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Home My WebLink About1000-117.-10-9.2 � 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 Tele -1802 Telephone 631 7b5. , p ( ) 54375 Main Road l y !` x <s; ' Fax(631)765-9502 P.O.Box 1179 , { 'a Southold,NY 11971-0959a ` 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--bo Tax Map Number: 1000 SECTION _ I t�- 00 -BLOCK. 10. 00 -LOT00c _ 002- SECTION B. OWNER INFORMATION: Property Owner Name: QP<Ae- "Cr4 Vf V Ve-P t1E, Pkv ISI, M"64- Property Owner Legal Address: Property Owner Mailing Address: 62 KA4 H o 2,NQ Fk PD 2Q)� 31(03 199630 � ' •hl`( t 1963 Telephone Number (s): Daytim (` ?OSz Evenin 63 Sm — Emergency 8 '3I 01-9 �J 4 Qq--T9 Property Owner Email Address: 11 16101 Irl GAIL 1�j[I C Q I j!AA[I• Gov► Page 1 of S I i f, �' 't6�my �4� 1 �,3 Town Hall Annex � , ''' � '§r' �;'�r �._�� f'�`°;, �*; Telephone(631)765-1802 54375 Main Road x �. #°#�```' � '�.,�: �`' �4 Fax(631)765-9502 P.O.Box 1179 °t' ) 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: X11 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 11971-0959 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: 17/60 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 16'13" DI ,11tJ67 -2l'2` x WI' L tyIlel6-, Ib'W' ,c 0VJDCP- ' 4' 0" XV13° 17 UP' I11" +c9-C2" I- P,~-- 9'6 'low W l = IV x lvry, P"w2- . W[00 x 6161, W3* 1010110 IS't" Off: to'lo` >r W80 Page 3 of 5 ,ix Town Hall Annex �R *r( Telephone 631 765-1802 54375 Main Road ;' >a Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 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. ❑ f 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 t µFP` . 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: pCIS- til 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, 20-1 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 11971-0959 tel- ' 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%, . riin ig ture 60 Please place professional seal: 0374 �OFSOUIy I y(Io el4sm s i rZVTI �fw # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 r INSPECTION [ ] FOUNDATION IST [ ]' 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 r I n, cn (c�A Q 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 78:1 LQ il 7 0r• :.ALQL' 'Mil-i A aalr.s COPY O= W944i A V;JAL COPY' 4. =14 Q.�Al 40 1266 JACKSON 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 7F1+ e. 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 4'51'i4 A 3=1,t: 1�Q F Y -lro"� co i�) LAUN v A4' 8"► "kiliq A 1p.iiu coo, )P' IMAUIE "Vill. A, 1%A 0A WR 1'4 A i IF, CO, A,tie t I il, Alx cicwy oc MAA Wr,f',A A J 1.1 t C0 Y v� HALLWAY POWDER C) 41811 0-m v"I 'A'f T34 I A 0 f"i F,I A E. COPY CLOSET t�pw rz , 0- iMAV4I'tT,4 A VRIAL. COPY OF wtim A mru copy uN MADS wtrii A imi%L coF,,, ov MADWMH IFIkL COPY OFF MAt;- W 11H A I F.'l AL �:OPY C,:n e,�V r: CE� rt MARV 'Rp IN RESIDEN x�,,I r:CrLL -;Q,24 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 COMM'0MAW-; Will H A TRI PA COPY OF MAZP WMA 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 L. C 0 py 0p .34 1 wy y. 1V a! <1�1- Sp-nl;vt STAIRCASE TO SECOND LEVEL A Atl! 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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? n£ w1 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_� ?;a1 AIL tr" ci� M e1 t3 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 =:t 1 74 ,l taInLR 1 1,L C aPe 0 6! .1 '12 topy •bg "It&"t Alti'm IAL COPY at CAPY AAD� 'MAM A (:OFY OP ,:A';)[ W'1 R A VkliU COV,'„i: WM-1 A IFIAL COFY OF' P-AZ� V,Ll A c:Q p 7 :�,V A",D a WN R A 1'41A ". V-� — N It %V'r, 1 'ix; F-44. J, 1% P U, �V 1, WARVIN RESIDENCE 1260 JACKSON STREET, NEW SUFFOLK m-mSECOND,FLOOR HALLWAY-E 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'bi"'T' 4' 'U� 4v NOT TO SCALE -ALL MEASUREMENTS ARE APPROXIMATE BATHROOM j I P,L C 0 p V Jk ",I)E Y.1t I Sri",I c".pr A 4?V l."i 1 1) A t I lz f)P'r QF .,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 Q¢ 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 QF M lN t 1;4 A T S.I A <01 0 M,A v e 'A,f.1 0, "Ir COFT up M�lltl*. 