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Home My WebLink About27952-Z FORM 110. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29831 Date: 11/13/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1595 SKUNK LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 4 Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 2001 pursuant to which Building Permit No_ 27952-Z dated DECEMBER 7, 2001 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 ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to DARYL R KETCHAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ]� r A ri d Sig ature Rev. 1/81 / FORM NO. 3 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) PERMIT NO. 27952 Z Date DECEMBER 7 , 2001 Permission is hereby granted to : DARYL R KETCHAM 1595 SKUNK LANE CUTCHOGUE,NY 11935 for CONSTRUCTION OF A 2 , 160 SQUARE FOOT ACCESSORY BUILDING AS APPLIED FOR at premises located at 1595 SKUNK LA CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0004 Lot No. 007 . 002 pursuant to application dated DECEMBER 7 , 2001 and approved by the Building Inspector. Fee $ 573 . 00 Authorized Signature COPY Rev. 2/19/98 I� Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ` 765-1802 ` APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. 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 2110 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" I.ap� uses: 1. Accurate survey of property,showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 L Certificate of Occupancy,-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00, Switmning pool $25.00, Accessory,building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 \ ' Date. New Construction: V Old or Pre-exis(ingBuildPmg: (check one) Location of Property: �� >�1tnM 4, House No. Street ) Hamlet Owner or Owners of Property: r �ja i� ` ��._. � Yl )v ____ Suffolk County Tax Map N 0,0, Section 09 7 Block O Lot t j O� . - Subdivision Filed Map._ Lot: Permit No. �� Date of Permit. Applicant: Health Dept. Approval Underwriters Approval: Planning Board Approval: ____ Request for: Temporary Certificate Final Certificate: _ �� (check one) Fee Submitted: $ r l 1 I 1 AkOlicant Signature �- Co -Za9& 31 t TOWN OF SOUTHOLD PROPERTY, 1000RD CARD OWNER STREET `J `�:' VILLAGE DIST. SUB. LOT '( i T` 1. N'. 1 N 'x 'r 'i FORMED OWNER N E ACR. (t � " F S W TYPE OF BUILDING r' i RES. i SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS f%} [.; i -1 - _ 600 y .I1�- • Y �JO`I QC_; Y v.. 2000 rr a,/�fx` 7 1 f.ZZ _ I 'T:" JELLI IGC -7eooc), ' S9 " 7 M 44-IM5 r Tillable I , 5 I rjQC7 —� y FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland I -�f v u i)U DEPTH 20 ' c7 House Plot A-2eE) BULKHEAD Total =r5) ' i I _ iv� 7.1 d9T Y«?� : 7,9 Foundation r Bath — a „ xt/�j X7,1( . 1lS 3z /7,,17 / Basement s ; Floors ° ` Fxt. Walls y Interior Finish xtension Fire Place Heat orch Pool Attic leck Patio Rooms 1st Floor reezeway Driveway Rooms 2nd Floor iarage 2 f ,Y .2 I.B. 1595 Skunk Lane Cutchogue, NY 11935 May 6, 2003 MAY Town of Southold Office of Building Inspector Town Hall Southold, NY 11971 Dear Sir or Madam: I am hereby requesting an extension of the building permit granted to me on December 7, 2002. The building permit in question is permit no. 27952. Thank you in advance. Sincerely, Dary . Ketcham . . . . . . . . . . . . . . . . . . . . . . . . . . . . STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at �.�,��✓EYI."== SCJ'—'�Ti�I1�i c�.4.✓�� niy That on the_G day of WC- , 2001 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- streetaddressG.uTGNG(--vF— N Architect/Engineer VtE OF 0 S orn to b re me his i�L�,lq v day of�� u 2001. 