HomeMy WebLinkAbout17550-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 5-19504 Date NOVEMBER 13, 1990
THIS CERTIFIES that the building
Location of Property 360 DENKEL LANE
House No. Street
County Tax Map No. 1000 Section 97 Block t
Subdivision Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot 23.4
ADDITION
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 17, 1988 pursuant to which
Building Permit No. 17550-Z dated OCTOBER 21~ 1988
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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE 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
DENNIS & CYNTHIA KETCHAM
N-089332 - AUGUST 30~ 1989
N/A
B6ilding Inspector
Rev.
i/si
FOR~ NO. B
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)
N_O u1'~'550 Z
Permission is here~y granted.re: .~ ~. , . .. -- _
~--~"~- ~..~...,~A..~~
,o ~~~.....;~~.~~..~.~.....~~
................................................... ............................................................................
Co~w ,o~ uop ~o. ~oo0 s~t~o~ ....... ~ ......... ~k ....... ~.~ ....... Cot ~o.
/
Building Inspector.
Fee $, Z,.~...~
Re,/, 6/30/80
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 installation~, 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
"pre-existing" land uses:
1. 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.
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 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 ...../.~.."/. 2: .~0.:: .............. i ......
New Construction ........... Older Pre-ex~sting, Building ........... ~-~...~ ~ ~
Location of Property...~..~..~....¢.~..~.~.~..~ .............. ~¢.¢.'.~. ..........
House No.-- Street HRtt/iet
Onwer or Owners of Property ...............................
County Tax Map No 1000, Section ..... ..~.[~ .... Block .... O..~ ........ Lot..~.~.f.~. ...........
Subdivision ................................... . Filed Map ............ Lot ................... . . .
Permit N .~.[~.~.~...~..Date Of Permit/?.:./
Health Dept Approval .. Underwriters Approval /~, .~.~
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ............................ ~..~~~ .~
c/o a7 , i ........
TOWN OF $OUTtIOLD
OFFICE OF BUILDING INSPECTOR
ILO. BOX 1179
TOWN HALL
SOUTIIOLD, N,Y. 11971
Mr. Dennis Ketcham
360 Denkel Lane
Cutchogue, N. Y. 11935
TEL. 765-1802
November 8, 1990
To Whom '
%his May Concern,
We are unable to complete your Certificate
of Occupancy becaune .of the following reasons.
/_--/ An application for Certificate of Occupancy
is not on file. -
/X~/ No Underwriters Certificate on file.
/~/ Tho check i.';(outdated/not on file.)
/_-/ No Health Dept. Approval on file.
/~/ No final insf~ection has been made.
P]ea:;e contact ()ur office on this matter.
Thank you for your cooperation,
lh~[lding Pern~i.t ti _1_ .2-. 5--5.__0__ Z
Building Dept.
*~*/_--/ ~lc) Plumber solder Certificate on file.
( all perm'{ts involving plumbinc3 being
issued after April 1,1984 )
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
{ 2nd )
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
COM~gNT~
FINAL
ADDITIONA'L COMMENTS:
J @
v
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLi}
Mr. Dennis Ketcham
360 Denkel Lane
Cutchogue, N.Y. 11935
Dear Mr. Ketcham: ~
April 3, 1990
B.P. ~17550Z Inground pool and fence
This is letter is a follow up to the phone conversation that
Mrs. Ketcham had with Mr. Wieczorek.
The permit is about to expire and the pool needs to have a
certificate of occupancy. Please take care of all that is
required to obtain your Certificate of Occupancy.
Yours truly,
Secretary
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 3, 1990
Mr. Dennis Ketcham
360 Denkel Lane
Cutchogue, N.Y. 11935
Dear Mr. Ketcham:
B.P. 917550Z Inground pool and fence
This is letter is a follow up to the phone conversation that
Mrs. Ketcham had with Mr. Wieczorek.
The permit is about to expire and the pool needs to have a
certificate of occupancy. Please take care of all that is
required to obtain your Certificate of Occupancy.
Yours truly,
Secretary
L.E~ - I = HO
EN(~LOSE POOL TO CODE
iv~A~ f4 BO/kD
I
ININDOW8 TO BE EQUIPPED W TH LOCK LATCHES AT A I~IHIMU~I OF
~" ABOVE FLOOR ~I~VATION; ALL DOOR8 L~DING TO POOL ARF~
~E SU~IJED W~TH SELF-CLOSING, SELF-~TCHD~G DOOR DEVICES;
SL~DIN~ DOORS TO BE EQUIPPE~ WITH SELF*CLOSiNg,
TURBO:
A PAC.FAB PERFORMANCE LEADER
ENGINEERED
SUPER-STRONG
WITH INJECTION
MOLDEDGLASS-
FILLED RESINS.
