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,