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Home My WebLink AboutZ-27515FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27515 Date: 01/16/01 T~IS CERTIFIES that the building DWELLING Location of Property 260 HUCKLEBERRY HILL RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 031 Block 0016 Lot 005 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~ER Z- 27515 dated JANUARY 16, 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 GAR3~GE, PUMP HOUSE & NON-HABITABLE ACCESSORY BUILDING. · ~/e certificate is issued to MARIE WENK of the aforesaid building. (OWNER) SUFFOLK COUIF~YDEPARTMENTOF~IEALT~APPROVi~L ELECTRICAL CERTIFICATE NO. PL~B~S C~TIFIC3kTIONDA'£~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A ~/l~t ho r//~ Slgnature Rev. 1/81 BUILDING DEPARTMEN~ TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 260 HUCKLEBERRY HILL RD EAST M~ION MAP NO.: LOT (S) MARIE WENK SO~H~CE OF P~ST: RUDOLPH H. BRUER, ATTY 12/9/00 DATE: 01/16/01 DWELLING: TYPE OF CONS~IKrTION: WOOD FRAME FOUNDATI(]~: CEMENT BLOCK # STORIES: 1.0 # EXITS: __3 3P.D FIR.: ~0 0.0 UTILITY PATIO %--FPE: FLAG STONE AIRCONDITIONING: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: AS PER SURVEY INDICATED REAR EUILDING BAS ABONDONED ITS USE & IS NOW Form No. 6 TOWN OF $OUTIIOLD BUILDINC DEPARTMENT TOWN ILALL 765-1802 APPLICATION FOR CERTIFICATE OF'mCCUPANCY This application must be filled in by typewriter OR ~nk 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 insta}lation 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, indqstrial building, multiple residences and similar buildings and installations, a certificate of Code C,~pliance from archiuect or engineer responsible for the building. 6. Submi~ Planning Boa~d 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, s=reets, 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelliog $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 Building - $100.00 3. Copy of Certificate of Occupancy ~ $5.00 over 5 years - $10.00 4. Updated Cer=ificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15~00 Date ....... p~q~m>.%~ .... ,.~pp? ................. NewConstruction ...... Old or Pre-existing Building ...~ ........ Vacant Land ............. Location of Property ..... 2~..~c~e~.~K~~ .~ .~ .~ ............................. Hou~ No. Street Ham~t Owner or Owners of Property ... ~ .~ .~ ~ .......................................... Counw Tax Map No. 1000 Section . .q~q ....... Block ...~ ....... Lot. ~.'~? ........ Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo ........... Date of Permit .Applicant Rudolph H. Brner, Esq. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ·..~ ................... Fee Submitted S- · 1.0.0.: 0.0. ..................... Construction on above described building and permit mee[s all applicable codes and regulations, ...................... CONSENT TO INSPECTION Barbara Kirby, Executrix of the Emtate of Marie H. Wenk , 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 260 Huckleberry Hill, East Marion · which is shown and designated on the Suffolk County tax map as District 1000, Section 31 , Block 16 , Lot 5 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: -- PreExisting Certificate of Occupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Souihold 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 ~vith 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: December , 2000 , (signature)~ Barbara Kirby (print name)