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HomeMy WebLinkAbout35360-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP/LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34526 ~kate: 08/25/10 THIS CERTIFIES that the building TRELLIS ADDITIONS Location of Pr~erty: 1075 NEW SUFFOLK RD (HOUSE NO.) Co%u~ty Tax Map NO. 473889 Section 109 Subd/vision CUTCHOGUE (STREET) (HAMLET) Block 7 I~Dt 5.1 FiledMap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 2010 pursuant to which Building Permit No. 35360-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 TRELLIS ADDITIONS TO AN EXISTING NON-HABITBALE ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to LYNNE & MARK V RICKABAUGH ( OWNER ) of the aforesaid building. SUFFOLK COD1TTYDEPARTMENTOFHI~%LTHAPPROVAL EI~t-rKICAL C~TIFICATH NO. PLIERS CERTIFICATION DA'£~U N/A N/A Authorized 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. 35360 Z Date FEBRUARY 25, 2010 Permission is hereby granted to: LYNNE RICKABAUGH 67 PINCKNEY STREET BOSTON,MA 02114 for : CONSTRUCTION OF A TRELLIS ADDITION TO A NON-HABIT~LE ACCESSORY GARAGE AS APPLIED FOR. THIS PERMIT REPLACES BP32549. 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 $ 100.00 Authorized Signature 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. 32549 Z Date DECEMBER 5, 2006 Permission is hereby granted to: LYNNE RICKABAUGH 1075 NEW SUFFOLK RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A TREI,I,IS ADDITION TO A NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated NOVEMBER Building Inspector to expire on JUNE 1075 NEW SUFFOLK RD CUTCHOGUE Block 0007 Lot No. 005.001 28, 2006 and approved by the 5, 2008. Fee $ 75.00 Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWNH.SJLL II Il! AUG 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN(~Y 10~/~ OF $OUI~OtD This application mu~t be filled in by typewriter or ink and submiRed 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, sixeets, 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 ~hat the solder used in syatem contalus tess than 2/10 of 1% Icad., 5. Commercial bnilding, industrial building, multiple residcaces and ~imilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit plsnning Board Approval of~6ompleted site plan reqmrements. For existing.buildings/prior to April 9, 1957) non-conforming uses, or buildings and ,pre-existing" land uses: 1. Accuratesurve)~fprepertysh~winga~prop~ty~ines~streets~bni~dingandunusua~natura~rt~p~graphi~ 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 the applicant. C. Fees 1. Certificate of 0ccUpancy - New dwel!ing $25.00, Additions to dwelling $25.00, Alteratinns to dwelling $25.00' Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2.CertificateofOecupancyonPre-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 $15.00 -New Construction: (cheek One) tion of op y: Hhmlet OWner or Owners of Property: ~ Old or Pre-existing Building: House No. 8t~t · Suffolk County Tax Map No 1000, Section Subdiv/$ion '~ 5 ~ ~: ~ Health Dept. ApprOval: Planning Board Approval: Request for: Dat6 Of Permit. Temporary Certificate Fee Submitted: $ Blcck Otto 7 Lot Filed Map. Lot: APplicant: ~/CL-~ ~~ _ Final Ce~ifimte: ~ (check one) App~S~ure 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: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [~ FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE Dominick Salvati & Son Architects Estublishcd in 1910 July 2, 2010 Building Department Town of Southold Town Hall Annex P.O. Box 1170 Southold, NY 11971 Mark and Lynne Rickabaugh 1075 New Suffolk Road Cutchogue, NY Permit #: 35360Z Dear Sirs, Site observation this date reveals that the footings, framing and strapping are adequate to withstand the maximum wind load of this zone, and that all construction conforms to standard practices and the New York State Building Code. 26 Court Strc¢l, Suite 1804, Brooklyn, NY 11201 (718) 855-4686 FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) -- ROUGH FRAMING & -- PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN HAEL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c /7~,2o 0 J:' xpira, on 3/v o.a PERMIT NO. 