Loading...
HomeMy WebLinkAboutZ-38444 � Town of Southold 8/12/2016 4�sueFat�.ro � Gy� 53095 Main Rd � �, Southold,New York 11971 o �, �� y,��l�� PRE EXISTING CERTIFICATE OF OCCUPANCY � No: 38444 Date: 8/12/2016 TAIS CERTIFIES that the structure(s)located at: 3475 Wunneweta Rd, Cutchogue SCTM#: 473889 SecBlock/Lot: 111.-8-17 Subdivision: �led Map No. Lot No. conforms substantially to the requirements for a built prior to APRII,9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER� 38444 dated 8/12/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: cement block one family dwelling with covered front porch and two accessorv sheds.* Note: BP 7971 addition COZ-6645, BP 39407 additions/alterations COZ-38405 The certificate is issued to North Fork Investors LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED c *PLEASE SEE ATTACHED INSPECTION REPORT. ' Auth rized Sign re BUII,DING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3475 Wunneweta Rd,Cutchogue SUFF.CO.TAX MAP NO.: 111.-8-17 SUBDIVISION: NAME OF OWNER(S): North Fork Investors LLC OCCUPANCY: ADMITTED BY: Donald Rafuse _ SOURCE OF REQUEST: Rafuse,Donald DATE: 8/12/2016 DWELLING: #STORIES: 1.5 #EXITS: FOiJNDATION: concrete , CELLAR: CRAWL SPACE: slab BATHROOM(S): 1 TOILET ROOM(S): 1 UTII,ITY ROOM(S): x PORCH TYPE: cov front porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: offboiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: x #BEDROOMS: 2 #HITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 2 small sheds SWIlVIl�ZING POOL: GUEST,TYPE OF CONST: OTAER: VIOLATIONS: . REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 6/27/2013 TIME START: END: � , . ��,������ Form No.6 . TOWN OF SOUTFIOLI! BUILDING DEPARTMENT ' , _ ' TOWN HALL � 765-1802 APPLICA'I'ION FOR CERTITICATE 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 oa��new use: 1. Final survey of property witli accurate location of a11 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 Undenvriters. 4. Sworn statement from plumber certi'fying 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 azchitect or engineer responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to Apri19,1957)non-conforming uses,or buildings and"pre-ezisting"land uses: 1. Accurate survey of properiy showing a11 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- $100.00 ' ' 3. Copy of Certif'icate of Occupancy-$.25 - ' 4. Updated Certificate of Occupancy- $50.00 . 