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Home My WebLink About1000-117.-10-9.2 � of so � TOWN OF SOUTH OLD Rental Permit 0452 Owner: 1260 Jackson St LLC Occupied as: Single Family Dwelling Located at: 1260 Jackson St New Suffolk 117.40-9.2 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. Issued: 05/13/2025 Expiration: 05/13/2027 Code force ntOfficial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. "CPU 631-765-1802 /l7- t o-9-z INSPOECTION ] 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 (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL OZV DATE S-/a-a INSPECTOR �+ Town Hall Annex Town Of Southold 54375 Main Road � Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# — /0 — w 2 Date 5 /a 2 Owner /aoo Phone Address Visible Hamlet tj&AJ 9v Ik— Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 5 6 Smoke Detectors Egress Occupant Count - Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: � m TOWN OF SOUTHOLD 3 Rental Permit 0452 s Owner 1260 Jackson St. LLC Occupied as Single Family Dwelling Located at 1260 Jackson Street New Suffolk 117.40-9.2 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. 5/26/2023 Code Eoocckjent Official This Notice must be posted by the main entrance at all times V BGUX,r TOWN OF SOUTHOLD BUILDING DEPT., ul 631-765-1802 INSPECTION I FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY ] ' FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE O CRENTAL REMARKS: s"� !en�r?V-,ecej �-2kle 5ot'l 052,�, DATE d- 2 3 INSPECTOR Fri Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, �t r� Rental 1U§ a «'ti0n NY 11971-1179 Tel: 631-765-1802 µ °° Fax 631-765-9502 SCTM # //7— /d 1 02 Date ._ Owner Wq Phone �ww. Address �C �;w �� _ Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) / Carbon Monoxide Detectors Fire Extinguishers # -- Exits (#') BEDROOMS 1 2 3 4 Smoke Detector Alarms ___... Carbon Monoxide Alarms C#) Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heatin s stearu maintained/c gyrational Building Interior is clean/maintained Hot waters st�*tt� maintained/operational w P Building is clean erior i/ clean /safe/maintained intained X __.� Electncal s stem maintained/operational p y Mechanical s stem maintained/oerational Handrails & guards present .......COMMENTS: k.. � ��° � ° � .._. ..,__... Rental Inspection Form 4/7/2021 TOWN OF SOUTHOLD m ,;12- r� Rental Permit Permit No. 0452 Owner 1260 Jackson St. LLC Occupied as Single Family Dwelling Located at 1260 Jackson Street New Suffolk 117-10-9.2 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. 6/7/2021 o Enf m nt Official This Notice must be posted by the main entrance at all times Town Hall Annex Telephone -1802 hone 631 7b5. , p ( ) 54375 Main Road l y !