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