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HomeMy WebLinkAbout35359-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34528 Rte: 08/26/10 THIS CERTIFIES that the building PORCH REPAIR Location of Property: 1075 NEW SUFFOLK RD (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 109 Block 7 subdivision Filed Map No. Lot No. CUTCHOGUE ( HANLET ) Lot 5.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 2010 pursuant to which Building Permit No. 35359-Z dated FEBRUARY 25, 2010 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 WPQ%P AROUND PORCH REPAIR, IN PLACE, IN KIND AS APPLIED FOR. · ~ne certificate is issued to LYiTNE & MARK V RICKABAUGH (OWNER) of the aforesaid building. S~FOI~K C~Pl~l~f DEPART~E~FT OF ~TH ~l~RO~r~J~ ~.R~-rKICAL C~KTIFIC~ITH NO. I~L~ C~RTIFICATION Da'r~u NIA N/A N/A ~~o/~i z ed Signature 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. 35359 Z Date FEBRUARY 25, 2010 Permission is hereby granted to: LYNNE RICKABAUGH 67 PINCKNEY STREET BOSTON,MA 02114 for : WRAP AROUND PORCH REPAIR, IN PLACE, IN KIND AS APPLIED FOR. THIS PERMIT REPLACES BP 31995. at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST 1075 NEW SUFFOLK RD CUTCHOGUE Block 0007 Lot No. 005.001 25, 2010 and approved by the 25, 2011. Fee $ 200.00 ~AU~hor~S i~nat ute ORIGINAL Rev. 5/8/02 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. 31995 Z Date MAY 11, 2006 Permission is hereby granted to: for : WP3kP AROUND PORCH REPAIR, LYNNE RICKABAUGH 1075 NEW SUFFOLK RD CUTCHOGUE,NY 11935 IN PLACE IN KIND AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 1075 NEW SUFFOLK RD CUTCHOGUE Block 0007 Lot No. 005.001 9, 2006 and approved by the 11, 2007. Fee $ 150.00 ! Authorized Signature ORIGINAL Rev. 5/8/02 Form Ho. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC AUG 2 0 BLDG DEPT TOWN OF SOUTHO[D This application mu~t be filled in by typewriter or ink and submitted to the Building Department with thc following: A. For new building or new use: Final survey Of property with acenrafe location of all buildings, property lines, streets, and unusual natural or topographic features. Final ApprOval from Health Dept. of water supply and sewerage-disposal (8-9 form). Approval of electrical installation'from Board of Fire Underwriters. ¸6. Sworn statement from.phunber certifying that the solder used in system contains less than 2/10 of 1% lead., Commercial building, indmtrial building, multiple residences and Similar buildings and installations, a certificate of Code Compliance from architect ar engineer responsible for the building. Submit Planning Board Approval of~d:ompleted site plan requirements. B. For exiating buildings-(prior to April 9, 1957) non-conforming uses~ or buildings und ,pro.existlng,, land 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 thc applicant. C. Fees 1. Certi~cat~ ~f Occupancy ~ New dw~~~ing $25~~~~ Additi~us t~ dwe~~ing $25~~~~ A~terati~ns t~ dwe~~ing $25`~~~ 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, Commereial $ i 5.00 New Construction: Old or Pre-existing Building: (check One) House No. Street Hamlet ' Suffolk County Tax Map No lOOO, Section . 5[ ~)'~ Block (_~(~0 '-~ Lot ~, ~) ( Subdivision Health Dept. Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. . Applicant: Underwriters Approval: Final Certificate: .~/' (check one) 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: _ (.In , DATE -~ - &-/o INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRERt:.