1. Corrosion-proof,
super-strong tank~
injection molded of
glass-filled polymer,
Top of tank, wiih top-
mounted pressure
gauge, is shown on
front.
2. Clamp seal, shown
on front, allows quick,
easy access when
manual cleaning is
required. Hydraulic
impulse technique
dislodges D.E. to
provide longer inter-
vals between manual
cleaning.
3. Curved modular
grid can be easily
cleaned with garden
hose while in place
or can be easily re-
moved (like a car-
tridge) for remote
cleaning.
4. Two quick con-
nections from pump
to pool. No valving,
backwash plumbing
or separation tanks
necessary. 1~" male
NPT inlet and 1~"
female NPT outlet,
5. Easy - to - remove
king-size drain plug
makes cleaning and
winterizing a snap
-no stooping,bend-
ing or dipping into
tank.
6. Automatic air
bleeder saves time
during start-up and
service.
7. Turbo is available
as a money-saving
package, skid-mount-
ed with a PACoFAB
high-performance
Hydropump,® 2-speed
Energy Master for
energy savings or a
compact PAC.FAB
Dynamo II l-speed or
energy-saver 2-
speed.
MODELS AVAILABIuE
TURBO D.E. FILTERS
FIItor Mo(lei No, GPM
TURBOo44 30-55
TURBO-66 40-7'0
TURBO FILTEf 'HYDROPUMP® SYSTEMS
Filter Model NO, ReCemlnended Hydropumps
RPA IH.R, RPA 1~ H,R
TURBO-66 RPF ~ H,R, RPF 1 H,R
TURBO FILTER/DYNAMO II PUMP SYSTEMS
Filter Model No. RecOmmended Dynamo It Pompo
TURBO-44 DYN II-NI-½ H.P,, DYN II-NI-~ H.P.
( c.Fab, Inc,
RO, Box 1205, Sanford, North CaroJJr)~ 27330
PAC'FAB Po, Box 4999, El Monte, California 91734
~ P.O Box 17, 2410 Herentals, Belgium
Form No TU-1083
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ~'~NAL
REMARKS, ~ ~ ~/~"~~
DATE
THE NEW YORK BOARD OF FIRE UNDERWRITERS P:<>~::
J000~'~[ BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date Application No. on file
THIS CERTIFIES THAT
only the electrical ~uipment ~ ~scribed below a~ introduced by the applicant ~med on the a~ve applicat~n number in the prem~es of
in thefollowlng loca~io~,,, ,~, ~as~t ~ Ist ~7. ~ 2nd FL O[IT Section Bilk Lot
DIMMERS
SERVICt DISCONNECT S E R
OTHER APPARATUS:
P~NEhBOARI)S ~ 1"3 C'(R. :t O0
*(~qT~IN(; POOh) Th'is ,-,ert.~fieate
made by a qual, ifi~d
OF CC COND.
I C E
GENERAl, MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined . ./.¢ .~.~../. ....... , 194~..'.~
Approved. ~ ./~./ ........ 19~./Permit No.../..~'.~..,~..O./
Disapproved a/c .....................................
~7 ~/Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received .......... ,19...
BLDG, DEFE
TOWN OF SOtlTHO[ 0
Date ....... 91. ! .~. ..... 199.6
a. Tins 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 application may not be commenced before issuance of Building Permit.
d. Upon approvai 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 Building 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 for removal or demolition, as herein described.
The applicant agrees to comvlM with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit author~]~l~s~{Ic~qOSn~mises and in building for necessary inspections. ' -
(Signature of applicant, or name, if a corporation)
..... !57.9..¢....¢~.. ~ ~.~.x.~... :.~..~.~...~...~..
(Mailing address of applicant)
State whether t~}ttl~l~Oitffill~,~{~s}ee., agent, architect, engineer, general contractor, electrician, plumber 6r builder.
.... ~'~. 9~.~.~ ~-..: ~A4N '~¢..~ ...............................................................
Nme of owner ~,~ ~t. M~., r¢ .... ~ ~'~ ............... ' ...............................
~ ~ ~'~ffi)~O~ ¢ ~.. (as on the tax roll or latest deed)
[f app~ ~~:Sf~[:duly ant horiz ed officer.
,. ...
~~"iiiig;T~;~ orate omcer)
Builder's License No ..... ~.
Plumber's License No ...... ~/.~ ..............
Electrician's License No .... ~/ ................
Other Trade's License No ~/~
......................
o,ana do e .... ...................
n;ali~ ................................................................................
Street Hamlet
County Tax Map No. 1000 Section .... PS~ ......... Block ......... O] Lot. 9l~ ~ :.~
Subdivision ..................................... Filed Map No ............... Lot ..... ~.I .......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ~..~i~.~M. ~'~t~ ...... ~ ...............................
b. Intended use and occupancy .