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 , � Date. 1/ u�E. -�-�-v�► 3 New Construction: ` Old�or Pre-e�sting Building: � (check one) Location ofProperty: 3`F�� �"�"�E`'`�ETi�' �°A� '�i c�ta 6u� _ - — House No. Street � Hamlet Owner or Owners of Property: � e eJ�}�� G,, ����'v J � Suffolk County Tax Map No 1000,�Section � � � Block � Lot � / - 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: $ � ���•� ' � . �G � � � � Applicant Signature � , � ' � CONSENT TO INSPECTION � �N�t L� u' . ����'�S� the undersi ned do es hereb state: g � � ) Y Owner(s)Name(s) , -That the undersigned (is)(are)the owner(s)of the premises in the Town of Southold, located at 3 �7J� W��r,�Ew6�-� /�a,� C„�e�o�v E . which is shown and designated on the Suffolk`County T�Map as District 1000, � Section /I/ , Block � ,Lot�. � That the undersigned(has) (have)filed, or cause to be filed, an application in the � Southold Town Building Inspector's Office for the following: � GE/Li iF�c��E � r o ac��h../c-`f - P/i£ �x�s ri�/.6 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 a11 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: �✓�' - Z 7�-Zv�3 � � (Signature) / o,J�t�v � . /2R Fu.rE- . (Print Name) (Signature) (Print Name) � . , 0 6 0 -- �- . ��- TOWG� OF SOUTHOL� ��OP�R�f 1P' RECO�tD CARD ,,�1 - (� OWNER STREETI �? ' t;�t��� VILLAGE DISTRICT SUB. LOT�����/ ���5.��� ,�. � v!�a s� �.' �als 2 J a. �tbd.(� U �v^6`.?d - U� �� !/ f��� ` ,�'' �°��/�/ir /��cS� na � C� . (� �� � FORMER OWNER N E ACREAGE l ��} • �.�SJ��J�'�,��� f�G'��°� i��. C � S W TYPE OF BUILDING � �, � d ��- � `�` J� � /� „�'�'`�;` �~��. ,•��..�... R S.��1 Q; SEAS. VL. FARM COMM. I IND. I CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS �'� `� �`61�-� � .�GQ 8� 3 � �f-j/�'f���� .��� �'�� �Q l� .���.�"��� a � � " 1�.�` .2 �� �i��o� ah �cc�ss a r rrr%�.�.; �C�.S' / .__� �j s / .�r� �yq _� V � � �/��� c.�� � '�` �`7 � ?r-�� � �O a2 �.5 /JL � �t�` �/ / �// � U/� ��1J/p� �� �. Pt?p'O � � 0 � �� � o �� ;�� % ' a �t �, 0 -L �a I I�a- ����, m nn Fs�. � �� -rI G �,, v � L �- �' � ? o �, ,a �i'/ �,/''� _ ' � �a 3� a � �a� �` l i��'�� AGE BUILDING CONDITION - NEW NOR,MAL BELOW ABOVE FRONTAGE ON,WATER Farm Acre Value Per Acre Value FRONTA,GE ON ROAD �o c� X" yo Q �` �'' �j' Tillable 1 • BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushland � � - � House Plot �— � � Tota I � � � ..�,.. .,.�.�.�.,o,�.,�................ _, — _ 4 /' ,� �'-. %� j i * �� �'� _ , � y `, _.� � .-t, � t �� �n �--r' '" \ , � `�J `'_ ,, � _ _ ' , '. 1r� • •� � � = � ,.,.` �, `�� ' ,,{�,s L�(��i'�'�, I i L� �,:_ - = :� 4 I � \� , ';e�:�\� - :�-F: `i "�.