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Home My WebLink About25924-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26624 Date: 08/12/99 THIS CERTIFIES that the building ADDITION Location of Property: 335 DOGWOOD LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 54 Block 5 SOUTHOLD (HAMLET) Lot 26 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 1999 pursuant to which Building Permit No. 25924-Z dated AUGUST 6, 1999 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 "AS BUILT" ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK G DICANDIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Su£1'd£ng inspec~ 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. 25924 Z Date AUGUST 6 99 Permission is hereby granted to: FRANK G DICANDIA PO BOX 613 LAUREL~NY 11948 for : AS BUILT ADDITION TO ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 335 DOGWOOD LA SOUTHOLD County Tax Map No. 473889 section 054 Block 0005 Lot No. 026 pursuant to application dated JULY 23 99 and approved by the Building Inspector. Fee $ 75.00 Authorized i~atu Rev. 2/19/98 ORIGINAL Form 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 inspector with the following: 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. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building,and unusual natural or to~pographic features. 2. A properly completed application and a 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ......................... .. New Construction ........... 01d Or Pre-existing Building .... ~ .......... Location of Property..~..~.~. .... .~.C)..~-.~.~. 0.....~-z~ .................... ~.~. ~ ..~ ....... House No. Street Hamlet Onwer or Owners of Property. ~.~. .... .~..; ....4S.~.C~. ~4~. J9.~~ .................................. County Tax Map No I000, Section..-~..~. ........ Blpck..~. ........... Lot...~.~. ................ Subdivision .................................... Filed Map ....... .'%-....Lot ...... %. .............. Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval........ ........... ... .. Request for: Temporary Certificate ....... Fee Submitted: $ ......................... .D INSPECTION P. gPORT ~qDATION (IST) NDATION (2ND) DATE COMMENTS # ,Gl{ FRAME & PLUMBING ~ILATION PER N. STATE ENERGY CODE FINAL ADDITIONAL : BLDG. DE . / TOWN QF SOUTHOLD J FORMNO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN NALL SOD~IOLD, N.Y. ]]971 TEL: 765-1802 l~.~--~ined .................. 19 .... Di~o~ed a/c ................................ .. ..................................... y(l~ildlng I~etor) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ............ ~ ........... CHECK ......................... SEPTIC FORM ................... NOTIFY: Date ................ ,19 .... INSTRUCTIONS a. 'Ibis applicatine m~st be eempletely filled in by typewriter or in i~ ~ ~itt~ to ~e hdlding Ins~ctor 3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~co~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~lation~ip to ~joini~ pr~s or ~lic struts or ~e~, ~ givi~ a &tail~ &~ripti~ of l~t of pm~ ~t ~ dr~ on ~e dia~ ~i~ is ~rt of this ~li~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ ~t ~ ~ ~fore isle of ~ildi~ Pemit. d. ~ ~1 of ~is ~li~ti~, ~ ~ildi~ In~ctor ~11 is~ a ~ilding Pemit to the ~licant. ~t ~all ~ ~pt ~ ~ ~s ~ail~le for in~ti~ theft the ~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~at~er ~til a ~rtificate of ~ ~all ~ ~n ~t~ ~ ~ ~ildi~ I~tor. ~I~ IS ~ ~ to t~ ~ildi~ ~nt for ~e isle of a ~ilding Pe~t ~r~t to the ~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ other a~lic~le ~s, ~i~es or ~lati~, for ~ ~t~ti~ of ~ildi~s, ~iti~s or alterati~s, or for r~al or ~lition, ~ ~rein ~ri~. ~ a~lic~t ~s to ~ly ~ all ~li~le 1~, o~i~s, ~ildi~ c~e, ~i~ c~e, r~lati~s, ~ to ~t ~ri~ i~tors ~ ~s ~ in ~ilding for ~s~ ins~ti~s. .................... ~e of a~lle~, or~, if a (~ili~ ~res8 of State whether applicant is oaner, lessee, agent,, architect, engineer, general contractor, electrician, phmber or builder. .......................... .. ........................................... Nme of o~er of premises ......... : ................................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nm~e and title of corporate officer) Builders License No .......................... Phl~ers License No ........................... Electricians License No ...................... Other Trade's License No ..................... Pm~se N~ber St~et llanlet c~ ~ No. ,~ ~,i~ ..~.~. ...... ~ .... ~ ........ ~ ..~.~..;. .... aivisi~ ......... Fila ~p ~ I~c ............... (~) 2. State ~sti~ ~ ~ ~ of ~mi~s ~ inte~ ~ ~ ~ of pro~ c~stmction: I0. M. 15. I~cate clearly and distinctly a from property lines. Give street and ~mtber interior or corner lot. ~lture of work (d~ock whidl applicable): New PlJilding .......... Addition . . Alteration .......... l~epai ' l)emoliti r .......... :. l~al ...~....' ..... on ............ Other Work .................................. ~ (Description) Esti~mted Cost ~'- ~ . ~. fee . ! .o ; I ,~(to be paid on filing this application) If &,~lllng, n~)t~er of d~elling[unita ..... /, .... [lamber of dl~lllng units on each floor ...... /. ........ If garage, ntmber of cars ..... l ................................ If busteess, ccramrcial or mi~i occupancy, specify nature and extent of eadT type of use .......... ~ ........... Dn~ensl~m of existing structures, ~f any: Front ................ Rear ............... Depth ................. Deight ........................ ~ Nmtmr of Stories ...................... Dinnnaiuns of same strtmture wifl~ alterations or additions: Front ............... Rear ............... Depth .................... Deight .................... limber of Stories ............... Diu~naiuns of entire new construction: Freer ......... Rear .'~ ........ Depth ..?~.~. ........ ./.e. '- ' /. tlei01t .................... ~ Number of Stories ................... ' ! .../,O.-~. r .... ...... Rear ........... Depth ....... ..... Size of lot: Date of Purdmse ... ~//'~' "?i ...... Nam of Fonrer O~ncr .....~..O..~-.~?..~..~_, ........................ zo~ or us~ district in ~tdch ptemlees ar~ s~tuatea ... ~ Does proposed c~structlna violate any zoning law, ordinance or regulation: ...~ ................ Will lot be regraded ..... X~.O,; ......... Will excess fill be re~ved frc~ premises: YES NO l~qu~ o[ Arddtect ~ '" &ldress : Hmee No Nane of Cootrnctor ..... ~-" /kldress ....... l~oee No. . "- Is this property within 300 fee~ of a tida} wetland? * YES _. ......... NO ...L'~,. .... PLOT DIAGRAM ,1 buildings, ~mtlmr existing or proposed, and indicate all set-bank dfiuensiohs block nuni~r or description according to deed, and sho~ street names and indicate SS ...................................................... being duly swortl, deposes and ~y~ that be is tbe a~l.i~nt (~ of individml signing c~tract) a~e ~, De is t e .......... ~l ........................................................... ............ (~trac~~i~~ r~ra te o~fi ce r, etc.) o. ~xd m~r or ~mrs, thortT~ to ~rfom or h~e perfo~ tbe ~xd ~ ~ to ~ke ~ fxle tills applmatton, that all stat~nts c~t~t~ m thxs a~hcatiee are t~ to the ~st of his ~1~ and ~hef; a~ that the ~rk will I~ ~rfon~l in th~ [reneer ~t forth in the a~l. icati~ fil~ t~th. ,~om to be[ore ,se this Qualified tn No. 01SC472508g.,.,_ Tm'm Exptrel May;31, USig~at:ur~ of Applicant) Map of Described Property Situated at Southold Town of Southold, Suffolk County, New York District 1000 Section 54 Block 5 Lot 26 Certified To: Frank G. Di Candia kis & Costas Theodorou ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR 10 KREAMER STREET Fidelity National Title Ins. Co. of New York BELLPORT, NEW YORK 11713 File No. 2268 UNDERWR~S CERTFICA~ F;E' "~ '~ :y: REQUJREO ..... NOTIFY BUILDING D~'~,RT,~.'C~NT AT 76,5-!802 9 AM TO 4 PM FOR THE FOLLOWING !N$?ECT~ONS: tCCUPANCY OR : FO~N~*~:ON - ~,~o FOR POURED CONCRETE USE IS UNLAWFUL:.~' :NS.mmROUG' - F.~AM,NG · WITHOUT p~TI~inATF:.A~ - cO"S?"ucT:O" V~ ta~"~v~ ~' ~E COMPLETE FOH C.O, 0F OCCUPANCY ~[~ ~o.~..~c.,o. ~.~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CiZ/~'~ ~cV- ~i~.i~ CODES, NOT RESPONSIBLE FOR ~ c~.~c~ ~ ~ DESIGN OR CONSTRUCTION ERRORS ~ ~ ~ ~ 33~ 0 cA-u, oac~