Loading...
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