- r � ' 7 '�-� ��' �' '�' � I ��r�=� ���k'-� " �. j� '�„�\�fi �, -', �i ; --I ��� r5 .Ft � � �`_T.i �.1' � '' - �' �.'= y( ` :Y tt x � /�/.. ,,,y♦. ,, ; ' .�;�'_l��� ' ( �1. _ \. ' I �/��'! � y' '_�.p..._, L. � " ~ ` `` ' �, �� ���� v � •9", i�.• I i � i , __ _ _ � . � 1 � �9 �\�. � �� � I � I i ' � ' `� ' I I � ', r� � II ' �; � I . I 1 I ca II - - �s � I ' 3 � ' I —I '� r� 1 '1 � I — p �.f C_ E a • I i _ - C__C�' < �!�r I � � � � � . ��� � ! � I � � � I � _ --.^i �' ', J���-�r� M. Bld . ' �.,� �( 3 � - �� �� � � ? � Foundation � � Bath �' I � xten on , �U X 3'" = 3 � 6 i ��� �� Basement f�a ��f -Floors . � Extension Ext. Walls G�j Inferior Finish j?� , Extension � �7: �T✓ �/ y-Fire P4oce j � H,eat ��„j� ) .- � i � f�� _ �� ,� _ � �J� � +f' Porch Roof Type � ��,�,1cSc �� � �,f,C , ���,� �, , „%' Porch Rooms 1 st Floor Breezeway PQtio ��r � ,-..,,��6 Rooms 2nd Floor -r Garoge Driveway Dormer a" $�'1'� �-�" r n �� � � / _ ' _ 14 c ��� �� o. B. � 60 �11e l�'��al ;�� � ? � . . . � � . , - ----- --_- _- ---- - - � _ - --•-.....w .�.�a�aVt�d {�?C�H1.f)4S �� NJNO.i �+J f\l►1 � ��� m �. �.., . .� =� ��.: y � m '� -�" �' !�� , , , cW-r3 �1' ' %�,���`;• ..�.��' ;.r �N' ���c a � �� �_ , ' �� �;'�.� _ ,,_ �s=� i✓L .t 'r - - �� '�' -�:• � '� : � { I � �' `y � ._ •` ,� . � e i } I i ��S y�� b� .Y _ _ - -� _ �ti: � i � _ -�� .� ` ��s ` •, .`, �1 ' � £ � ' ; � L��i � �-�—e... ` J� � ; � ! � � /� - � - I I • i . , � � � ' ' , f , � O `� +` I � �Y i I ' ' � . � , . «� - r.;. , : � . � I �` 3 , � � . � a ! r �, l i i � � _; A � ' ' f i �' i p �b `�1� o -r��r; � � D��t�c.� O '- � _-.-. .-- ---------- ---� - -� ! � I i -I �-GrG�l f i.r, �. '- --•_--._��-- � I � �J I ! l � _I 4 � `�7� I -: i � ���'� J " � � � 4 � � � -; I � ' ' • I � I I � I I � ' , � ���. y . d . _ �.G_�( 3 Ef _! c5, �, ���3�a Foundation � � Bath r � � � � U � ,� � �•� � - -- � _� �xten�Son _I �� ��_ � 6 � _, �� ��`�j Basemenf ��� �� Floars � _ � Extension � =�xt. �Val�s G� Jnferior Finish � j,j , ' ------ - -- , � Extension k�7, t.�y I _� � -Fire p�oce }�{�at �D�� n �' � � r _ � ---. -.— � ^�, � J � �5 ! rj Porch Raof Type � t ' . ��t�{� � - �7 -h�l B 4- � . ; ��� � j Por+ch Roams ls4- Flaor . ! �. 30 0 , r� +— Breezew�y Potia ����y aooms 2nd Floor I - • r° �— m Garoge i I Driveway Darmer �" $'�►�� r o m : . � � e � � �. B. � J d� �E 1V}'��1 .�� m m . m � � r��� � ` . � m � m ;� ��� - �� r� ��: . . t�r . ,� , `1 ` .. ■s�������f�«���■��i�i�sr�a�«�� .. ����,��i»S■�S�■����r����������■ ■��«��l�l�������r�����l���S■�i■ . , ����,�■���■����l�����ii�■�■�r��� ' ■����i���i��sl�f�������f�����i�■ ii��������■s�a���■��f�■��s�����■ ■����>�����■�■������.