The URL can be used to link to this page

Home My WebLink About24146-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25095 Date JUNE 20~, 1997 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 1365 WATEHSEDGE WAY House No. Street County Tax Map No. 1000 Section 88 Block 5 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 67 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 2, 1997 pursuant to which Building Permit No. 24146-Z dated MAY 27, 1997 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 EXISTING HEATING SYSTEM & ALTERATION OF GARAGE TO A BATHROOM OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CHARLES E. ASHDOWN, JR. & WF. N/A H-055391 -- MAY 23, 1997 MAY 20, 1997 - STEVEN BURNS Bu ~ing Inspec~r Rev. 1/81 FOlm~ NO. ~' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24146 Z ,o ,, ............... ~.~.:~..~....~ ...................................................................... ~ .................................. ,~ ~e~,~,, ,~,,~ ~,..ZF.~.:...~~ ~~ ........ :~ ....... c~,~ ~x ~,~ ~o. ,000 ~,~,,o~ .......... ~... ~,~ ..... ~ ........ ~o~ ~o ..... ~ ......... Building Inspector. .... ~~~ ................... / Rev, 6~30~80 FORM NO, 6 TOWN OF SOUTHOLD · Building Department " Town Hall Southoldo N,Y. 11971 765 - lg02 APPLICATION FOR CERTIFICATE OF OCCUPANCY 'Instructions A. This application must be filled in typewriter OR ink, and submitted -= ~ to the Building Inspec- tor with the following: for new buildings or new use: 1. Final survey of property with accurate location of a I buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept, of water supply and sewerage disposal-(S-9 ;term 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 completed site plan requirements where applicable. B..For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p=operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner 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, C, Fees: ,1. Certificate of occupancy $.25;*00-- ]~US'~NESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ .50 ~. 00 3. Copy nf certificate of occupancy $'5;'00, over 5 'years $10.00 4.Vacant Land C.O. $'20.00 S, Updated C, O, $" 50, 0 O Date . ,A, pI, iJ, ,2,8,,, ,1,9,97 ........... ' - .Alteration as built , NewCOns truct ton, x, .... Old or Pre-existing Building .......... ',. Vacant Land ............. 1315 ' . ' Watersedge Way ~Sp~.tbp.l~J Location of Property ........................................................... House No. Stm~r Ham/et Owner or Owners of Property Edward and Betty Ashdown ,., County Tax Map No. 1000 Section . .8.8. ........... Block ...5 ............ Lot., ~7 ............ · .. Bay, H,a,v,e.n, a,t. Southol d p N 2910 5,6 Subdivision ......................... Filed Ma o ........... Lot No ............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request f~r Temporary Certificate ..................... Final Certifi~te e 25 00 * ? ' Fee Submltt d $,. ,' ...... ' .................... Construction on above described building and permit meets all ap/p '!~/~1 ~ ~ppHcant ........... .~:. ~. ~ .... Rev. 10.10.~ GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGU,E, NY 11935 THE. NEW YORK BOARD 'oF FIRE UNDERWRITERS ], )66~ BUREAU OF ELECTRICITY * 85 JOHN STREET, NEW yORK, NY 10038 Dat~ THIS CE~IFIES THAT o~y t~ el~tricaJ ~uipment ~ ~scr~b~ beep ~ iOt~uc~ by t~ apph~ant ~med on the a~ appl~at~on n.mber ~n tAe prem~e~ of ASHDEW(3RE, 1315 ~A'I'gRS ~J),~E WAY, SOU~%IOLD, N.Y~ in the following location; ~ B*sement ~ Ist FI. ~ 2nd Fl. (~.~/011~' ,%etlon Bl~k Lot ~ssxamin~on ~Y ~ ~ J.~7 ahd found to be in comp~nce ~ith the Naffon~ Elect~cal Code. BXIURE FIXTU~S OVENS EXHAUST FANS ~T~T$ SWITCHES F~U~ESCENT DRYERS SYSTEMS NO. OF FEET S~KE DETECTOP,: -.~ *NO VISUAL DEFRCTS: "An electrical stlrvey bas been made of the exposed electrical eqtlipment in the pr~mises i~dicated," "No obvious ~3nsatisfactory co~dJ.t~on was fouDd. R Of CC. COND. C NO, C~HI.LEG A,W.G. NO. OFNEUTRALS A.W G. OF Hi-LEG OF NEUTRAL G~{Y OI,SEN~,-ATTORNEY P~ O, BOX 70(5 ~ MAIN ROAD ' GENEIEAL MANAGER CUTCHOGUE, NY, ].19;35 Per Il." lhi~ cerfifi¢ofe taus! nor be alfered in any monner; refurn fo fhe office of fhe Bo=rd'if in¢ormet. I,s~eetors m=y be identified by fheir credenflo~s. C~Y FOR BUILDING ~$~ARI~ENT.