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Home My WebLink About1000-110.-1-12 TOWN OF SOUTHOLD Rental Permit g _ 0077 Owner New Suffolk Properties LLC Occupied as Single Family Dwelling Located at 3350 W Creek Avenue Cutchogue 110-1-12 Maximum Permitted Occupancy 8 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. 11/23/2021 f Code En e- Tient Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN� " 'i� Town Hall Annex �� 54375 Main Road PO Box 1179 Southold, m � Rental Inspection NY 11971-1179 � � 'm� Tel: 631-765-1802 Fax 631-765-9502 d% SCTM # L L �— Date Owner Phone 73 Address 3, 0 VI/_,CZip Hamlet C.1.`0 C, v G _ Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits ( ) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/NDN) BUILDING TCONDITION F PROPERTY " Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails &guards present ---------------- LS POOL BARRIERSY/ Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48"high resent POOL GATES Y/ All openings in barrier less than 4" Self-closing, self-latching 'Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked&child- requirements proof when unattended COMMENTS: tat TOWN OF SOUTHOLD Rental Permit Permit No. 0077 Owner New Suffolk Properties LLC Occupied as Single Family Dwelling Located at 3350 W. Creek Avenue Cutchogue 110-1-12 Address Village S/13/1- Maximum /13/LMaximum Permitted Occupancy 8 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. 6/4/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex 1'f�I `P � Telephone(631)765-"1802 54375 Main Roadpc 631 765-9 02 . IN O P.O.Box 1179 Southold,NY 11971-0959 " BUILDING DEPARTMENT TOUN OF SOLYMOLD LZI Cj TL IT APPLICATION '� Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number:1000 SECTIONjj ? -EiLOCg / 10 -LOT SECTION . OWNER INFORMATION: Property Owner Name: S'A ire f Property Owner Legal Address: Property Owner Mailing Address: 176 s 5r. 0C,A z-/o G ,t3®x a va ,0 4" "/q c. AP to 110 V� e. .,. t nl Y I f 9G�i Telephone Number(s): Daytime C3UEven ng'._ Emergency I-AL-662-jyjl Property Owner Email Address: ooPage 1 of 5 r 'J Town Hall Annex Telephone(631)765-1802 54375 Main Road �h Fax(631)765-9502 A '? P.O.Box 1179 �'. Southold,NY 11971-0959 s BUILDING DEPARTMENT TONM OF SOUTHOLD 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: "c w ti Address of Authorized Agent(no P.O. Boxes): 4V � � 1��aY j�ti�6 Mailing Address of Authorized Agent: L.?Q x HL Telephone Number(s):Daytime.,il-7)v-4.ij) Evening Emergency y/C -GG z — Email Address: Alew � c 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. foxes): Page 2 of 5 � � M Town Hall Annex Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 r Southold,NY 11971-0959 `��iiillVp1 UNP BUILDING DEPARTMENT TOWN OF SO TOLD Mailing Address of Managing Agent: Be- Telephone Number(s):Daytime cif-77v-t,-?# Evening Emergency sig-- Gaz -/yit Email Address: ve s—,"o I k -rA rj a c,1" a ,� SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on propert p ert +� For each Rental Dwelling Unit set forth the R ntal D), elling,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: 101 lip, " Requested Maximum number of persons allowed to occupy Dwelling Unit: I? ,u Number of rooms in Rental Dwelling Unit: O 1,� c ►-�c wr s Use and Dimensions of each room in Rental Dwelling Unit: 'rf4-<-i 1 O / /Z �'-�i•a IZ�a� 7 � / � �" `"t1 i`�, Ccc:,j z-1"K 1z"..II «. 0. die -1 .3 /1 �` 13 rcJ k4o Q / 11 1I �' e"ce j( Page 3 of 5 Town Hall Annex �� qq Telephone(631)765-1802 54375 Main Road � �l' Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 BUILDING DEPARTMENT "TOT 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. VI am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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 L c.o P e c-c 4 . c.1:i!;s ,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 1 P 7 a ap Town Hall Annex Telephone(631)765-1802 54375 Main Road (,'3 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 iuyy BUILDING DEPARTMENT TO"OF SOUTH01M 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 as to any change to the information regarding Authorized Agent, Managing Agent,or Site Manager. Prop Name: Swf'�a � J'ba <` t7'r� tLC . Lb�,r /�.. cJ:ll��v�weY Property Owner's Property Owner's Signature: w S rn to before me this day of A pCL� L . 