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Home My WebLink About1000-117.-10-12.4 TOWN OF SOUTHOLD Rental Permit 4b J- 0035 Owner 1540 Jackson Street LLC Occupied as Single Family Dwelling Located at 1540 Jackson Street New Suffolk 117.40-12.4 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. 4/28/2023 Cade Enforcement Official This Notice must be posted by the main entrance at all time � x 11f salit !TOWN OF SOUTHOLD BUILDING DEPT. - F INSPECTION FOUNDATION 1STROUGH PL13G- FOUNDATION [ INSULATIOWCAULKING [ ] FRAMING /STRAPPING I ] FIREPLACE & CHIMNEY [ I INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) L ] CODE VIOLATION [ PRE C/O [ ] RENTAL g� 9 4 v { L e } ,Otr nn ytc� n DATEI £ _, t I t -9 Nf so .0 TOWN OF SOUTHOLD BUILDING DEPT. Nil 'S A 631-765-1802 INSPECTION , FOUNDATION IST ROUGH PL13G. FOUNDATION 2ND INSULATION/CAULKING FRAMING 1 STRAPPING FINAL INSPECTIONFIREPLACE & CHIMNEY FIRE SAFETY FIRE RESISTANT CONSTRUCTION FIRE RESISTANTPENETRATION ELECTRICAL (ROUGH) CODE VIOLATION PRE C/O RENTAL SenT r7)/� INSPECTORDATE >� � "O" UTHOLD !�af bU e� C2 to Rental Permit Permit No. 0035 Owner 1540 Jackson Street LLC Occupied as Single Family Dwelling Located at 1540 Jackson Street New Suffolk 117-10-12.4 Village 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. 3/15/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times gtig i too, M- -9 Rental Permit TOWN OF SOUTHOLD A, Permit No. 0035 Owner 1540 Jackson Street LLC Occupied as Single Family Dwelling Located at 1540 Jackson Street New Suffolk 117-10-12.4 Address Village S/B/L 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. 4/15/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road ;, Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 U ' ., , BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) a Section A. MAR '1 3 201 Property Information: Rental Property Address: "I Tax Map Number: 1000 SECTION BLOCK / LOT 12— SECTION B. OWNER INFORMATION: Property Owner Name: / '� Aj 1.17-XCET® G Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) or le, ch-xclyr G C e f Telephone Number (s): Property Owner Email Address: (7(/g Page 1 of 4 (' ' /4d 'A1V _ 0 � SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 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 NYS licensed architect, a NYS 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I J d SCv , 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. -r-41 �t,-X faAl l e-6"r "-Ge Property Owner's Name:/3 .` af"y a dlwfea 6-11 1 Property Owner's Signature: G � Sworn to before me thi ��''d'ay of , to r , 201 Official Notary Public Signature a igin ctary Stamp Page 4 Of 4 Notary Pi.ulr IliiN�,State of New Yorlls g Reg, No,01%/A6371320 Qualified'in i.ironx county Cormnniss'ion II:":'x.Iores 02/201202.2 uoex & TOWN OF SOUTHOLD BUILDING 13 UN � .°' 765-1 802 INSPEC'TION F°1111IIIIN STS FIG p 114AL X-eA4K Il °II III , E & CHIMNEY ' F1II1I:: RRE RESISTANT GONSTIlUCTION FIRE RES111S I ANT 1 iiiE L IIIA III4 ISLE °°' IIII L CODI:lmV'111101111 ADON IIIIIIII t�q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 iNSPECTION [ ] FOUNDATION 1ST I ] ROUGH PL13G. [ ] FOUNDATION 2ND I ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY f ] FIRE:SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 1 '( INSPECTOR 1 2 3 4 5 G 7 8 9 10 II 12 13 14 15 IG 17 N 110 ti K P V M 2n6 FLOOR 13ATHPOOM SECTIONS Ir 4<_ WEST _NORTH- EAST SOUTH g m }' ``s ataw5 N --- " \ r- , RESiOENCE D _ NEW 5UfT9V.N.Y. sir_ Y E C . ty,6,.. 2ND FLOOR PLAN 3 �NOFlno« A2 0210 i mow. r 4tA�['; ocFicE ! jfw WIN u =k�aew� - -*le�FL62 mLi 2 3 4 5 6 7 8 9 10 [ f 12 13IG 17 ----__ fMFk6EAL1'FfCAP[�Y$ AfOWAEp AFPAAL]A OF'. PLU.{Fnr �rnnDN Y,L SIYR 6011DIY6 LOOL'; S`I '•--. uA8i26 �' OF OCCUPANDY SOiG€A fAEDR/NAA � A��.p!x��°r ��{f 'ffEED ZlO oft%LEAD. rufauYe mixaiAPn f - ieawi�rwuw aruw�o "' - �.n- :': 3RCYMI�.YHalillfY€ xYL o•uuYr CC 9SYYS idmfa�4Y6LRq 334 Pp UEYNOR-0a C xG CA H W o It } _ , 30 �! F� z y` i � MANNING a � ew suProls.N.v. }s �� O GP.WWfLOOR PTAH GROUND FLOOR PLAN 01 Al 0210 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29783 Date: 10/23/03 THIS CERTIFIES that the building AGRICULTURAL BUILDING Location of Property 1540 JACKSON ST �_- NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0010 Lot 012.004 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ACCESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29783 dated OCTOBER 23, 2003 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 AGRICULTURAL BARN.