���■�����r� ■l��i���■���a�rr/����ii��i�i�«i ■��s���1���s��l������l��GQ�iI��■■ ■������ia���s■����i�������i■���l� - ■���■,���i���l����l��«n���s����■ i������a���������a����:����m���■ � : ����l���i1s����������r�����r�«� ,����a��ai�■�f��Qi�����,a �����T������ ■�l��f���i�����ii������r�������i�� ' ■��l���l���i[nis���l��i���fl�i�����■ " �■��C������i����![Yl`/�■����5�������■ ' ■������ia�ar���■�r■����«������i��■ - ■■a�����������������r���f�f■����■ ■■r������!��ll�l������f���i��l���i� �����l���i��al�f��s����l�i�����■ . •" ' ��'� 4 c�► . � ' " �! � f - �� � . . . . i . � ' � - - . M � + - • :. • � . � `''� .. � , � -. : � �� - . I �� ' - . � . . .: � i i • • � ' • ` j , � � �• • 1 w � i- '. � �� �� .�� � .. �� � - .. � �s �� .. rJl�i� � � . � • : �� .. �� � � � �,. �j �� , �' �� � . 1 . � , . � �� � � , . � • • � � � . � o �c��ad� LOT NUMBERS REFER TO �AMENDED MAP A OF NASSAU SCDHS REF# RIO-14-0079 ��� Z Z 2016 � SURYEY OF PROPERTY POINT, OWNED BY NASSAU POINT CLUB PROPERTIES, qp�p�.,q�r428 SO.FP.or t043 ACRES gUII,DINGDE�'� 1 N� AT NAS3AU POINT INC" FlLED lN TNE SUFFOLK COUNTY CLERK'S OFFICE ON AUGUST 16, 1922 AS FILE N0. 156. TO 11E LINES T�R'NOFSOUTfiOLD ��5��150'�' TOiPN OF SOUTHOLD SEPTIC SYS7EM 2 E449�' SITFFOLK COUNTY,- N.Y. SBEDROOM ,N �LF�oSN• p 1�0��-0B I�r (2�8 FT DIA x B FT HIGH PRECAST CONCRETE LEA HING RING � ' BACKFlLL MAlERIAL COURSE SAND AND GRAVEL�3' COLLAR) ��T 15 WA� �� 26�10� FECOR 1 � � SCAI�i I'=a�D� �F� [7] 1,500 GALLON SFPTIC TANK D�JNG �,� pUBUC � ��E_W\\� � ✓UNE 4, 2013 OCT. 1, 2014(PROP. &BOH INFO) �j OCT. 30, 2014(REVISED SEPAC) �N�E ;�� tn AUGUST 3, 2015(UNDER CONS7RUCAON) 2o�E �A�NVµK �� JUNE 6, 2016(FINAL) .�' �� 'O JUNE 15, 2016 (REVISIONS) \ obw N�8 c�\ � 0/�'N�S• e�•�� C06DAINOgPAR711P�i9TOF6d 6.8'\` � a37.a' �PROVAIOFCONS7� ��5���� � Mo°y'W. , �SINGB.��AMILY��4AY��Y��� � � � 0 �pT 1A� � TER � 0.3•5 �ae� �t 2 � �916 �sio�se� � �\�38,� �.M�p�u9u� ��,�TM�N �Ei.,35.2 � � p9.�.��(6�9.Q�n—ILL_M�Z/J \ �+u9PCtC�antllffi �enQ"dfEesuA&y�d�d�9@i� � $ (No�oPp�P OP�T� RAIN RUNOFF CONTAINMENT.• �+v��Ru��u��y o�����P$tlQ�q p� OT»` � �' �'�es�nm �6�m�arJ+ear�wee aReteserts�,r�� 0 � � ��Q�������� PIPE 1 �,COR. DWELLING 1,185 Sq Ft. � 03'W \ 0.2'W 1,185 x 0.77 x 1 = 207 Cu Ft � 03'S Provide 2 DWs. 8'PJ x 3'Oeep � �����T d•��9�300, ,� > t�w� �—r � Connected by Gutters &Leaders � �090HMjp��Q _.