~T~r~mUOTmi [ REMARKS: ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION RIlE RESISTANT PF. NETRATI0N DATE __ INSPECTOR ~ "' '" -- '-- FIELD INSPECTION REPORT [ DATE t FOLrNDATION (IST') FOUNDATION (2ND) ROUGH FP, AI%f~NG & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE , ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALI SOUTHOLD,~I~Y 1~971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c ~7,t ,20 Expiration [j/J[ , 20 ~Q7 PERMIT NO. .~;:p'~Y ~ Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~fl"j 0 bG APPLICATION FOR BUILDING PERMIT / ! Date ........ t INSTRUCTIONS a. This application MUST be ~ompletely filled in by t~ewdter or in i~ and submitted to the Building ~spector with 4 sets of plans, acc~ate plot pl~ to scale. Fee accor~ng to schedule. b. Plot pl~ showing location of lot and of buildings on premises, relationshp to adjoining premises or public streets or ~eas, ~d wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~t to the applicam. Such a pe~it shall be kept on ~e premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ for ~y pu¢ose what so ever umil the Building Inspector issues a Ce~ificate of Occup~cy. f. Eve~ building pemit shall expire if the work authorized has not commenced wit~n 12 months aRer the dine of issuance or has not been completed within 18 months ~om such date. If no zoning mendments or other re~lations affecting the prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pemit for an addition six months. Thereafter, a new pemit shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pemit pursuant to the Building Zone Ordin~ce of the Town of Southold, Suffolk Coumy, New York, and other applicable Laws, Ordin~ces or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ~d re~lations, and to admit authorized inspectors on premises and in building for necessa~ inspections. ~/~ (Signature of applicant or name, if a co¢oration) ' ~ (MaiJinia4&~ss°fgpplic~t) State whether applic~t is owner, lessee, agent, ~chitect, engineer, general contractor, electfici~, plumber or builder Name of o;~premises /-.-- x-//~ lq,. ~'~ ~ r..L. '~ ~ ~222> ~ O ~ L (As on the tax roll or latest dO/ed) 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. Location of land on which.proposed worok_~ill be done:,~ House Number ~eet County Tax Map No. 1000 Section J t~ ~ Block Subdivision Filed Map No. (Name) 2. State existing use and occupancy of prergises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of w,ork~eck which aPplicable): New Building Repair ~ Removal Demolition - 4. Estimated Cos¢ Z ~ O t~ / 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work (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 Dimensions of same structure with alterations or additions: Front .~.~=:~'1 yF(earr Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front /,~' O Rear /~- ~ Rear Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~<o: c[ ,.~,%)r ~-z~ ] I 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES NO ~/WWill excess fill be removed from prem. ~ses? YES 14. Names of Owner of premises {-'Ir/, g: t~, ~,0q&Address [O70 /ge, a. d Phone No. Name of Architect I Address Phone No NameofContractor g:ll ~or-- ,'~ a_,.x_ Address PhoneNo. 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 of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY 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) ss: COUNTY OF ) ' ~'/~Jvk i $ ¢-'- ~ ¢"'¥ 5~..-~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the '~ -~ ~J~- ~--, ~'N (Contracto~_.~gent,~omte 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 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. , t No(arty Pu¢'lic ! / Signature of Applicant ~lS~.a~le~ in ,SuffOlk ~XJnty ")~. 