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Home My WebLink About35777-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34502 Rte: 08/13/10 THIS cEKTIFIES that the building ACCESSORY BARN Location of Property: 380 WELLS RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 9 LOt 4 subdivision FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 13, 2010 purs,,~nt to which Building PeIlnit No. 35777-Z dated AUGUST 13, 2010 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 ACCESSORY BARN AS APPLIED FOR. The certificate is issued to DENNIS C & DORIAN J HANKOFF (OWNER) of the aforesaid building. SuFFOLK COUNTYDEPART~I~OFHKALTHAPPRO%rAL EI~t-rKICAL C~KTIFICATE NO. I~L~E~S C~RTIFICATION DA'r~43 N/A N/A N/A t h/i zed-'Signat ure Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII/)ING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35777 Z Date AUGUST 13, 2010 Permission is hereby granted to: DENNIS HARKOFF P.O. BOX 1269 MATTITUCK,NY 11952 for : BUILD ACCESSORY BUILDING & FENCE. REPLACES EXPIRED BP # 5804 at premises located at 380 WELLS RD LAUREL County Tax Map No. 473889 Section 126 Block 0009 Lot No. 004 pursuant to application dated AUGUST 13, 2010 and approved by the Building Inspector to exlDire on FEBRUARY 13, 2012. Fee $ 10.00 Authorized Signature ORIGINAL Rev. 5/8/02 FOBM NO. 2 TOWN OF SOU?HOLD IlUlLDIN~ DEPARTMENT TOWN CLERK'S OFFlCE SOUTHOLD, H~ Y. /'~UILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,,.7..?'--- 580~J Z Date ........................................................ , Permission is hereby granted to: at premises located at ............................................................................................................................ ,L A CI ,'~ £ L... AJ. Y pursuant tO application dated t t ,~lJ'~' 19~.,.~ and approw, d ~ the Building Inspector. Building -Inspector Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mUst be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey ofpropcWd with accurate location of all buildings, property lines, streets, and unusual natural or topographic fentures. 2. Final Appr°val from Health Dept. of water supply and sewerage-disposal (S.9 form). 3. Approval of eleCtrical installation' from Board ofFire Unde~vriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lee& 5. Commoroial building, industrial bUilding, multiple residences and Similar buildings and installations, a Certificate of Code Compliance from architect o~ engineer rcaponsibte for the building. 6. Submit Plannln§ Board Approval of'6ompleted site plan requirements. B. For existingbuildtngs/prior to April 9, 1957) non-conforming uses, or buildings and ~pre-existing' Land uses: 1. Accurate survey o f propertyshowing all property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed application and censent to tnspect 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 0ccupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dWelling $25.00' $wimmln~ pool $25.00, Accessory building $25.00, Additions to accessory building ~25.00, Businesses $50.00. 2.Certificate of Oocopancyon Pm-existing Building - $100.00 3.Copy of Certificate of Occupancy - $.25 4.Updated Certificate of Occupancy - $50.00 5.Tempo~wy Certificate ofOcoupancy - Residential $15.00, Commercial $I5.00 blew ConStruction: Location of Propertyi Date. <~- // -- Old or Pm-existing Building: (cheek one) House No. oWner or'Owners qfpropertY: f'~60,r'~ ~ ~ · Suffolk County Tax Map No 1000, So,'tion Subdividon Street Permit No. .'~5 ~7'~ .~ Health Dept. Approval: 'Planning Board Approval: 'Date 0fPermit. g- / 3 -/O ~-'R~ / Hamlet Block' 'c~ Lot. Filed Map.. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~'5,5o/y.~ Final Certificate: (check one) FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... ~,-)~-,'~. · · · · · · · .~. Z......, 19 ........ Approved-' " " -~:)O ~ 7 ........................................ , lc) ........ Pemif No ................................. ~.. Disapproved a/c ............................................................................................ 357 9 Application No. ,...~...~..,~/'- (Buildingqnspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept one, the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been)~ granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws. ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ' (Signature of applicant, or n e, ......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................... ............... Name of owner of premises .............................................................................................................................................. If applicant is a corporate, signature of duly authorized officer. ..................... ..................... 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. Street and Number .....~/.~'~.~...c...~........~.~.~ ............... .'.~....~..~.../..~..~....C...K.. ...... .L..?..../..: ...................................................... ._~------------~'~/_) .~4 Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy ................ ~..Z~.~..(~........~......./~....E.../~...?....L.~. ................................................................. ~-~ 3. Nature of work (check which applicable): ~- ' New Building ....................... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost ........... ~ ................................ Fee ................................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ................. Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usa ..................................... 7. Dimensions of existing structures, if any: Front ..................... Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Storlag ........................................ 8. Dlmenslons of entire new construction: Front .......~,~. ............ Rear ..... ,,~;,,~,,,' ............. Del~th ,..,/.~.~, ...................... ............ ,d. .................................. Number of Stories ......................................................................................... 9. Size of lot: Front f~' ' Roar ........... ~ .......................... Depth H~lgh~ .................................................... Num~ of Storl~ ...................................................................................... 10. Date of Put, hale ..................................... Name of Former Owner ............. ~,~,~ ................. ,,,, ................ , PLOT I~IAI~IqAM er Interior or ~orn~r lot, I .......................... ~'; ~?~i~'~i~i:~ ~) .............. ~, , , ~ta~m~nt~ ~on~ainod in thi~ ~ppli~ion ar~ ~ru~ ~o ~hP b~ of hi~ hnowl~dq~ ~nd h~li~fi ~nd ~ha~ ~h~ weFk will b~ ~foFm~d in ......................... o, ............... _ . FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. · ~proYed ........................................ , 19 ........ Pemit No .................... Application No.....~..~.,~. ....... Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PERMIT Date ...... ............... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan si:owing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspecto'r. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alferations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. (Signa ur o app icant, or name, if a corporation) ...... ...... ............... · ( ress o applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ........................................................... Nome of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ L.ot No ......................... Street and Number ........ .~...~..-../m...~...~ .......... .~...J~.x ....................... ~.l...~....~-...../..~....~....~..J~~ ........ ~.:...I..: ..................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ............................. _.....~ ...................................................................................... 3. Nature of work (check which applicable): New Building ...~... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....................................................... tee .......................................................................................... (to be paid on filing this application) .5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ,~..~....~ ................... Rear .... ~-'S- ~ J ........................ Depth .....~...~.. .............. Height ....,/'.~.....~ ...... Number of Stories .............~....~..¢.~ ..................................... 9. Size of lot: Front ...... /J~....~. ............ Rear ........ ./. ........................ Depth ...... /..~ ..................... 10. Date of Purchase ........................................................ Name of Former Owner .............. ..'~..~...../~....~....~..~'. .................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ................. I~..~ ..................................... 13. Name of Owner of premises ~0/~I.~L...../:/~..~.J~..~..~..Address ..~..~.~..c.../~.~ ...... ~..~. ............... Phone No~..~....~'..~.~../...~'..~' Name of Architect ...................................................... Address ~/~ ~lTUC lC, ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly ond distinctly all buildings, whether existing or proposed, ond indicate all set-bock dimensions from properly lines. Give street ond block number or description according to deed, ond show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY Of .......................... ~,....~"~'" , ~' .......................... ~-.7..~..,~~'~ ~/'" ............... being' duly sworn, deposes and soys that he is the applicant (Name of individual~.si~t~rf~'dp~c~tion) above named. He is the ............................................................... of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ::...;;.:: ............................................ ....................... ....................................... fi .//I - No. S ,ol Cou, , ~ , "~ /-- ( ! I Term Exfi~res