3. Nature of work (check which a plicable): New Building .............. ~.o.o.~-. Alteration ..., .......
Repair .............. Rem )val .............. Demolition ............. Other Work ...............
q ,
(Descript~ion)
4 Estimated Cost .......... ; .......... : ...... Fee ,.
(to be paid on filing this application)
5. If dwelling, number of dwelling lunits .... ./?/.~ ....... Number of dwelling units on each floor..~ff/ ..........
If garage number of cars . ./d./~
6. If business, commercial or mixed occupancy, specifynatureandextentofeachtypeofuse ...'~//.<~. ..............
7. Dimensions of existing structures, if any: Front....gO ......... Rear .... ' Depth .., ~5.~ ! ........
Height .. ~.~. ......... 'Number of Stories .......... /. .............................................
Dimensions of same structure w!ith alterations or additions: Front . .e.~..~2..~.~ Rear ~- .
Depth '-- Height .-7 Number of Stories
8. Dimensions of entire new construction: Front ~ ~- Rear .~. ~.. Depth /.q...
Height /, ,~,~, ,,~,o, ,~ ~>. Nunlber of Stories ,/.~..¢,g-O ~. ~..~
9. Size of lot: Front .... /~b.~.ar~.~ ......... Rear ...... ~,D..~ ~, ...... Depth... J~.ctq .q.~. ..........
10. Date of Purchase .-~OgTt [ J~,~. ............. Name of Former Owner .... ~.~ .(A:.. i .................
1 1. Zone or use district in which premises are situated ........... : .......... ' .......
12. Does proposed constructinn vioiate any zoning law, ordinance or regulation: ....... ~.c~. ............ ; .....
13. Will lot be .regraded . ~.~..~ .~ ,~.~. ..... ............. Will excess fill be removed from premises:
14. Name of Owner of premises .~.,~.s. ./..de,~?.~?.~,,o Address ~.~. ~c .Z~.oc /Cor¢ .~. Phone No
Name of Architect ...... ~/.~. ................ Address . ! s v'o' ~ · ~ · ' · Phone No ..... [' 2 ......
Name of Contractor ./q. ~:,.<.~ ......... Address . ~-~.c~ r<a,. ,~e~../(~. Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether
interior or corner lot.
APPJtOVEI) AS NOTED
766-1802 6 ~ 10 4 PM ~
FOCLC)WIN(3 IN~:
I. FOONI)ATIC)H .
FOR PO~ED
2. ROUGH . FRAJI4JNO & ~
3, INSUL~T10H
4~ FINAL CC)N811~LPJllOIg IkffJS?
BE COMPLh ~e FC)~ CO,
THE REUla~BNT8 OF THi &Y.
STATE CONSTRU~lION & ~V
CODES. NOT 888PONlI~I.I
OeSlON on
STATE OF NEW YORK,
COUNTY OF .... .,V?..~V.~c-..~ ..... S.S
.-~/5 o/~x-~/ ~ ~ c~c_ being duly sworn, deposes 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 said work and to make and file this
application; that all statements confained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manta r set forth in the application filed therewith.
Sworn to before me this
.................... day o '. ........ 19...
Notary Public, . ·, ~. ounty
MARY LOU REILLY
NOTARY PUBLIC, State of New York ' '_ ....
No, 4805679 ' . (Signature of applicant)
Qualified in Nassau County
Commission Expires September 30, 19..7.
N. 43°44'40"£' ~. I
5.65'
cO't-
( VACANT)
g65.52'
0
0 o
o
0
'T
LOT 2
AREA = 1.002.5 AC.
SURVEY FOR
DENNIS KETCHAM 8~ CYNTHIA KETCHAM
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY , N.Y.
1000 97 Ol 23.4
SCALE I"= 40'
JAN. 14,1988
May 5, 1989 (final)
573 -
gS'
MAIN ROAD
(,Ny.S, RTE.
CERTIFIED TO:
COMMONWEALTH LAND TITLE
INSURANCE COMPANY.
ROOSEVELT SAVINGS BANK
DENNIS KETCHAM
CYNTHIA KETCHAM
B. O.H. # 88-S0-08
SOUTHOLD, N. Y.
Prep_areal in accordance with the micimum
~tc~dards for title surveys as establi:he, d b~
the L I.A.L S. and approved and adepte~J
for such use by The New York State Land
Title Association.
LOT NUMBERS REFER TO {"MINOR SUBDIVISION"
MADE FOR WI LLI AM L, ~ MURIEI A. MURRAY
FI LED IN 'THE OFFICE OF THE SOUTHOLD TOWN CLERK.
ELEVATIONS ARE REFERENCED
TO AN ASSUMD DATUM.
aK. 87 - 1020