49> . i.. �Q Notary Public Jeanne Randarl NOdry "Ic. NYS#5002973 Su}(Mk Co.,Comm Exp 10/13/ cc: Applicant M-1802 BUILDING DEPT. INSPECTION [ /I/ZFOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACEn& CHIMNEY REMARKS: //, kt6 V Liz,7n/U LI DATE X0.3 INSPECTOR 75s e 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ "FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4L L,F ist Acs CNK DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU N [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARKS: 692 DATE 0 v�I INSPECTOR F SPECTLON REPORT DATE ===z�'• COMMHNTS=====_-__��___ Ht BOUNDATION ( 1ST) �? -r ELM r !!TION (2ND) ROUGH FRAME 6 (s PLIIMBING r c INSULATION PER N. Y. STATS ENERGY r CODE ;p c r FINAL ADDITIONAL COMMENTS: L-z" W1210 3 — Au ron p r TOWN OF SOUTHOLD BUILDING PERMIT APPLIC_ATI6N CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NOx?) 7'?,R Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 OJ_ Contact: Approved �2T� -120e/ Mail to: Disapproved a,c Phone: D Building IFisgeeter /olyj- PVA" ` We APPLICATION FOR BUILDING PERMIT .. BLDG.DEPT. D Date G 202k::)f 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy is issued 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 comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 2 (Signature of applicant or name,if a corporation) Pv i3o x i06y s�cz�n.is�n��tiT s" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder CNG iNC-�. 'l 11- 't Name of owner of premises 'D/.R-Y L 1-C-- i/�M -4 St. al E1t--�'1 A+"1 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: lhfl c; GKv t.-i r-- lA�+r CU-1crtvC-,u6 11935 House Number Street Hamlet n -7 County Tax Map No. 1000 Section �Q 7 Block Lot Subdivision''?bT;� �( _ Filed Map No. `fie- c Lot (Name) 2. State existing use and occupancy of premises andinte ded,gse and occupancy of proposed construction: a. Existing use and occupancy ( Te, lc_ ---_._ _— b. Intended use and occupancy E-Q W CMEI ' l,1A,, nj t FtJ ALC& A-SR�-ZL OF- CAW r- Jc De - 3. Nature of work(check which applicable): New Building_LV Addition _Alteration ___ Repair Removal Demolition Other Work (Description) 4. Estimated CostV-< 006, Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor —_ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type 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 -6 " `Rear 36 ' Depth O ' Height 10� Number of Stories 1 r 8. Dimensions of entire new construction: Front 3 Rear Depth 6 0 Height ( 0 ' Number of Stories 1 9. Size of lot: Front / 5 'OCA n •Rear I ( � )" Depth 608 32 I - fi 10. Date of Purchase Name of Former Owner I I ��t�Il_r �r 11. Zone or use district in which premises are situated C' 12. Does proposed construction violate any zoning lacy, ordinance or regulation: In, 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of premises F Address I M SLv,.�X 3 J� _ . Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO t/ * IF YES, SOUTHOLD TOWN TRUSTEES PERMITS NLAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTYOF�I +IG SS: COfF>S( :;W—A being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (Ae is the 4A-6,f— (Contractor,okent, 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 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 e this of 20 Notary Public Signature of Applicant Jeanne Randatf ^ Notary Nbltc.NYS 0500293 �•°fork ;n., Comm Exp. 0 C'} LOT AREA=109,671 sq. ft. 2.52 acres SKUNK LANE N 00'05'50'E 175.00' N 1572.04' Z V O OI a U J ro fod MNMM N �? 1R. r�`m, 14dHapr entrance V` n 9A t 13 Z `t 1 0 \ \ 11 P p N. N 175 00 N M. S OT45'10'E FD WH. NO, OR FORMERLY 5'MIAiOCIN THE 010=15 (OR O&MOW ) *OWN HEIOOR FROM TRE SROOM0E5 TO THE PROMPT UND AIR POR A SPWM PUWM AND UNE NO MOOM AIS NOT wDen TO mm Rw IO1 mm OF /NICO. RETNOO WVU. PODS. PATM JOB No. 01-76 FILE No. 766F PLWW WM. A1IOMON TO VADOW 011 ANY OMER 00MITRUMM. SURVEYED FOR DARYL KETCHAM UOPUT14OR D ALWAXIM oN ADWMN TO RMS VJRI 4 A MOtATON OF SECMW 7200 OF TIME NEP YOM STATE mIMATM LMe. OUk%%"= M I MO HMW SNALL RUN ONLY TO THE PWMN POR WMM RC SUMP 4 PREWM. ATO OM M MKIF TO THE TPIE caNPANY, 0"MMiHnL SITUATED AT CUTCHOGUE AONIR.Y AND LOON NSRIURON UM WIMML AMO TO M A950Nd9 OHNE LOON HARMON. OUAAWW ME NOT TMMstaMat TO AODITOWL R4STm111 S OR MUNNCOUon OSHlfISTOWN OF SOUTHOLD - SUFFOLK, COUNTY N.Y. . 