTION & BUILDING CODE LOCATION nDESCRIPTION . *ART RT.' SEC. .4 r-qw A" . ka&vv*1,4vl A 1--qk-, Coomo/,0 WVVALW'-� IVY l.Pl iv I w v I- A "a to -Kvvm/LA4/"% r\ eVj- Vnw-J,­ 1wil^^qW� , -TU VVVVq REMARKS: INSPECTED By'&All DATE OF INSPECTION: F TIME START:.f. END: