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HomeMy WebLinkAboutZ-47208 of souryo�o Town of Southold * * P.O. Box 1179 �0 53095 Main Rd Southold, New York 11971 PRE-CERTIFICATE OF OCCUPANCY No: 47208 Date: 07/08/2026 THIS CERTIFIES that the building PRE-CO Location of Property: 51970 Route 25 Southold, NY 11971 Sec/Block/Lot: 63.-6-6.3 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 07/01/2026 Pursuant to which Building Permit No. 53114 and dated: 07/08/2026 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: Wood frame single family dwelling with enclosed front porch, covered rear entry, an unfinished basement and a walk-up (unfinished) attic. (Dwelling located on north side of church). Comments: Violations: None The certificate is issued to: Unitarian Universalists of Sth Of the aforesaid building. Please see attached Housing Inspection Report. ' A tho ' ed Signatur Housing Inspection Report Property Info SCTM# 63.-6-6.3 Property Class: 620 RELIGIOUS Address: 51970 Route 25 Hamlet: Southold Owners: Unitarian Universalists of Sth Condition of Property: Clean, maintained and safe Structure Type of Construction: Wood frame Number of Stories: 2 Foundation Construction: Brick Number of Exits: 2 Finished Basement: Cellar: Crawl Space: Garage: Breezeway: Deck Type: Porch Type: Covered&Enclosed Patio Type: Mudroom: Building Systems Type of Heater: Cast iron radiators-Gas Fuel Type: Hot Water: Gas fired HWH Electric Panel: Ok Air Conditioning: Fireplace: 1(Not operable) Dwelling Components Rooms/Floor Levels Sub 1 2 3 Additional Items: Kitchen 1 Living Rooms 1 Dining Room 1 Bedrooms a Bathrooms 1 Toilet Rooms 1 Utility Rooms 1 Entry Areas 2 Other small Den on first floor Accessory Structures: Garage: Construction: Foundation: Barn: Construction: Foundation: Shed: Construction: Foundation: Sleep Quarters: Kitchen Facilities: Plumbing: Swimming Pool: Other: Comments: Violations: None Inspected By: Inspection Date: 07/07/2026 etc- l Iae 4� e E E E � c . TOWN OF SOUTHOLD—BUILDING DEPART NT � � � Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,. 11��1-095 2026 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southol*_QWOlim.gqpartment nfqouthold L CATION-FOR �lW ER{ -)6F PRC?PE s - Name:V.[. Date / Physical Address: SCTIVI#1000 Phone#: Email:ail: Q ojl.1/.ne Mailing.Address.. .�.�w' 2w21 CONT'ACt pERSO'N. Mailing Addre Phone#: Email: ' To apply for a Pre C.O.for an existing building (prior to April 9, 1957) provide the following: • Accurate Survey • Floor Plan • $200 Fee 3 • ` CONSENT TO INSPECTION That the undersigned does hereby give consent to the Building Inspector 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 regulations of the Town of Southold. ner's Signature Date PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) kdof I, Mac l 5i%�lVr b n Pre—resii t the a address, do hereby authorize R6p'VV-& to apply on my behalf to the Town of Southold Building Department for approval as descri in. O er's Signature Date t SOUTyOlo # . # TOWN OF SOUTHOLD BUILDING DEPT. Com, �� 631-765-1802 �3—�� �• 3 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) [ ] E CTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O [ ] RENTAL REMARKS: L DATE `�� �(o INSPECTOR i + q'I Waif CD �V _-12P -� --sc �s CALCULATIONS dd a ;� �..aaMM. u;wn:,Na RP'imc.sv M,r vwal.TV- 'cro a- -US ,ua.a.nmwv.m ca J.d .a ts? �w.a^�„ t��sa�� u,�atia.�rov�aaa�,m.,m •><aoa.,,..ea �,o�Brc.�Ni'�:.��,� 'Ry wy qQ�_-.x' �'�\ �-� Jo ww , +•ueao•wue n •xi `''c� Qkeyi: ,�� g" LEGEND F e.,,,m.a��1L. •'+''```\ uml��': ado-o��°?� ��"'"��",.",^,,p��-�• I rrO���xo_ssa_r_omscra � ' `+� ¢` Rb- ��^•�` �'��(S-\� cvcnuw:u.vz 7lw � 1�'�uwrnf➢ �� l ............. � '�Kz' \�s 1 �`P ,TOV•YCFSOUIXCLCPWLYING 41-]] , IsvJ— ,-'..�.,.r,��-�� � .:T .1-..: �:b �svua"ma' I••.-----�� vemeww...� wzr.TUCKERS LANE aa.a �t;•�;�• , �,` �' `v""°"'� �,,,---� COVERAGECALCULAVONS - N wi TM-TINGIOiCOVERAGE u wya - Laxe.oua w.ne.a :roaxa� xu,¢a: (Djj © ` �«b: FlRSTUNIVERSALIST SODURCH OD mc+ea vye•'4 om+cama nn +zro' x] 'j PROPOSED LOT COVERAGE Nc:c•vi. xu \. w+i 1m. uaaa rouza:o.ro StBTO LNAJ RD, aertuweo SOIl1NOL0.NY 1181f ro.µ^. ,� 0.' 5 xLL � ^•' " ,nunow ocenLw .�n SITE PLAN z. IdMdoD S. as^+"•�+ a. :, i;....: x .,, 1Na P.mY�Ba.sestx/+wevmasea mL. APPROVED BY .. • '� �: We t WaS {MANNING.UARU Dde16iL•T Uk-0iR � G �p roro e�.g01D.aa 9aNWaT IarmmmE W TDwN oP w1NNolo j 1Cw• S 6mc snb N6mIw ReR'.1a �119�To13 TRUE NORTH i 6 Il rt>e Boderyfu Pmsenation O,lAnglilmdlBlBe.:kT B��' SCALE:7'=20'•0' Z .axw rn PROJECTIr `a j x a R no amsme emvm vic�nnearn NORTH """"'"•+�""�'"' � � ae .'ii ia+w�'Iwmeauecnarzaermaesthwar.• ,... .. n PS.. N7'4'S000•Na .... Iwa>a.x 24,mN•'�xc _C[�vE� I 1 a«x,aw LAND N'T OF APR1.ND RMC•n J 51T50 ROUTE R5 LLC S.F.RESIDENCE Avka'=•n-I CUNNECTED TO PUBLIC WATER - � G-DDT 51TE PLAN NJsro.naz, SGALE�I'a20'-O' TOW OF so�rt�at� cFjry > RD CARD m OWNER ��c ,�>'- a STREET VILLAGE DIST SUB. 4 FORMER OWNER N TYPE OF BUILDING - RES. SEAS. VL, FARM En I COMM. CB, MILS. Mkt. Value a AND (MP. TOTAL DATE REMARKS 2 ao y� 110V a e Qo a 0 , - p0 a /I,s a80'la -- Gtnd add�'�;m� - 7ec a}er _ AGE BUILDING CO NDIi'ION NORMAL ABOVE NEW BELOW m FARM Acre �n Value Per Value `—'--- Acre RECEIVED Wiiloble m— FRONTAGE ON WATER OCT 2 3 20 -YoodJand FRONTAGE ON ROAD r-Aeadowland ZONING BOARD OF APPEALS DEPTH -iouse Plot — BULKHEAD DOCK TOWN OF SOUTHOLD ppop RTY='v ~1 m 8 r OWNER STREW a® `'' VILLAGE L �✓N DIST SUB: LOT dia a ' e,t°c1 FORMER OWNER ° F Se.�Mo r j N Spa se qft E n!i/ Blirf C.a.p� ACR. Iad7l'PE OF BUILDING RES. list CJ " ;�;! . /O SEAS' VL FARM COMM. ca.'- MICS. Mkt: Value EnLAND IMP. TOTAL DATEin REMARKS a _rA Ld _ ateir P- /11 Ler�/icQ- D ' _ �" � � �ir � s' �[T�� 1�C• M 4 rr✓ L �q ;�( ,1 ' �- c O N ZONING BOARD OFAPpE;ALS r 5 - m uO in m La FRONTAGE ON WATER ;a Yoodlond FRONTAGE ON ROAD 4eodowland DEPTH . N � g louse Plot x 11 BULKHEAD s otol •.:,:l•s;Y'j �/!17-tier .i— I.:•'.^ 9i'. Ld LU OM — ,E oft R TRIM LIJ in It? 41 �i ■! ■■■!a■!!■! i!■ ■� /■■■!■i; ■1■ ! ■!i■■!i�la■i ■■■■■!■�*i�fi■tl . ■■!a■�■�l ��■tra_s =ii■■■taiiii■■ ■■■i!!■■!■i■l�s� ar�■t■■�iitiii■i Extension ■■t■�r■■■!■■ter■■■■�;', Extension - .�■!!■�ri■■r■ LO Foundation _ ath l� •Lo Breezeway K. Garage Heat 4\ r • • Recrecttan Room l\ ' , • Dormer I21 - - aala■■■ ■��■r��ac� -- - --- ■■■■■a■ aa�aa■■aiirai� mom . .- —.--_._.__...._-___ a■■laaa�ir■■■■■■sala_ - rY r -- !■l�ii■ ■r ■ ■oonsML MMW Wr - , FcundatiDn asement • �� i' , Ir i.R`'tis • 'zw1.I,•',yS'.S' ,ir.•:,.L Jam''' S memo . _ .. '• :►�-:•-. ; : .:�� ��a�i����i��lgiiils�'ii<ii ■a%�! -- ............ . an Emmul Nor . -.... a�NUNN aaasii �raaaair�eaiaay. iaaaalaar�aaa�a�a��a�a�aa • 1 1 aard��aa c IN noun Jimaaaaa�a�aaiaaa�i0 NONE ■�sala�uw■ _ raaavasia mat_ aa�raaaOEMM- «per - raaa�ai�lH�iala% •. J TOWN 01: SOUTHOLD PROP�R �CORD CAR OWNER D � STREET 0 VILLAGE DIST. SUB. LOT- FORMER OWNER E _ GEI 4GP _ ACR. S TYPE OF B I LDING RESC ��� SEAS. VL. L1 ti"J t V, CS-r' J?r I FARM ( NS COMM. Ce. MISC. Mkt. Value G LAND IMP, TOTAL DATE REMARKS ; En N vo ! qro �d 2- a 0 m AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Ln � uble 2 X a eul iffable 3 `D 'oodJand ZONING BOARD OF APPEALS vompland _ FRONTAGE ON WATER usF,land FRONTAGE ON ROAD /� . mruse Plot DEPTH ✓ '~' k °� N .. BULKHEAD in rtQl DOCK PROJECT ENGINEER. 9 SG . de_Brn S � CALCULATIONS rg,P.C. `r tle BINH,d Co ErgrIY R ed-S P.C. REQUIRED PARKING: 14D0 Old Country RcaO•Suile 106 CHURCW 1'25[ATS e I S?ACE/4 SEArS WCSIBury•New York•11714 Aw' `tt'r TOTAL REOTI:28SPACES.2STAFFSPACES 516.513.1313.516.579.2574 Fax UP 1 b V PARISH HOUSE PARUNG:I SINGLE{—DWHLMGO 2 SPACESJSINGLE-FAY OWELUNG It is a violation of Section 7209 of the EXITING DWEUMGPAIMNG:I SM UE-rAMILYDWEELMGQ NCYI YOfk Stet¢EduGetlon Law 10r Bn C0123.9) TliD1:'IIT.RSIGNED,PG1 I;ATRT060Vril°LO To"'CODE SCC ION 23PALESISMGLE F.WJLY CwD1A1G person,Unless he IB eCfn under they SRAIJI•n,ALT:NooLLvcFsnu7mamNDmoNS orTI1BSL1cvL.LN TOTAL SPACES REQUIRED: 9 . ional U•F[U1;LLSLTFO. 1N TIIEAT LUTIONOYAPPRDI•ALP\TEII direction of a licensed item o this �2�• ACCL'JR[O(SER CDNDTTH.:RB-Rrs°LLT°`ry 32 SPACES+IHANDICAP SPACE5�34REONRED SPACES angling(,foaltery+ item on this D1' 12 L't YcaT� M+bALpS WRl 1 drawing In any way. If the drawing is pwy /T%.G G VIRS) P L SE r¢I.TN TOTAL SPACES PROVIDED: alleree under the direction of a / L professional engineer,the altering L I� '1'C 'f'Q•rP2'yi 26 SPACES+6 GRASSPAVE SPACES+2 HANDICAP SPACES=34 TOTAL SPACES engineer shall affix his Beal lD the L301 AL. TITLE 0.\T! •ALLPARKNGSPACESIoeE IO[?U'LNLESSSFEOMOTHERwSE drawing with the notation'altered by' /'" UP AA v n•xB1woY followed by his signature,the date of vHL` y97' �7_ iNf�orWLnroLDeu�tN'G eoARD REQUIRED LANDSCAPED ISlAN05: alteration,and asyeNfic description Aw EICSnNG 71 SF ON-GRADE ' t•P'l�^ of the alteration. A , Y !� �,��_J d 1°SF PER PARKING SPACE[Ji SPACES•3d0 SF kEGUl0.ED DNE Aw' WALKWAY IOBEREMOVF.^, :'C �'fl5' ,P1% 7r •� 11g <Id SF PROVIDED E%GnNG 1255E PORCH V � .-� 05L� r0 clLLrxl'I:<O.SII;N.RrI'NE nKTl: STEPS l0 REMA:. ./ : '� j mLb DPm VedvR 4f rrnlnP*mde BI 3d0.1J2.i /AP \ ny �' h-OTF_76e a1•TmN riedertlflanw pLm sawn 6enlil rwalad,d.16,hr-(1� UP PROPOSED 89 SF ON-GRAD-r CCKCREIF 11.MX.AY w/L 2 Np � m. ram• i� \ o i AV All I RB9I . 6 CO LEGEND 9^ f W,Y4ON MYD. OUSTING 596 SF ONeRnDe--�` / , .:` ... O 'n Fly pG PROPERTY LINE NO STOPPING SIGN YJALKWAYTO BE RE OWD UP" O• T 2 E%6TMO SIGN i ,- EXISTING • J,FIB[; T REV1610N5 GATE 6EFEMOVED /•� `- /�• PARISH HOUSE CA�Q�,9 OLD CHURCH FOOTPRINT HP ' NO PARKING SIGN FFE 91T-G COSTING S2 if G�y(TP�'�fv % .' G +�`4V yF '..- vORLH•StEPS !iF EXISTING IMPROVEMEM `�,0+[i \ TO REiw,M Ct S TO BE REMOVED STOP SIGN PROPOSED 116510.GRADE ll9 ,J�/ q•� y`..—. _ coNLRE;E wnuwAT Ja IXISTE REAAOCE Cp Aw E%6TING TO BE REMOVED ARROW SIGN EOsT G CONCREIECLNB A✓ //e/ //!iJ ��.1���'•, _- /I,,r., _ , I CONCRETE CURB E%GTINGCONCRETESICEWALR- H v �`p I U lX`�. :"!A�77', y/ PROPOSED HANDICAP NYSDOI ENGINEER TO INSPECT EX SIDEWALK �` \ l2 -l" + i!_! ACCESSIBLE ROUTE KEEP RIGHTSIGN I PROPOSED , !\+' ,Q'lg�. .,.j3� .' WIIWNRIGHT SU)FW Ur15Nm RM:NER h ) -� / / MFMDRI4l Ap_ i. , ^W REPLACEMENT WTFN S'w.RDHvnL[15 NECf3ARY' GARDEN NUMBER OF IO'X20' w UTILITY POLE onw -/�a BUDDs PARK - �Ex.ISMS o� ! y J (739 iN i vRe! ( - R°d j�\ �. PARKING SPACES PER AREA I?Wv L UULITY POLE WHH LIGHT nJ .p;N,SNB �� j 'n ISSUED TO: /^Err,.s PROPOSED 414 S.F. [ w.v. WATER VALVE Ell 'r/°/ r i /,inXc P ~\ \-� G. LAWNK REI)_ 15LAI.D'PLMRING BEDS CRR] Lr TOWN OF SOUTHOLD PLANNING 4-1-22 / `�;1�.'r ANTINC�r� E%SIwG 3f5 SF SPED �� Hislarie PrOeemtion LammEsion 1427.22 SAW /- IO BE RDnpVED SL SPEED LINA7 SIGN DI DRAIN INLET OAW SLOOP/ I� �.