HomeMy WebLinkAbout34930-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34525
Date: 08/25/10
THIS CERTIFIES that the building SWIMMING POOL
Location of Property: 1075 NEW SUFFOLK RD
(HOUSE NO.) (STREET)
County Tax }{ap No. 473889 Section 109 Block 7
Subdivision
Filed Map No. __ Lot No. __
CUTCHOGUE
(H~LET)
Lot 5.1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 13, 2009 pursu~q/~t to which
Building Per, nit NO. 34930-Z dated AUGUST 13, 2009
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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to LYNNE & MARK V RICKABAUGH
(OWNER)
of the aforesaid building.
So~OI.K C~)L~l"fDEP~d{~OF}~LTHAP~0V2%5 N/A
~-i-KIC3%L ~MTIFICATH NO. 102225 08/21/62
PL~EP~S C~RTIFICATION DASD N/A
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. 31933 Z Date APRIL 24, 2006
Permission is hereby granted to:
M RICKABAUGH
1075 NEW SUFFOLK AVE
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 1075
County Tax Map No. 473889 Section 109 Block
pursuant to application dated APRIL 20, 2006
Building Inspector to expire on OCTOBER 24,
NEW SUFFOLK RD
CUTCHOGUE
0007 Lot No. 005.001
and approved bythe
2007.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC'
AU6 2 0 2010
BtDG. DEPL
TOWN O~ SOU~HOLD
This application mUSt be filled in by typewriter or ink and submitted to the Bufldin~ 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 ofeleetrical installation from Board of Fire Uede~vtiters.
: 4. Sw~mstatement~-~mp~umbercertifyingthatthe~dernsedinsystem~ntains~essthan2/~f~%~ead.
5~ Commercial building, inchlatrial building, multiple residences and Similar buildings and installations, a certificate
of Code Compliance from architect, or engineer responsible for the building.
'6. Submit Plavning Board Approval of~ompleted site plan requiroments.
B. For existingbuildings.(prior to April 9, 1957) non-conforming uses~ or buildings and ~'pre-existing' land uses:
1. Accurate survey of PrepeffY 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 thc reasons therefor in writing to the applicant.
C. Fees
1. Certificate of OecupancY- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming 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
Itonse No. Street Hamlet
OWner or Owners ofpreperty`
Subdivision
Health Dept. AppreYal:
· Date of Permit.
Block..&O0 ~'~ Lot
Filed Map.. Lot:
Underwriters Approval:.
'Planning Board Approval:
RequeSt for: Temporary Certificate
Fee Submitted: $
Final Certificate:
~"~ (check one)
~AA~v pplicant tu~re
ca BY THIS CERTIFICATE OF COMPLIANCE THE
ca NEW YORK BOARD OF FIRE UNDERWRITERS
~- BUREAU OF ELECTRICITY
-= 40 FULTON STREET ~ NEW YORK, NY 10038
~_ CERTIFIES THAT
ca Upon the application of upon premises owned by
ca DOROSKI ELEC. INC MARK RICKABAUGH
'~ P.O. BOX 781 1075 NEW SUFFOLK ROAD
~ CUTCHOGUE, N.Y. 11935, CUTCHOGUE, NY 11935
~ 1075 NEW SUFFOLK ROAD CUTCHOGUE, NY 11935
~ Located at
~ Number: 2102225 Certificate Number: 2102225
Application
~ Section: Block: Lot: Building Permit: BDC:
ns11
~ Described as a square occupancy, wherein the premises electrical system consisting of
Residential
O-599
fi.
ca electrical devices and wiring, described below, located in/on the premises at:
r~ Outside, Pool/Spa,
r~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
ca herein, was conducted in accordance with the requirements of the applicable code and/or standard
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
ca authority having jurisdiction, and found to be in compliance therewith on the 2]st Day of August, 2006.
~ Name QTY Rate Rating Circuit Type
ca Appliances and Accessories
~ Pool~ Spa Bonding 1 0
ca Time Clock/Switch 1 0
~ Pool Heater 1 0
ca Panels
ca 1 60 3
ca Wiring and Devices
~ Fixture 4 0 Pool/Spa
ca Switch 2 0 General Purpose
~ Receptacle 1 0 20 amp Pool/Spa
~ Receptacle 2 0 GFCI
ca GFCI Circuit Breaker 1 0 20 amp Pool/Spa
~ GFCI Circuit Breaker 1 0 50 Pool/
amp
Spa
ca (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
~ frequent test and/or repairs made by a qualified person.
ca seal
~ I of 1
~. This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
TOWN OF SOUTHOLD BUILDING DEPT.
765-t802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~ ~' "~-- ~ 7 INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
~)~..FI NAL
[ ] FIRE SA~-,., ~' INSPECTION
[ ] FIRE RES~rANT PF. NETRAYI0fl
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
Frae REmTAHT ~
REMARKS:
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FIRE SAr,- t '/' INSPECTION
] FIRE RESISTANT PENETRATION
] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] ~ING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ~m'~'r~N~'~-'rml [
REMARKS:
~- -~.o -/0
DATE
l~'ll~D ]~SPECTION]R]~FORT { DATE
FOU~ATION (2~)
ROUGH ~G &
PL~G
~SULATION PER N. Y.
STATE ENERGY CODE
/.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NW 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a/c
Expkahon
PERMIT NO. 3/~'.~ ~:
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
C°ntact:Mail
I~ F~s/,~- ~ ~ /I¢~/
Crone: 7)-7-~/Z )< 3
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. Tins 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 adj Dining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be conunenced before issuance of Building Permit.
d. Upon approval of tins 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, routing c¢
in building for necessary inspe~ ~
)
co aOCCUP--'" .....
