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'* TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 /// - S-/a. /
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [RENTAL
REMARKS: _gam 3 S3
016 �or COn AVM L) w , on_www qe
DATE INSPECTOR
Town Hall Annex
TOW11 Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SUM#.,...... _., ..... _ ///� /a / Date /0•a/ . a
Owner M 00 I'1 Phone
... ..... ..........�...... ..... .w� ... ,
Address �(lb Visible
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Hamlet
pector .. ......
..Sub.... 1�....... . . : ..
Floor Level Quantities 2 3
Smoke Detectors(not located in bedrooms)
D Caron Monoxide etectors
i
Fire. Extinguishers
Exits
Bedrooms
1 ........�( ..� 2��� .. .......4 a._.... 5......_ 6.........
Smoke Detectors
� .,. .... .. ............wW .....
., Eg.ress.,. w..w....,�.. .. ..... .... ....�....,,,... .,_.,,..... �.... ....,, .�.._� ...�........._ �,.�....� ......�.�_..�......
OccupantCount.���m. .�...w....�. ...... ....a�.._.. .. .. ..... `�.1._..�`..... .:. a r. ... ,�,....1 .. .....�.... ...�..a�a ........
�Buildin Systems Maintained &Operational yCondition of Property
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Building interior
Heating Building exterior
.Hot water
Electrical
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E�. .................... --- .,
'['Propertyclean mai ntained &safe
Mechanical - .., .... ..� .... ...�.....
w mm mm jHandrails&guards installed &secure
ool Sa ty � Pool on Site
water alarm Date of CO issuance 0/
Surface a_ .. , �...�.�_ .w...... .. ........_ ..
.
Door alarms
Pool completely enclosed � � �
Self closinglatching gates code requirements
/ g .._ Pool fence to - �.. ..w......�.. ww -..a. .,. ....a......... ._�. �. ....-.. �..�
CO s for all items present Prior Rental
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Comments: ..., ... ... ..... ...................... ......w. ...........................n .....,_... . .... . ..........................._.. .,...... ,. ..., ...... ....�.. ,..................
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