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Home My WebLink About14622-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou:hold, N.Y. Certificate Of Occupancy No. Z 16384 Date November 10, 1987 THIS CERTIFIES that the building .... O..n.e..f.a..m.i.l.y...d .w.e. 1.1..i .n.g... .................... Location of Pro er: 1595 Skunk Lane Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section 097 .Block 04 .Lot 7 Subdivision Philip Scire~ .Filed Map No. .Lo:No. 4 conforms substantially to the Application for Building Pemnit heretofore filed in this office dated ....F.e.b.....2.4. ~..1.9.8. 6... pursuant to which Building Permit No. 14622z dated ............................Fia r ch 7, I 986 . 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 ......... One famSly dwelling, 2 car garage and deck. The certificate is issued to . DARYL AND SUSAN KETCHAM .................... ?o¥,,'o;, x x ................... of the aforesaid building. Suffolk County Department of Health Approval . .8. 5. 7 PP.': 2. .3.4..0..c .t....2. 8. :..1.9. 8..7 ............. UNDERWRITERS CERTIFICATE NO. R. 8..2.385.9.. July 30, 1987 . PLUMBERS CERTIFICATION DATED: Stephen O'Connor I/7/87 Rev. 1/81 IPOI~M' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14622 Z Permission is hereby granted to: ~.~..~...~.~....~..~...~... .~.L.,.......~....~...~...-.~_,r~, ....................... ..~ .................................. ~.~.....~ ....... ~.~......:.~ ............... ~~ .......................... o, pr.m~se, ~o,ed o, ../. ...... ~ ............ ..~. ................. ~..~ ..................... ~~ ............. County Tax Map No. 1000 Section ...... .(~..71. ,.~. .... Block ..... ,..~..~. ........ Lot No ....... ~ .............. ~.r~,o~, ,o ~p,,co,,on do,~d .~.~.~~ ............ . ,~.~. ond o~pro~ ~ t~e Building Inspector, Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owne~ ~ ~, %p±ease print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this [ day of ~ ,' Notary Public,~/~-- County Notary Public HELEN K. DE VOE NOTARY PUBLIC, State of No. 4707878, Suffolk Ire~m Expir~ March 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 THI~ CERTIFIES THAT in thefollowlng t.eatlo.; ~ Basement ~ 1st Ft. ~ 2nd Ft. Sectlo~OOql~k 097 Lot 4. ~sexa,nlnedon ~I~y ~ 0 ~ ~,~J ~'] andfo,,tdtobelncomp~a,,ceu'ththerequre,nentsqfthlsBoard. RXTUKE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUO~ESCENt DRYERS MULThOUTLET SYSTEMS NO. OF FEET OTHER APPARATUS= ~ , I -.5 S~to?~e Track Liqht:[n~*'2~'~4)'' 7 ~.itea E R V I NO OF HI-LEO NO OF NEUTRALS OF NEUTRAL Daryle R. Ketcha~a GENERAL h~k,NAGER This certificate must not be altered in any man,er; return to the office of the Board.if incorrect Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. ANY ~NNER, 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ['/J-~SULATION [] FRAMING [ ] FINAL r REMARKS--' 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] R~UGH PLBG. [/~ FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 TOWN OF SOUTHOLO 765 - 1802 APPLICATION FOR CERTIFICATE Oi: OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted m ~ 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 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. Fees: l. Certificate of occupancy $25.00 -- BUS[NESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10,00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C OhS t,z-uc t ion ...... Old or Pre-ex~ting Building ............ Vacant Land ............. Location of Property ~u;;'~ ,~.. ,~-'~ ,~,w.~ .'..~, .~. ,. ..... ~r;;t~~ ~ '~":~' .... ~;~/e; Owner or Owners of Property '~~. ~., ~... ~ ~~ ............... CountyTax Map No. ,000Section ..0~ ....... Block ..... ~ ...... Lot ..... q ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.' ].~.~. ~..~..Z: Date of Permit '~/~/.~...Applicant .--~. ~';~.~'.[4...,-~. i .~~.~ ..... Health Dept. Approval ................... ~ .... Labor Dept. Approval ........................ Underwriters Approval..~.Z ~.~ .~..(-.~ ...... ,PI'arming Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Construction on above described building a~permit regulations. Applicant-T~A-~(~\....~... ~L,~./_~ ......... Rev, 10-10-78 F±~LD INSPECTION 1. 3 FOUNDATION (2nd) 2. FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE 4. ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST []ROUGH PLBG. I* ]FOUNDATION 2ND []INSULATION []FRAMING []FINAL / / I N SPECTOR ~' ~_ ,~.