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HomeMy WebLinkAbout35778-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/19/2012 No: 35551 Date: 4/19/2012 THIS CERTIFIES thatthe building Location of Property: SCTM#: 473889 Subdivision: ADDITION/ALTERATION 575 Wells Rd, Laurel, Sec/Block/Lot: 126.-8-20.1 Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 8/13/2010 pursuant to which Building Permit No. 35778 dated 8/13/2010 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: nonhabitable second floor addition to an existing accessory garage/storage building. The certificate is issued to Harkoff, Dorian & Harkoff, Dennis (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35778 4/11/12 Autl~rized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35778 Z Date AUGUST 13, 2010 Permission is hereby granted to: DENNIS HARKOFF P.O. BOX 1269 MATTITUCK,NY 11952 for : CONSTRUCT SECOND FLOOR ADDITION TO ACCESSORY GARAGE & STOP, AGE BLDG. FOR SAME USE.REPLACES EXPIRED BP # 13356 at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY 575 WELLS RD LAUREL Block 0008 Lot No. 020 13, 2010 and approved by the 13, 2012. Fee $ 100.00 Authorized Signature ORIGINAL Rev. 5/8/02 TO~VN OF souTHOLD BUILDIHG DEI~ARTMEHT TO~'~ HALL souTHOLD, N. Y. BUILDIHG FE~J~IT (THIS pERMIT MUST BE KEPT ON THE pREMISES uNTIL FULL coMpLETIO~ OF THE WORK AUTHORIZED) ,,o .....~..~F~~ ....... /~ ....... , ,9..~ ~6 Z .......... Buil01ng o.,. ~,/30/80 Fo~m No. 6 TOWN OF SOUTHOLD 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: A. FOr new building or new use: I. Final survey of property with accurate location &all buildings, property lines, streets, and Ulmsual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical iustallation from Board of Fire Underwriters. 4. Sworn statement from plumber certifyi ~g that tile solder used m system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliauce from architect or engineer responsible for the §uildiug. 6. Submit Plalming 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: I. Accurate survey of property sbowiug all property lines, streets, building and unusual natural or topographic £eatures. 2. A properly completed application and consent to inspect signed by the apphcant. Ifa Certificate of Occupancy is denied, the Building [nspecto~ shall state tile masons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy New dwelliug $50.00, Additions to dwelling $50.00. AJterations to dwelling $50.00, Swimmiug pool $50.00, Accessory buildiug $50.00, Additions to accessory buildiug $50.00, 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 Certificate of Occupancy - Residential $15:00, Commercial $[ 5.00 Date. New Construction: Old or Pre-existi!!g Building: t.,ocation of Property: l_ ).OJLt s, House No. S~t (check oue) Hamlet Suffolk CountyTax Map No 1000, Section Su[division Health Dept. Approval: Planning Board Approval: Date Of Permit. Filed Map. Lot: . Applicam: Underwriters Approval: Request/'or: Te~nporary Certificate Fee Submitted: $ _ Final Certificate: (check one) ' Applicant Signature' Bo FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of cqmpleted site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owne~ as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwe ng / land 3. Copy of certificate of occupancy $1.00 use--Fre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ...... .~,~...~..~.. ........ New Building ............. Old or Pre-existing Building ............ Vacant Land ... ~ .... Location of Property . ~,~"~ .. ~,Lr,~,L. ~,, ~ ~. .............................. House No. Street Hamlet Owner or Owners of Property ...... [~. ~..~. J.~ ...... t ~.~A['-/'.~. .~.O. ~. ~-. ...................... County Tax Map No. 1000 Section .../'..,~ .~,,~. ..... Block ...... ~.. ...... Lot .... ,¢~-..~? ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board' Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Subm,,ted $.. ......... C(~nstruct[ort~n above described building and, Rermit meets all app! regulations. ~; O -2- / ~ ~ App cant , ~,¢,~ ............................. Rev. 10-10-78 Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, richertC,,town southo d ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Dennis Harkoff Address: 525 Wells Rd City: Mattituck St: NY Zip: 11952 Building Permit#: 35778-36713 Section: 125 Block: 8 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~ HID Fixtures Wall Fixtures ~ 21 Smoke Detectors Recessed Fixtures~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~J TVSS as built survey of sun room and detached garage, 2 paddle fans Notes: Inspector Signature: ~.~~ Date: April 11 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 3- ~--~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS', - DATE INSPECTOR ~-'~-.~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING/STRAPPING ~FINAL /~/~ [ ] FIREPLACE&CHIMNEY [ ] FIRESArE:,flNSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] fiRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE FIELD INSPE~T'IO~ ' COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2 o ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 .TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ .. $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~./~... :.,1 /.