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Home My WebLink About24227-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 9/9/2011 CERTIFICATE OF OCCUPANCY No: 35194 Date: 9/9/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ADDITION ORIENTAL AVE FISHERS ISLAND, Sec/Block/Lot: 5.-2-4 Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/30/1997 pursuant to which Building Permit No. 24227 was issued, and conforms to all of thc requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: pergola addition to an existing one family dwelling as applied for. Lot No. filed in this officed dated dated 6/30/1997 The certificate is issued to Hamilton Residences LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~u/ oo~~re IPORM NO. It TOWN OF SOUTHOLD BGILDING DEPARTM£NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2422? Z County Tax Map No. 1000 Section ~....~'.... ............. Block ...... I~....,~... ...... Lot No .....~....~... ......... pursuant to application dated ...... i~... ....... ~.(~...~... ............... , 19./../.,~'~ and approved by / Building Inspector. Fee $...Z.~..~. ........... the Rev. 6/30/80 8EP -7 20H BLDG DEP[ TOWN OF SOUTHOLD F~rm N~. 6 TOWN OF SoIYrHOLD 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.Freed survey 9f propcrt~y with accurate location Of all buildings~ property linez, streets, and unusual natural, or . topographic features. 2. Final Approval from Health D~pt of water supply and sewemgeqlisposal (S-9 tim,a). 3.. Approval of electrical iustallation from Board 6fFire Underwriters. 4. Sworn statement from plumber certifying tha~ the ~old~r used in system contains le~s than 2/10 of 1%'lend. : 5. C0mm~reial building, industrial building, multiple maidenee~ 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 requirement& For existing buildings (prior to April 9, 1957) non-conforming us~s, or buildings and "pre-existing" land uses: 1. Accurate survey of property shgwing all property line~, streets, building and:unusufil natumi 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. C, ertifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, · Swimming pool $50.00, Accessory building $50 00, Additions to aecessory building $50.00, Businesses $50.00~ 2. Ce[titivate of 0ecupancy on Pm-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 $15.00 Date· Sept 2, 2011 New Construction: . Old or Pre-existing Building: ' House No. Stree{ Ovea6ror Ovoae~s of Property: Hamilton Residences-LLC 'Suffolk .County Tax Map No 1000, Section tS~ ' 8ttbdivisibn Itealth Dept. Approval: Planning Board Approval: x BIock . ~- FfledM~p. .DateofPermit. ~une 30, 1997App~can~ Underwrit¢~ApprovaI: one) Lot Hamlet Request for: Temporary Certificate FeeSubmilted:$ 25.00 0u~ ~k, Final Certificate: X (check one) A~Dlican! Sivnamre Frederic C. Hamilton FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.! 765-1802 · 3 SETS OF PLA~'IS .......... '. SURVEY , ........ , ......... ' CiIECK .................... SEPTIC FORH .............. Ilo? 1 PY | GALL .......... , ........ ,; HAIL TO: INSTP, UCTIONS a. 'Fids applicatJo,t must be completely filled In by typewriter or lu luk and submitted to tile Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee.according to schednle. ' b. Plot plan showing location of lot and of bnildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descrlptiou of layout of property must be drawn on tile diagram which is part of this appli- cation. c. The work covered by thi{~ application may not be commenced before issuance of ,Buildtug Permit. d. Upon approval of fids application, the Building Inspector will Issued a Butlding Permit to the appllcaot. Sucil permit sllall be kept on the premises available fei' iuspectlon throughout Ibc wol'k. e. No building khall be occupied or used In whole or in part for auy purpose whatever until a Certificate of Occupancy shall have been granted by the Building l,~spector. APPLICATION IS HEREBY MADE to the Building Department rot the issuance of a Building Permit pursuant to Ihe Building Zone Ordinance of the Town of Soutbohl, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the coustmction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordluances, buildtng code, housing code, and regulations, sod to ad;nit anthorized Inspectors on premises ami in building for necessary inspections. - (Signature of appllcaut, or name, if a corporation) (Mailing address of applicant)O(9~O Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. a,ne of owner of pre.,,ses. .r.... Fr. ed .Oft Ua_.... . . . .................................. (as ou the tax roll or latest deed) If applicant is a corporation, signatnre of duly aulborized officer. (Name and title of corporate officer) Builder's License No..O~..~.~..~..~... ~'. ¢~. ...... ,,,u,,,ber's ,eense .......... ,ectr,c,an's L,ee,,se .......... Other Trade's License No ...................... Location of laud on which proposed work will be doue .................................................. 