` x <s; ' Fax(631)765-9502 P.O.Box 1179 { 'a Southold,NY 11971-0959 a ` j� "_. , 4�r r-''f r;�("� ��^ - BUILDING DEPARTMENT APR 3 0 2021 TOWN OF SOUTHOLD � RENTAL PERMIT APPLICATION! C Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 117--b O � ot� Tax Map Number: 1000 SECTION _ 11�- 00 -BLOCK. 10• 00 -LOT00c _ 002- SECTION B. OWNER INFORMATION: Property Owner Name: QP,A�Cr4 Vf V Ve-P t1E, MPR-v ICI, M"64 Property Owner Legal Address: Property Owner Mailing Address: 62 KA4 H o 2,NQ Fk PC) 2Q)� 31(03 11963 fir; � ' •N`( t t963 Telephone Number (s): Daytim (` ?OSg Evenin 63 Sm — Emergency 8 '3I 01-9 �J 4 Qq--T9 Property Owner Email Address: 11 1G101 Ill ` AIL 1�j[I C Q I j!AA[I• Gov► Page 1 of S I i f, �' �<t, �my �`� Town Hall Annex � , ''' � '§r' �;'�r �:_�� f'�`°;, �* Telephone(631)765-1802 54375 Main Road x �. #°#�```' � '�.,�: �`' �4 Fax(631)765-9502 P.O.Box 1179 ) t Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: % NLS:-IZ4 C MA42—\/ ltil Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: �11 Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any:. Address of Managing no P.O. g g Aent gl ( Boxes): Page 2 of 5 i Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening_ Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: Of4lF— For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: 17i60 C,K Sacs( ' Requested Maximum number of persons allowed to occupy Dwelling Un' : l Number of rooms in Rental Dwelling Unit: l Use and Dimensions of each room in Rental Dwelling Unit: iJ'l-R�'f V—('?i k*H ' 11`V X 16'a" DI ,11tJ67 -2l'2` x WI' L tyw6-, Ib'W' ,c 0VJDCP- ' 4' 0" XV13° l"UP I11" +c9-C2" I- P,~-- 9'6 'low W l = IV x lvry, P"w2- . W[00 x 6161, W3* 10,1011C IS't" Off: to'lo` >r W 80 Page 3 of 5 Town Hall Annex ixR *r( Telephone 631 765-1802 54375 Main Road ;' >a Fax(63l)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 4Q ` + °' BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 licensed architect, a 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 1� I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I V � rV�1�1 , 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 Page 4 of 5 Town Nall Annex , Telephone(631)765-1802 We Vp w tµFP` . 54375 Main Road t Fax 631 765-9502 P.O.Box 1179 Southold,NY 11971-0959 = _ r BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. CA Property Owner's Name: p "CLV1 fir• LG Property Owner's Signature: Sworn to before meth! -1�day of 20 2i) j q Official Notary Pu c ature and r' N ary Stamp EDWARD"D.BURKE,JR. Notary Public, State of New York No. 02BU5086395 Qualified in Suffolk County commission Expires Oct. 14, 20— Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631).765-9502 P.O.Box 1179 G.2 Southold,NY 1 1971-0959 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000-117-10-09.. 