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Home My WebLink AboutZ-27601 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-27601 Date MARCH 28, 2001 r THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1260 JACKSON ST. NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 10 Lot 9 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 aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-064688 - JUNE 18, 1999 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. in Inspe6tor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1260 JACKSON ST NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : EDGAR & ARLENE MARVIN OCCUPANCY: A-1 RESIDENTIAL EDGAR & ARLENE MARVIN ADMITTED BY: VALERIE MARVIN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 117.-10-9 SOURCE OF REQUEST: ARLENE MARVIN, 03/09/99 DATE: 03/23/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: BRICK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 4 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S) : PORCH TYPE: ROOFED OVER DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: HOTWATER: OTHER: PANTRY OFF KITCHEN,UNHEATED FRONT ENCLOSED ENTRYWAY** ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 4 CAR WOOD FRAME * STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: WOOD FRAME *** OTHER: *WITH ROOM ABOVE NON-HABITABLE - ** NON-HABITABLE (NO HEAT) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. EXTERIOR FENCES, WALLS AND OTHER MINOR CONSTRUCTION NYCRR SHALL BE MAINTAINED IN SAFE, GOOD & SUBSTANTIAL PART. 11244 & CONDITION. I 11244.1B REMARKS. **SHOWER & TOILET IN BASEMENT OF DWELLING. o INSPECTED BY: DATE ON INSPECTION: 03/29/99 GARY J. ISH TIME START: 9:45 AM END: 10:30 AM Form No. 6 TOWN OFd SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2 Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-exi tpinn Building. . . . . . Location of Property. . .� .Q. . . . . . . . . .. .�.:\:! ? . .�.�.. . . . . . . . . . .. . .5u � �. . . . . . . . House��N,,o... Street Hamlet Onwer or Owners of Propertyl.:� . . . ... .... . . I��. . . . . . . . . . . . . . County Tax Map No 1000, Section. . A rl. . . . . ..Block. . . 1.Q. . . . . . . . . .Lot. . .J. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lotv . .. . . . . . . . . . . . . . . . . . . PermitNo. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .�. . . . . Fee Submitted: $. . .J0.0.(7 0. . . . . . . . . . . . . . . . . . . _ 2.39 APPLICANT &no cow 0,7 601 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8076018 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 18,1999 Application No. on file 18396199/99 H 064688 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of A. IWTIN, 126e JACKS011 STREET, NEW SUFFOLK, NY in the following location; 0 Basement ❑ 1st Fl. 0 2nd Fl. GAR/OUT Section Block Lot was examined on TUNE 14 a1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I . _C E METER NO.OF CC COND. A.W.G. A.W.G, A.W.G. AMT. AMP. TYPE EQUIP. 1 ®2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG A HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: DEFECTS REMOVED AS PER 5/4/99-1 ARLENE I 11RVIh LL P. 0. BOX 28 NE11 SUFFERINT, NY, 11956 GENERAL MANAGER 11 , Per -' This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CONSENT TO INSPECTION the undersigned, Owner(s) Name(s) doles hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section, Block /U Lot C _. 