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Home My WebLink About19497-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19503 Date NOVEMBER 13, 1990 THIS CERTIFIES that the building Location of Property 360 DENKEL LANE House No. County Tax Map No. 1000 Section 97 subdivision ADDITION Street Block 1 Filed Map No. CUTCHOGUE~ NEW YORK Hamlet Lot 23.4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1990 pursuant to which Building Permit No. 19497-Z dated NOVEMBER 2, 1990 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 DECK ADDITION AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 DENNIS & CYNTHIA KETCHAM ild~ng Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P£h~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK. AUTHORIZED) N~ 1949/ Z Permission is hereby granted to: / /~ ' ~-~_~ ~.~.~...~~.~ .......................... .~.~..o~...~.~~..../.~ .......... j ...~.~....~~ ..~--~. z/¢~, ~ at ,rem,se, ,~ated at .~....~**'..~..~'~ ................................................. ................................................................ ........... ................................................. co..~ Tax Mop No. ,000 Sec,°. ...... ~.~. ....... B,~ .......... ~ ...... Lot No .......... ~.~..Y' pursuant to application dated ..... ~.~**/~..~4~.. .................................. , 19.~.., and approved by the Building Inspector. ~ /~//~x'~~' ' ~ee ,.z .,t.#~ Rev. 6/30/80 BLDG D FP'T, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~IALL 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 ali 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 ~¥re-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic 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. ~. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......... /~. ~?.~ ...................... Constructio .. . * ... Old Or Pre-,existing Building ..... ~ocationofProperty..~fs~.~~ ........ .~./..~.~.~.~..~.~...~.Jii"iiii~fml~et~.7.~ ...... )nwer or Owners of Property ...................................... ]ounty Tax Map No 1000, Section ..... f[~. ..... Block ..... ..~.Z ...... Lot .... ~.'..~. ......... ~ubdivision .................................... Filed Map ...... ......Lot...... ........... .. .. . ~ermit No.. ~. ~.~.f~..~.....Date Of Permit...//'..~..~ ,?.~...Applicant..~.--~.. ...~.~.~ .~.~.~ ~ ·. Iealth Dept. Approval ....................... · . . Underwriters Approval..., ............ .. .. .... . >lanning Board Approval ........................ ~eq~est for: Temporary Certificate ........... Final Certicate ........... e.o ' F TOWN OF SOUTtIOLD OFPICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 November 8, 1990 Mr. & Mrs. Dennis Keteham 360 Denkel Lane Cutchogue, N.Y. 11935 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /x_--x/ An application for Certificate of Occupancy is not on file. /_--/ blo Underwriters Certificate on file. ~ The check i:; (q4~xld~l~/not on file. ) $25.00 /_-/ No Health Dept. Approval on file. /-'/ No final inspection has been made. Please contact Thank you for your cooperation. lh~ilding Permit t! 1 9 4 9 7 Building Dept. * ~*/_-/ {)ur office on this matter. Z ~Io Plumber solder Certificate on file. ( all >n~mits involving [ ' '' ' ' pluml.}inrJ being issued after April 1,1984 ) TO7tN OF SOUTtIOI, D OFPICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL $OUTIIOLD, N,Y. 11971 TEL. 765-1802 November 8, 1990 Mr. & Mrs. Dennis Ketcham 360 Denkel Lane Cutchogue, N.Y. 11935 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. ~_--X/ An application for Certificate of Occupancy is not on file. /_--/ No Underwriters Certificate on file. ~ Tile check i:;(q~ik~x~/not on file.) $25.00 /~/ No Ileal. th Dept. Approval on file. /~/ No final inspection has been made. P]ea:;c contact Thank you for your cooperation. B~il(]inq Permit I! 1 9 4 9 7 Z BuiltIing Dept. , ()ur office on this matter. IIo Plnmber Solder ~ -' · uert.~f~cate on file. ( all permits involving plumbinc3 being issued after April 1,1984 FOUNDATION ( 1 st) FOUNDATION (2nd) ROUGH FRAME & -PLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FILIAL ADDITIONAL COMMENTS: FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' ~OUTHQLIil. N~¥. tt~17 t P. xanlincd . z<. ........ 19 ~' TEL.: 7G5-1803 Disapproved ale .................................. APP~0V~ RS ~0T~D _ ~- ~., FOLLOWING ~NS~CTION~: ARPLIgA?ION F~R BUILDING PERMIT 1. FOUNDATION FO~ ~OURED CONCR~T~ 2. ROUGH'- FRAMING' & PLUMBING 3. ~NSU~TION IN'RUCTIONS BOARD OF HEALTH .......... 