2, Rental Property Address: 1260 Jackson Street New Suffolk NY 11952 Owner/Name: Valerie Marvin Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom #2-90 sq., etc.) Primary Bedroom - 257 sq. Bedroom #3E152 sq Bedroom 1- 254 sq. Bedroom 2 - 144 sq. Property Description (Include all improvements indicated on survey) 1& 2 1/2 story frame house. I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plu ng Code of New York State, the Fuel Gas Code of New York State, and the Energy Conserva 'on onstruction C de of New York State. Anthony Portillo, R.A Print Name and Title �, D A%, . ri in ig ture 60 Please place professional seal: OFN 0374 �OFSOUIy I y(Io el4sm s i rZVTI �fw # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 r INSPECTION [ ] FOUNDATION 1ST [ ]' ROUGH PLBG. [ ] FOUNDATION 2ND [ ,] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL C J p4t�f+ [ ] FIREPLACE & CHIMNEY [ -]-FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REnMA KS: 11 G I n, cn (c�A DATE INSPECTOR N t'. MAXVINCRESID ENCE A Z-s IN I I:H A f F I ,L c w r Q* A I)k 'A V!,111 A I Pl LQ il 7 0 f- :.ALQL' 'Mil-i A aalr.s COPY O= W944i A V;JAL COPY' 4. =14 Q.�Al 40 1266 JACK' 90N STREET, NEW SUFFOLK FIRST FLOOR ENTRY/ KITCHEN I MUDROOM 1. k NOT iTOSCA -FALL MEASUREMENTS AREAPPROXIMATEri A ,l k,,� o cvr m DA e 1p.,I I i I R I C Vv Q= nw 'E— A D 6" Ir¢I A yrrf ♦ ENTR`r,,,,, KITI;HKN, A cQp, 'Ntll? .1 1RIAL 'y vP 1'74 A R I L C.'O F? MUDR v" 1, 1 A 18 J.w L cop? Xl za g w� cA v 00 co 5' 8" 11'4"► v 3�:Wt �QVT --�P M,A D E 'AN,I i rl,%L ;CaY Q�; 4 E IX 5 1'i4 A I I!k L 1�Q F Y -lro"� co i�) LAUN v A 4' 8"► "kiliq A 1p.iiu coo, )P' IMAUIE "Vill. A, 1%A 0 A WR 1 14 A i IF, CO, A,1)F, t I il, Alx cicwy oc MA n Wr,f',A A J 1.1 t C 0 Y v� HALLWAY POWDER C) 41811 0-m v"I 'A'f T34 I A 0 f"i - CLOSET FIAE. COPY 0 twp� rz, iMAV 4I'tT,4 A VRIAL. COPY OF wtim A mru copy uN MAD S wtrii A imi%L coF,,, ov MAD WMH IFIkL COPY OFF MA t;- W 11 H A I F.'l AL �:OPY C� eV ' ,, , - rMARVIN RESIDENCE , r: Rr 1260 JACKSON STREET, NEW SUFFOLK FIRST FLOOR LIVING ROOM AND DINING ROOM MADE V?l i"ll A TRIAL COPY •3E t;AZ)k WttE A TPI&L fogy OF MAi)E Wt7-4 A MAL COMP'0 MAW-; Will H A TRI PA COPY OF MAZP *MA A IRIM, COPr NOT TO SCALE,-.-ALL-MEASUREMENTS ARE APPROXIMATE r VT'IfFM �,U,TMA C V"! 4 "I'k I N;AVE W r;i 11 tPIAL ;.f)Pf 'Of tat N v E w 1, RI d.L L, Y F Y?p T 31 a I p I A t C b 15,f eA D I lq k, C 0 py 0 p .34 1 wy y. 1V a!<1�1- Sp-nl;vt STAIRCASE TO SECOND LEVEL A Atl! W f k A 1 k I A L C We Q 9�A b Q W N T rl.I N L C li P V CAE~ ll?:A D5 "Tt rR A I Rl A t cf"ly OP "Y'A v 9 %v i, I F,I t e 1.)p V u MAtIq ',W° 4 IrIAL fly ax N,Al)9 AV T4 P. (�QPY 6'4 4l A IRIRL COPY 0 PLA D k IN L I li A I 5A A L. C0 T C P A W 11 1 y 1% DIAL CQFY O m'1,iv k w rr Tj i t lux Q DINING ROOM • FD COMBINATION SMOKE LIVING ROOM A AND CARBON MONOXIDE ,-',ADE lN 'lH A, lF.'UU COrY --PjETg-TOR MAIA Whl'H A iRIAL *b'Y OF NhD., A i pi;kt e0ple OF Ile,AD IN t r.