2d O Q--- clal Notary Public Signature and Original Notary Stamp GERALDINE A MAILA Notary Public,State of New York No 01 MA6097386 Oualifred Irl Suffolk County, Iq CoMrrriaalorr Expires,,081'18120 Page 5 of 5 b � Town Hall Annex �� k,, Telephone(631)765-1802 9 i .;• lea ?,6 54375 Main Road ( 3 P.O.Box 117 P, Southold,NY 11971-0959 "u�i � 33 wDD M AY win 0 2019 BUILDING DEPARTMENT TOWN OF SOUrrHOLD ew J-di RENTAL PROPERTY CERTIFICATION TOWN () 1'T111 ;�..... 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 pro essinal,seal required or Architect or i n sneer licensed lNome ins actor rnust rovide co V o 'lralid current c+ rti notion Rental Property SCTM Number: b� A i Ilc �r ��l Rental Property Address: c3S0 tirt S"' C Riz6h e (�C HO L"ski 19`35 Owner/Name: VEV 4Wr 0LH WkT i) LIZLACI@L�vt� 1,�1 L�-i S 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.) f3f0ft" W% x109 SQ far 00% Al - 'Z40 S(1 9FOA00M In Ili So jollocn 4 - jZl $ Property Description (include all improvements indicated on survey) t l T tAk Fkrvo%4 tiotn l 004'Mv ®N' wcAlflniI6 CohiVAr i AL MIW All PR OPIFAT"y, co R 7,76(6 J Sp✓6" F PIt-y iibr)IE I bn CC :LVILL57 APOMDAi To Eas ilvC 0AiZ rAhlLyO Lr.INi. �f COrF ZIIk054 OiECh (MkZ.` 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 F ISE Original Signature Please place professional seal 4 611 S PEI I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z9407. . . . . Date . . . . . January 26 79 . ., . . . . . 19. . THREE BUILDINGS THIS CERTIFIES that the budcjhrg located at . . . 1.7.00. . Vilest. Rd. . . . . . . . . SWetw Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . REQUIREMENTS FOR BUILDINGS BUILT PRIOR TO conforms substantially to the F OCCUPANCY dated . . .April. . _ 23. _ . . . . .1 19. 57 pursuant to which CERTIFICATE O No. . ?94QT dated . . .January 26 _ ., 19. .79 was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy owhich this certificate is A - A aeon-conforming use One Family Dwe ing issued is . .B. — �i.Reta��-. More, .and a _non-conforming use dwelling unit C - Accessory Building to the Marina The certificate is issued. to . .N=g ,Very. .T/A . .Boatmen!s. Harbar .0Lrjxa. . . . . . . . (owner, 1 ) of the aforesaid building's. Suffolk County Department of Health Approval . . . . . . Rr.e7FA.*ting. . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . Pre-Existing. . . „ . . . „ HOUSE NUMBER . . .17.00. . . . . . . Street . . , . . . . . . Nest. Roe-O. . . . . . . . . . . . . . . . . . . . Cutchogue, N.Y. Ale LOCATION OF BUILDINGS A, B, & C Building Inspector it --East of Building B----East of Wickham Creek C--- North Westerly of Building B MARINA USE SUBJECT TO THE TERMS OF THE SPECIAL EXCEPTION APPEAL # 76 BUILDING DEPARTjgENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 1700 West Rd. Locationr0ht_Cr Er F. number & streeL , (Municipality) Subdivision Map No. Lot(s) � Name of Owner(s) Nunge-Very Ltd. T A Boatmen's Harbor Marina Occupancy B-1 . .. - ,._-____. owner=t. _ ,.........�tYPe� enant ' Admitted by:MK� , Qiambra _ Accompanied by: Mrs. Giambra Key available___, Co. . 10-01-012 ................�.W.,,,,,,,,_.......�� Suffolk CoTax No ._..m�000-1 �...�.- Source of request Murray Weitman, Esq. Date January 24, 1979 DWELLING: Type of construction Wood ,stories 1 1 2,_ Foundation cement blook Cellar f, 1 Crawl space Total rooms, lst. Fl 5 2nd. Fl 5 3rd. Fl Bathroom(s) 2 Toilet rooms) Porch, type Deck,. ty°pe Patio, type Breeza:wa,y,................. �Garage. .. .. -... Y room _ _mmm��. m Type Heat electric W ,� baseboard Hotwater Fireplace(s) No. Exits 2 Ai.rconditioning Domestic hotwater yes Type heater gas Other ACCESSORY STRUCTURES: Gw ,x type const._ wood Storage, type const. SuAriirirn::i..ng pool Guest, type const. Other Mens & Ladies restrooms & shower facilities VIOLATIONS: Housing Code, Chapter 52 Tl ocation Descpotion 6 Art r d ...... ..._....... -52 6 A . ........... ............. ..._._. .......... A� jA _ _ Date of Insp ....... . r2..' �. 