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Home My WebLink AboutZ-36856 1.�Fa(,�coG�� Town of Southold Annex 4/9/2014 �4�cuF 54375 Main Road co Southold,New York 11971 o • ' 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 rued Signa ure Form No.6 C TOWN OF SOUTHOLD RFAPR BUILDING DEPARnIENT TOWN HALL 765-180z 7 2014 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with he following: BLDG. DEPT. TOWN OF SOUTHOLD A. 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Conmnercial 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.CeRificate of Occupancy-Residential$15.00,Commercial$15.00 Date. 4/4/14 New Construction: Old or Pre-existing Building: X (check one) Detached Garage Location of Property: 630 Bray Ave Laurel NY 1.1948 House No. Street Hatn]et Owner or Owners of Property: Barbara Zimnoaki and Rhonda Tyler Suffolk County Tax Map No 1000,Section 126.00 Block 01.00 Lot 019.000 Subdivision Filed Map. Lot: Permit No. Date of Pennit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certiftca leek ore) Fee Submitted:$ 1o0 Applic nt i ure Barbara Zi o i CONSENT TO INSPECTION Barbara Zimnoaki the undersigned, Owner(s) Name(s) • do(es) hereby state: That the undersigned (is) (are) the oviner(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 126.00, Block 01.00 , Lot 019.000 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'the Southold Town Buiiciing inspucLv� orri_ ro.. #V a fnllowing: rre-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 of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es)7so 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 gu ations o e Town of Southold. Dated: 4/4/14 (si nat e)' Barbara Zimnoski (print name) (signature) (print name)° . D BUJ El E 7 2014 APR ._ . _ .. RLDG.DEPT. TOWPI OF SOUTHOLD _ 1 OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER O NER N E. ACREAGE S 17ti1 TYPE OF BUILDING SEAS. VL. FARM j COMM. � lND. � CB. � MISC. � Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS l d .�" ``4' 113 L f � .� I A f sf rA 3-- ., fo �83 "ke"4 -tn�!w" 5k i AGE - BUILDING CONDITION ++ NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD ' C # Tillable I BULKHEAD , Tillable 2 DOCK — Tillable 3 , 4o L.w D Woodland ��, Swampland Brushland House Mot Total 4-� L.J1 7 Per-1 Cin"u-111 Bldg. r-ci und:Mlon Bath xtension i Basement Floors xtension f Ext. Walls Interior Finish a cj xtension Fire Place Heat Porch Roof Type t i I Porch Rooms I st Floor reezewcy Patio or Roams 2nd Flo arage l.Zjse 1 Driveway I Dormer B. -> �:PF- s . . . . . .OLSEN & .O LS EN, L.L.P ATTORNEYS AT LAW GARY FLANNER OLSEN DAVID WORTHINGTON OLSEN ATTORNEY AT LAW ATTORNEY AT LAW 32495 MAIN ROAD • P.O- BOX 706 • CUTCHOGUE, NEW.YOR 79Fr PHONE 631-734-7666 FAX 631-734-7712 olsenlaw'cip APR 7 2014 BLDG. DEPT. i TOWN ON SOUTHOLD 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 298-61.43 if you need someone to meet you at the property. . k Very truly yours, DAVID WORTHINGTON OLSEN DWO:Imk Enclosures Southold Town Building Dept. Hand Delviered - S.C.T.M. NO. DISTRICT: 1000 SECTION:126 BLOCK: T LOT(S):19 LOT 18 IRON PIN I N69°13'10"E 150.00' NYTyz 5 YE PIPE LV 75.3' 24.3' O � O ❑ LOT 19 N O CS O ° U •'•1 2 ROOF OVER Q] p 1 STY. FIRM. CONC. C.11 o iv DWELLING / STOOP O W R. CONC. 9630 U, - STOOP t=j LOT 21 ❑ O Z 3.4' LEJ � `z y - GARAGE CONIC. DRIVEWAY p a Z a � O x - 20.9. L\2 50. a ✓ z ❑12.0' o o ' LOT 20 rV - u Y�-1 FRM.' O w 14.5'N GARAGE L6 O N C,p 10.4. I'T fp n 8.7'E R7�EIYTOA'f 12.4'N MON. 4y 34'E MON. u•P 569°13'10'TWW u.P. 150.00' 17TH. STREET THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVA 77ONS AND OR DATA OBTAINED FROM OTHERS. AREA: 15,000.00 SQ_FT. or 0.34 ACRES ELEVATION DATUM:----_______________ UNAUTHORIZED ALTERA71ON OR ADOIDON TO THIS SURVEY IS A WOLADON OF SECTION 7209 OF THE NEW YORK STATE EDUCARO,N LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND_WVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR NHOT THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY,GOVERNMENTAL AGENCY AND LENDING INS77TUTIOIV LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION,GUARANTEES ARE NOT TRANSFERABLE. ' THE OFFSETS OR DIMENSIONS S CM HEREON FROM THE PROPERTY LINES.TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT TIE PROPERTY LINES OR TO GUIDE THE CREC17ON OF FENCES,ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUPn4IES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF:LOTS 19 & 20 INCL. CERTIFIED TO: WENDY POLHEUS-ANNIBELL; MAP OF.SECTION ONE, OF PROPERTY OF GEORGE FIDELITY NATIONAL TITLE SERVICES, LLC; 1. TUTHILL AND OTHERS FILED:JANUARY 15, 1929 No.861 SITUATED AT:LAUREL TOM OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC - SUFFOLK.000NTY, NEW YDRK f�`f Professional Lend Surveying and Design - 4l�..y;( #, P.O. Box 153 Aquebogue, New York 11931 FILE/ 14-39 SCALE: 1•'=10'OATE:MARCH 28, 2014 PNONE(831)298-1588 FAX(831)298-1588 N.Y.S_LISC.NO. 050887 m.ivl.intol the--r"ul lUb-1.Hennnrr h Kenneth M.worchuY