'AFH t ;AU COPY 4) '.1,*t I J; A t, C 0 T AAZ, -an tc�-,,- STAIRCASE TO FIRST LEVEL ZN►IF re; v :,;A DE Wil A A IFA�,L COPY OF ,fid I;i N Ji MADE 1XVIA-i A P.1 AL COF Y W.BEDROOMS FA.4 A I NAL COFY "A IJ 4(318 41,, v, A, C) BEDROOM ull A 4)E ON v f i A r k 1 11,L- c c.p f.1P kv r r ei i ',10 s.tr nWv :1 ie %,,I rq d6py E I A f01-e-e Q E- �4 4.11r "T f 33 1 p"I rst e.u Py -FJ ts i iv V Lf rq lk�tlrt z It BEDROOM A I I L C0 y Q LIS '9Nf l4 k 1P.1 CW�'e ;)5 m 'D I.v is r. I j i3 0 r y 9F LIML',i W-111! A '16 %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 ;y! Ft W I H T %t t'OFY OF MADE Wbl'M A 1PAV COPT ;' VAllf i R jjr "t'-;, :.t '"a`[ �7- � '�k; � r A; 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 S0, 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-BF.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 I K I 1� CV F' --A! Qz 41b -ze,t "N ri A i b) 04 v MA 1)t Y 'A4 A TR ;%1 � PV W, 'A412e IV2i'H A JEkk C:OPY �F M41* 1AHIFIXE �'Opy "e"k.T 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 Am I1; A Trt"tcvwe o- VIPTI? A YRIAt :bp' q. tv r n", A'c2 is V If Q-3 L�v��!I MARVIN RESIDENCE 1260 JACKSON STREET,NEW SUFFOLK XAI.11k e:'€ia 0, i rl :'c-'Ir LIP StA UE 'All, A i li<C litCOPY W,1% p A BRI f%i. C a Y M A V k %V t'!H A I F I A L COPY BASEMENT-=�, vz It V9 i A,- ri NOT TO SCALE-ALL MEASUREMENTS ARE APPROXIMATE 115.L i FY 0 ,MADE WIVH A 1pli:L COpy 0MA 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 CdA;`0 C�. r'V kU G_-4 Ir 1�jr �q�na 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 DETECTORM plo [IF'L `fe,! a'j MA D %V?I".H A T R I ttG 4 PY 13P 11 El f TF A R I P_f. Cl P Y 05 A 0F. $X�1H A I RIAL r 0 P Y as A DS 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 FY JF 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% TCI XL COPY -3 U.A D F El'4A A IRIAL COPY t 'V 8141.1":1. zc"p't of IN 1,34 'Talat COPY uyll)c INtrii A fp.lA.k -ecey ,i L' IMA UE pi'li A '40AT COPY tr'l 4 4 5 v z W.�wn 4.69 i-: ., (I ,v P . TO F SOUTHOL •: ItPERTH RECO, 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. SJR 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 e'z (L r t "s t�` &s' "c�.4:"C.a;w3 a�'"�'d C. <, '.a.'t,�1 � t'`�,c•,'°° Ma'r' oo in FY £t ..�� xY 4'� ff�. .� �y ^(^" rC.J "J,. 'yJ ,cs-.'✓" _- 30C, 17a9/ - 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 PTH..,, –House Plot BUL'KHEAD:::, Total i � 7 'DOCK µ..w • r. . , ■ ■■■■■.®■ ■■.■.MEN ®.■■. 7 ■ ■■■■■■■��::��.■■■■■■■■ ■ MIEN • 54. ,NY .1^ h.n/,a:4.;' ,:''s•.zr'' ' "y i;r, t .°z.... ■■■ ■■■ � _ �■■ ■ �■ ■■■■■■■■■■� f ■N ■■■ ■ � •• ' �� ■■®■■■■■■■■■■ ■■N■■■� ■ ■■ ■■MEN■■■■■■■■■■®®■ ■ ■■■■■ ■■■■■■■■■■ !.,��1,.■■■■■■■ ■■■■■■ • Porch OInferio. rFfinish • X Breeze way Fire, Place • ••- .- ••• &ooms Ist FloorC• l •• • ` '- -• • '•• ® ••• •s it IIII�® r 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 Block 10 Lot 9—__117 � 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 2001 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 N0. 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; 03/23101 DWELLING: I TYPE OF CONSTRUCTION: WOOD FRAME j # STORIES: 2.0 # EXITS: 3 FOUNDATION: BRICK CELLAR! FULL I i CRAWL SPACE: TOTAL ROOMS: IST FLR.: I3 2ND FLM.: 4 3RD FLR.: 0 BATHROOM 2,0 TOILET ROOM(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 SYS: **SHOWER & TOILET IN BASEMENT OF DWELLING. � I INSPECTED BY: j DATE ON INSPECTION: 03Z29 99 GARY 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 . . . .009. . . . .`]j a Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated November. .7 , , , , , 1980.pursuant to which Building Permit No. . . . .'199.1.7.2. . . . . . . . . . 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