HomeMy WebLinkAbout16841-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Soufhold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18131 Date JUNE 20~ 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Propert~ 360 DEN-KEL I2kNE PVT. RD. #4 CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 01 Lot 23.4
MINOR WILLIAM L &
Subdivision MURIEL A. MURRAY Filed Map No. Lot No. 1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18, %988 pursuant to which
Building Permit No. 16841Z dated MARCH 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 ONE FAMILY DWELLING WITH ATTACHED C~tRAGE.
The certificate is issued to
of the aforesaid building.
DENNIS T. & CYNTHIA L. KETCHAM
(owner, ~{~)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-08 JUNE 20t 1989
N069836 MAY 3, 1989
UNDERWRITERS CERTIFICATE NO. H009308 Ai~RIL 28~ 1989
PLUMBERS CERTIFICATION DATED MC SHANES PLUMBING OCT. 7~ 1987
Rev. 1/81
~~Buil~din~Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y,
BUILDING PERA41T
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
~so .~.~.....~..~..., ......................
...c~.~.~..~.:~.:....~.t.~...~..~'.. ........ ,'~'~
~,,,..,,e,,~,.~ ................ .............. .~.~......,.~..~ ....... ~~.~
County To× Map No. 1000 Section ...... ...C~..~..-J. ...... Block ...... ..~...~ ......... Lot No..~...~...'..~...~. ......
pursuont to opplicotion doted .... ..~.~,~,...L..~.. ................. , 19.'.~....~.., ond opproved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF $OUTItOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 1 !971
TEL. 765-1802
CERTIFICATION
Building Permit N9.~¢{
/ (pleas~
(please pr in't )
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Swor to before me this
7~ day of ~Tzg~-Fg-~ ,
19 ~7'
Notary Public, ~c;~f=~ County
(plumber'S signature)
Notary t/ublic
TOWN OF SOUTIIOLD
BU]~LDINO DEPART~IENT
TOWN HALL
SOUTHOLD. NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ..OLD OR PRE-eXISTING BUILDING ...... VACANT LAND
~.o~o~ o, ~o~,..~.C~o~_ ,o. ...... ..¢./~/,~L~. ~.~ ~ .~ :~..
.....
O~ner or O~ners of Property ...
Subdivision ....................... Filed Map ........ Lot ..........
Permit No. l~.~.'.~..Date of Permit ~.'C~../.'.~. .Applicant: 'J~t~/'~{~....~.~
Planning Board Approval ................
Request for Temporary Certificate Final Certificate
Fee Submitted:
Co Zlo°13t
rev. 10/14/88
FOUNDATION (~lst~/)
FOUNDATION
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH PLBG.
INS~ULATION
[~FINAL
REMARKS: ~)~~ C~
DATE INSPEC3'OR _
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[~/'FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
INSPECTOR ~
~ 76S-1802
~I~ILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ]
I/FOUNDATION 2ND [
FRAMING [
ROUGH PLBG.
] INSULATION
] FINAL
I NSPEC'rORd~,~ ~,
765-1802
ILDING DEPT.
INSPECTION
FOUNDATION
FOUNDATION 2ND
FRAMING
ROUGH PLBG.
INSULATION
DATE
INSPECTOR
FOUNDATION 1ST
BUILDING DEPT. ~.~.~
INSPECTION
r ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING r/.~'~NAL
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ]~JGH PLBG.
FOUNDATION 2ND [,~] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: .~~,~'~..~ ~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
~FRAMING [ ] FINAL
765-180Z
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[~/FOUNDATION 2ND [ ] INSULATION
FRAMING ,r. ] FINAL
DATE
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~ o, -~c~,crrr
eS ~HN ~, ~W YORK. NEW YORK 10038
KEFCH~, 360 DEN [~ LANE, CUTCH~UE,
Bilk
~ exami~ ~ e~nd to ~ in ~na~ien~ ~ith the ~ui~me~s o~ th~ ~.
~6 ~7 40
~ DI~CQNNIBCT $ ! R V I
SERVICE BY OTHERS-1
G.F.C.I:-7
SNOKE DETECTOR: - 2
*NOTE: This is a partial, not a
eoep]ete certitic~te.
DENNIS KETCHAN
360 DEN-KEb bANE
CUTCHOGUE, NY, 11935
must
of the Boord i~ iacm'r~'t.