~c,~.L) 0 gOT ~' 50 .80~ O~ Prepared in accordance wit'n the minimum ~andards for title surveys as established by the L.I.A.L$. and approved and adopted for such use by The New York State Land '~itle Association. N.Y.S. LIC. NO. 49668 ENGINEERS ;EyoRS ) 765 5020 P.O. BOX,' ~'" * MAIN ROAD,. v ~p.C. cERTII '~he water supp ¥ & sew isposa| sys- residence wi o~form o the sECU~ ~ems for this ~<~ ~ · GUAR ~- % suSAt .,: LOT NUMBERS NOTES FOR pHILIP V. TEST HOLE FR( 1595 Skunk Lane Cutchogue, NY 11935 August 28, 1987 Town of Southold Office of Building Inspector Town Hall ?.0. Box 728 Southold, NY 11971-0728 Dear Sir, I would like to request an extension of my building permit, No. 14622Z, which was granted ~o me on March 7, 1986 to construct a one family dwelling. Thank you. Sincerely Daryl R. Ketcham 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / FRAMING [,/~FINAL I 1595 Skunk Lane Cutchogue, NY 11935 August 28, 1987 Town of Southold Office of Building Inspector Town Hall P.O. Box 728 Southold, NY 11971-0728 Dear Sir, ~I would like to request an extension of my building permit, No. 14622Z, which was granted to me on March 7, 1986 to construct a one family dwelling. Thank you. Sincerely yo~r~, Daryl R. Ketcham ' FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N.Y. 11971 TEL.: 765-180~ Disapproved a/c ..................................... ................. ............... i (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS FEB 2 '4 )988 a. This application must be completely filled in by typewri~ter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedble. 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 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a B~i~ding 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 forremoval or detYgolftion, as herein described. The applicant agrees to comply with all applicable laws, ordinances[hbuilding~deTlrqusi~g ~/~d~, a,n'd regulations, and to admit authotized inspectors on premises and in bufdhig for ~eces~~. . . .~. . . ~ . (~ (Signature [o~ a. pl~ycan~, or~n~f~a.~,~rat~n) (Mailing address of applicant7 ~%~ [~ [ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ................... ........... ............. Ci. ......... N2e of owner of premise:'~.~~. ,(~?~o~t.e~~. ~. ~~ · · If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... C[~l~_~ ............... Plumber's License No ..... C~U-~t~.V. ............ Electrician's License No...(~ .~. .......... Other Trade's License No.. (~.t43.)(~e..~. .......... House Number Street Hamlet County Tax Map No. I000 Section ...... .C~..r/. ........ Block ....... ~ ......... Lot .... .~. ............. · · ' / ~ ' . . . ~.1 .(}~/. ........... Filed Map No ............... Lot ............. Subd~wsmn ....... I (Name) 2. State existing use and occupancy of premises and ~tended use and occupancy of proposed construction: a. Existing use and occupancy....~..~. ...... : ...... ,: ...................................... b Intended use and occupancy ..... .~. ~..) .... .... 3. Natureofwork(checkwhichapplicable):NewBuilding .. Addition Alteration ...[ ....... Repair .............. Removal .............. Demolition ............ i.. Other Work ............... , (Description) 4. Estimated Cost .......................... Fee ........... , ........................... ' (to be p~id on filing this application) 5. If dwelling,if garage, numbernUmberof°f dwellingcars ...... units~ ............... Number of dwelling units,:: on each floor ........... ..... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ , ...... Depth ............... Height ............... Number of Stories ......................................................... Dimensions of same structure with alterations or additions: Front ...... Rear Depth ........... Height ...................... Number of Stories ................... . . ~r ~ ~. '''' 8. Dimensions of entire new construction: Front .... F~,~../.~ ....... Rear ... ~:~.c/..i ...... Depth ...~.~. ......... Height ...% .~.~ ....... Number of Stories ......... /.~. ............ .~...J ................ !. ......... 9. Size of lot. Front ..... l].~l... :...~ ..... R~ar ........... 7.~../.oO ..... Depth , .~D~q~ ............ 10. Date of Purchase ............. Name of Former Owner ~¼',.1~ .t.~..V'..~.~[~-.-~ ..... 11. Zone or use district in wh. ich premis~ are ~ituated ......................... 3>1 .......................... 