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