Il
may be id~a;:.~d by Mr credentials.
1ooon4 THE NEW YORK BOARD OF FIRE UNDERWRITERS
, · /8 N 069836
~ ~ ~ OUT
~ exami~ ~ a~ound to be in com~ian~ with the ~ui~ments of thb ~.
~T~ ~ O~
SIIIVIC~ OISC:QflN~'T S E II V I C E
*NOTE: This is a partial,
complete certificate.
3/0
B.d. ghgCTRIC CO.
BOX 1.6,STIbb#RTER AVg.
CUTCHOGUK, NY, 11935
hIc.12670g
return to the office of the Board if incorrect. ImpeL'ton I1~
VACANT)
tO'5'
N. 43°44'40''E'
5.65'
..j
'o
57 ~' -"'
$. ~ao44 4o
S.'Sz~a 55't0".~"
265.52.
LOT '~ '
TEST HOLE
i.oo:~3 Ac.
MAIN ROAD
17
(N.¥.S' RTE. 25)
SURVEY FOR
DENNISKETCHAM 8~ CYNTHI,
AT CUTCHOGUE
TOWN OF SOUTHOL[
SUFFOLK COUNTY , ,
1000 - 097 OI - P/O
SC ALE ["= 40'
JAN. 14,1988
CERTIFIED TO;
COMMONWEALTH LAND TITLE
INSURANCE COMPANY.
ROOSEVELT ,SAVINGS BANK
DENNIS K ETCHAM
CY N'J' HI A KETCHAM
I~repored in accordance with
~fandards for title Su~eys os
~ ' ~d FORM NO. 1
~L~, ~,1!~~ ''. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
....... TOWN HALL
BLDG. DEPT
TOWN OF $OUTHC, ~ $OUTHOLD. N.Y. 11971 -
~ .......... TEL,: 765-1802
Examined ~ hi . 19~..~.
Approved .~.~..c~i ~ Ii .', 19~.~.. Permit No..1..Lo.~..0(.,..~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH
3 SETS or
SURVEY . O.
·
CHECK ........
..GAf.. ......
~AIL T0:
Date .......... '..//. ..... 19...
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 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 Building Permit pumuant 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 comply with all applicable laws, ordinances,~ja~ildinfl..coclxe, housing code,, a~eguiafions, and to
admit authorized inspectors on premises and in building for necess~~ ~~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . .~ z'2./-.~ .... ~J~/~ ~. t5~ ................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) -
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No....O, q.x~.c) .t~.'-lF4~. ...........
Plumber's License No.. ~ '.~. ~- .Y'4~. ............
Electrician's License No. c~ ~"] D g
Other Traae's License No ...................... ~-~d >-- ~,O,(,d ~ ,~
1. Location of land on which proposes work will be done. ~.. /_~") H1 Fd .~g~~/ '
~~~'... ~.?L{-~". ~ir~ .~.% · .~. / ............................................
House Number Hamlet .=.~-~° .~
County Tax Map No. 1000 Section ...~....~.2... Block ...~...~ .... Lot.....~....~...
Subdivision., .~...~...~..../~.t4~.~. .~. ............. Filed Map No..~.~.~. ......... Lot.../. ...........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................
b. Intended use and occupancy ... J~... ~..°-d./d ..... .C~.... L{.0. ~ .... /.~ .........................
3. Nature of work (check which applicable): New Building .......,.. Addition ...... '~. [ }¥~[era~?.~i.: .....
Repair .............. RemoVal .............. Demolition .............. Other Work ......... ;, ........
4. Estimated Cost. .o. ..................... Fee ............................... {J~ ?....
(to be paid on filing'this applic~ti(~n)
5. If dwelling, number of dwelling units~...............] Number of dwelling units on each floor ................r
If garage, number of cars ...... i c:~. ...............................................................
6. If business, commercial or mixed 'occupancy, specify nature and extent of each type of use
7.. Dimensions of existing structuresi if any: Front N,~.ee.*lq~ ....... Rear .. i ........... 'l~;;t'h'
Height ............... Number of Stories .................................................. ..~
Dimensions'of same structure witch alterations or additions: Front ~q,?d..~ Rear
Depth ...................... Height ...................... Number of Stories ......................