�4 I Y -lA ul J u m d,t;E .v F)i a I 1$14 C 0 Pi zv E ?A 1. AL Cop Y V F MAVE Wrl'li mA.L <0p? OF mA v C W ffa @ I A t PY 30' 'All ll�-10 4,VtAll� Lin L A V t I i: A T IA! C 0 Q- P.P."I E 4v r il r, I k,. c FY Ll MA r,E W 0 A I I k C:0 r,Y Q F Ai jA,L clop)( Q� MAUL I H A I PA A C:1.)FT B a- 4 4TH R1616'4 Ev MARVIN RESIDENCE 1260 JACKSON STREET,NEW SUFFOLK BEDROOM#3 F SECOND FLOOR BEDROOMS AND BATHROOM 6'a". 1i'6EEA5bItIbFiXL'0VX6Efti FOR HALLWAY btf-Afff I I 1-1 Py 14 1 F"I I c F'f P. A D E 'A'I l.y, Ok lillt OP NAi* A ]FAAk COOT A 'ROXI MATE ,�I'Vit;` :NOT iTO SCALEc-,lAL_b MtASU REM ENT�V ARI�"k 0 8'3'. SMOKE r i c,Pe 0 9 DETECTOR, I A.L C_-'P? 1)f. w 1 r3i a 1 1,1 L, c 0 Pe _zJ U, A D 'Al 1'.R A R I A L .0 'YAUk ',VIN A QIAL C6PV Q� IAL P? 0r 'Atlk W; `A A J: IL COPY A M"ij"P, isof --y' cN�Y _ SMOKE SMOKE DETECTOR DETECTOR PIAL ly A rl El IX i P. A I r�I C,1.)P,y QV MADE Wk r_� i"I AIL tr" ci� M A,N„ H A I- AIA COPY AW %V1 I H A V- 11APRIMARYA 1-',I&L C�)r' OkBEDROOM BEDROOM'#1 fill _,�TF ;44 SMOKE • DETECTOR A lz 0'. MA r1c WIT+4 a I RI.%L COFY f,L, IN t I H TRIIIL c)ply OF A 4)E r1.4 A IF.' COPY M, 4 46 6 v • BEDROOM#2 46 PRIMARY BATHROOM I?f w t 1"4 ,l taInL R 1 1,L Pe 0 6! a '12 topy v7g "It&"t Alti'm IAL COPY at CAPY AAD� 'MAM A (:OFY OP ,:A';)[ W'1 R A VkliU C:OV,'Or WM-1 A IFIAL COFY OF' P-AZ� V,Ll A c:Q p 7 :�,V A",D a WN R A 1'41 A '. V-� — N %V'r, 1 11, F-44. J, 1% P U, �V 1, WARVIN RESIDENCE 1260 JACKSON STREET, NEW SUFFOLK m-mSECOND,FLOOR HALLWAY wtlii k vplu copy n, MATUS WMH A IRIAL COPY OF 11-1.0%1)1-- Vll Fm A Tp.l&L c OPY 0F Y,A l)E. WD 1.4 A IE;IAL COSY r7 4, 7!F� p" IJ AIL. E'ADDITIONAL PAGES 0bk'B" 'E'bROOM'AND BATH ROOM'biT' 4' ' i 4v NOT TO SCALE -ALL MEASUREMENTS ARE APPROXIMATE BATHROOM j I P,L C 0 p V Jk ",I)E Y.1 t I Sri",I c".pr A 4?V l."i 1 1) A t I C.f)P'r Q C .,z v r i�I A 11 1�0 11 It 1)1" F'e pSM0 -DETECTOR KE,, BEDROOM z SEC FLOOR HALLWAY CLOSET : 4ADE wfl A IPJAI. COPY A)9 Y,A L) v F.-0 7 L k�0 P'f .0 YA LIE 810 L COPY Qf Z. v E IN r,1�i 1� I AL ti0PY ALI P IROL CnP-f �-v COMBINATION SMOKE AND STAIRCASE STAIRCASE TO CARBON MONOXIDE DETECTOR TO KITCHEN ATTIC LEVEL SECOND FLOOR HALLWAY c:) N,Al) ',4'1 1 4 A NF:I L C 0 P Y Q 9 M lN t 1;4 A T S.I A <01 0 M,A v e 'A,f.1 0, IPIA� COFT up M�lltl*. 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A '1P %L (:Qk'( MADS WlfH A I."^OikL fat 1260 JACKSON STREET,NEW SUFFOLK ATTIC .4 19,01, ► NOT TOr.S-CALE; ALL�MEASUREMENTS ARE ARRROXIMATEgi t copy in;z 4.An6 W11H I% IRIV,4 COPY op 4 0 Ft W I H T %t t'OFY OF MADE Wbl'M A 1PAV COPT 'I' -, ll i j "`[ �7 R Af � r '-"" �a �V �k; � ;-F1 e a ey I) vi r I fj F I I I, a I,r 0 c o p Z)r 77- A A V h 'NI rA A 1 0, IP( QF vl x b k 'N t r x-, A. le.11t CUP? ti' 7eaAi I i C:, P.f- x L'.