�a y-�py �1g' �� W7 H6 �\ _�-_ 185' �-'�r2e �_ '_ �A TEST HOLE DATA m V1 G y81 \ l- (2)A� N W McDONA1D GEOSIXENCE �� tjs fQ —�! ��Y, 2 S70RY HWSE 09/i3/2014 ,y, � 4� �- ❑ ' B � � EL329 arrowN srtn s.wo su � �� � -�`! PI� ��T 144 ;-'' a0�er � ��.sr cun �" BU� Wp7�t g 3 A���a9 9 P�'uN���� �ry' � PAVQiS ° p�N� WIo�T�,�,� � 0 4�h �c`"y„ wn�`s�?� (s� P�TC 150•+) PALE BROWN ANE 9�'P �'� � Q � ` � L� `S� � TO MED/UM SAND SP y�(� ti %� uxomcr+OUr+o J �^�� `t ir2' ➢ � � r( s,� � /y PRdPANE TANK ��Pti �—� � �p. ({. FFl '9 �!'' � f TEST HOLE DATA o A oPs O`y �yF ''�^ � � N 77' ��aFP'0�jc � `�? \\v ��� OD , ! v � =PlPE � ��y ?\\\yOF,� { �ENEL Z'j6•rJOr ■ =MONUMENr �p ��i"p a Z, ��OF NEM✓YO ELEVATIONS ARE REFERENCED TO AN ASSUMED DA7UM. �' �c\�p� P° �33 6���a5�`'�r2c�'''"r f AM FAMILIAR f4?7H 7HE STANDAROS FOR APPROVAL SEPAC LOCATIONS �s � }�4 ��$/',`�t�n�� ANO CONS7RUC770NOFSUBSURFACESEWAG£OfSPOSAL A B � oH�^'�� ���,4$� ��� + '�`��r.v'7• '� SYS7EMS FOR S/NGL£FAMILY RESIDENCES AND WILt ABIDf �Z�6� TE LINE .�'QOrW �� �'� BY 7HE COND/AONS SET FOR7H THER£IN AND ON 7HE ST 17� 52� -- 578 �/f� �{-�y:' PERMIT TO CONS7RUCT P�� �L ROA�p�NjC �Y i�� 'o , �" C No. 4ss�s ANY AL7ERA770N OR ADDI710N TO 7NI5 SURVfY lS A VlOLAT70N LP7 Z9 E� 58� N��� W �RA PECON! . OF SEC7ION 72090F 7NE NEW YORK STATE EDUCAPON L4W LP2 33� ¢$� 31�5� � NG �637� 76� �631� 765-1797 EXCEP7 AS PER SEC710N 7209—SUBDll4SlON 2 ALL CERAFICAAONS �� P,0 BOX 909 HEREON ARE I�ALfO FOR 7NIS MAP ANO COP/ES 7HEREOF ONLY lF CLEL77.5' SAID MAP OR COPIES B£AR 7NE IMPR£SSEO SEAL OF 7NE SURVEYOR 1230 TRAIiEZER,5=TREET 13-179 WNOSE S(GNANR£APPEARS HEREON SOUTHOLD, N Y..,�1977 � � I - AREA=45,428 SQ. FT. or 1.043 ACRES �� N TO TIE LINES �� � SUR VEY OF PROPERT Y ' _�—� A T NASSA U POINT '' FE.0.5 N. � C.1�. / � � L�T �5� z62•�°� ' �� 0.5'S R. �` � � TO WN OF SO U�'HOLD o �. � 0/L E-W. �� < w SUFFOLK CO UNT Y, N. Y. � �; 0 1000-111-08-17 � „ ��K �NCE �� c�► SCALE.• 1'=30' N'8,36 Zp E �A1N ' y -� �°�' , . . 1 . �\, o , 0 L0� 145 JUNE 4, 2013 px.W � PI 0/�. N�s' \ y ; FR. SHED ��� 6.8'\ ` rn MQo 3 � s.r � •\ ,. ` ! METAL � P�� �'�T �q'r3 SHED �\3.8� � \ . � � .\ \ ,� PIPE ' FE.COR. ' 0.3'W. � 0.2'W. • 0.3'S. ' Zjtj \ � _--_.�� � 1 STRY. un� 11•9' .GARBAGE � ��� ''� � KppM '\6'��F`�r 81�'s_4' � �Qs \ � �f CONC w _ - � f� � �y - '� 15.5 33.8' (n � � N �n 1�/2 STORY o � � ���. ' � ' � A FRAME HOUSE � � .�, a�.e� m � . �� J� � . � � � A ' y '� 9�� P/0 �-�7 �44 � } � � 3 � C Q G � COVER O �r � tiF Q � ti . '�O `�cG � �UT 144 0 � �d ��F P� � � i J �yF`O > 00 \�,�s i " � 276.5�, ��, , • =PIPE '��. \ � c>.