' 8. Dimensions of entire new construction: Front . .'7.~ ...... ..... Rear .'7 .......... ........Depth .~Y,.~ .....
Height . .[.~.* .......... Number of Stories .... ~ .................................... ./ ............
9. S~ze of lot: Front ../.~.. ..... .......... Rear ..... ~.ff .............. Devttl . .~.1~.O~'. ..............
10. Date of Purchase ............ ................. Name of Former Owner ..~.C-~.Og->]~ -'~ ......
11. Zone or use district in which premises are situated ....................................................
12. Does proposed construc!i~,n viola:~te any zoning law, ordinance or regulation: . i~..~ ...........................
13. ~!11 lot be regraded .. ~4~o ..... .................. Will exc_.ess fill be removed from premises: Yes
14. Name of Owner of pre_mises~¢~°~t,~. ]Z;~c]~O.t~.. Address ~ .~t.ckl. o.t~Ll.~ ...... Phone No. ~ ~.q(..'7..17.~.~...
Nmne of Architect . ~c~.r~ .!'~-OhE]~.~( ...... Address ../?l~9. ~.l.'~./C,_... Phone No. ag (.~/'...~'~.~..q.~..
Nmne of Contractor ...~ .t.~..~ ~ ............ Address .... : .............. Phone No...,~ ............
15. Io thio property located within 300 feet of a tidal wetland? *Yes ..... No
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
umber or description according to deed, and show street names and indicate whether
property lines. Give street and block
interior or corner lot.
STATE OF NEW YORK, S.S
COJ.)NTY. Dx OF ................. 'k~ 'l (fit~.~t'lQ
... t./~'~'7.~t'o.~..%~. ..... ; ................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ....................... i ..................................................................
i (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this
application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manneriset forth in the application filed therewith.
Sworn 'to before me this
........................ day of l ..................... 19...
Notary Public ................................. Count: ~~/,.. ,~//,~ ,,~ ~~ ............
(Signature of applicant)
(VAOANT)
Z
0
Z
u_ 0
·
0 s?3'-~
S. 4~44 40 ~
?.65
BROWN
SANDY
LOAM
DROWN
COARSE
AND
VERY
COARSE
SAND
.MAIN ROAD
2.2'
(N.¥.S' RTE. 25)
it:
0 0
O_
SURVEY FOR
DENNISKE~HAM 81 CYNTHIA KETCHAM
AT CUTCHOGUE
TOWN OF sOUTHOLD
SUFFOLK COUNTY , N.Y.
I000 097 - OI - P/O 2:5
SC ALE I''= 40'
JAN. 14,1988
CERTIFIED TO:
COMMONWEALTH LAND TITLE
INSURANCE COMPANY.
ROOSEVELT SAVINGS BANK
DENNIS K ETCHAM
CYNTHIA KETCHAM
MAIN ROAD
SOL'HOLD ,-N. ¥. 11971
Prepared in accordance with the minimum
standards {or title surveys as established by
the L I. A. L.S. and approved and adopted
{or such use by The New York State Land
Title Association.
LOT NUMBERS REFER TO :"MINOR SUBDIVISION"
MADE FOR W~LLIAM L. ~ MURIEL A. MURRAY
FI LED IN THE OFFICE OF THE SOUTHOLD TOWN CLERK.
ELEVATIONS ARE REFERENCED
TO AN ASSUMD DATUM,
87- 1020
~$GOG\
LOT
(vAOANT)
el.
0
~_ 0 ~-o
0 J z
n o
~r'
Prepared in acqordance with the m~nimum
standards for tit~e surveys as established by
the L I.A. L $. c~d approved and adopted
far such use, bylThe New York State Land
S ·34° §5' %0" ~1 ·"
LOt ,2
( VACANT ~
AREA~ I. OOE$ AC.
TEST HOLE
25'
DARK
BROWN
LOAM
CROWN
SANDY
BROWN
COARSE
AND
VERY
COARSE
SAND
M ~1 N RoAD (~.~'.S- RTE'
PECONIC SURVEYORS
( 516 ) 765- 5020
P,O.BOX 909
MAIN ROAD
'SOUI'HOLD, N.Y. 11971
N.Y.