* The certificate is issued to CLAIRE & ALLISON MANNING mm.. (OWNER) . ,�. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Wo7-i -nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1540 JACKSON ST NEW SUFFOLK SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S) : CLAIRE & ALLISON MANNING OCCUPANCY: CLAIRE & ALLISON MANNING ADMITTED BY: ALLISON MANNING ACCOMPANIED BY: SAME BEY AVAILABLE: SUFF. CO. TAX MAP NO.: 11.7.-1.0-12.4 DATE: 10/23/03 OUR OF REQUEST• ALLISON MANNING ....� yy„ _ ,..�. DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 0 FOUNDATION: STONE CELLAR: CRAWL SPACE: TOTAL ROOMS: IST FLR.: 0 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 0.0 TOILET ROOM(S): 0.0 UTILITY ROON(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTHATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: BARN AIR: HOTWATRR: OTHHII: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: mmm GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCAT"IONDESCRl!vTlC)bl ART. SEC. .......�...�, _... . -_------------- .W_...---- _---------- A d I I I I d d d P d f I d I I � I B I I � I i � I ............. ONERSIONTO DWELLING CO#229651 BP 28831 BARN CV .... _..- ........_.�._......_._.�,........__�.....�......._,... INSPECTED BY: + .........�..... DATE ON INSPECTION: 08/31/01 GARY J F sH, TIME START: 10:30AM HIND: 11:30AM FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29651 Date: 08/21/03 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS__ Location of Property: 1540 JACKSON ST NEW SUFFOLK ST (HOUSE NO.) ( REET) (HAMLET) County Tax Map No. 473889 Section 117 Block 10 Lot 12.4 Subdivision Filed Map No_ Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated _AUGUST 19, _2002 pursuant to which Building Permit No. 28631-Z dated OCTOBER 18, 2002 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 BARN CONVERSION TO ONE FAMILY DWELLING WITH "AS BUILT" ADDITIONS AND ALTERATIONS AND UNHEATED SUNROOM ADDITION PER ZBA #1215 DATED 11/7/68 AND NEW YORK STATE VARIANCE PETITION 42003-0130. The certificate is issued to CLAIRE AND ALLISON MANNING (OWNER) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0118 10/20/03 ELECTRICAL CERTIFICATE NO. 1096563 08/07/03 PLUMBERS CERTIFICATION DATED 08/01/03 GREENPORT PLUMBING .. ...... ho. zed Signature Rev. 1/81 d FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29935 Date: 12/30/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1540 JACKSON STSTNEW SUFFOLK (HOUSE NO.) ( REET) (HAMLET) County Tax Map No. 473889 Section 117 Block 10 Lot 12.4 Subdivision - Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 2003 pursuant to which Building Permit No. 29101-Z dated .JANUARY 14, 2003 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CLAIRE & ALLYSON MANNING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1156387 08/07/03 PLUMBERS CERTIFICATION DATED N/A .. .._.... Zo ... zedr�ature.... __.�_ Rev. 1/81 �o1Fal Town of Southold Annex 8/31/2012 P.O.Box 1179 54375 Main Road t ,; Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35928 Date: 8/31/2012 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 1540 JACKSON ST NEW SUFFOLK, SCTM#: 473889 Sec/Block/Lot: 117.-10-12.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/27/2010 pursuant to which Building Permit No. 37412 dated 8/1/2012 -......................._ 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: "as built"deck addition loan txtstialg one family dwellingas applied for.. The certificate is issued to MANNING CREDIT SHELTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED -._. ,.. ..nm Au... b z--d- 1 r�,aature ---. . � TOWN OF SOUTHOLD PRC�PERTY REC 0 RRe OWNIER STREET VILLAGE DIST. , SUB. LOT 'niepp-%- ULU A A/ FORMER OWNER, N E ACR. LUA 3 fp� S, 114,,A A1,V11V j C -14 S F ' TYPE OF BUILDING IVA) wy- 7, RES. SEA& VL. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS L &4 0 ,0 n-j Rd-1c 4 4 6 gon 0 5 1 2 A T k IN S 2- -- wompmamp --ma-,,,c v", Wiz_ vi.t Izz � '00 12 - :5c 11#z Tillable FRONTAGE ON WATER U Woodiand FRONTAGE ON ROAD _kT5 �,p J" DEPTH MeadowlarW 1 L 4L� House Plot BULKHEAD 10 �tiI1� Total TRIM t t i I � h 3 NON d-1 s t E lV ( - 3 t , 117-10-12.4 9/03 E l ; t e t 3 M Bldg. i Extension C 5 _- -T — t 2 Extension , Ex 3 Foundation ;Both Dinette 3 / �e _ EBasement T Poiih< , _ -I'2�Cjr3�; eo �! o Floors K� Porch � � t�� Ex � Ext. Walls � Interior Finish a I LR. f � Breezeway �{oc) ;Fire Place 'Heat _ DR. - - . ype Roof R �; ooms 1st;Floor BR- Garage Patio, - 1 Recreation Room i Rooms 2nd Floor FIN. B , 6 - _g _ ` .Donner Driveway O. B. Tgtal € N- - r