9 CURTIS HORTON r" mr `5.. (.. T)(1.... .1.'9_.:...1.5.................. AM D S BUILDING DEPA.RTKENT TOYdN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 1700 West Road t� Creek Cu'9:��o, e Location numl er & ekv _.—.. .-_. strcrt li:.raac,ipr� ity Subdivision Map No, Lot(s) Name of Ow-ner(s) e-Very g YY Ltd./T/A Boatmen's Harbor Marina Nun _. Occupancy •type —To"vrner-tenant f Admitted by: Mrs. Giamb .M• p y: M br ra Accompanied Mrs.. Grama -..Suffolk1 . Key available Co. Tax No. 000-110-01- 012 Source of request Murray Weitman Esq® Date mwmmm-January 24, 1979 " "rte RETAIL STORE WITH A DIVELLING UNIT ABOVE Type of cone t.r u( tion ylco<I —#s tori es 1 1/2 ce ent blocks & Lu FO11da ion ,,,.,� Cellar Crawl space____X_ Total rooms, 1st. Fl 2 2nd. F13 3rd. Fl Bathroom(s) 1 w _Toilet room(s) Porch, type .Deck, typo____—Patio, type Breezeway— trace Utilityroom Type Heat none Warm Air Hotwater Fireplace(s) No. Exits 2 mm-Airconditioning Domestic hotwater X. —Type heater Other.. SAia�naix"way lead�n .: . ... dPl ' h1r .... ACCESSORY STRUCTURES: Garage, type const® Storage, type const® Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location 1On _. n� Art.�..5.2 �Sec � � Dcscri P an ralac.�s___._� 31 A four�_-A.tt. _.,_—..Foimdeti.on _o l _ -._. �.� ... ....„m _ ......m. _ �_.._._.........�m .._.�._ _ ........__w�a._� �_—..• �.�__ -- ..m. Remarksa - — � Dai,e of lns � a • _ Inspected by �p Y 25, 1979 Januar. _. _.�.. CURTIS NORTON Time e tr::x~x 1()._ a_-end 11:1 .AM AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .....Z. ;.7.92, --l. Date .. .. .............Ai?�� ......... THIS CERTIFIES that the building located at ..Went.CXedk..AugG—..... ..4.... ............... Street Map No .... .... Block No .... .. ;......... Lot No. ..... ................C?.tlydho # .Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated Be t e 3.3 �� 321.52 ........ 19........ pursuant to which Building Permit No. dated ..,1lep r..12...... ............ 19.66 , 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 ........ .. ...... ...99W. 9.0-mMid. storage- ltlildiv2.q....... ..... .... ..................... .................. ... The certificate is issued to ......Li tt1ft..ktCQniC3..XaY .C0..............—..,..,.,...................,.............., (owner, lessee or tenant) of the aforesaid building ,. 'Building j iecio ..,., FORM NO. 4 TOWN OF SOUTHOLD ----' BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z4695 Date . Ti ova mlw 7 , 19 72 THIS CERTIFIES that the building located at West. Creek. Ave . Street Map No. xx . Block No. .xx . Lot No. axx Cutchogue X.,'1 # conforms substantially to the Application for Building Permit heretofore filed in this office dated X0V 15. . ,, 19 71. pursuant to which Building Permit No. 56292. dated -NOV . 1.5 , 19 7.1 , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . AQatYlJJV�. P:Wr4ge. .�. . PA!q$. 1?u{Bing . . . . . . . . . . . . . . . . . . . . The certificate is issued to Hans, Door 4. !Lno.D/B/A/. Little. PeCoriic, $8.Y .C4 . (owner, 1 of the aforesaid building. Suffolk County Department of Health Approval 1�.1 . . . . . UNDERWRITERS CERTIFICATE No I;•;t• HOUSI. NUMBER 3040 Street West CrgPJK jWO . rA rr Y M Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 0 4. . . . . . . . . . Date . . . . . . . June. ?.9. . . . . . . . . . . . . . . . .. 19Q?. THIS CERTIFIES that the building . , . . . . . . . . . . . . . . . . . . , 1700 West Road„ Location of Property West Creak Avenue . , . , , , „Cutctio�ue House NO. Street Hamlet County Tax Map No. 1000 Section .1 1 O. . . . . . . .Block . .0 . . , . .Lot . . . 2. . . . . , . . „ Subdivision . .X . . . . . . . . . . . . . . . » . , . . , , .Filed Map No. X . . . . . . .Lot No. . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated April 14 , , , . , 198.? pursuant to which Building Permit No. dated . . . April, .2Q , 1S6.? . ,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 , . . . . . . . a„deck addition t,o an existing vf(? .OAne.. . . . . . . . . . . , , . . . „ . . . The certificate is issued to . . .Francisco Sciot d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,lssae&ei-tenent/- of the aforesaid building. Suffolk County Department of Health Approval . . . n r . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .n/r Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.V. Certificate Of Occupancy 212110 DECEMBER 2 83 No. . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . � . . . . , . I . . . . . , .1,, 19 . . . . THIS CERTIFIES that the building , „ADDITION . . . . . . . . . Location of Property 33,5,0 WEST CREEK AVE. & 220 WEST RD. CUTCHOGUE . Street *tdamlet 10 1 County Tax Map No. 1000 Section . . .. . . . . . . . .Block . . . . . . .. . . . . . . .Lot . .Z. . . . . . . . . . Subdivision . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .Filed Map No. . .Lot No. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5„ ¢ w „ 1983. pursuant to which Building Permit No. 126712 dated , „ OCTOBER 10 . . . . . . 1983. ,was issued,and conforms to all of the requirements of the applicable provisions of the law. 17he occupa,icy nor which this certificate is issued is „ . . . . „ .For an addition -to an existing boat storafi building The certificate is issued to . FW9ISC9, SCIOTTO (owner,lessee or tenand of the aforesaid building. Suffolk County Department of Health Approval . , . . . . UNDERWRITERS CERTIFICATE NO. . . . . . .. . ., . . . . .N/.A . . . . . Loll . . . . . . , w . . . Building Inspector Rev.1/a1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART74ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19637 Date JANUARY 7 1991 THIS CERTIFIES that the building RENOVATION Location of Property 3350 WEST CREEK AVENUE CUTC11OOUE N,11. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block, 1 Lot 12 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARC11 7 1990 ________pursuant to which Building Permit No. 18853-Z dated MARCH 9 1990 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 RENOVATE EXISTING REST ROOMS AS APPLIED FOR. The certificate is issued to CUTCHOGUE HARBOR MARINA,_INC. w (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-135916 - JUNE 15 1990 PLUMBERS CERTIFICATION DATEDDEC. 27 1990 - HENRY J. SMITH & mSON, INC. Bu ding 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 Z17625 Date DECEMBER 21x_ 1988 a w THIS CERTIFIES that the building ADDITION Location of Property 3350 WEST CREEK AVE. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 01 __Lot _i.2 Subda.vision_ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated, JAN. 6,, 1987 pursuant to which Building Permit No. 156132 dated JAN. 7,F 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 TO EXISTING ONE FAMILY DWELLING. The certificate is issued to FRANCISCO SCIOTTO (owner, XXX=XYLCX= ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_.__ L A UNDERWRITERS CERTIFICATE NO. N822958 7/28/87 PLUMBERS CERTIFICATION DATED N/A u lding Inspector Rev. 1/81 ..4 frn. .. 9 "a n, r X X ° . v rr gppl, , " , r x r e , n *L s , , �^y , Oi N L7 SION TO i M 4 I A r v , �= ^ '� � '.n1�°Xv �' z,G� ti��'"v"`•r��r�� v, I e� �! ,� X a'''" I �,yw� i u .f R{ $n u '..,,F Y «'',,,v r,;,r k,k �. a v d �+ ri•r d s w „ s TOP? "tir r +: n � w �`as " .•1 ..��I�`^,"r°. r; �'� I '' ��I-„ ^.r�w e ., 19k`n . ""�� . I�-�.� .. ., e.� ,;w��,+ I?c,+a o- i I l -/ ao z 0 0 e; 7 I ,o � p^, u N OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I l FRAMING STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY { FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: t . DATE INSPECTOR vj. 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