HomeMy WebLinkAbout33827-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33334 Date: 10/10/08
THIS CERTIFIES that the building F;LRM BUILDING
Location of Property: 8000 WICKHAM AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
Cowry T~ Map No. 473889 Section 108 Block 1 Lot 2
Subdivision FiledMap NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 7, 2008 pursuant to which
Building Permit No. 33827-Z dated APRIL 17, 2008
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 FARM BUILDING AS APPLIED FOR.
The certificate is issued to ROBERT & MARILYiq RUTKOSKI
(OWNER)
of the aforesaid building.
SUFFOLK COUN~I"f DEPARTMENT OF HEALTH APPRO~I~L
BLEC'~RICAL CERTIFICATE NO.
PLUMBERS c~TIFICATION
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled 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 2/10 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. Subnfit 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" land uses:
1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect sigmed 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,
Swi~rmqing pool $25.00, Accessopy binlding $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, Comnrercial $15.00
New Construction:
Location of Property:
Date. [ ~'") -(~[ -t~)~
Old or Pre-existing Building: (check one)
House No. Street Hamlet
Owner or Owners of Property: ~'~ 0 D>_ ~'~ F~_IT~J~J,'~ !
Suffolk County Tax Map No 1000, Section ~ t~) ~ Block
Subdivision
Permit No. ~3~:~- ~.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Date of Permit.
Filed Map.
IR -t'~' Applicant:_
Underwriters Approval:
Lot
Lot:
Final Certificate:
(check one)
PLANNING BOARD MEMBERS
JERILYN 13. WOODHOUSE
Chair
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L. TOWNSEND
October 6, 2008
Robert Rutkoski
P.O. Box 1143
Mattituck, N.Y. 11952
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
Re: Site plan for Rutkoski Farm Storage Building
Dear Mr. Rutkoski:
The Planning Board is in receipt of your request for final inspection dated September 26,
2008 for the above referenced application.
As you requested, the Planning Board has inspected the site and has found that the work
done to date is in accordance with the approved site plan.
Any future requested change to the site plan should include a copy of the approved
stamped site plan noting the location of the requested change. If you have any questions
regarding the above, contact me anytime. Thank you.
Sincerely,
Kristy Winser
Senior Planner
CC:
Planning Board
Jamie Richter, Town Engineer
Mike Verity, Chief Building Inspector
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. 33827 Z Date APRIL 17, 2008
Permission is hereby granted to:
ROBERT & MARILYN RUTKOSKI
PO BOX 1143
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A FARM BUILDING AS APPLIED FOR PER
PLANNING BOARD.
at premises located at 8000 WICKHAM AVE MATTITUCK
County Tax Map No. 473889 Section 108 Block 0001 Lot No. 002
pursuant to application dated FEBRUARY 7, 2008 and approved by the
Building Inspector to expire on OCTOBER 17,2009/
Fee $ 150.00 ~,~
--Aut-~horized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~ FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPE~i'ION
RRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~'FOU NDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTAm' CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPEOTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
REMARKS:
DATE
FIELD INSPECTION REPORT I DATE
C OiVISMENTS
FOUNDATION (1ST)
FOEq'~DATION (2ND)
ROUGH FRAI'VIING &
PLUM]BYNG
L'-JSU-L~:~ F1ON PER N. Y.
ST:\ fE ENERGY CODE
FINAL
ADDITIONAL COM3~NTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-3[802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ,20_
Approved . ,20
Disapproved a/c ~/I//(~-
Expiration ,20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
PERMITNO. 7 ¥:gCheckSn ey
Septic Form
N.Y.S.D.E.C.
Trustees
Mail to:
Phone~
Building Ir ~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application MUSTA:~6ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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.
~-' '" ( ~S~gnature (51~pplicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~'~c>~ff.¢-~ "~u'y~D<~IC~
(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:
House Number Street
· Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block ~,
Filed Map No.