- r.I-B F.I L C o p o p "TH ii rA t 'OE COP* L4 SMOKE DETECTOR • 47'0"o- Y,A V 5 'a 0"I A i't I X A l. I m A q I.I Q A v k w 1,1 A I P:I V? Q 0 k I A IKI 1� CV F' --A! Qz 41b -ze,t "N ri A i b) 04 v MA 1)T. "e"k.T IFY 'A.M4 A TRA;%1 '�OPV W, 'A.412e IV2i'H A JEAkk C:OPY �IF M41* 1AMH IFIXE �'Opy W E 45l f 1 1 P'4 1 k r 0 P el n' t T';4 A f I A 4 rP'i rrll,'L eapy Lill' u'."If?e' a c.60Y 'DF '*-'--'oc Amm A Trt"t cvwe o- VIPTI? A YRIAt :bp' q. `�! c n", v Q v� A' r i V If MARVIN RESIDENCE 1260 JACKSON STREET,NEW SUFFOLK XAI.11k FAlt I 0, i rl c-'Ir LIP StA UE 'All, A iPli<C COPY W,1% p A I P.I f%i. C a Y M A V k %V t'!H A I F I A L CO P Y BASEMENT-=�, v i A- r tz , V9 NOT TO SCALE-ALL MEASUREMENTS ARE APPROXIMATE 115.L i F y 0 ,MADE WIVH A 1pli:L COpy 0 MA F WH H A IFIOU COFT -Zr WAif)E W11H 4 TRI&L COPY Z)P MA-DF 18H'A A IFUAL COPY e li A. I A p V lo f� 'All Hi & 141.1 Q(ly �jp 1`316, 'et I 1 4 k I A L L 0;`0 C�. r'V n� �j4 � r a COMBINATION A 'Wl,-114 A T I A L C 0 F? Q lwkL :Qpf 4�lp m Av IN t 1,-.-1 A A fROA c pli �ug `SM0KtANb)bARBON h v MONOXIDE DETECTOR plo [IF'L `fe,! a'j MA D %V?I".H A T R I ttG 4 PY 13P 11 El f T F A R I P_f. Cl P Y 05 A 0 9 $X�1 H A I RIAL r 0 P Y as A D S WE 1 1 R 1 A.. C 0 F y 0 A U fn, A 7Eh'5 COPT Wa BASEMENT A IP,Iri,L C F Y 13 P. MADW'l FH A 1'21.A COPY -jP 'Alt 1 H r5 I plllL COPY QF X A A'E :YC 1 ii 1% TR I XL COPY -3 U.A D F El'4A A IRIAL COPY t 'V J`N.1":1. zc"p't of IN 1,34 'Talat COPY uyll)c INtrii A fp.lA.k -ecey ,iL' IM A v k: pi'li A '40AT COPY tr'l 4 4 5 v z W.�wn 4.69 IG4,v P . TO F SOUTHOL •: It PERT RICO, OW.;NEIZ STREETw: p'. VILLAGE.- [7fS^T�,— , SUB: "�a � ..��. ,`` FORMER OWNER f. „ N .° E . {. ACR.- C f,AA f.5.:.... W TYPE OF-BUlLDING r 3 RES. SJJ SEAS. VL. FARM COMNM: CB.-- MICS.. Mkt. Value LAND IMP. TOTAL As : DATE REMARKS 4�e ti"1jt9✓1.. $ �/ :� 1 r f. r✓ c 23 Ir "JfCAFr 0 ��ff�LS J ' r <C7D...�. e'z+ (L r t "s t�` &s' "r�.4:"C.a;w3 '"'."d( <.7 '.+';�1 � '`.,c•,'°° �c MA'r't oo in FY £t ..�� xY 4'� ff�. .� �y ^(^" rC.J "J,. 'yJ ,cs-.'✓" - fL C-0 . AGE BUILDING CONDITION :. NEW. NORMAL BELOW ABOVE FARM Acre Value Per ` Value � --------- -- Acre :. • ; Tillable 'FRONTAGE .ON,WATERo 4 J r FRONTAGE:C?N ROAD . � _ y fir, s: W 1 ?x:. e,a'ew• �J�' 7 � D E PT H —House Plot BUL'KHEAD:::, Total i � 7 'DOCK µ..w • r. . , ■ ■■■■■.®■ ■■.■.MEN ®.■■. 7 ■ ■■ MIEN ■■■■■��::��.■■■■■■■■ ■ x;,x a:, x �w•;,gy;y'if ■■■■ • 54. ," .,NY .1^ h../,a:4.;' ,:"s•.zr'' ";' i;r, t .°''.... ■■■ ■■■ � _ �■■ ■ �■ ■■■■■■■■■■� f ■N ■■■ ■ � •• ' �� ■■®■■■■■■■■■■ ■■N■■■� ■ ■■ ■■MEN■■■■■■■■■■®®■ ■ ■■■■■ ■■■■■■■■■■ !.,��1,.■■■■■■■ ■■■■■■ • Porch OInferio. rFfinishBreeze X way Fire, Place • ••- .- ••• &ooms Ist FloorC• l •• • ` '- -• • '•• ® ••• •s it IIII�® h 1 FORM NO. 4 i TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. I PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-27601 Date MARCH 28 2001 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1260 JACKSON ST. NEW SUFFOLK N.Y. House No. Street Haml County Tax Map No. 1000 Section 117 Block 10 Lot 9 � i Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z•27601 