�i -I..f+��_� - ' .;'y -�~`i. E%ISiwGI7J SF SHED PROPOSED�- -� Io BE REMovEo DO NOT—ER SIGN IrcD. FIRE HYDRANT TUCKERS LANE PROPOSED u}\s>!zR' 9EDUNE IM1P.1 : ! - ,-�'��•_ )!!(! CHURCH ritor°S6255F 1' 7• 51 U� W� (�,,-,• (395D SF! S100P % Y+ARDPOSEO NU Cl hl GAS VALVE 11 =PRora1ED n_isf `L 50NA A.ECCNCRflf ASPHAIi TO BERELOCAtCD 1 J'_.,i ' �PR0rCSEDEosr PARKMG SfA kMi \"N^ I 'rO { T-O COVERED PCRCH a Q o ��-`•���.,� ', 1' :?`�-'� �'\.\ n,4\,.. LAWN N E%rS1WGJ GUARDRA9. TC R<Jl. - ! 1�•%�.''\ �Yo �', i„ `\`_: '\L� BCIgJm \•:�_'�� 11=�i EKmNGGAIE COVERAGE CALCULATIONS ! UP .` "•�.T, PLANTING` - I `, $ `\/ rO REMAIN UP LA-N _ ` .P / "q-FROPOSEDe'W. LOTAREA 53.9L3$F o I.WICN PpiH 1,2, I .'( RI CrL _ j y)' 8 ALLOWED BUILDING COVERAGE l0,)f35f OR20°L 4 - - %a E-'TT . — - ' !C t PROPOSED32SF LC Li3'D! a s! "� r EXISTING LOT COVERAGE PC RJ81 ,� CONCRETEPAD (\j vi II`! I �~ , ) rCRa'%8'DU.—R DESCRIPTION D D -t `N� PROPOSED Sold SF- __ /1 , - 7 -- Z AREA %LOT COVERAGE ON GRAOECONCRM--' I FR°P°SED t PROPOSEDd•H. TC(—) '' PFLOGIED _V/AEY,WAY r ! ASPHALT I TIC / Q .-\ PROPOSED �GO�ODSCREEN ZIOQ OLD CHURCH(—RO%LNR1E'J +t�Sf• Br• PROJECT: SIGN - /II PARKING /I� \ 1 BKERAU W �F3 ExG1N^uPAR6NHOUSE,PORCH.$F..PS 1,1B2SF 7.2: FIRST UNIVERSALIST O I I I/ LOCATION pU V IXGRNGDwELLNG.POROLSTPS 0�5F 13„ CHURCH OF - \. -rxcPosED nusx 0�7 Ex6RNc sHEnc 395E oJM- 09 SOUTHOLD IRAFTIC STSIPNG PROPOSED HANOCAP�I PRO.C83= CONCRETE CURB 6,93E Sf 12.]TL '� PRcpoiED '� �AS CEOU'.REDBY NYSDOI PROPOSED ACCESSIBLE ROUTE (i!Bx20-C SI]CEF `•_FRO? E)CONCRETE (Z Q� TOTAL EKni1NG COVERAGE PROPOSED LOT COVERAGE f 5'90.xa•H. I P('SSN T. I - .PARKwX1,HSES (J_ F%GnNG- GRAIJRE.e% [r 3J% (1B,675jP LOT4n PROPOSED�'-YInHB%71 S6LE CL'RBIti rllx OJ ccNCRE3E CURB, I E[STNG 7T35 SP- 5, _d_x:WOOD �EKrsnHG IENCC 51970 MAIN RD, HRCNI'NG �� rROPOSED ---' DRNEWAY \ TON M'xalij =FROPOSEC 132SF ' TO BE REMOVED U100 IEc POSTS \ - GR-EELFARQNGAWN PROPOSED ,SF ! rrLONCREIE-CURSING GAZE \ OFICRELEAPRONS Ii 01- DESCRIPTION AREA %LOT COVERAGE SOUTHOLD,NY 11971 70 BE REMOVED CONCRETE AFRO, I' _ \ C - _ - _ �� O Np E%STING PARER NOOSE PORCH+STFI'S PRDPDSED DRIVEWA- - ---------I-. _ ---i-" _ " 1�" \ lillyy--JJ EAS-G DWEILNG.PORCH.STEPS DRAWWNG TITLE: " Sr 1,1e2Sf 2T _ ' eCb sF 14% �^ CMWTNCE/CURB CUT i _ -- --- ASPERNYSDOIPLANB• - \ •'/, -1 �OSUNGI STET \ \ ZWW PROPOSED ONRCH 3.95DSF 7.Y.. CORDON EN",INEERNG.P.C. \-PROFCSM2765F-- 1 rORCHE5+31EP5.1 W Z TO RsA! IO REMAIN Rl [� PROPOSE° 02.Z PROPOSEDCHURCHCOVEREOPORCH 505E Ole. \\ DAIEDJULYd.