Lot
Lot
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
3. Nature of work (check which applicable): New Building
Repair Removal
Estimated Cost ~C~o,, 06~C)
If dwelling, number of dwelling units
If garage, number of cars
Demolition
Addition Alteration
Other Work
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front ~ 00' Rear leo~ Depth
Height [to' Number of Stories
Rear
9. Size of lot: Front Rear Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO
13. Will lot be re-graded? YES ~ NO Will excess fill be removed from premises? YES
14. Names of Owner of premises "~r~,~ r~,rc~lCl Address ~'~. 4? [3h~m-iroC. t'_ Phone No.
Name of Architect Address Phone No
INO V/
g_q2 -
Name of Contractor ~-~T~_lhn cttE ~ ~-~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES __ NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
AddressFAs'r~,~a_i I~, PhoneNo. l-~_CK)-%%~- ~$q~-
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)
SS:
~ ~)~ J~r,I ~' ~,(h'~-J being duly sworn, deposes and says that (s)he is the applicant
(Name of individua~ si~[n~ coht~a~t) above named,
(S)He is the
OlD ~( o~tntractor, 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 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 me this
"~ dayof I~"~ br v6',¥tg 200~'
Notary Public
CNRIS~IN~ Y08'~8
Notary Publh:, Stat~of New York
No. 01F06177911
Qullifled in Suffolk County
Commission Expires November 19, 2011
~"o"o"o"o"o"o'~ature of Appfii~-cant
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: March 4, 2008
TO: Robert Rutkoski
PO Box 1143
Mattituck, NY 11952
Please take notice that your application dated February 7, 2008
For permit to construct an agricultural storage building on an existing farm property at
Location of property: 8000 Wickham Avenue, Mattituck, NY
County Tax Map No. 1000 - Section 108 Block_l Lot 2
Is returned herewith and disapproved on the following grounds:
The proposed agricultural s.l, ur. age~uilding requires site plan approval from the Southold Town
Plannin~ Boar~L ~ )
' 37filh-'6~rlzed Siena e~..~
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Planning Board
TOWN OF SOUTHOLD PROPERTY RECORD CARD
{ M-I
OWNER
LAF IMP.
STREET
VILLAGE
G
FRONTAGE ON WATER
FRONTAGEONROAD
DEPTH
BULKHEAD
TILLABLE
WOODLAND
MEADOWLAND
HOUSE/LOT
TOTAL
M. Bldg.
Extension
Extension
Extension
Patio
Porch
COLOR
TRIM
PC
Foundation c B
FULL
Basement C.^WL
SLAB
E.~t. Walls
Fire Place
Dormer
Driveway
Bath
Floors
Interior Finish
Heat
Woodstove
)inette
Kit.
Rooms 1st Floor
Rooms 2nd Floor
BR.
Fin. B.
Attic
-- TOWN
O~ - '0~ ~ J-~2
OWNER
FORMEIJ OWNER
ES!
LAND
/4'o :j
"ARM
illable 2
liable 3
'oodland
vompland
STREET
SEAS. VL.
IMP.
NORMAL
Acre
BUILDING CONDITION
Value P-~r V/a I~e~,/....
VI LLAGE ~. LOT
E 5
· ushland FRONTAGE ON ROAD
9use Plot DEPTH
BULKHEAD
~tal
DOCK
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
Patio
Total
Foundation
Bath
Basement Floors
Fxt. Walls ~\O~
Fire Place
Roof
Recreotion
Dormer
Driveway
Interior Finish
Heat
Rooms ist Floor
Rooms 2nd Floo
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. ' SUB. LOT
ACR. REMARKS
TYPE OF BLD.
PROP. CLASS
. TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
10~-1-2 02/02
COLOR
TRIM
~ Foundation CB Fin. B. Bath - ~/ Dinette
Extension I~yll : /~? ~ ~/ :~o ,?~,~ Basement ~RAWL PARTIAL Floors Kit.
Extension Ext. Walls ~,.z.~,,;~ Interior Finish L.R
Extension Fire Place . Heat DR.
Patio Woodstove BR.
Porch ~ ~?'Z- ~O /3) Dormer Baths
~' '~ : ~e ~ ~ ,Z~ 1/~, Dock =~ Rm.
Deck ~,~ q~ , ......
Garage Z~ Z ? :' ~/Z /~ /?1~ :-'~'~/'"'+.
O.B
Initial Determination
Project Address:
FOR INTERNAL USE ONLY
SITE PLAN USE
DETERMINATION
.e. DateSen'~·' ~
Suffolk C~::~ty Tax Map No.: 1000-/0¢'~,- ~, -, ~
Zoning District: /~.~
(Note: Copy of Building Permit Application and supporting documentation as to
proposed use or uses should be submitted.)
Initial Determination as to whether use is permitted: (.~:~_ ¢-¢--.~' ~
"
Initial Determination as to whether site plan is required:~r'~¢_ ~-, ,¢~¢~-0,¢'62
Planning Department (P.D.) Referral:
P.D. Date Received:
Comments:
Final Oeterm~n'~tion
Date: / /
'Date of Comment: .~ ./_~L / ~ &¢"~
~.~4~ f~at ~'~n n i n ~pt. ~ta~Reviewer
Decision:
Signature of Building Inspector
FOR INTERNAL USE ONLy
ITE PLAN USE DfiTERMINATION
Initial DeterminatiOn
Project Address: ///~/~
Date Sent:~ /~ /~'
Suffolk County Tax Map No.:lO00- /~<¢/'- //
Zoning District:
(Note: Copy of Building Permit Application and supporting documentation as to
proposed use or uses should be submitted.)