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: Building Inspector APPLICATION FOR BUILDING PERMIT ,2o Date INSTRUCTIONS a. This application MUST be completely 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 co~de~ald~egulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~44a~cant or name, i~f 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 It~'~%~, '~. C~tl,'~--0'6~ (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. ~' ~ ~-'~- ~ '~/~L Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which nronosed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block D OO'-> Filed Map No. (Name) State existing use and occupancy of premises and i.i..~ntntended use and occupancy of proposed const~:tion: a. Existing use and occupancy '~.O(...~:: 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 ~ Addition Alteration Other Work _O'-'Po~L/~ ..5 oX,) ~8[j~ Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, speci~ nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories .Depth Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~'~t't9 NO f 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES__ NO /'Will excess fill be removed from premises? YES__ NO ~ 14. Names of Owner of premises ~ "~r~[~dress tO'~'- AJ~tO ,~'~:~ ~h~ofle No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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. NO 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) COUNTY O~: t ' ¢/// ~-- ~Z-~'144 ~' 60e"~t4'v"'~-'~/ being duly sworn, deposes and says that rs)he is the applicant (Name of individual signing contract) above named, (S)ne is the Z~:'-~ (Contractor, 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 be. fore me this ~ I ~ flJ'Wday°f /~f6/"~ 7 20~ Not'aw Public c..- .... Signat~r~r'6"f Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ?/~ 'v ~' VILLAGE DIST, SUB. E ACR. I % · O~O, S W ~PE OF BUILDING ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION FARM Acre Value Per Value Fillable 3 ~dland ;w~mpl~nd qouse Plot DEPTH ~ ~ ~ ~ BULKH~D 'oral DOCK COLOR TRIM 109.-7-$.1 10106 Extension Extension Extension tolo6 Porch Porch B reezewa P~tio O. B. Total Wot ~o0 Foundation Basement Ext. Walls Fire Place Type Roof Recreation Roo. Dormer Driveway ~q ~S~r Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Flora Dinette BR. FIN. B.! 7Ol.7 COLOR TRIM ~-, ~ ' Foundation COLOR TRI~fi 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 SOUTHOI~D July 22nd, 2009 Lynne & Mark Rickabaugh 67 Pinckney Street Boston, MA 02114 *FIRST NOTICE* RE: 1075 New Suffolk Rd. (Trellis Addition) 5CTM: # 1000-109.-7-5.1 Deer Mr. & Mrs. Rickabaugh, Please be advised that your Building Permit # 32549 issued December 5th, 2006 and have 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's, please submit a fee of $100.00: 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, 50UTHOLD TOWN BUILDING DEPT d Town Hall Annex 54375 Main Road P.O. Box 1179 Southol& New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN O1* SOUTItOLD February 17*h, 2010 F'rNAL No'r-zeE Mark & Lynn Rickabaugh 67 Pinckney Street Boston, MA 02114 RE: 1075 New Suffolk Rd. 5CTM: # 1000-109.-7-5.1 To Whom It May Concern: Please be advised that your Building Permit # 32549 issued December 5th, 2006 and Building Permit # 31995 issued May ~.1th, 2006 have 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's please submit a fee of $300.00: at that time we can schedule on inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, 50UTHOLD TOWN BUZLDZNG DEPT BP# 32549 TI~EU.Z$ AOD.LI.LON $ 1OO.OO BP# 31995 PORCH REPATR $ 200.00 200.00' $. 80' 06' 40' N/o/F WALTER & ESTHER TEREsKO LU 2x6 Cedar Rafters ~ 20 O.C. Azek Moulding 2x2 Cedar Lattice Double 2x8 Cedar Header 22'-3~" -34'-1" Stone Patio 3/4" Azek Wrapped 2x2 Angle Iron Brackets 3000lbs Concrete 4x4 ACQ 10" Existing Garage h 6'-7~" 24'-3" 35'-0~"' Floorplan View 1_1,,_~ ro ua 2~ O:::D 10 7. 38'-3" South Elevation 1/4": 1'0" West Elevation 1/4": 1'0" CZ,