~,~..~ Approved ./..v.~. ., 1~.. m~eermit No ......... Disapproved a/c ....... i . .~'~....~_~_...___~ ........... ~. ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on 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 shali 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 regulatigns, and to admit authorized inspectors On premises and in building for necessary inspectipns. ~, _ ,~ f J · ' · .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................ ~. W. LY r:.,'.~ ..................................................... Name of owner of premises . .~..~..~.[. ~. ..... ~./.~t. ]?. [~..O..ff.~ ~ .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ...... ~. ~-~..v~?. ....... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... /?./.'/~. /. ¥.~--' /. /.' .~.~/. 9. ]~ ......................... · ..................... .2 .... .......................................... House Number Street Hamlet County Tax Map No. 1000 Section .. ~..~.~. ~. ........ Block. ..... ~. .......... Lot .... ~. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ]~ ~ [.~. ~ ~r~.~. 6..~. ...... ~.p.(. (~ .... ~..~.~.~. ~. ~.~..e~. ......... b. Intendeduseand occupancy....... ~-.~'~g ,~. to.-. ~ ..... ~gie 3 :,... $:/..~. ~. ,~ .d~..~.. ~ ~',~ &~ :;;~' i ....... 3. Nature of work (check which applicable): New Building ..... ' .... ,. Addition .......... Alteration ...~....~... Repair .............. Removal .............. Demolition .............. Other Work ............... · . ~ (Description) 4. Estimated Cost ....... ~.O...~. 9..,. ~ Fee .. ./.., . ! .'~. ......................... .... ~" (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... r~rx-.:; '.: ~.. Number of dwelling units on each floor ................ If garage, number of cars ....... ~. ............................................................... 6. If business, commercial or mixed occupancy, specify na~ture ~a~d extent of each ttype of, u?e ........... ~ ....;~... 7. Dimensions of~ejxisting structu~res, if any: Front..~.O....~.~ .... Rear . .3 P....~. .... Depth . .ff...ff../.q ...... Height .../.~. ......... Number of Stories ...... .~/:F?. ..., ..................... Dunens~ons of same stru,cture w~th alterations or additions Front ,~ 0 ~.. Rear ~.. o Depth .. ,X/?(..../.4~ .......... Height ...... /..~. Number of Stories ..... ~../4cC..~ ........ 8. Dimensions of,entre new construction: Front ...5..o. ~...~. ~ '.: Rear .. ~ O. :...~. ~ i.. Depth . ~..,4'..:/.~..~: ... Height .... ,~'~. ........ Number of Stories ...... 5;;~/.~. ............. 'z ' ..................... p . ................ 9. S~ eof lot: Front ...... /.~.O. ........... Rear /.~,~ r ' De tl~ .......~v' .............. 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ....... .~. 4'7-~ ........................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . .P/. 19. ........................ 13. Will lot be regraded ........ ~ {5 ............. ~ ,-,. Will excess f'fll be removed from premises: Yes 14. Name of Owner of premises tO. Ctlg. I ~ /-/~/?~.O/.zt/~Address ...~/.c.~Eb. ~../~l) .... Phone No.,~. f'. ?..~./.~.t~.... Name of Architect ............ ; .............. Address ................... Phone No ................ Name of Contractor ........ ~.&-.A-...~. .......... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. STATE OFNEW _c~K,~ ~ ~ SS COUNTY · ........ ~ - :~~.~~~ .......... being duly sworn, deposes md says that he is the applicant named(N ' . above He is the ............. ~~ ............................................................. (~ctor, agent, corporate officer, etc.) of said owner or ownem, ~d is duly authored to perfom or have perfomed the said wo{k and to m~e ~d file ~is apphcation; that ri statements cont~ed ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed ~erewith. Sworn to before me this ~ '~2~2~~ ~//' ~ (S~atu~ of apphc~ ) FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~/ 19~.....~... Approved ................. ~..~. ....... ~.~.. ........ , 19../.~.. Permit No....~.~.....~.....~Z......?.. ...... Disapproved a/c .~~~ INSTRUCTIONS Application No. c~' 0 ~_~ ~ o. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Budding 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 ofproperty must be drawn on the diagram which is port 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 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. p A PLICATION IS HEREBY MADE to the Building Deportment for the issuance of o Bud ng 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. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... Name of owner of prem ses ~ ..~x... ~~ ......................... ~'~Z~';~" ""~' ~-' '~'~' ~"~Z'"" '~'~ i'i':'~ ...... Bu der's kcense No .......... ~ ............... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ................... ~ ............... Lot ~... Street and Number ........ I~..~-/;.~..S;....~....~ .......... I.~...O ........... ~L...~..~.~....L.~...O.....