00mo OF M6 SINIPP MAP NOT uwSa TRE I.MO WAMYC" "M SEAL OR SCALE 1' = 60' DATE 4-24-2001 DAWS® HEAL *Wu NOT N OONNOOM TO 0E A VAUD TMIE COP/ FILED MAP No. DATE CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-97-4-7,7- DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER—MANOR RD. WADING RIVER, ?� NEW YORK, 11792 N.Y. LIC. No. 048992 631-929-4695 HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E ',, UNDERWRITERS CERTIFICATE REQUIRED AP R ED AS NOTED _ 17-1• 1 17-0' 1 17-0' 1 17-0' ' 17-7• DATE: '� B.A ��sa - - - NOTIFY BUILDING DEPART " 765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED 1 I I FOR POURED CONCRETE " 2 ROUGH - FRAMING & PLUMBING - - - - - - - _ - - - - - _ _ — _ - - - _ — _ — — — — — — — — — — — — — — — — — aINSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CIO. _ I ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 1 1 S STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR _ I I 1 1 I y DESIGN OR CONSTRUCTION ERRORS OCCUPANCY 07Z I I I I I I r I I - a I I 2 X 4 WDGIRTS UJITEGP�kl� C� Ct) GF�C. E OF OCCUPANCY STEEL RIGID FRAME SUPPLIED BY I 1 I I MIRACLETRUSS I 1 1 1 e•OONCRETE BLM WINfv(70 W WNgI W9,L OWlACiI 8 i I I I GRADE 12' DEA. CONCRETE COLUMN N5 RESAR, \ RIGID 0=1RAPtAE COLUMN (T1PP) y SCALE V2- 1'4r 260 DOA. FOOTONO i I ---> LA I I 1 I I I I I I i ��yyqq - 2X4 � rli — _ — — _ — _ _ — _ — — — _ — _ — — — — — _ _ — — — — — — — — _ I , , W-21 MJUN FLOOR PLAN DOOR JAMB END WALL COLUMN SCALE 12- 1'4r SCALE 114" - 1'-D' I I I - I SUNCATCHER W CONCRETE SLAB 2DI"FOOTING 7 DIA REINFORCED EN C B N EERN IG CONTINUOUS WIBXBX10WWM ON WELL 1 CONCRETE COLUMN REINFORCEMENT COMPACTED SAND .� \ ��0�1084 \ e to AND a 28' DIA. CONCRETE FOO' NY 11.843$ e - - — ` 4x4- (4331)7491864 1 LT 711 II� . I I II I I II- I 1 FOR D. KETCHAM — 1595 SKUNK HOLLOW RD — — — CUTCHOGU E NV I� 2 05 STEEL REINFORCEMENT RODS CROSSTIES ---- RIGID FRAME BASE PLATE ENCASED IN Ir X 12' CONCRETE MP.AT EACH RIGID FRAME) SCALE 12- 1'-0' or-NEWI, CORNER END WALL COLUMN y�P$ac+F0 ti�9* " DATE DRAWNSCALE 12m 1'-®' SCALE 12w 1'-4D' W SCALE: AS NOTED ' 0497&6 F� SHEET OF A., I I 1Y DIA PIERS ON TA'DW FOOTINGS"M I I I 1 I 1 I I 1 NOTES: , ill 1 I I ; 1 1 I I I OBTAIN ALL APPLICABLE ' I ' STEEL CROSS TIES ENCASED BUILDING PERMITS BEFORE ,. /IN CONCRETE gYP. BTARTNG WORK IP CONCRETE SLAB W/H I ; / AT EACH RIGID FRAME) PROJECT:TO CONSTRUCT A 17 EA.WRY ON VAPOR i 1 I l I STEEL FRAME EOLOWENT BARRIER ON 4 MIN GRAVEL i I i STORAGEBULOING. - - 1 ERECT STEEL FRAME STICTLY 1 1 MJCOItDWO TO a ' ' W-Y I MB7ADLETRUSS DO. INSTRUCTIONS. -. - - - - - - - - - - - - - Ii-- - - - - - -;-I-;- - - - - - - - - - - - - - - - - - - 1 IIS I ' I I � CONSTRUCTION JOINTS SEE DETAIL 3-A2 ' - SIL _ , -�- _ - - � -I�- - - _ - _ - _ - - -;-I I STORAGE r I I i I 1 I ' II X WI�• I ; 1 1 I I I I I I I I I I I I I I III Ili 1 ' I 111 1 I I I i 1 ; i ' I 111 111 h 11'-0 7/8 17-0 i/C III 1 1 1 1 1 1 17-C ' I ; 1 i 17-0'1 1 - II II � I I I I 1 1 1 1 1 I 1 1 1 1 I I I I I I I 1 I I W-7' I I 1 171' 174' I I I FOUNDAMN PLAN SCALE 1/4. 011-®• SU NCATCH ER ENGINEERING PO SOX 1064 SMELTER ISLAND NY 11955 (531)7491964 FOR D. KETCHAM 1595 SKUNK HOLLOWS RD CUTCHOGUE NY OF NEVVYO �� jFOK yDATE * DRAWN BY SCALE: AS NOTED ` 04 Wi L/ UIQ PROFESSVGtI,/ SHEET OF J fl i 1 x R'N A �1 m-0• vI a�m- - - FRONT ELEVATION RIa;TrI OR LEFT ELEVATION WALE 114'- Nr 8cuE yr- 11-0• SUNCATCHER ENGINEERING Po BOX ION SHELTER ISLAND NY 11985 (831)7491885 FOR D. KETCHAM 1595 SKUNK HOLLOW RD inr ir-0• ir-0• ire it r CLUTC0 OGUE NII „"- SECTION OF NEW YO Bf:WLE 1/r 1'-0` tips fly FOK�,y DATE * w DIZAVIIIN SV 2s a6 SCALE: AS (NOTED ' FES SHEET SHEET OF A3 tY