2, Ilouse Number Street }lamlet County Tax Map No. 1000 Section ............... Block ......... ~,,,,,. Lot: ........... Subdivision ..................................... Filed Map No .......... ..... Lot ............... (Name) Slate exisling use and occupancy o£ premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. : ................................ b. Intended Use and occupancy ............................................................. 3. Nature ofwork (check which applicable): Ne~ Building .......... Addition .......... A leraLLon ...... Repair .............. Removal ............. ~. Demolition ....... i. herWork J'~.~,'~O]Or-. ..... 4. Estimated Cost . . . · ............. Fee ...................................... (to be paid on filing ibis application) 5. If dwelling, nnmber of dwelUng u. nits...~./.~ ......... Number of dwelling ,mits on each floor J~.~ ........... · If garage, number of cars , 7. Dimensions of existing stmctorea, if any: Front ............... Rear .............. Depth ....... if bt s mss, co n narc al or mixed occupancy, spec fy nature an( extent of eec ~ type of qse .jV./A .............. llaJght ............... Number of Stories .............................. ' ....... Dimensions of same structure with alterations or additions: Front ....................... D pti ]leigl ................. Rear .................. e i ...................... . ~t .................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... De ~ .............. Il lei Nlmb fsi i pti . 9 si f~ F ,; ....................................... · zee ct: rent .................. Re r ...................... Depth 10. Dale of Purchase ............... N fF ..................... ...... ' ........ amc o onner Owner I I. Zone or use district in ~blcb premises are altnated ............... ' ............................ 12. Does proposed constrnction violate any zoning law, ordinance or regulation: ........................ Will lot be regraded ........................... Will excess fill be re noved from pram sea Y~s No ,4..N. an,a o f owner o r cre,nises ~6., ~'F..... ,.ed..r, rj..¢1( j¢,~?.l.l~ dd tess ~L)ff .~sd .o...C4)... . ~ame o f Architect ..~Tt~ · If yea, gouthold Town Trustees Permit may be reqeired. ' ''''''''' .... PLOT DIAG RAM Locate clearly and distinctly all buildings, wbetber existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to (lead, and show street names and indicate whether inlerior or corner lot. 15. ;'rATE OF NEW~yOPO(,,, :OUN'r¥ OF. ,:.b ~.~D./16. S.S . .............. ba,ng,,u,y (Name of individual signing contract) bore named. sworn, deposes and says that be is the applicant ]e is the ......................................................................................... (Contractor, agent, corporate officer, etc.) tf said owner or owners, and is duly authorized to perform or have performed ibc said work and to make and file lhis pplication; flint all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth tn the application filed therewith. ;worn to before mc this ........................ day of ..................... , 19.. 4otary Public, . .............. , ........... x .... Cot, nty TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FOR~ER DWNE~ . / , ~ ,~ E ACR., V.4/~*V ~' M~nt ~'~'~'~) /S/ W TYPE OF BUILDING RES. :/O SEAS. Vb FARM COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS ~:~ (~ ,% ~ ~-~ / , / / /(, '/ . /' ( 5Z .... ~ ~, , ,- AGE BUILDING CONDITION / · NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tilleble 1 Tillable 2 Tillable 3 Woodland Swqmpl~nd FRONTAGE ON WATER Brushlond FRONTAGE ON ROAD I louse Plat DEPTH ~ ~ ~ ~ / BULKHEAD Total DOCK COLOR Foundation I/ M. Bldg. Extension 3,5-~-' ~ '/ ~ ~? O Extension Basement C~.c~ f,r,/.z~r~.,~ Bath ~ -:- Floors '~:', .i;. "1 .terior Fnsh ~inette LR. DR. Ext. Wails Porch Porch Breezeway Fire Place Type Roof Rooms 1st Floor BR. Recreation Roorr Rooms 2nd Floo,' FIN. B. Dormer Driveway Patio \ 00o · Total Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631) 765-1802 Fax (631) 765 9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 2, 2009 Hamilton Residences LLC 1560 Broadway, Suite 2200 Denver, CO 80202 RE: Oriental Ave, Fishers Island TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. (765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 24227-Z pergola addition Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD August23,2011 Hamilton Residences LLC 1560 Broadway, Suite 2200 Denver, CO 80202 Re: Oriental Ave., Fishers Island, NY TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. 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. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 24227 - Pergola Addition -- .J I F~IM~ i PA IHT ~0 M ,~,T~ H ~' I~T. iI_ OII ~ b ~ v A T I o '~-I t-IE_~J e~.~o LA ~ o ~1 T H-b~ ~T I/~.II .~ I1~ oII ~.-x i ,s( P~HHsP~t,FF - N~!.q hh~. r~W~i~T -- ~iIII OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY P L. A PERGOLA PLAN AND ELEVATIONS SCALI~ AS SHOWN DATE L1 ,/ Ik)~ ~l4- lb." I~ o i I/:,.il ~ ii. 0 II 71 II/~II ~ II. olI e~iJgAT bll dc4'- 0 i¢~g- 'l'Nm f,oc.-rloH F--.)~ I~, T, ~1~ C.Tbl~' ~ 0 Pb/~ NJ TINI~ PbAN I/~1[ ~, iL rJi: I ~-L-E. rq,~]'i~. %fITIO~DLA ~II~ I" El b IZVA T Ioi--J ,k,.btcthl p.4 ~oP [,'-I I P.h,~ o I-4 PERGOLA DETAILS AS SHOWN ~4 o~T, I~db L2