LIC. NO. 4961
ENGINEERS
SURVEY FOR
DENNIS KETCHAM CYNTHIA KETCHAM
AT C UTCHOGUE
TOWN OF $OUTHOLD
SUFFOLK COUNTY , N.Y.
I000 097 - O! - P/O 23
SC ALE l~'= 40'
JAN. 14,1988
The Water sbppl¥ & ~wa~e disposal sys-
tems for this residence will conform to i~e
standards of the Suffolk County Depart-
CERTIFIED TO:
COMMONWEALTH LAND TITLE
INSURANCE COMPANY.
ROOSEVELT ,SAVINGS BANK
DENNIS K ETCHAM
CYNTHIA KETCHAM
LOT NUMBERS REFER TO :"MINOR SUBDIVISION"
MADE FOR WILLIAM I. & MURIEL A. MURRAY
FILED IN THE OFFICE OFTHE SOUTHOLD TOWN CLERK·
ELEVATIONS ARE REFERENCED
TO AN ASSUMD DATUM.
87 - 1020
N. 43°44'40
5.65'
0~
o
co't-
(VACAHT)
AREA = 1.002;5 AC.
LOT 2
(2_
SURVEY FOR
D£NNI$ KETCHAM E~ CYNTHIA KETCHAM
AT CUTCHOGUE
sOUTHOLD
TOWN OF
SUFFOLK COUNTY N. Y
I000 97 Ol 23.4
SCALE I"= 40'
JAN. 14,1988
May 5, 1989 ( fin~ )
MAIN RoAD ~N'Y'S' RTE'g5)
B O. H # 88 - SO - 08
~.S. LIC. N~.
P.O. fgO× ~
MAIN ROAD
SOUTHOLD , N.Y. 11971
496
ENGINEERS
CERTIFIED TO:
COMMONWEALTH LAND TITLE
INSURANCE COMPANY,
ROOSEVELT SAVINGS BANK
DENNIS K ETCHAM
CYNTHIA KETCHAM
Prepared in accordande with the,
~an~atds for title surveys as
t~e L.i.A.L.S. and approved and
for ~ use by The New York $tate
~e ~a~on.
LOT NUMBERS REFER TO;"MINOR SUBDIVISION"
MADE FOR WILLIAM L 8~ MURIEL A, MURRAY
FJ LED IN THE OFFICE OF THE SOUTHOLD TOWN CLERK.
ELEVATIONS ARE REFERENCED
TO AN ASSUMD DATUM.
87 - 1020
EXI£
£Ec TION
6,4R~ZE
THRU
ROBERT H WHELAN, P.E.
RENOVATION TO EXISTING GARAGE,
FOR MR, KE.TCHAN,
CUTCHOGUE '1
,4
IILUUBIN(I
· WATER LfNES NEED
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
AI.ARtA LkW
NOTIFY RUILDING DEPARTMENT AT
765-1802 9 AM TO z[ PM FOR THE
STATE CONSTRUCTION · ENERGY
CODEr). NOT RESPONSIBLE FOR
DEglr~leEI COPlSTRUCTWN r~Roas
UNDERWRITERS CERTIFICATE
REQUIREO
pLUMBER CERTIFICATION
CERTIFICAl t ur ~,
~ USED IN WATER
;YSTEM CANNOT
~2/I0 of I% LEAD.
~.L FRAHII~ LUtltiER TO lie DDI. IJP-LAS F~l~l L~H No.~
~L ~ ~I~B ~ ]N~TIQN TQ CO~ORH HITH THE ~N Y~K BTRTE
E~RBY C~RVRT~ON C~GT~T~ CODE DATED ~RIL
,[ F~TX~S TO EgT ON V[RSlN ~IL HITH A HINIHUH PRE~TIVE E~IN6
CA~ITY F ~ T~IS.F. A~ ~E A H[NIfl~ OF 3 fT. ELO~ FINISH
~L pL~]~ TQ"BE ]N C~NCE ~]TH ~ Y~' STATE BUiLD,NB
C~T[QN CODE RE~]R~NT~.
ALL ELECTR~C~ ~Q~ S~L BE APPROVED BY THE ~E~
UNDEt~I TERB.
~> DO NOT BC~LE DRANiNSB~ UBE NR[TTEN D][~B[~3NS ONLY.
¥
' L-~-J L...J
7£/~''