} ~HIS~ COPY OF C~RIIFICAT5 MO$T NOT 8E ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner.' (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~ ~lumbers Sigf~ature) Sworn to before me this ~q~ dayof /')'] ~'-y Notary Public, 50~ County AFFIDAVIT Re: Ashdown to Miller and Cash STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Georgina Gillen, being duly sworn, deposes and states as follows: That I am the sister of Charles Edward Ashdown, Jr. the owner of premises known as 1315 Watersedge Way, Southold, New York (Suffolk County Tax Map Number 1000-88-6-67). That my brother and his wife purchased the property on May 17, 1968 and at the time they purchased the property it had a heating system located in the crawl space area with a floor grate which heated the house. Accordingly, the house had heat prior to May of 1968. e~in~illen~ sworn to this /~/~ O~ J/~e, 1997. NO t a~P~b 1 ~ ~:~, Pubhc, S~ of N~w YOrk ~ ~,~. , . ~.~, :~, 3,) GARY FLANNER OLSEN COUNSELLOR AT LAW RO, BOX 706 MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-~34--7666 FAX 516-734-7712 June 19,1997 Re: Ashdown to Miller File # 6234 Dear Mr. Verity: Pursuant to your request, I am enclosing an effect that the house was heated prior to ~'to the / Olsen GFO/aho Southold Town Building Department Hand Delivered :~)~11111~ *1 ~ (21111) Z F'LY Lo+ F' O~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ].~ULATION FINAL DATE_ INSPECTOR , / IIAItlON Kllttll REAL'W 31855 MAIN RD CLITCHOGUE, N.Y. 11035 51.ti 71t4-5657 F'FE .. .................... ElY: ............. 7~5 1~02 ~ AM ~0 4 PM FOR TH~ ROUGH - F~lAM~NG ~ PLUM~ING 4. F'ii~J~,,, . CONSTRUC1F~'fCII'.~ ............................................................................. B.~'.' CO,MPLE'T~ FOR C.O. '[" ~LL CONSTRUCTION SHA~,L MEET UNDDWltlI~I~ C£RTIHI~ RE(IUtltED O/V LEAD SUPPLY SYSTEM EXCEED 2/10 of copper tubing is used water dic4ributing piping shall be of Wpes K or L~ PROVIDE ~ HR. FIRE RATED SEPARATION TO PAR~. 7~7.~ (f) (~) OF -,~. ~. STATE eUiL~ CO~ // I 'GARY FLANNER OLSEN COUNSELLOR AT LAW APR 3 O t997 8LOG. ~ TOWN OF P.O. BOX '706., MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11¢3~ ~;'F~ROT',~'~:'7,~'~i~ FAX 516-734-771~ April 28, 1997 Re: Ashdown to Miller and Cash Our File # 6234 Dear Gary: Enclosed please find the following: 1. Application for Building Permit. 2. Application fee of $75.00. 3. Application for Certificate of Occupancy. 4. Application fee of $25.00. GFO:lmk Enclosures Very truly yours, Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 TEL.: 765-1802 Disapl~roved a/c ..................................... // (B~Id' gI p ) ~LICATION FOR BUILDING PERMIT BOARD OF IIEALTll 3 SETS OF PLANS ................... FORM NO. I SURVEY ~ ...... , · (~ [7 ~ ~ {~',TOWNOFSOUTHOLD ' r ~:'~'<'~'~'~"'~"~'~[J I L D I N G DEPARTMENT CHECK ......... FORM SEPTIC ........ HAY 1997 TOWN HALL NOTIFY ~..OUTHOLD, N,Y. 11971 CALL , ...... ,-,-,-'~'' MAIL TO: 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 apphcahon may not be commenced before issuance of Building ermR . 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 throoghout the work. e. No building shall be oecu.p, ied or used in whole or in part for any purpose wha~e.v, exr until ~ Certificate of Occupancy shall have been granted by the Building Inspector. / ~ APPLICATION IS HEREBY MADE to the Building Department for the issughce of a;' Building Permit pursu.ant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York] and otb~r applicable Laws, Ordmances or Regulati.o. ns, for the construction of buildings2 additions or .alterations, or for/e~poval.6~r demolition~ as here,in described, el'he .apphcant agrees to comply with all applicable laws, ordinances, building/cg~te, ~)~)~g code, and r_~.~ulahons, and to ~dmR authorized inspectors on premises and in building for necessary inspec~~/j/~'L..~ - (~$gnature ~pllcaq[, or name,jf a e~o~'pora, tlo ), Gary ~anner olsen - A~torney for ~owaro ano Bq~y. ,A.s.h.d. qw.q .... gdx ,7,(16,,. ,Cut. ctmgue,.,, A[Y. ,1,1,9,3.5.. (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .................. , .......................................... , ........ Name of owner of premises . (as on the tax roll or latest deed) If applicant is a corporation, siguature of duly authorized officer. (Name and title of co,orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ..... , ................... Electrician~s License No ...................... Other Trade's License No ..................... 1. Location of land on which proposed work will be done~ ' ~ ' T .... ["~' , ,I ' 1315 ' Waterseqlge ,WaS House Number Street County Tax Map No. 1000 Section ..,........,,$8 .... ... Bay Haven at Southold Subdivision ......... (Name) .. . Southo~d Hamlet , ,, 2910 56 Filed Map No ............... Lot .,.,;,,.,, ,,.,. · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy .. ,Copyer.t J/2, .of .e,xis.ting. garage, into Living space . ............. > ........ ' ..... ~.~,bT;~PbO~'ahd'bathflbb~)" '''''" Convert J./.2 of existi~.g."',gaYage int, o Living space ...... ' ',' .... 1" .... '"' b. Intended use and occupancy ........... ~,~ . ~ athroom Repair ', ............ , Removal,,. '' I Alteration 'lding ' Addition k which appl!eable)' New Bu ' ' ' Nature of work (thee , ~ , ,, ..... ' ' "" ' .... (Descfip$ion) (t 'd fill g thi ppli ~ ., ' ~,', " o be pal on n s a ca o ~If yaa~ Southold Town Trus ~'~ Loctite' clearly and distinctly all property lines· Give street and block interior or corner lot, ' See Attached Survey number of dwelling un'its ' Number o f dwelling units on each floor, ............... If dwelling, ~ ...... ' ' ' ' ' ' ' ' Ifgarage, number of ears ,,~,,, '*",,,''" .... """'"'"'"''""" " ~ ify nature and extent of each type of use If business, commercial or mixed 9ccupancy, spec ,,,,, ',,,,, ', ' ' ' ' ' ' ' ' Dimensions of existing structures, if any: Front ..... ~,,,, .... , Rear ,,.,, ., .... Depth..,.,,,,.,,,.,, ' N mb~ fSt ' ~' "' ......... '"' Height , ,,. ,,,.,, u re ones,, ..... ,,,,,,~,,,,,,,.,,,,,,,',,'"'"" itll alt ' ' ' ' Dimensions'of same structure w erat~ons or addlt F t ear Depth,,,,,.,.,,,., ., Height ............. ,,,,NumberofStories .... ,.,, .... ,, ,,,,?,. -.8, Dimensions of entire new constru{tion: Front ....... ,... ..... Rear ~,,,.,,,,,,,, ·. Depth ·,,,,, ~ ....... Numberer Stories ,, · ·, ......,, ,,,., ' ' ·, .....' .... "' ' ' ' .....' ' Height ''"' ..... '"'' ' ....""'' Depth 9, Size oflot; Front ,,, ........ ,1,.., ..... Rear,,,,,,,,,,,,,,,,,,,,,, ',," .... "'" ''"'" Name of Former Owner 10. Date of Purchase ........... ,~., .... ,,,, ....,, "' ......' ........ "' ''"'" 11, Zone or use district in which pre sea are situate ,.,.,,,,., ......... ,,.,,,,.,,, .... ,' 12, Does proposed construction violate any zoning law, ordinatice or regulation: ,,,,,,,,,,,, .... ,,,,, ',, *,,, ' ' ' ~ Will excess fill be removed from premises; Yes No 13, 'Will lot be regraded ,,,,,,,.,, ~,, .... , ........ ' ' N I Address ,, ,,.,,,,,,,,,,.,Phone o. ,,,,,,,,,,,,,., 14, Name of Owner of premise~ .,,,r,,.,, ....... ' " Name of Architect .,,,,,,,,. ·,,,,,.,,.,,,,,,, Address ,, ,, ,., ·, ,, , , ~,, , ,, Phone No. ,,,,, ~.,,,,, ·,, Address ' Phone No NameofContraetor.,.,,.,,,,,.,,,,,,,,., .... ''""'""''"''" ' """"'""" 15, Is thia~property located wLthin 300 feet of a,,tidal wetland? ~)~es ,,,,, No ,,,,, ...: :ecs permit maybe requ~ired, ! .', ,' PLOT DIAGRAM , . '. .~ slidings,' whether ex~sting' or' proposed, and, mdtcat~ all ~et-back dtmenstons from tuber or descnphon according t deed~ and show street names and indicate whether STATE OF NEW YORK, S.S COUNTY OF, .su . .0bK ........ · ,, ,qary. PI .................. ' ' ' (Name of individual signing contract) above named. ·.. being duly sworn, deposes and says that he is the applicant A%$orne¥ Hetsthe .., ..... . .....' ................. "" .... ' ...." .... "" ..... '"' ..... v,,,,,, .... [ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wo.rk, and t~.m.a.k~o, and. !!le.t?s app!icat, ionl that all statements cents}ned in th!s application are true to the best of his~owmoge ann oene*, aha that me work wd be performed in the manner~ set forth m the application filed therewith. Sworn to before me tiffs [ " , , ' -'q2~ - o~ April .} ,19 ?~ ~ .... ,..~.,, ......... ,,aay ~r ' ' ' ' // / Nota~ Public, .... ~.~...:., :..eye;frO]* .... Coqnty ~~ / · ....... ~/ / ~R~IN~ ~R , , ¥;.,~'. ,~,; , , ~ .... ,,,,'''''''''.'''' ' ~mim ~r~ N~, ~,