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: • r OGcc,� 24(4c)( That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described prgperty, 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. Dated: (s atur�e) iJ (print name) (signature) (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number & street municipality SUBDIVISION MAP NO. LOT (s) ' NAME OF OWNER (s) OCCUPANCY ty a owner-tenant ADMITTED BY: oc ��[ ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION �/ q._, # STORIES 4v;- # EXITS FOUNDATION CELLAR CRAWL SPACE -- TOTAL ROOMS: 15T FI.R. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE OVA" DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER , .S* TYPE HEATER V, AIRCONDITIONING TYPE HEAT W RM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST ORAGE, TYP ST. SWIMMING POOL GUEST, TYPE CONST. l OTHER: ------------------------------------------------------------------7---------------------- --------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. TA A REMARKS: INSPECTED BY: 45;f� DATE ON INSPECTION TIME START END r LOCATION: �number � S �treet municipality SUBDIVISION MAP N0. LOT (s) NAME OF OWNER (s) &14d c- �— OCCUPANCY �-S� G�*�✓X.�- + type _ owner-tenant P ADMITTED BY: � /� ACCOMPANIED BY: ci��V_25'" KEY AVAILABLE SUET. CO. TAX MAP NO. SOURCE OF REQUEST: UVIA) DATE DWELLING: TYPE OF CONSTRUCTION (Jpp;h 1. # STORIES # EXITS FOUNDATION g tILK CELLAR FU-[( CRAWL SPACE TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD FLR. BATHROOM 0 TOILET ROOM (s) �,�/j� UTILITY ROOM PORCH TYPE p - DECK, TYPE PATIO, TYPE • BREEZEWAY FIREPLACE (_W GARAGE DOMESTIC HOTWATER CS' TYPE H.EATER��. f _ AIRCONDITIONING TEE WARM AIR HOTWATER OTHER: ft ACCESSORY STR CTURES: la 44 z,,1j— GARAGE, TYPE OF CONST. 1-0 (,�� STORAGE, TYPE CONST. GUEST, TYPE CONST. OTHER: �� ----------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. LOCATION DESCRIPTION ART. SEC. nl r� 7�s�Sc REMARKS: INSPECTED BY: DATE ON INSPECTION ✓? 9� ' TIME START %f EN1) ��; 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD - OWNER STREET VILLAGE. DIST. SUB. LOT J a e ,r C n U f� z°Lt/ �a / / c r r b e d FORMER OWN E fin¢ AliIV; N E � TYPE OF-BUILDING S:.... W Q /i / n 6 'h ` Rd ../ C J"tm/i V-!pr i , /-a I- hd a. e a vl� RES. SEAS. VL. FARM COMM.,. CB._ MICS.- Mkt. Value. . LAND IMP. TOTAL DATE REMARKS y o /� oC V a p ...L.- � Lai i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Q �[ �� 3 as _ J, Woodland FRONTAGE ON ROAD Meadowland DEPTH Ve a-e 7 Q ZfX, House Plot BULKHEAD Total DOCK t� ' ";4. - ■■■■■■■i■■■■■■■■tit■■■■■i■■■■ x MENNEN IMMENOMMENEEMINMEMENHOOMMESIMISM ■EN i�i■■■�■�■®■■■■■■■■■■®®i - ■■■■■■■■■■■r:■Illrl■■■■■■■■■■■■■■ ■■■■■■■■■■■IJEii■■■■■■■■■■■■■■■ MEN■■■i■■■■■■■■■■■■■■■■ Fire Place . ... Rooms Ist Floorper Rooms 2nd Floor ecrection Room • �_MOODormer Driveway 1 - k tt 1 V 1 f o ORCHARD STREET KOURO'S ROAD J J 1 I W Z Z k m jC N OF I LK AV NUe JACKSON �£ I� SUBJECT PROPERTY f{ I 4 I GREAT PECONIC BAY I KEY MAP I I SCALE 1 "=600 I i I t [mil f R ° x 4 34�t . . 