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HomeMy WebLinkAboutZ-18803FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18803 Date FEBRUARY 15r 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 615 FOURTH ST. & 1875 JACKSON ST. NEW SUFFOLK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-18803 dated FEBRUARY 15~ 1990 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 WOOD FRAME ACCESSORY GARAGE WITH WOOD FRAME STORAGE SHED ATTACHED TO GARAGE . * The certificate is issued to ESTATE OF MALVIENNE STARBUCK ACKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATEDNO RECORD PRE EXISTING *SEE ATTACHED INSPECTION REPORT. Location 615 FO~RTfl ST. & 1875 JACKSON STREET BUILDING DEP~d{TI.~NT '. T0';~! OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT NEW SUFF~, N.Y. (numoer ~ s~reev) Subdivision Map No. (Municipality) Lot(s) N~me of 0wner(s ) ESTATE OF MALVIENNE STARBUCK ACKEN 0ccupancy Admitted by: R-40 {type) MR. KING OWNER ( own er- t enanz ) Accompanied by: SA~ Key available Suffolk Co. Tax No.117-9-14 Source of request_r~OMAS M. METTLER, '~XEcUTOR Date 12/29/89 D~'~ELL! MG: Type of construction WOOD FRAHE #stories 2 Foundation CEMENT BLOCK Cellar 1/2 Crawl space 1/2 Total rooms, 1st. F1 4 2nd. F1 3 3rd. F1 -- Bathroom(s) ONE Toilet room(s) ONE Porch, type Deck, type Patio, type. Breez eway~ Garage Utility room Type Heat LILCO CAS 'Warm Air Hotwater xx Fireplace(s) ONE No. ~its 2 Aircondition~ng Domestic hotwater LinGO GAS Type heater e"~ Other ACCESSORY STRUCTURES: Garage, type const. WOOD FRAME Swi,~ming Pool Other WOOD FRAME ATTACHED Storage, type const.TO GARAGE. Guest, type const. VIOLATIONS: Location .CHAPTER 45--N.Y. STATE ~NIFORM FIRE PREVENTION & BUILDING CODE Descriution --I-A~'t-. ] Sec. Remarks: Inspected by: ~ ]' ~,~. Date of Insp. FEB. 14, 1990 · Time start I!:00 end 11:20 TO~N OF SOUTDOLD ~UILDINC DEPART~ICNT T0~N ~ALL SOUTDOLD, NEW YORK ?65 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 2-2-90 DATE ................. NEW CONSTRUCTION ....... OLD OR PRE-EXISTING Location of Property Jackson Straet/4th Avenue (no number) Village of New Suffolk HOUSE~NO- STREET UAHLET Estate of Malvienne Starbuck Acker Ovner or Ovners of Property ~, . 14 County Tax Hap No. 1000 Section 117 Block ..~. Lot' . ....... X BUILDING ...... VACANT LAND ........ Subdivision ....................... Filed Hap I P~rmic Sealth Planning No ........... Date of Permit .......... Applicant ................... Dept. Approval .................. Underwriters Approval .............. Board Approval ................ Request for Temporary Cer~iflcate ....... Fee Submitted: $. 100.00 Final Certificate ................ Farrell, Fritz, Caemmerer, Barnosky & APPLICANT.. Attorneys/~or the estate of Malv~nn~ Acker os ua A. rev. 10/14/88 CONSENT TO INSPECTION The Estate of Malvinne Starbuck Ackgr · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 4th Avenue and Jackson Street, New Suffolk, New York · which is7shown and designated on the Suffolk County tax map as District 1000, Section 117 , Block 9 , Lot 14 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of pre-existing 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) Thomas M. Mettler - Executor (print name) (signature) (print name) /o~o ~ WT- ?-/'/' TOWN OF SOUTHOLD PROPERTY RECORD CAR , I OWNER FORMER OWNER RES. ,',~/~ /~'~s~s./F/--~ ,'/P STREET VI LLAGE ~ DISTRICT SUB. ~t.t' ~,~-c, ACREAGE 'TYPE OF BUILDING LOT ' Est. Mk(Valuev/ LAND '7o0 IMP. TOTAL VL FARM DATE COMM. JlND. JcB. MISC. REMARKS BULKHEAD AGE BUILDING CONDITION NEW' NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value DOCK J Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total f ~tension /~ / ~ [ Place Breezeww Patio ~ZC~ 15Xl7~ Rooms 2nd Flor ._~ O'B' SURVEYED FOR:- LOCATED AT ~,~/..~.~'~_~ LOT MAP OF 4:~...~~',Z SCALE 1, = ~:~, SUFFOLK CO. TAX MAP DATA:- DIST./4:3~:) , SEC. BEE. O,~ ~:;~::~ LOT OFPSETS FROM STRUCTURES TO R.B.ATIVE BOUNDRY LINES, ON SURVEY, ARE FOR A SPECIFIC USE ONLY, AND SHOULD NOT BE USED FOR CONSTRUCTION OF FENCE5 O~ OTHEE STRUCTUEI~ , CO. CLK. NO. · SUFFOLK COUNTY N.Y. FILED DRAWN BY FILE NO./~ 4~' / SURVEYED J,4~4. /4 1 9 ~0 BY WILLIAM R. SIMMONS JR. P/O BOX 377 JAMESPORT, L. I., N.Y. 11947 PAGE --~ GRID