3 SETS OF PLANS ........... SURVEY .................... CtIECK .... NOTIPY~ CALL .... ~:~'d[ v . or nt ina aha sun 'tted ' · . A¢~Oh/~i~i/Ct[~i~I ,~Jil~.t~1~lie. t:ee accusing to schedule, mi to the Budding ~=~r, w~ orT~a~D~n~"~.l~t and of bulldogs on premises, relationshl to ad' ' ' ~ · :_. ¢.8~TE' ~~d~on of layout of DrOO r v mn-+ ~- ~ P - ?Groin= premises or pubH~ =tree: C~I,. ~SPO~IB.LE FOR = m which ~s pan of tNs appl cation may not be Commenced before ' ~'~~~t~on, the Buitdin- · ...... . zssu~nse of Bufld~g Permit. = inspector wm Jssuea a Budding Pe~it to the appHc~t. Such pe~: sha~l bc kept on the premises avaUable for ~spection throu~out the work. e. No bulldog shall be occupied or used in whole or in part for aOy purpose whatever until a Ce~ificate of Occup~c- shall,have been granted by ~e BullriNg Inspector. . APPLICATION IS HEREBY MADE to thc Build~ De ~ - ~uildin~ Zone Ordinance of t~ TOwn of outhold e.~ ,?~ ment ~r the msu~ce of a B~Iding Pe~it pum ant to th, r~ =~:s ~o comply w. ith all a--ticable law- -.a: Z:.Xqt uva~ u( aemontmn, as here~ describe . admit authorized ~specto: on premises an~ buildNg }~=~~~5=~~o~s, =d ~c ess o~ app~c~t) ' State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. ........ A ....... < .................... ............. , ......... If applicant is a corporation, signature of duly authorized officer. Builder's License No.. O.{JO ?~. ~ ..... Plumber's License No ............ Electrician's License No .... Other Trade's License No .................. OuOu?a, C¥ OR USE,iS UNLAWFUL ?¢ THOUT CERTIHCA TE OF OCCUPANCY .. ...................... · ........ House Number Street. ' ' · .... Hamlet ,-J .......... C°untyTaxMupNo. 1000S~ction .....~..2 ........ ' Block ..... Lot .~. ,' ...49./ ........... Subdivision . · .... . ·.. .................................... Filed gl0p No. (Name) .............. Lot ...... S[stc .NISlhqg USC and occupancy of premises and intended tts¢ and -'V .,~y Otproposed constrtlctloll: A. d occupancy ............ ~' f// ./..// '']L.~-j---"-' -~.. ......... B. Intended use and occupancy.. ~ / / --t'''~"~' ..................... 3. Nature of work (check which applicable): Nexv Building .......... Additi ...;...Alteration .......... Repair .............. R~moval ............ :. Demolition .............. Swxmming pool. ........... Tennis Court ......... Accessory Build].ng .......... Fe}~ce ...... Other Work; .~-~-e.. .... 4, Estimated Cost .... ~.~.....-T ....................... Fee ......./008, ........ .? ...................... ~ ha paid on filing this application} 5. If dwelling, number of dwelling ~nits .... . ./..'~ ...... Number of dwelling units on each floor .... ../.. ...... Ifgarao. e numberofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..-~ .............. 7. Dimensionsofexistingstmcturcs, ifany: Front. .............. . Rear ............... Depth ..... ........ Height ............... Number of Stories ................................ Dimensionsofsamestructurewithalterationsoradditions:Front ..... ::: :::. :: I~;;r':::::::::: ..... Depth .................... ~.. tleight ..................... Number of Stories ................... 8. Dimensions of'entire new construction: Front .............. Rear ............... Depth ............ Height Number of Stories · ' 9 Size of lot: F?ont Rear Depth 10. Date of Purchase .............. Name of Former Owner ............. 11. Zone or use district in which premises are situated ...... 12. Does proposed construction viotate any zoning law,:'ra;;;nZ or'/ega ..... 13. Will lot be regraded ...... ~..; ............... Will excess fill be removed from premixe~: ,. Yea .... ,c 14 Name of Owner of prcmL~es ' " Address Phone No '" Name of Architect : Address Phone No"" ' N-,me of Cmmacto~ .... l..%.I.~ t.hi~ proper't'; ............ : ........... Address ............ ~ ....... Phone No .... ' ....... 5,"' ' lots:ted within'a00 feet of a tidal wetland? ,~-¥ES .... ~If yes, Southold Town Trustees Permit may be requi~e"d. PLOT DIAGRAM ~ ,'~ Loeat~ clearly and distinctly all buildings, whether existing or proposed, and indioa~,'all set-back dhnen~ion: :':'' property lines. Give street and block number or description according to deed, and ~how streei,names and indicate interior or comer lot. · .__ STATE OF NEW YORK, ,S,S COUNTY OF .................. ............................ ..................... being duly sworn, deposes and says that he is the applica:: (Name of individual signing contract) above nan{ed. 1% is the . (Contractor, agent, , . of ~aid owner or owners, and is duJy authorized to pe,rform or have performed the said work and to make and file tin application; that all statements coat;slued in this application are true to the best of his knowledge and belief; and that th work will be performed in the manner set forth in thc application filed therewith. Sworn to befOreoTme this ............. .~, ......... day Nora 'Pubhe G ' , ......... ' ............ County HREN K DE ~;E , * I~ ~plr~ ~ ~,~1~ (Signature of applicant