HomeMy WebLinkAboutZ-36856
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Southold, of Southold Annex 4/9/2014
54375 Main Road
Southold, New York 11971
* FV
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36856 Date: 4/9/2014
THIS CERTIFIES that the structure(s) located at: 630 Bray Ave, Laurel
SCTM 473889 Sec/Block/Lot: 126.4-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36856
dated 4/9/2014 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
accessory one car garage.
The certificate is issued to Zimnoski III, Joseph & Tyler, Joan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A rized Signa
Form No. 6 \ \
TOWN OF SOUTHOLD
BUILDING DEPARDIENT
TOWN HALL
765-1802
J ILI APR 7 2014
APPLICATION FOR CERTIFICATE OF OCCUPANCY j
This application must be filled in by typewriter or ink and submitted to theBuilding Department with he following l
A. For new building or new use:
I. Final survey of property with accurate location of all buildings, properly 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,
B. 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 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 Building- $100.00
3. Copy of Certificate of Occupancy - $ 25
4. Updated Certificate of Occupancy - $50.00
5. Temporary.Certificale of Occupancy - Residential $15.00, Commercial $15.00
Date. _.4/4/14 New Construction: Old or Pre-existing Building: X (check one)
Detached Garage
Location of Property: 630 Bray Ave Laurel NY 11948
House No. Street Hamlet
Owner or Owners of Properly: B h 71mn ki and Rhonda?y Ier
Suffolk County Tax Map No 1000, Section 126.00 Block 01.00 Lot 019.000
Subdivision Filed Map. Lot:
Permit No. Date of Pemait. -Applicant: _
Health Dept. Approval: Underwriters Approval.
Planning Board Approval:
Request for: Temporary Certificate Final Certifica - _ reek one)
Fee Submitted: $ 100 -
Applic nl i t Lure
Barbara Z1 o i
CONSENT
TO
INSPLCTION
Barham Zi,nn,ki , 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 630 Bray Ave., Laurel, NY 11948
which is shown and designated on the Suffolk
County tax map as District 1000, Section 126.0% Block 01.00 , Lot 019.000
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building inspecLv. Otf:- E- ihu fnllnwing:
Fri-existing
Detached garage
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 or 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 or the laws, ordinances, rules or `a\ tions o e Town of Southold.
Dated: 4/4/14 \ \ \ I
(si nat e)'
Barbara Zimnoski
(print name)
(signature)
-I~ (print name)
APR 7 2014 ''i'J
TOWN OF SOUTHOLD PPPWOPERTY RECORD CARD
OWNER STREET 6,3 Q VILLAGE DISTRICT SUB. LOT OP99~ O
n ZtM~'tDSI~t, T~ n~~ ~j T~ n /J FORMER O NER N E ACREAGE
TYPE OFBUILDiNG ~TE
.~10 SEAS. VL. FARM COMM. f IND. CB. MISC. f Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS r; 41
3 ~ TS-0 o
j3 3 7dd y~
i
f
l P!}~i ~`f/6~p /;/1~i h• L ~J$3 -kz E 4eiLrrx Zj*k
AGE BUILDING CONDITION t _ ar r
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD / C1
Tillable I BULKHEAD
Tillable Z DOCK
Tillable 3 lot 0 OS r ~~nn.
Woodland U C
.Y
Swampland .m tin.. to ~J" Y/ Z~y?tnD~s~4'i L°QQC~ C S`3
Brushland
House Plot
Total
n
I-
I
S. Bldg.
4!/ "~s - - - Foundation Both
xtension i Basement Floors p~(<
xtension f i Ext. Walls "v Interior Finish L4
i ~lu~.rl~t ~ i
xteri5ion i ! - fire Place ' Heat td aZ~L
I I i I Porch Roof Type
Porchi Rooms 1st Floor
i
reezeway ! Patio Rooms bid Floor
oraga W
c 2 r_ fY Driveway Dormer
1
B. I / 1
C
OLSEN & OLSEN, L.L.P.
