The URL can be used to link to this page

Home My WebLink AboutZ-19088 FORM N0. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No 219088 Date MAY 31, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 385 GLENWOOD RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 005 Lot 17 Subdivision RAVATONE Filed Map No. Lot No. 17 & 18 conforms substantially to the Requirements for a private one-family dwelling built prior ro APRIL 9, 1957 pursuant to which Certificate of Occupancy No. 219088 dated MAY 31, 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 ONE FAMILY DWELLING AND ACCESSORY GARAGE. The certificate is issued to PAULINE KETCHAM (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A **SEE ATTACHED INSPECTION REPORT Building Inspector Rev. 1/81 . ~ ' _ ~ BUILDI:~.G DEPP,RT:•IEP'sT - T0,•J~T OF SOUTHOLD, N. Y. HOUSIaG CODE IITSPECTION REPORT Location 385 GLENWOOD RD_ CUTCHOGIIE ~numoer do street) I~iunicipality) Subdivision rtap No. Lot(s) Name of 0~•mer(s) PAIILINE KETCHAM Occupancy R-40 OWNER (type owner-tenant) Ad,aitted by:PAULINE KETCHAM Accompanied by: SAME Key available Suffolk Co. Tax No.137-5-17 Source of request PADLINE KETCHAM ~ Date 5/.17/90 D'•TELLI~TG: Type of construction wooD FRAME stories 1~ Foundation CEMENT Cellar PARTIALCraWl space Total rooms, 1st. F1 4 2nd. Fl 2 3rd. Fl Bathroom(s) 1 FULL BATH Toilet room(s)-- Porch, type FRONT ENCLOSEi~jeck, type Patio, type Breeze:•~ay Garage Utility room • Type Heat OIL ~',Varm Air Hotwater Kg Fireplace(s) oNE No. E:cits 2 Airconditioning Domestic hotwater oIL Type heater AFRO Other REAR ENTRY ROOM, OIITSIDE SHOWER ACCESSOR`I STF.UCTIJRES Garage t frame o ype const. 1~ car Wood Storage, type const. S~•ri.:uning pool Guest, type const. Other VIOLATIONS: .CHAPTER 45-N.Y. STATE DNIFORM FIRE PREVENTION ~ BIIILDING CODE Location Description ~Art.~ Sec. - - ~ 4 . Remar'.~s: B.P.#190442-C.O.#219084 DECK Inspected by• Date of Insp. 5/23/90 ~y F • Time start 11:3o end l l~-5o__a-m- w FORM NO.6 ~ l,~_ 1.~~~~~` ~ TOWN OF SOUTHOLD 1 D Building Department Town Flan ~ MAY 17199U Southold,N.Y.11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUP NCY~'~~ TC_t~Nq'~ C=a- . Instructions w---~--~-~ ~ _ A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspeo- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. -For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25:00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 .00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 0.00 4.Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date ...Y~. NewConstruction,,,,,,OldorPre-existing Buildng~.~. ~~~,~VacantLand Location of Property ~..~~-y~'~ 4~ D~ .~(~~Q, , , , , , House Na. Str~er ~ ~ ~Hamlei Owner or Owners of Property ~ ~~~~u~..~~~~ .U"~(~(\............ . County Tax Map No. 100.0 Section .l Block ~ Lot . Subdivision . ~v ; , , , , , , , , , , , , , ,Filed Map No. ..Lot No. Permit No. Date of Permit ..........Applicant . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning B'o~ard Approval . Request for Temporary C~er ificate .....................Final Certificate~~~~-.`f"..~(~?~~~6:^'~"'~ FeeSubmitted$.