dated MARCH 23 200L 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE & NON-HABITABLE NON-HEATED ACCESSORY GUEST COTTAGE * -- The certificate is issued to EDGAR & ARLENE MARVIN (owner) of the aforesaiId building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-064688 - JUNE 18 1999 PLUMBERS CERTIFIICATION DATED N/A I *PLEASE SEE ATTACHED INSPECTION REPORT. din Insp for Rev. 1/81 i I BUILDING DEPARTMENT j TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION. 1260 JACKSON ST NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) KARR OF OWNER (S) , EDGAR & ARLENE MARVIN I OCCUPANCY: A-1 RESIDENTIAL EDGAR & ARLENE MARVIN j ADMITTED BY: VALERIE MARVIN ACCOMPANIED BY: SAME KEY AVAILABLE: ISUFF. CO. TAIL MAP NO.: 117.-10-9 SOURCE OF REQUEST: ARLENE MARVIN 03/09/99 DATE; 03 23 01 DWELLING: I TYPE OF CONSTRUCTION: WOOD FRAME j # STORIES: 2.0 # EXITS: 3 FOUNDATION: BRICK CELLAR! FULL I i CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: I3 2ND FLR.: 4 3RD FLR.: 0 BATHROOM 2,0 TOILET ROOK(S): 1.0 UTILITY ROOM(S): PORCH TYPE: ROOFED OVER DECK TYPE: : BREEZEWAY: PATIO TYPE I FIREPLACE. ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BAILER_ AIRCONDITIONING: TYPE HEAT: OIL WARM AIR! HOTWATER: OTHER: PANTRY OFF KITCHEN UNHEATED FRONT ENCLOSED ENTRYWAY** I j ACCESSORY STRUCTURES: I GARAGE, TYPE OF CONST.: 41CAR WOOD FRAME * STORAGE, TYPE CONST.: ! SWIMMING POOL; GUEST, TYPE CONST-: WOOD FRAME *** OTHER: *WITH ROOM ABOVE NON-HABITABLE - ** j NON-HABITABLE (NO HEAT) i VIOLATIONS: CHAPTER 45 N. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ! DESCRIPTION ART. SEC. EXTERIOR i FENCES, iALLS AND OTHER MINOR CONSTRUCTION NYCRR SHALL BE MAINTAINED IN SAFE, GOOD & SUBSTANTIAL PART. + 1244 & CONDITION`. 1244.1B REMARYS: **SHOWER & TOILET IN BASEMENT OF DWELLING. � I INSPECTED BY: j DATE ON INSPECTION: 03 29 99 GAMY J. $H TIME START: 9:45 AM END: 10:30 AM i FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z11677. . . . . . Date . . . . . . . MaY ..17. . . . . . . .. 19 83. THIS CERTIFIES that the building . . .Addition . . , , Location of Property 260 Jackson St New ,Suff01.k, . , , , , , , House No. Street t County Tax Map No. 1000 Section . . . .17. , . . .Block . . . I.Q . . . . . . . . .Lot . . . .09. . . . .` j a Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated November 7 , , , , , 108 .pursuant to which Building Permit No. . . . AQ9..12Z. . . . . . . . . . dated . . R��ober. 14 . . , , , , 1 19 W,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 . . . . . . . . . For a dormer addition to a garage, The certificate is issued to . . .A��en.e, Nlary�xa . . . . . , , (owner,lessee or'tenanil of the aforesaid building. Suffolk County Department of Health Approval . N/A UNDERWRITERS CERTIFICATE NO. . . . . . . . . N/.A. . . . . . .N -68R59. . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81