UPONCOMPLETION ~NUY L)H
FOaE"WAT""' USE IS UNLAWFUL / (35na
WITHOUT CERTIFICAZE (Mailing adckess of applicant)
OF OCCUPANCY
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
t_/'~ - ~l>'Fi'- 6;: ;;~'--
Same of owner ofpremises /tr~fi- Z~' ~/q'-fl~/q-(fl~ t~g --,- ~ ?Y---~{~
i.pplicant is a corpo 'ation, si at e, ?,':'
FOLL0ChNG ICl .... : "
(Name and title of corporate offic~DES OF NEW YORK STATE, 1. FouNDATiON ' 7., C ;4:-2QU'qED
FOR poUREO CC¢:';F, ET2
Builders License No. / & (0 q/~ tq~DERWR~RS CERTIFIUA1E 2. ROUGH- FRAI,;~!','~ & ?,_U.;:.a ~.~
Plumbers License No. RE001RED 3. iNsULA-flON 'r .......xl ~,~,uST
4. FINAL ' CONS,
Electricians License No. BE COMPLETE FCR ¢0.
Other Trade's License No. ALL CONSTRUCTION SHt*LL MEEt THE
House Number S~eet Hamlet
Section
County Tax Map No. 1000
Subdivision
(Nme)
iations, and to admit
ipplic~
//9,/
/Oq Block 0'2 Lot
PURSUANT TO SECTION 45-~ OC
OF THE TOWN CODE. ~ ,;.: ~,.
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 Demolition
4. Estimated Cost ~ ~)
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition _ Alteration
Other Work ~'Z-ffg~,c-~z91 la,f- ~
(Descr/ption)
(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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Rear
Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth.
9. Size of lot: Front
10. Date of Purchase
Rear Depth
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 NO
14. ~ames of O .wn. er of premises ~g~-- ~xc~~ress/D ~5~JJtjkj.~'/,~t/_/ffq~h~ne No
rq ame of Architect r"'2_ Address Phone No'
Name of Contractor,~_¢ (_~a,'Z2{~-- (/d__~-~ Address
15 a' Is this pr°perty within 100 feet °f a tidal wetland °r a freshwater xvetland9 *YES. NO~
* IF yES., SOUT.HOI~ TO~WN~ ~ TRU~STEES e D.E.C. PERM'ITS MAY B,E'REQUIRED.
~. ts tins property wnnin 30u ~eet o1: a tidal wetland? * YEs. NC~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation p an and dzs~ances ,t9 op~r~y.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:
COUNTY OF )
- / gamv sworl~, de~Oses~nd says that (s)he
(Name of individual si_/i/i~ng contract) above named, ' . ; is the applicant
(S)He is the (,~lll*~l,- ]Z-//~/al~-~,~_~
(Contractor, Agent, Corp. oyate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have:.perfarmed the said work and to make and file this applicatio~
that all statements contained in this pphcat~on are tree 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 thi~'x
'3~ ' Not~ Public
~alifled tn Surfak ~u~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 8i'h, 2009
?IRST NOTICE
Lynne & Mark Rickabaugh
67 Pinckney Street
Boston, Ma 02114
RE: 1075 New 5uffolk Road (In-firound Swimming Pool)
5CTM: # 1000-109.-7-5.1
Dear Mr. & Mrs. Rickabaugh,
Please be advised that your Building Permit # 31933 issued April 24th, 2006 has
expired. According to the Code of the Town of Sou/hold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit, please submit a fee of $250.00: at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
5OUTHOLD TOWN BUILDING DEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
Lynne & Mark Rickabaugh
67 Pickne¥ Street
Boston, MA 02114
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
~Tuly 21't, ?00c)
Re: 1075 New Suffolk Ed. / Violation
SC'TM# lO00-109.-7-5.1
To Whom This May Concern:
Your BUILDZN6 PERMIT # 31933 for construction of an IN-6ROUND
~ has been referred to me because you have not responded
to requests to obtain your certificate of occupancy as requi~ed by Southold
Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter
erected shall be used or occupied in whole or in part until a certificate of
occupancy shall have been issued by the Building Inspector."
Therefore, you have ten days from the receipt of this letter to submit
check made out to the Town of Southold in the amount of $250.00: to renew
the building permit, or legal action will be taken against you. Should you have
any questions, call the building department between the hours of 8:00 a.m.
and 4:00 D.m. PLEASE SEE ENCLOSED DOCUMENT RE~ARDIN~
P C '
Damon RaiNs, Zoning Inspector
5outhold Building Department
7009 0820 0001 7822 0626
COPY
A
PlaN
B-.;-B
-tit"'- I}
~.'~. :
SECTION A~A
'WATER
HAIR & UNT
· SCHEMATIC PIPING-ARRANGEMENT -
OWNER:
/ 200.00' N
~ o Zo0.O0'
S, 80' 06' 40' Vt.
WALTER &
NIOIF
ESTHER
TERESKO
AREA = 24,000 sq. ft.
SURVEY FOR
MARK RICKABAUGH
A T CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 109 - 07 - 5.1
Scale, 1" = 30'
June 15, 1992
9OUTHOLD,. N.Y. 11971
Prepared in accordance with lhe minimum
standards for lille surveys as eslablished
by the L.LA.L.$. and approved and adopted
for such use by The New York Stale Land
T/tie Association.
92-178