ATTORNEYS AT LAW
GARY FLANKER OLSEN DAVID WORTHINGTON OLSEN
ATTORNEY AT LAW ATTORNEY AT LAW
32495 MAIN ROAD • PO. BOX 706 • CUTCHOGUE, NEW YOR1l .0796
~.11
PHONE 631-734-7666 FAX 631-734-7712 olsenliw c+ ptplnl nec
ILL; APR 7 2014 =J
r slo
April 7, 2014
Re: Zimnoski to Annibell
Our File 10271
To Whom It May Concern:
Enclosed herewith please find the following:
1. Application.
2. Consent to Inspect.
3. Survey.
4. Check in the amount of $100.00.
Please contact Scott Bennett or Amanda Field at 298-6143 if you need someone to meet
you at the property.
Very truly yours,
DAVID WORTHINGTON OLSEN
DWO:Imk
Enclosures
Southold Town Building Dept.
Hand Delviered
SC.TM. N0. DISTRICT: 1000 SECTION: 126 BLOCK: I LOT(S): 19 LOT 18 0
IRON PIN N69°13'10"E 150.00' NYT
5.3E
0/L PIPE
N
M
O ]5.3' 2A.3
p GO
LOT 19 O
O ~e
W
1 STY ERA. ROOF OVER N
DWELUN6 / CONC.
8 CONC. N6J0 STOOP C] [S~
STOOP [ai
LOT 21 3
W21 DNCDRIVEWAY z
n1z.o' d
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LOT 20 0 ~
fnaa" O
115N GARAGE N CC N
L. IOa M
A
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8.7E S
12.4N _ MON. W9I )4'E MON.
uP S69°13'10"W U.P.
150.09'
7TH. STREET
THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL
LOCATIONS SHOW ARE FRAY EIELO X RVA RCVS
AND OR DA IA OBTAINED FROM OTHERS
AREA: 15,000.00 SOFT. Or 0.34 ACRES nlvA. DA.
_ _ _
WTNEWXP AL RRA MI ORADN" TO IMY OARWI n A naANDN a YCnnn ])031 TINE NE. ILFF s1Alr Ed ANON IA. CONES 6Y IMS suF LEY
u.W NOT WA- ME "Ad W NFADNz EYBOSTEO SEAL gull .1 W CMSMEMO l0 p A valro nNn InAl wAR.WIEES MdL. RO MREW stall RuN
d.Y I TO MC aRShc FOR IY.W MC SMKY 6 PARPANLO AND ON ms sENAIr lO ME nn. cONNANY EONFRNYCNTAL ACSNCY A.. llN wST..
51E0 NEREM. AND TO ME A65KE5 OF ME LEN0.WO.sRITOV. CL ARANRES ARE NOT TRANYERA&E
MC DAIS O4 DNAY- V5 " "'On "Ka' ME -11 LKES ]O MC SIFU RANK ARE AOR A SYCNIC fURPoY AND UsC TNNRIOPE MEI ARE
NET NRHCCO ED YM4Y(NI .Y PROPERTY LM'ES OR lO DAOC ME EREC- CI TENCCS AMDONA( sMII Rnf LW A. OOKR NANND E EAy.ENTs
ANO/OP SL65LKFACE S NACRLS RECORDED ON UNRFC O ARE NOY 6LMNANREO UTA155 Py a AIIY CNLYNT ON ME pRCY15(S AT ME W OF S NWY
sLRlcv Dn LOTS 19 & 20 INCL. ;KENNUH RTIGIED 70: WENDY POLHEUS-ANNISELL;
AAy ISECTION ONE, OF PROPERTY OF GEORGE EUtt NATIONAL TITLE SERVICES. LLQ
TUTHILL AND DRIERS
PLED: JANUARY 15. 1929 ND.861
9TUAWD AT LAUREL
-NN OF'. SOUTHOLD N NOYCHUK LAND SURVEYING, PLUG
SUFFOLK COUNTY. NEW VRK ~ ProTeacional And Surveying and DeaiLn
.O. Box 153 Aqueboguq New York 11931
I
N-1 (m0aan-men " ma0 Ran-men
TILE 114-39 OEXE: 1 '=20' DATE MARCH 28, 2014
S L/sC NO