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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£/~''