Loading...
HomeMy WebLinkAboutZ-38875 Town of Southold 3/28/2017 a a�iy 53095 Main Rd Southold,New York 11971 v . P PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38875 Date: 3/23/2017 THIS CERTIFIES that the structure(s)located at: 56755 Route 25, Southold SCTM#: 473889 See/Block/Lot: 63.-3-16 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- 38875 dated 3/23/2017 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 one family dwelling with covered porches accessory wood frame arbor and accessory wood frame garage.* The certificate is issued to Scopaz, Valerie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 63-3-16 PLUMBERS CERTIFICATION DATED 3/3/2017 *PLEASE SEE ATTACHED INSPECTION REPORT. - 0 u orized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 56755 Route 25, Southold SUFF.CO.TAX MAP NO.: 63.-3-16 SUBDIVISION: NAME OF OWNER(S): Scopaz,Valerie OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Scopaz,Valerie DATE: 3/23/2017 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: brick CELLAR: partial CRAWL SPACE: partial BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered wood frame DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: cast iron radiators #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: 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: 3/1/2017 TIME START: 11:50am END: 12:30pm Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT D TOWN HALL DD 765-1602 FEB 1 7 2017 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departmentvy�N090ftHOLDDE T A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property Imes, 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 00 / Date. 11-2 ( — 1 G New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: ld`j5 '}77jjZ7- /,-"o ccs House N`o� Street Hamlet Owner or Owners of Property. Suffolk County Tax Map No 1000, Section 31 Block 3 Lot t Subdivision �ce1 r ��-Pr�c-t ciT+��C,� /JA' Filed Map. Lot: Permit No. dA' Date of Permit. Applicant: Health Dept. Approval: A1,4--- Underwriters Approval. ILZA— Planning Board Approval: AI — Request�for: Temporary Certificate, Final Certificate: (check one) Fee Submitted: $ L 2 Applicant Sign e 40 � �.� CONSENT TO INSPECTION Valerie Scopaz ;the undersigned,do(cs)hereby state: Owner(s)Name(s) That the undersigned(is) 4r-c4 the owner(-,- of the premises in the Town of Southold,located at 56755 Main Road,Southold,NY 11971 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 63 , Block 03 ,Lot 16 That the undersigned(has)(have) Bled,or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pre-certificate of Occupancy 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: February 17,2017 �� 1 ignat re) Valerie Scopaz (Print Name) (Signature) DIE O V (Print Name) 15 V D FEB 2-7 20'17 BUILDING DEPT. TOWN OF SOUTHOLD Town Hall Annex Telephone(631)765-1802 54375 Main Road CO- Fax(631)765-9502 P.O.Box 1179 • ao roc er.richert(atown.southoId.nV.us Southold,NY 11971-0959 Q I enu T`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Valerie Scopaz Address: 56755 Route 25 City: Southold St: New York Zip: 11971 Budding Permit#: Section: 63 Block: 3 Lot: 16 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 X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph 100A Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100A 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 100A Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTICAL SURVEY' - "NO VISUAL DEFECTS" Notes: 100A OVERHEAD SERVICE Inspector Signature: Date: March 23, 2017 0-Cert Electrical Compliance Form.xls E J Telephone(631)765-1802 ` 'Pax=117fMW9. P.O.Box 1179 &mthold,NY 119714959 Ap WADING DEPARTMENT D [EC[E0V[E TOWN OF SOUTHOLD DD MAR - 7 2017 BUn DING DEPT. CERTIFICATION "TOWN OFSOlUTIE[OLD Date: l Building Permit No. -DIX— C� Owner: C amz- (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. L (P ers Signature) Sworn to before me this 3 day of Pvjrr-k , 20�_ CHELSEA L. CHALONE Notary Public,State of New York Registration #01 CH6287106 Qualified In Suffolk County Commission Expires August 5,2017 Notary Public, County - of SO�ryDlo i Town Hall Annex ti Telephone(631)765-1802 54375 Main Road y 5 E P.O.Box 1179 Q roaer.dchert&Own(631).soUt765ll9oia.ny.us ! Southold,NY 11971-0959 I BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY. Valerie Scopaz, property owner Date: 03/03/2017 Company Name: Name: License No.: _ Address: Phone No.: j JOBSITE INFORMATION: (*Indicates required information) *Name: Valerie Scopaz a *Address: 56755 Route 25, Southold l *Cross Street: 5 `Phone No.: 631-765-5552 i Permit No.: Tax Map District: 1000 Section: 63 Block: 03 Lot: 16 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Installed Service Panel. j i (Please Circle Alf That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information(it needed) " *Service Size: i Phase 313hase 100 150 200 300 350 400 Other ^ j - *New Service: Re-connect Underground Number of Meters Change of Service Overhead �` \ Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for inspection Form ( O0 Q � SURVEY OF PROPERTY SI T UA TE Si zUSTOVICH SOUTH 0 LD & 5TEPH SIE ZUSTOVICH TOWN OF SOUTHOLD 75.00 SUFFOLK COUNTY, NEW YORK N 83*53900" E S.C. TAX No. 1000- 63-03- 16 FOUND SCALE 1 "=20' CONC. MON. FEBRUARY 7, 2017 0 �! AREA = 23,241 sq. ft. z w 0.534 ac. 0 0 �I 0 e •P U4 r*, CER TIFIED TO: O LAUREN BARRY CITIBANK, N.A., ITS SUCCESSORS AND/OR ASSIGNS, AS THEIR INTERESTS MAY APPEAR OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY ..rJJJ�J✓✓ ��..I--� JJJJ✓JJJ-�"'�JJJ ((`?j\\( f 4\( l lj 2 1\ ` 1 l z °; lj l adz cn z \ k1 z � CIn 0 �y l y C r n r � —GARAGE ` � 18.4• 1.6 W• Z e 1 C'" N K Z l 1 x rn p\ °' GARAGE 1.7 W• CONC. e ° APRON �-3 ° d � � p CONC^-►� lj m GU'vEr. - r \� 1 e e A e e 320' z OA WOOD,ARBOR o 0 OVER BRICK _n°. 9 O24-6 HO ° d, rn (( BRICK d ) 16.4• e m O _ ° CONC. ° e m G1 N e e ° N � O.L. c ` CELV+RFENCE ENTRANCE 0.9'E. e z 14.1' 6.0 *1 12.1 7v►1) � }\ � A a 32.4' D D a � l m 00 rn •.° ` SII � ° .' Z o/ v 22.4 6 26.8' I 00 i z i. >I WOOD O W o STEP A 4II d O FOUND MON. ° ( o . GONG. d T / SII 0.9'W. 7.09 .' O o ' 0 . S 82.06'10" W ° .0 FENCE 0.5'W' 0„ �:;<::.: 75.00 1,022.28' ,.�' o W G CONC. 5 8 3 5 3 0 CONC. SIDEWALK �gLVE, APRON d°.. PREPARED IN ACCORDANCE WITH THE MINIMUM GONG. UTILITY STANDARDS FOR TITLE SURVEYS AS ESTABLISHED APRON /�POL� ° e° ' 4 e° e e BY THE L.I.A.L.S. AND APPROVED AND ADOPTED . —fir ' °WATER FOR SUCH USE BY THE NEW YORK STATE LAND OVERHEAD WIRES�:`�',; .. EDGE OF PAVEMENT TITLE ASSOCIATION. ° °.d. VALVE 25 )•: �e �4� e a�. �e e.. A ° ° '° . .° (S .UAD _ MAIN �f � N.Y.S. Uc. No. 50467 UNAUTHORIZED ALTERATION ADDITION Nathan T of t Corwin I I i TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land an d S u r v Vp`, r o r COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isoksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 Valerie Scopaz 56755 Main Road Southold,New York 11971 631-765-5552 DR [EC[E0V[E By Hand DD March 3, 2017 MAR - 7 2017 Town of Southold BUILDING DEPT. Building Department TOWN OF SOUTHOLD 54375 Main Road P.O. Box 1179 Southold,New York 11971-0959 Re: 56755 Route 25, Southold,New York—Wood Arbor Dear Mr. Jarski: With reference to the above property and the wood arbor over brick,please be advised that I am the property owner and I do not have exact information on when this arbor was constructed, but,to the best of my knowledge,the arbor at this property was constructed prior to or around 1957. Please let me know if you have any further questions. Sincerely, Valerie Scopaz Swto before me on the day of ch 017 No ublic JEKATERINA GRINKO NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY UC.