~....~. ................. ../../..,~..~%~.....~:r... ............ 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 ........... ~.....~/....~......6.?~?LJ~-.'~.. .............................................................................. 3. Noture of work (check which applicable): New Building'. ................. Addition .................. Alteration ................ Repair .................. Removol .................. DemoHtior ..................... Other Work ................................................ . (Description) 4. Estimoted Cost / ~.~.OO - ~ CY Fee ~, b ~ ..... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ cars ~ /' If garage, number of ................... ~-.. ................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each ~pe of use ............................ 7. Dimensions of existing structures, Jf 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 ...... ~..~ ................ Depth ...~.~ ........... Height .....Z~ ......... Number of Stories ..............~.~ ........................ 9. Size of lot: Front ...............~.~...~ ........................... Rear ........ ~..~ ......................... Depth ..~....~...~.~.~... 10. Date of Purchase ........................................................ Name of Former ~ner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............. ~.~ ................................... 13. Will lot be regraded .....~. ............. Will excess fill be removed from premises: ( ) Yes (~ No 14. Name of ~ner of premises .~....Z~.~/~ Addre~ ..~....~ ..... Phon~ No.~.~.:..~.(..~ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ..............~/.~./~ .......................... A~ress ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from prope~y lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW_Y~,__ ~ S S COUNTY ,OF ....~...~.~.~..O...~..~.....: ....... f · ........................... C~I~.].~..I~I~'.i~I~ .................................. being duly sworn, deposes and says that he is the applicant ' (Name of individual signing contraclO above named. He is the ................................. O',./rl.~.~" ............. . ................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicaffon filed therewith. Sworn to before me this ....... .?...b~.. .......... day of ...... ..0~....~..O...~.?~. .................... -., 197~... k Notary Public, . ................. l~.~1~.~.~J .................. County ')1'" i ............................ ELIZABETH ANN NEVILL~ I~OTAt~Y PUBLIC, State of New York No. 52-8125850, Suffolk Cou..flJ~ Tm'm Expires March~ 30, 19_~, TOWN OWNER FORMER OWNER OF SOUTHOLD VL. TOTAL FARM DATE /7° 3/3/177 ¢1/~1~ BUILDING CONDITION BELOW ABOVE value Per Acre Value PROPERTY RECORD CARD VILLAGE DIST. SUB. LOT // REMARKS FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK CO 'M~. 'CB. ~s.~&.~ s~s. LANi~i c~ IMP. Zoo ~ / AGE N~ NOeL FA~ Acre Tillable W~l~nd Meadow~d Hou~ B~ Tot~ ~ E TYPE OF BUILD!NG Tram -~ldg, Extension Extension Extension Porch Breezewoy patio O.B. Total Foundc ~Bosen ~tion ~3th Dinette I Floors K. 'ails InteriOr Finish LR. ~eot DR. Lace BR. Loof Rooms Ist Floor ~tion Room Rooms 2nd~Floor FIN. B Driveway Fire I Ret;ca L 'Bldg. Extension Extension Extension COLOR j Dineth M. Bldg. Extension Extension Extension TOWN OF SOUTHOLD OFFICF, OF BUILDING INSPECTOR P.O, BOX 728 TOWN IIALL SOUT}IOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13356Z issued to Doris Harkoff on .... ~q/1~[8~4__ for Addition ia completed and ;~ final inspection has ( ) has not ( x ) been done. An Underwriters Certificate is needed in ordc, r to complete this file, it is necessary that ;i Certificate of Occupancy be issued. Please fit1 out the enclosed form, return same to tile above office with a check for $25.00payablc to the Town of Southold. Please indicate to Whom the Certificate of Occupancy ia to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupnnc¥. Please help u, to clear up this matter so that legal action does eot have to be taken. Thank you for yo,r prompt attention. Very truly y~, Victor Lesserd Executive Administrator VI,: ga r encl . Town Hall Annex 54375 Main Road P.O. Box I 179 Southold. NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 April 13, 2012 BUILDING DEPARTMENT TOWN OF 8OUTI-IOLD Dennis Harkoff PO Box 1269 Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: v//Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) Afee of $50.00. Final Health Department Approval, __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 35778 - Addition SURVEY OF PR()I~ERTY ,?ITUA TED A T LAUREL TOWN Of SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-126-08-19 10130-126-08-20 SCALE 1"=20' DECEMBER 15, 2004 S.C. TAX No. 1000-126-08-19 S.C. TAX No. 1000- 1 26-08--20 TOTAL DATA ~ 1,869.95 sq. 0,273 13,551.85 sq. ft. 0,311 ac. 25,421.80 sq. ft. i 0.584 ac. Jo~ Land Surveyor A. Ingegno PHONE (631)727-2090 · :~ ,. Ld Z S 01"41'10" E ! O0 00' 60,0' C, X 2 STORY FRAME HOUSE '100.07% 37.7' 200.00' Y 209' 10~ TO~fN oF ~u~ 207-.B0' coNSTANc~ II-'I-TI II II t lllll _Il IIIllllll ~-' rl'l rlt '~{J. ~r[l :~tfZ