On December 05, 2023 a
Exhibit,Appendix
was filed
involving a dispute between
Emily May,
and
Mindy Baranoff,
Stephen Baranoff,
for Real Property - Other (VIOLATION OF HOA RULES)
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 04/17/2024 03:06 PM INDEX NO. 629897/2023
NYSCEF DOC. NO. 33 RECEIVED NYSCEF: 04/17/2024
"I"
EXHTRIT
FILED: SUFFOLK COUNTY CLERK 04/17/2024 03:06 PM INDEX NO. 629897/2023
NYSCEF DOC. NO. 33 RECEIVED NYSCEF: 04/17/2024
Incorporated Village of Lloyd Harbor Review Date: By:
BUILDING DEPARTMENT
32 Middle Hollow Road O PB O BZA O PRB O Sub O BOT O DEC O Army Core
Lloyd Harbor, New York 11743
O SCDOH O Village Engineer O Tree Removal
Phone: (631) 549-2640
Permit Fee: $
2023 BUILDING PERMIT APPLICATION
Date Applicant Name Email
Rel tionship to Project (if other than owner, owner shall provide letter of consent for agent) Phone No.
¡ Owner ¡ Contractor ¡ Architect/Designer ¡ Agent ¡ Other: ( )
Owner Project Address Phone No.
( )
City Zip Code Section / Block /Lot Flood Plain District COD 1 or COD 2
¡I O II ¡ X ¡ AE ¡ VE
No. of Acres Acre sq. ft. area Zone A-1 or A-2 Current Water Service
¡ Well ¡ City (location of well shall be indicated on survey)
Scope of Work (all structures withan (*) are considered accessory structures)
,, ¡ New Dwelling ¡
Portico*
¡ Covered Porch * ¡Gazebo *
¡ Fencing/Walls ¡ Bulkhead
¡ Addition/Alteration ¡ Pavilion *
¡ Wood Deck * ¡ Sports Ct. * ¡ Retaining Walls O BBQ Kiosk
* *
¡ Interior Alteration ¡ Open Trellis ¡ Patio ¡ Ent. Piers/Gates ¡ Driveway O Re-Grading
* *
¡ Sanitary System ¡ Open Porch ¡ Shed/Barn ¡ Walkways ¡ Demolition O Other
* *
¡ Drainage ¡ Detached Garage ¡ Cabana ¡ Solar Panels ¡ Dock
Description:
Dwelling / Additions / Interior / (Sq. ft. areas) Miscellaneous: Miscellaneous Continued:
2 Garage: Demolition type: Total Cost of Construction: $
100'
Portico: FY Porch: RY Porch: Fence type: Hgt: Const. w/in of wetlands? O yes O no
Stoops: Walkways: Driveway: Ret. walls: Hgt: Tree Removal O yes O no (req. tree app)
Finished Bsmt: Bsmt. Entry: Steep Slopes O yes E no New water service o yes O no
No. of bath rooms: ½ bath: full bath: Built Prior O yes O no New sanitary o yes O no
Accessory Structures (cabana, patios, shed etc.) Variance Req. O yes E no Sanitary appl. sent to SCDOH O yes O no
Type: sf: DEC Approval O yes O no (if yes, provide permit)
Architect / Engineer Address City Zip Code
Email Phone No.
General Contractor Address City Zip code
Email Phone No.
( )
BPA - 201 SIGNATURE ON BACK PAGE Rev. 2/07/23
FILED: SUFFOLK COUNTY CLERK 04/17/2024 03:06 PM INDEX NO. 629897/2023
NYSCEF DOC. NO. 33 RECEIVED NYSCEF: 04/17/2024
AFFIDAVIT OF PROPERTY OWNER
ATTENTION HOMEOWNERfAPPLICANT:
The Homeowner is responsible for obtaining any other permits or approvals that may be necessary from any other
government municipality or private agency that may be required to carry out the activities that are authorized by
this permit, e.g., NYS DEC, Army Corps of Engineers, Homeowners or Road Associations, etc.
The Owner by making and pling this application, hereby authorizes the Building inspector, or any Deputy, to enter upon Owner's
premises during reasonable hours, including Sundays, to inspect the exterior and interior of all structures which are the subject
of this application.
if Agent is pling this application, a notorized letter from the Owner shall be submitted authorizing such agent to act as the
Owner representative.
I being duly sworn, state that to the best of my knowledge, and belief that the statements contained in
this application together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the
described premises, and that all provisions of the Village Zoning and Building Code, the New York State Building Code, and all other laws
pertaining to the proposed work shall be complied with.
Signature
Property Owner or Agent
Sworn to before me this
Day of 20
(Notary Public, New York)
Document Filed Date
April 17, 2024
Case Filing Date
December 05, 2023
Category
Real Property - Other (VIOLATION OF HOA RULES)
For full print and download access, please subscribe at https://www.trellis.law/.