#01 GR6287178 COMM.EXP.08I05I24..... Twomey, Latham, MAILING ADDRESS. Shea, Kelley, Dubin & Quartararo LLP Post Office Box 9398 Riverhead,New York 11901-9398 Attorneys at Law MAIN OFFICE. Thomas A.Twomey,Jr. 33 West Second Street (1945.2014) Riverhead,New York 11901-9398 Stephen B Latham John F Shea,III Telephone:631.727.2180 Christopher D Kelley Facsimile:631.727.1767 David M Dubin o www.suffolklaw.com Jay P Quartararo t Peter M Mott Janice L Snead February 17, 2017 Anne Marie Goodale Bryan C Van Cott Kathryn Dalli Laura I.Dunarhan BY HAND Lisa Clare Kombrmk Patrick B Fife Melissa H Sidor Martin D Finnegan Mr.Michael Verity, Chief Building Inspector Reza Ebmhmu Town of Southold Kelly E Krnrrons P.O. Box 1179 PatnciaJ Russell Southold,NY 11971-0959 Bryan J Dmgo Bernadette E Tuthill Craig H Handler Re: 56755 Main Road,Southold,NY Alexandra Halsey-Storch Melissa S.Dons SCTM 91000-63-3-16 Daniel R.Bernard Kateuna Grrnko Dear Mr.Verity: OF COUNSEL Kevin M.Fox Karen A.Hoeg We are representing Valerie Scopaz in the sale of the above-referenced premises. I am Jennifer Nigro• enclosing our client's Application for apre-Certificate of Occupancy for the subject premises t LLM ILA NTA A along with a check in the amount of$100.00 and an updated survey prepared by Nathan Taft NY&NIBARS } [l.M IN TA%ATfON NY,NI&P BARS Corwin III,Land Surveyor,dated February 7,2017. Please note that our client's Consent for the inspection is handwritten under her signature to the Application. Should you have any questions or require any additional information regarding this matter,please do not hesitate to contact me. Thank you for your assistance with this matter. Very truly u s, Ka rinarinko JKG/lk Enclosures OTHER OFFICE LOCATIONS 20 East Street D East Hampton,NY 11937 D 631 324.1200 51 Hill Street Southampton,NY 11968 FEB 1 7 2017 631287.0090 490 Wheeler Road Suite 150 BUILDING DEPT. Hauppauge,NY 11788 631.265.1414 TOWN OF SOUTHOLD 56340 Main Road PO Box325 Southold,NY 11971 631 765.2300 Twomey, Latham, MAILING ADDRESS: Shea, Kelley, Dubin & Quartararo LLP Post Office Box 9398 Riverhead,New York 11901-9398 Attomeys at Law MAIN OFFICE- Thomas A.Twomey,Jr. 33 West Second Street (1945-2014) Riverhead,New York 11901-9398 Stephen B.Latham John F.Shea,III Telephone:631.727.2180 Christopher D.Kelley Facsimile:631.727.1767 David M.Dubin o www.suffolklaw.com Jay P.Quartararo t Peter M.Mott Janice L.Snead March 7, 2017 Anne Marie Goodale Bryan C.Van Cott Kathryn Dalli Laura I.Dunathan Lisa Patrick B.Kombrink R [ZC[E0'V[E Meliss HFife VIA HAND SUBMISSION n Melissa H.Sidor U Martin D.Finnegan- Kelly E.Kintrons Town of Southold Building Department MAR 7 2017 Patriciaussell RezaE54375 Main Road Reza brarahimi Bryan J.Drago P.O. Box 1179 Bernadette E.Tuthill BUILDING DEPT. Craig H.Handler Southold,NY 11971 TOWN OF SOUTTHOLD Alexandra Halsey-Scorch Melissa S.Doris Daniel R Bernard• Attn: John Jarski Katerina Grinko OF Kevin M Fox Re: Scopaz Property-- 56755 Route 25, Southold,NY Kevin M Karen A.Hoeg SCTM#: 1000-63-3-16 Jennifer P.Nigro 0NY&LA BARS t LLM iNTAMn- Dear Mr. Jarski: NY&NJ BARS NY,NJ&PA BARS This Firm represents the owner of the property referenced in the above who seeks the approval from your department for a pre-Certificate of Occupancy. As per your correspondence dated March 2, 2017, (see attached)please find: ➢ Application for Electrical Inspection along with the fee; ➢ Consent to Inspection, executed by the owner of the property, dated March 3, 2017; ➢ Correspondence from the property owner, dated March 3, 2017, regarding the arbor; and ➢ Solder Certification signed by Mattituck Plumbing dated,March 3, 2017. Please let us know if you require anything further in order to complete the technical review of the application. Should you have any questions or concerns please contact this office. OTHER OFFICE LOCATIONS 20 Main Street East Hampton,NY 11937 Very tru o s, 631.324.1200 51 Hill Street Southampton,NY 11968 631.287.0090 490 Wheeler Road Katerina Grinko Suite 150 Hauppauge,NY 11788 KG/dkw 631.265 1414 56340 Main Road Encl RO Box 325 Southold,NY 11971 631.765.2300 TOWN OF SOUTHOLD OPOOPERTY RECORD CARD m OWNER STREI=f' --N (j -16 19 VILLAGE DISTRICT SUB. LOT XciS60 -a Z. . FORMER OWNER N � r ACREAG L) E i 7 E '�' �• - TYPE OF BUILDING RES. — SEAS. VL. FARM COMM. 04D. CB. miss. � Est. Mkt. Value Ln LAND IMP. TOTAL DATE REMARKS Cn En 10!9 of 00 co 6� adO z r y ocn — 9171 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD f es[ Tillable ] BULKHEAD , m Tillable 2 DOCK Ln `r—° Tillable 3 1O Woodland m Swampfand m Brushland m ;-louse Plot m N I- U0 Cn N 4 Q c- i IL i , V Nf / 6 I j• I � r• _� I I i �/1<< � I 9 .{ i I i OLO W uWi LO z l l i — _ E, ' i o CO J it \ M. B Idg; $— �r� _ �-� I Foundation Bath j 1>-rc e- -E -o� # y _ xtenrs on �� 3 rZ Basement 1 Floors i Extension Ext. Wc[Es Interior Finish LD -- ---- f-___-__- _ C`�. 7_ cu, Extension Fire Pface �, - — — --- --- - I -- d X12 Heat LOpb I.c h y �_ X _ j `f'O -�`�/j`�'-'�� Porch Roof Type i L __- `O Porch Rooms ]st Floor o, Breezeway I Patio — Rooms 2nd Floor ' rI ------ ---- m Garage a _ , > ; 7S 8 Driveway Dormer LD Ch m ! 1 m oF soaTyo �' v 0 o 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) REMARKS: zc U pott-t,�,�- Lavo"r SVW cK-, revz,-& VV n aU 1` ? ?� DATE L INSPECTOR o��oF SOUryolo 1 \ coulv,a TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) f ELECTRICAL (FINAL) REMARKS: DATE' INSPECTOR ? LOCATION: �� A�/1I 9,D4 r� _ _ D (number 8c street) (municipality) SUBDIVISION: MAP,NO.: LOT(S): NAME OF OWNER(S): V OCCUPANCY: tMDmtioA (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NQ. 1000- SOURCE OF REQUEST: .Gt.i i GDOa' DATE: ov *,b-ov 14 o DWELLING qq TYPE OF CONSTRUCTION: # STORIES: # EXITS: c3 FOUNDATION: Grt BA E1WiENT:`� '� CRAWL SPACE: 1jhUel� vn *00 lie ID001w� sfAce # OF BEDROOMS: IST FLR: ��-- 2N F�L�.�R�°: c 3RD FLR: iv ter-- -- _ -- --- �, -- - _'- -.--�-- BATHROOM(S): -- "---- TOILET ROOM(S): ' - - `UTILITY ROOM: WOW-e-- PORCH-TYPE: oW-e--PORCH-TYPE: ,CyV" ApD'EtK,.TYPE: �NV N'ei' PATIO;TYPE: BREEZEWAY: FIREPLACE: GARAGE: � DOMESTIC HOTWATE,'R:.- V TYPt-HEATER: AIRC,ONDITIONING: A/0 TYPE HEAT: WARM AIR: HOTWATEN � or✓ ki # OF KITCHENS -1, FINISHED BAS ✓ EMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: 00 G foo STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION A ART. 'SEC. r) i i vi ' AA&tx o Vot, Mi ep tj n 7+ 0�• 1� �� Scolds-. - .Gt�'r Q,Ar►i , , REMARKS: 66!ft is /VD/li--CnA;Pro, �'r�' INSPECTED BY: DATE OF INSPECTION: TIME START: [t:lo"D AM END: , , � " , � o= �.1., {s .L 5 a 5 r1 � `j , .v 4 "` �� ` � _ � t �• t , r � � � . . w � � - _! .-. v . F t � r v ",, � � � ., • 4 . . ,y 9 .