Initial Determination as to whether use is permitted: (/~
Initial Determination as to whether site plan is required:
S i ~/1~ t~U il'(:l i n g,~n!.' ~ctor
Planning Depa~ment (P.D.) Referral:
P.D. Date Received: ~ / ! ~ / ~ Date of Comment:_~__/~/~
Final Determination
Date: / /
Decision:
Signature of Building Inspector
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
I Fetterville Sales Quotation Package
MIm'
aU°TAT'°RNo%e°~R~utkoskiOCcuP~,~l~V ~r~ STOREcI~eOtOsAmTluOckN~r
11165 County Rd 4,~ ' ~ '~ ~'~! ~,,,,,,/r'~
Matituck, NY 11~ )
631-29809610 '~ E IS UNLAWFUL
WITHOUT CERTIFIC,~ .c
B,ME.S,O.S: N~ OCCUPANCY "
60'X IO0'X 16'~-
WALLS:
Fabral Brite White Alutuff Steel Siding
Fabral Charcoal Gray Trim
ROOF: 6 - 8' Skylights in the roof
Fabral Charcoal Gray Alutuff Steel Roof
Fabral Charcoal Gray Trim
4/12 Pitch
12" Gable Overhang
12" Eave Overhang
OPENINGS:
3 12 X 14 Overhead Non Ins Std Trk
1 12 X 14 Overhead Insulated Std Trk
Each of the above doors have 3 windows each
2 9 Lite 3/0 9-Lite
4 Slider 4/0 × 3/0 Slider Non Insulated
w/shutters
COIV1PLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS . _ _: ..........
.~ J //2_
I
SOUTHOLD TO',*¢~ ZBA
. SOUTi4OLD TOWN PL~.NNING BOARD
SOL;THOLD TOWN TRUSTEES
. NIY.S DEC
245 Fetterville Rd
East Earl, PA 17519
1-800-331-1875
QUOTATION DATE: 01/25/2008
ESTIMATE NUMBER: 328
CONSTRUCTION: Post Frame
APPROVED AS NOTED
,././
~ B.P. #
BAT
E:
PEE:.?/,¢' ' '
_NOTIFY~UILDING DEPARTMENT ~,T --
TC~ ~,A :'r~ .u= ~II[I[II[IIilItilIIIIHII~
..... IIIIIIlilI HIIIIII IIHIlll
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOB C,O,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
u~o~u~ u~ UUN~INUC[ION ERRORS.
Robed Rutkoski
Estimate Number 328
01/25/2008
Cross Section Detail
Truss Information
45-5 0 3 Truss Loading
48 in O C Spacing Standard Heel
Trusses are Setting on Truss
Carriers
Purlins 2 x 4 Construchen Grade. 24 in O C
2 x 4 Truss Seat Bracing Ran Through the
Bottom Chord 10 On Center
16 Ft
42 in
8in
Optional or by others
# 3500 P S I Over
Compacted Sand Fill I 5 In Below TOp Of Sklrlboard
Overhang Detail
Robed Rutkoski
Estimate Number: 328
01/30/2008
EAST SZDE-GABLE S]rDE I ELEVATI~ON
Rober~ Rut koski
Estimate Number 328
01/25'2008
WEST SI'DE-GABLE SZDE 2 ELEVATZON
q~ro 9o~° t
SURVEY OF PROPEt::2-,.TY
SITUATE: NIATTITUC. K
TOI/',IN OF SOUTHOL~
SUFFOLK. E, OUNTY, NY
E.,ERTIF I El? TO:
t~OBtEt~T t~UTt(OSt(I
5.6. TAX# IOOO-IO~-1-2
,/
NOTES~
· MONUNiENT FOUNE)
AP4EA = 4.80 ACRES
LOE, ATION OF i,~ELLS ~ SEPTIC
PROVIDED BY OTHEt~.S
Test Hole
®eoSoienoe
/
/
/
JOHN C. EHLERS LAND SURVEYOR
6 FA, ST MAEN STREET N YS. LIO NO. 50202
RiVERHEAD, N.Y. 1190[
369-8288Fax369-8287 REFE,~ENCL # 9B ~09D