1 \l ,S 34� V �V ONO `! °. ,•.. �� M� N� S' ` ` ` • r '• E ROWoft � \�4• � • • • O \ram / � ` •• • ` °. M F GARAGE \ / 30"Dia. MAPLE 4. 22"DI°. PINE .''84 Z 7.3'0 21.2' 5 /�3 \ / / \ `F 49' `35 ^Y 1 STONE ON W '-T — I \i< g: '.emsLao " •t_ 33"Dia. TREE i I / °. .' s; OOD FENCE �a2 ° 4.9 431s7' 7.3 0 oV. \ ,�1 / /� W N \ 0 MGE OOP \ TEST HOLEI W �'' 0 34.6 c° l • 1° d \ I i 444 6I -36 �' I I S •� L 0 40'IDia. TREE I 9• ./ �' °. . �4 7 '\ N \ I — I . �I \�AS?HALT DRIVEWAY• •� 30—' 30"bTa. TREE ° I ST�Ws � ' ✓ � � `a.✓ I I M' 6.� I I ;GONC.,,1RE'A•. H I x'2.9 5 \ I DOD -35 UA p 5' ?4.3' STEPS \ o SURVEY OF PROPERTY - - \ 5 x 2e32._5 1 do 2-1/2 0 _ - -34 x , , STORY FRAME SI T UA TED AT 4 HOUSE 6.7 — 4?•s_ _ -33 NEW SUFFOLK -�— — _..( / I_ _ � / \ ' '7 RDOFs N )i-33- TOWN OF SOUTHOLD -32 I I wROO O — i PORCH IN / \ , , , � o6 � SUFFOLK COUNTY , NEW YORK - - -31 \ \ 0 03 / c r TA V KI ,. 1 nnn — 1 1 � v 1 (l ;on IN V• I V IJ V —30 SCALE 1 "=30' NOVEMBER 189 1998 ' O 28"DIa. TREE \ \ _ � �0•'dia.1RE�E \�\S\ = — — x�o.1 / N / Y27 0 \\ sue \ \ U -29 ti� z8 -32"°`°. SEE 24 TRtE, 28 �� TOTAL AREA = 90,632.80 sq. ft. 27.z \ \ o 2.081 ac. o ` I \ W -27 w I 14"Dia. TREE 8'Dia;TREE w 26 I 28'Dia. TREE - -25 i �� - x242 - - -24 I / � = I / - - - -23 -22 ` x 11 -21 NOTES: I � i / 21.o % — -1s 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM j 27_ I / I / BALL .�.:' _— -1 7 EXISTING ELEVATIONS ARE SHOWN THUS: 20 c 225- --___ �— — oP OF SLOPE/ / / �/ ��g ' _ -16 15 EXISTING CONTOUR LINES ARE SHOWN THUS: — —20— — — — — -14 24 : - - - - - - - - - -- - - - - - - 142i4 J / /� / ^.��ONCi5w3 -�3-1,3 FFL - FIRST FLOOR 2- — — — - - - .- - /7 / WW nl 21-- - - - - - - .-- - - - -_ _ - - - - - - 20_ - - - - - .-- -_ - - - - - - - - - -1y- � / N 118_ — — _ - - - _- - - - - _ - - - _-18-17.5 17 - - - - - _ - - - - - - -17-_ _ _ -16- t6 ti fO:T 111 i 15= - - - - - - - - - - - - - -- - - - 1514- R/ ROIN 111 14- - - - - - - - - - - - - - - 131Z/ 112_ - - - - - - - 11- - - - - - - - - _ _ - _ - - - - - - -_- - - - �--8 10- - - - - -_ - - - - - - - - - - - -_ - - - - - - I 9- - - - - - - - _- - - - - - _ 5 'r — — — BOTTOM OF SLOPE — — 8- - - - � � � � � ; X O i 7- - - _- � � _ - - _ -I- 4 co - - I I APPARENT HIGH WATER MARK 3 2 5- -- - - - - - - - - - _ TEST HOLE DATA _- j PARENT HIGH WAS MARK - - _ TEST HOLE DUG 8Y McDONALD GEOSCIENCE ON OCTOBER 13, 1998 h 4- � EL,.34.5' 0, APPARENT HIGH WATER MARK DARK BROWN LOAM OL W Z BROWN LOAMY SAND SM 5 27 02'4:5 V _ v ,, 1 . � .NIC CO 1 GREAT r �i V PALE BROWN FINE TO MEDIUM SAND SP c • , • n 17 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. G�r1SED �OSEP& O y < O .r ,� 96 N.Y.S. Lic. No. 49668 OOTHIS RIZED SURVEY IS A ALTERATION VIOLATION OFION � ORS SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. /� COPIES OF THIS SURVEY MAP NOT BEARING o s e p h �i . I n a n o THE LAND SURVEYOR'S INKED SEAL OR V !-i V► EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. Land Surveyor CERTIFICATIONS INDICATED HEREON SHALL RUN 1 ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (516)727-2090 Fox (516)722-5093 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF One Union Square P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. q Aquebogue, New York 11931 Riverhead, New York 11901 4