0 . ,F-x~im~March20, ,/~ /7 OF SOUTHOLD PROPERTY RECORD CARD OWNER OWNER LAND ?_ ~, ~ TOWN STREET J VILLAGE SEAS. IMP. 5 W VL FAPJv~, COMM. C8. MISC. Mkt. Value DATE REMARKS TOTAL DISTJ SUB. LOT ! ACR. J TYPE OF BUILDING AGE ND/V FARM Tillable Tillable 2 Tillable 3 Woodland Swampland House ~lot Total BUILDING CONDITION NORMAL . BELOW ABOVE Acre Value Per Value Acre FRONTAGE ON WATER FRONTAGE OIL[ROAD )EPTH BULKHEAD DOCK ~OLO~ TRIM ~tens/on xtenS[on xtension o~ch etch 109.-7-5A 10/06 ~ .~Z .~ Found ol'ion [Basement Bath Floo rs Interior Finish Dinette LR. Ext. Walls Fire P~ace Type Roof Rec reotion Dormer Heat Rooms Tst Floor[ Roams 2nd Flcc~ Driveway ~oI06 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 13th, 2009 FIRST NOTZ~'E bynne & Mark Rickabaugh 67 Pinckney Street Boston, MA 02114 RE: 1075 New Suffolk Rd. (Porch Repair) 5CTM: # 1000-109.-7-5.1 bear Mr. & Mrs. Rickabaugh, Please be advised that your Building Permit # 31995 issued May llth, 2006 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit, please submit a fee of $200.00: 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, SOUTHOLb TOWN BUILbING bEPT Tox~,n Hall Annex 5437'.~ Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765- 1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD February 17ih, 2010 FINAL NOT~CE AAark & Lynn Rickabaugh 67 Pinckney Street Boston, AAA 02114 RE: 1075 New Suffolk Rd. 5CTM: # 1000-109.-7-§.1 To Whom It May Concern: Please be advised that your Building Permit # 32549 issued becember 5th, 2006 and Building Permit # 31995 issued May 11ih, 2006 have expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit's please submit a fee of $300.00: 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, SOUTHOLb TOWN BUILblNG DEPT BP# 32549 TRELLIS ADD£1&ON $ lO0.O0 BP~ 31995 PORCH REPA:I:R $ 200.00 C D. FINGER N/o/F OUINTON , ~ .._.---- -----~-~ 200.00 N 200.00' S. 80' 06' 40' W. N/o/F WALTER & ESTHER TERE SK O AREA = 24, 000 sq. ft. SURVEY FOR MARK /71CKABAUGH A T CUTCHOGUE TO WN OF SOUTHOLD SUFFOLK COUNTY, 1o9o - ~o9 - az- 5. ~ Scale.. 1" = 30' June 15, 1992 MAIN /7..OA'D ~$OUTHOLD, . N. Y. 1197/ Prepar&d in accordance w/Ih lhe minimum slandards /or t/tie surveys as eslafli/sfled by /he L./.A.L.$. and approved and adopled for such use fly The New .York $1ale Land Title AsSociation. ' &CAL~: I/,4" = ILO" NEW 4" X 4" SCALE: I/4" = I'-0" ~0,0 P-iJ IN ~r,a~e North Elevation SCALE: I/4" '= ILO" 2::._ ~rade West Elevation 5CAI_,E: I/4" = ILO" rieplaoe CoIumrls a5 needecJ wr~h boxed out: 4 x 4- CCA CohJmn5 grade ALL CONSW:IUCTIO,, !MEET THE REQUIFIEME, OCCUPANCY OR C ERTIFII~ATtON OF ~ NAILING & C-J~NINECTIONS R~-QUI~IED. USE IS UNLAWFUL :.,,.,4 ~ WITHOUT CERTIFICATE OF OCCURANCY , ~ O~VED AS NOTED 765-1802 8AM TO ~ 'M FOR THE C) FOLLOWING INSPECTr,-,NS: 1, FOUNDATION - TWh REQUrRED ~ FOR POURED CCNCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. P~RSUANt T~ OF THE TOWN "OFF" Existing Roof structural changes) with tm i oofln~j shlnejles i R. oof Plan 5CALk: I/4" = I~-O'' , i~(:2)-2 x 8 Gd Ex~stmg blouse ~ 2 xI I 2 leelejer thru bolted to house Frammej with l'' la ~ Deck (to ~'~ repla~ed as was, n changes) ~83 New (2)-2 x' I O' Sox Gctr New 4 x 4 CCA Post w~th anchor to I pc founclat~on post and strappin6 toI _he_.a_d_e~r__a_~o_.v_fi_, per NYS_.c_c~._d_~ .... · Founctatlon Plan SCALE: I/4" = vn 3P-. Exlst,ng I-louse Ex,sting Deck (to replaced as was, changes) 588 Be columns(exactly as was) as needed F~rst Floor Plan SCALE: 1/4" = I'-0" 1588 s.f. i BOXED OUT NOTE5 INDICATE P. EPAI P,5 TO EXIDTING 0