��c'�_�'�`Y - ■ =MONUMENT � i Po►� 5`�`��-r.f�rfir������ LOT NUMBERS REFER TO "AMENDED MAP A OF NASSAU \ �� ���, ,�� ����� a o H��� ' � l�._;:::�`'�;��.�5 POINT,_ OWNED BY NASSAU POINT CLUB PROPERTIES, 1 a�; �;�.:�•� ,� � � » , T1E LINE •0��� OAD ! ' F`i�'��-��`�y+i ON AU/GUST�6�1922 FA� FILE N0.r 56LERK S OFFICE �' � s�2�M� ONIC BAy R ��``"� ;� � S�s 3 RpAD E pEC �:��? ki . N0. 49618 ANY ALTERA7701Y OR qD0/770N TO 7HlS SURVEY lS A l/IOLATION M86'S¢'S0"W ' �RAVEL LITTL CONIC �R�"� � OF SECTION 72090F THE NEW YORK STATE EDUCA110N LAIk 3�.$7' ' � �631� 765— q��l�J� � 765-1797 EXCEPT AS PER SEC710N 7209-SUBDIVISION 2. ALL CER7lFlCA710NS � P.O. BOX 909 � HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y lF ' - SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURI/EYOR ! 1230 TRA l/ELER STREET 13_179 WHOSE SIGNATURE APPEARS HEREON. � SOUTHOLD, N. Y. 11971 . ���_��� _ . _ ��� � ��pF SOUryo - -� �7''' ������ * #� � � � �� ���y�ourm,��'Q - ---- - -= _ - = ___ - -T_O_WN=OF_SOUTHOLD BUILDING DEPT. 765-1802 - -- --_- -- 1 NSPECTION ��� Q �� [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. � � FOUNDAT `� [ ] ION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIfVAL) � ! REMARKS: � � � � ��d'��o�z� ���x�C�'t�J' � C��/�=d''+�' �� ��� �s� � 2yz-fJ'� ' � ' � , �2d1' �� r , � �� r � � � �}:�J ��.�� � ��� � ' � �� � �%� �.�'� �. � ���no � `_rs'-c�. ��� , '�`'1 � ^ DATE �-2 .3 INSpECTOR _ �=� �-\ �� ��� �� .� �� � " . . � - � ',i� LOCATION: . I� (number & street) (r�unicipality) '`' „ . - � . SUBDIVISION: MAP NO.: LOT(S): � � NAME OF OWNER(S): " ' OCCUPANCY: � (type) (owner-tenant �! . ! ADMITT�D BY: - 1� �� �A'l�S�CCOMPANYED BY: " KEY AVAILABLE: SYJFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING � ' TYgE OF CO S'TRUCTTON: ' � '� � �` �� - � --�� C�C#-STOFtYES. #E �• FOUNDATYON: � � �, BASEIVIENT: — CRAWL SPA : �� # OF BED�200MS: 1S'T FLR: '�—'► 2N L12: �� 3RD FL : � �ATHROOM(S): oI TOI�,ET RbO1V!(S): �— UTILITY RO�M: . � ,� PORCH TYP� '� CK, TYPE: PATIO, TYPE: , � � �` � BREEZEWAY: , , FT PLACE: C� `""�� GARAGE: �, . I�OMESTIC HOTWAT�R:�' TYPE HEATER: �F I1�CONDI IONIN • '�� � r�' `�'� G. TYPE HEAT: ! �VA12M AIR: H�TWATER: ' # OF KITCHENS: �' FINISHED BASEMENT: YES NO ' " OTHER: ACCESSORY 5TRUCTURES � GARAGE, TYPE OF CONST.: STORAG�, TYpE CONST.: � ���� � SWIMMING POOL: � GUEST, TYPE CONST: � OTHER: VI�LATIONS: CHA�'TER 144 &N,Y. STATE UNIFORM�IRE P17EVENTION & BUILDING CODE LOCATIOIV DESCRIPTION � ART. SEC. � � � � 6 � � . . j P� , ` �y `. ,y REMARKS: � INSPECTED BY: .� DAT� OF INSPECTION: � Y Z J� . � , TIME START; /� �,�.� END: � ��