=D O: TSIAVO'PLANRVG`_ - I' 1 �F, --'` Z O fOTAIPROPOSFDCOVEOAGF 5,99D5F ILIA SITE PLAN 1\ ! N aL RJ.9) U APNRIi PAR[IHG— qV• L1 '� PLANTING EX GAS LUTE-' i GRADE y O J U NS PROPOSED i00F n_ I CC':.RETE — 22p 20'rc P.rypROVF.D BY 1) Ili i s ASPHAITPAR[ING RE106ZED WA:KWAY ! ADPROK.E%.1,'A1ER N , ? MILE ,YP. This properly contains a site/structure kited on, ' coucwK:•+ _ Q LXI:S , 1$p_ j n I G Southold Histcdc D:gtdct PLANNING BOARD P 2e B FzoP sfn LrsH Orient Historic District TOWN OFSOUTHOLDsca;E: CONCREIECURB ! p A6lE 0 PROPOSED `' �-y• y,' .� �' SouthDldTDlmLandmatkU, TPROPCSEDiLVSH ET-Cy(F10 I79651GRAVn : i'x ;y ' rn State and/or National I ' COVCRETECURB.,tifCti CEO PARXING Y\y\\X."OP°5 ' �,•, N 9 DATE f�Ii[��y�23 TRUEi1TORTH `bl J—_��_ A}/ Q I ?�f reLarovs e c Society for Preservation o'Long Island tvTVq%+'7w SCALE: 1"=20'-0• o GKAIIPAV(1 y PROJECT L LAWN 350" r \'-' 'PARRINd•(,� Y�`' TJJ Z & ; sPacF Y X Renovations ofdeMDHOnstOthleefts/s7uctiM NORTH f v ' ,—E,G,II,lrnust protect the character D1 BCs s! /ttNcZJ:J, DRAWN BY: I INN 1R4DON x PROPOSED 4RE4 n 1 7.�� \`� �j � :X 4 4-1-1 a 1' v;i; `1 , _, CIwMLNK 20 10 0 20 40 PSxR'AHIING � FENCEPr]rT,. ''O%" " . _E%SiMG RI_CEIVEDn74°50 001'll' QMM EDUH.241.'D4' 4.L'H SCALE IN FEET -WF3MESHFENCE LAND N/F OF C.,UNKRMC_HEDGE) 51750 ROUTE 25 LLC . S.F. RESIDENCE P;anning B-,L \/ CONNECTED TO PUBLIC WATER PROJECT NO DRAWING N0. DATE: G-001 SITE PLAN 15/04/2021 SCALE: I"=20'-O" Town Hall Annex Town of Southold 54375 Main Road PO Box 1179 o Pre CO Inspection Survey Southold, NY 11971-1179 y o� Tel: 631-765-1802 ..Property Info....._......�,....,.�....,-�.._._. ISCTM # �j' (p �-�p. 3 Date �� •, 'Address I S/q'® /tA ,41 Hamlet e'Property Type &.20 Occupied fLo Prior Permits I vkelovs Inspector I n Structure19 i Type of Construction: W a 04,� jNumber of Stories: �. )'Foundation Type hjrL}�&,� ;Exterior Access oFull Basement: OV11 !Crawl Space: i Finished . .... ..... . 4,Garage: 4Breezeway: Entry Porch: p G(G • _. ... .. : �Extenor Deck Patio: i Mudroom i 4 Building Systems r IHeat Source: �ah �(L041 ✓1ael� o hype ++ l+Hot Wateram Aka hWW !Electric Panel: Q fL IAC IFireplace: /tp� p Condition of Property _.,_._ ._ ..... ',Building Interior �' (Building Exterior: u �.�_. t ,)!Property clean, maintained & safe: ;Fencing. r Interior Components Rooms/ Floor Levels Sub M� 1 2 3 � y 4 Safet Items: i Kitchen �" ( ! Number of Exits I Living Rooms , ;(Smoke Detectors: A _ I ... Bedrooms i j k ` t ;Carbon Monoxide Bathrooms liGuards & Handrails: .. .. . _..... ... ..... ._ . ..... . ._ _ .1 ------- ,',Toilet Rooms J Egress within Bedrooms: ,Utility Rooms Fire Extinguishers: Entr Areas �... t OTH R DIYII W.� (L��p A4+1 ' Accessory Structures: ,)Garage: Construction: Foundation: Barn: Construction: Foundation: 4'Shed: Construction: Foundation: , ,),)Sleep Quarters: Kitchen Facilities: Plumbing: Swimming Pool: ..M., Comments: I r: s Ll Violations: !) -.-.-- , is .... . l -V