~~5-1. Construction on above described building and permit meets all applicable codes and regulations. Applicant~~.. ~ a.r.,o-,aas ~ 3 y~ ~ y s/~~~ ~6 P~ C'.C. ~ ~ ya ~ p f_ ~ { ~r } Lam, ,4D=~~ i a ~ v 1 COA'SENT I MAY 1 To '~.10~ _ _ . INSPDCTION ~~\\V~ ~J2~(~ the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the p(rlem~ises in.~he Town of Southold located at ~ ~\Q~W.~4 b~ L,y~,\ which is shown and designated on the Suffolk County tax map as District 1000, Section Block ~ Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in`the Southold Town Building lnspc:cw~ or.~s~o eor +hA following: C o ~ c~ ~ That the undersigned do(es) hereby give consent to the Building Inspectors of the 's'own of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~j ~ ' (sig nature) (print name) (signature) (print name) j r ~ K' `~ssJ r' 1 ~ ~ A F F I D A V I T ~ Re: Ketcham to Trefman STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) Pauline W. Ketcham, being duly sworn deposes and states as follows: That I am the owner of certain premises located at 385 Glenwood Road, Cutchogue, New York, designated on the Suffolk County Tax Map as District 1000, Section 137, Block 5 Lot p/o 17. That located on said premises is a single family residence and a detached garage both of which were constructed prior to April of 1957. That I submit this Affidavit in support of my application for a pre-existing Certificate of Occupancy for the house and detached garage. Pauline W. Ketcham Sworn to before me this 17, day of May, 1990. Public Notary PuWio, SMINK w~ No. ~7N QuslHisd in Sy('(~ Commission Expires Npy, Sp, j~ ~ J~ _ - I I ~ Pf~QP.Q~ED L.II~~ CNAitilGE i ~ ors MAP_ "aF PfZ'~PEfZTY ~ ~ ~SS6325~J.E, _-.J50.03~ ~ I ~ TO BE CONVEYED W \ ""IS I ~ ~ curcHO~u~ N.Y, z 50.0 __.50.0 ~ x ~ i 5:5737 W. IQ0.0 I ~ ~ I- ~ ~ ~ 0~/NEf25 ADRf~E55~ , ~ I H - I, 105 FLEETWOpD RGAG l7 ~ ~ CUTCHQGUE,NY~ I[g35 w, w ' ~ I I N ~ U O (In I ism ~ r-- u(O 16 _ 15 L J r- o l , `n-- i ~ ~--L~ ~ f Q r e 7500 5.F' i ~ ~ ;-3 M j f -M N ~7° ~ ( ocn m~ N I ~ ~ 5.57`37 W. t~:0 _ I _LnN.0.65. / + i i n, GA.Ef~I Y~/QQD 0,2 ~5Te7UT'E Pd 6lJ2G R.O.~.D -31 /t { 9 I i li it I s1 i ~ nd I .G..., ,.ta I c pnl n3..4fmrs lr9u^-^.liueni I I I 1 I I SCALE- =I~ I ____r~~ ~=MQIVUM~,NT `J Pi rE I I v { y I, i i ! I r I ~fr~,-~ NOTES y \~o ~o I.CUNTOt}R5 ~EFE~ TZ~ MEAN 'SEA i.t^'vE(_. - ~ WE F{EI2EBY CE2TIFY THAT TG;IS MAP WAS MADE_fSY.US a o 2.SUF(' ~i4~' t-1AY DPTA~ Ic7:XJ-f3'1-5-I? FIZpFt ACTUAL SURVEYS C.7Mi?I_ETr13 _QGT. _19 _ 189 sau'rNEILNCraa55 2a ~ ~ 3.pROPE2TY 15 Irt lrUl O1~G Z{3NE '~.--0G AND THAT CAhIC(2ETE MONUMtN`i5 rlAtiiE bL-;EN 5F~7 I Y , ' I ~ 1 'j (ZE;IDL-NTIAt_ LQ1nf llEf ujITY P,A A7 Paih1TS SHOWN TLIUSs[} z. ~I~riwcaoo~%~ q.Lpr.NOS.REFE2 rb~~MAP OF,l2AVlilf.~r.}E {`LQi~~.}ZICIL V,4N TI.SY~P.C. ~ tim I REAf.:r'.' ~Q ('I{~ED fN THL SU+`~ CQ U,~--- -T-""~Q> w'1 ~ CLE2iG'S OFFtCG AS NiAF ~~_>39. _ - - r LiCENSEU. LANp S, ~(VE'Vg25 GR:E,Ei~aP~J12% iV.Y. I U _ - ~ ~a~".,ro~~Yw S'e ```^f.-~_"'.., ,~.-a r .,wMr,+k ~v~~ :5 r..t=hn ~w-,~.ar r'a'A'r.za, ~t«.~ 'p, ri. P.fl,_.5~-'... T,---•--•' . 5 ~^4% ~ ku': .~;..5.- "'~"'....~FrI~+4SF1~`= ~ ~ . .ktlp. i~.. ~*R. h= MYl - ~s.,',+ ..r~&' Si-.'~ L''~ K~d+.'~F.S,'n y ' ' ~J°,:Nr- ~d'+D.u~ib r+. i. q.a ICI