12. Does proposed constructlon viglate ~ny zoning law, ordinance or regulation: ...~.~ 13. Will lot be regraded ...... ~.~.. ......... ?.~, ..... Will excess fill be removed,lfrom premises: ~ No 14. Name of Owner of premises/---w~.~..~..ig.~,~:. ~/~Address ................ : .. Phone $off.~(.~..~.~7..? ..... NameName of°f Contractor"~) fJ~. ~,' ~'~-~ ..Architect .............. ~5~'""Address ................ ... Phone No ................ risc/__ . Address ................ j'... Phone No..--~ .t..'T~.~..7 .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indiicate 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 corner lot. ~,~.~3~,~., STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, depo?es and says that he is the applicant (Name of individual signing contract) above named. He is the ............................................................. i ........................... (Contractor, agent, corporate officer, etc.)! of said owner or owners, and is duly authorized to perform or have performed the s~id 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 application filed therewith. Sworn to before me this ~~~-.~ 7 kY' j (Signature of applicant) ' MAIN RoAD vAcANT LOT 60: MAIN ROAD SOUTH, OLD , N.Y. 11971 S.80o 07' 50" t86. 15 Prepared in accordance with the m~nimum standards for title surveys as established by the LI.A. LS. and approved and adopted for such use by The New York State Land Title Association. N.Y.S. LiC..NO. 49668 LoT 4 ENGINEERS , P. C. .I vACANT CERTIFIED TO SECURITY TI%LE AND GUARANTY COMPANY TITLE NO. S914555 BARYL R. KETCHAM ~US AN~ KE T~CR.~'M* '~ N 0 TES: LOT NUMBERS REFER T~O MINOR SUBDIVISION MAP FOR PHILIP V. SCIRE. FILED AT THE SOUTHOLD TOWN TEST HOLE FROM MINOR SUBDIVISION PLAN. 0 0 ~" Z 0 z TEST HOLE Loom Sono~ .2' 5'/2' 7' I0' AREA = 2.52 ACRES SURVEY FOR DARYL R. *KETCHAM SUSAN KETCHAM AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 097 - 4 ' ? SCALE I" = 60' OC~ 7, ~,~1,985 MAR. 28, 1986 MAY 19, 1987 CLERK'S OFFICE. 85- $51 // MAIN RoAD TEST HOLE vAcANT ' ~ .so,~ 2' / '-" Z cZe,::zz' SURVEY FOR V A O A APPROVED ~ Prepared in accordance with the minimum ~ U ~ A N K E T O H A ~ N.Y.S. LIO. NO. 49C:~8 ~VEYORS fl ENGINEERS, P.O. 50.°0 '516 ) R O. BOX 99 MAIN ROAD SOUTHOLD , N.Y. 11971 sCandards for title surveys as established by the L I.A.L.S. and approved and adopted for such use by The New York State Land Title Association. The water supply & sew~ {]isposal syso terns for this residence will ~:o¥orm to the standards of Ce Suffo[k q~u¥¥ Depart- NOTES: CERTIFIED TO SECURITY TIELE GUARANTY COMPANY TITLE NO. S914333 DARYL R. KETCHAM SUSAN KETCHAM AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. AND EXPIRES 1~il YBI~ t:~ll ,ooo - o~? -. - ~~ LOT NUMBERS REFER TO MINOR SUBDIVISION MAP FOR PHILIP V. SCIRE. F/LED AT THE SOUTHOLD TOWN TEST HOLE FROM MINOR SUBDIVISION PLAN. C_J..ERK'S OFFICE. 85 - 551 TEST HOLE S.80o 07' :50 vACANT - 0 Z DARYL SUSAN Loom .4' .5'/~' ?' lO' AREA = 2.5P ACRES .SURVEY FOR R. 'KE TCHAM KETCHAM ~ P,~..~ .I. ~ ~ ~ ,,~,.~ AT CUTCHOGUE //..%~,,~A.~er standarclsforfitlesurYeysosestabllshedb~ ?~ TOWN OF sOUTHOLD //~'~'~ ~ the LLA. L.S. ond .pp.v~ an~ adopted !15I~- ~ ~y ~ ~o, ,,ch u. by ~he New York State Land C E R Ti Fl ED ~: SUF FOLK COUNTY, N.Y. I1.1 ~ I'JJ Ti,.~i~,o.. SECURITY T [ AND I000 ' 097 ' 4 ' / TtTLE NO, ~.~)[433~ SCALE l" = 60' -~516 ) 76~/,~20 : LOT NUMBERS' REFER TO MINOR SUBDIVISION MAP P. 0-. BOX~]909. FOR PH~iP' V. ' ' ',~g ~UT~LD'TOW~ ~ERK'S M, AtN ROAD" TEST HOLE S~DLVI. Si~ p. LAN:' s. BO~ 07' :50" vACANT LOT I86. 15 Prepared in a~cordanee with the minimum standards for title m~eys as established by the LLA. L.$. and approved and adopted for ~ use by The New York State Land Title Asseciation · (f~/EdON~~o~ ~'YORS B ENGINEERS, P. C. 51e ~ ?'eSl- ~o~o P. 0. BOX MAiN ROAD SOUTHOLD , N.Y. .Iol': NOTES: LoT 4 SINGLE f'AM~¥ DWBI~G' 0~¥ vACANT CERTIFIED TO.: SECURITY TI~.~E ANO GUARANTY COMPANY TITLE NO. S914333 DARYL, 'R. K;E T~HAM ~ SUSAN KETCH~M LOT NUMBERS REFE~ TO MINOR SUBDIVISION MAP FOR PHILIP V. SC{RE. 'FILED ~,T THE SOUTHOLD TOWN CLERK'S OFFICE, TEST HOLE FROM MINOR' SUBDIVISION PLAN. TEST HOLE Loom AREA . E.52 ACRE3 .SURVEY FOR DARYL R..'KETCHAM SUSAN ' KE TCHA M AT CUTCHOGUE TOWN OF SOUTHOI-D SUFFOI,K COUNTY, N.Y. I000 ' 097 ' 4 ' 7 SCALE I" ' 60' M~R 28, 1986 M~¥ 19, 1987. ~ :' ' 85 - 551 ,,~ ,, ,/ . , ~ ~ , ~l ~ ~ ~.~ ~ ..~w..~ ~ ' Lr rT ,~L~VATIOIfl DRAWN By ~ ' ','r F " L' -I ~ Zr Ioo ~ lfllM