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Home My WebLink About35504-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34527 Rte: 08/26/10 THIS CERTIFIES that the building SCREENED PORCH Location of Property: 1075 NEW SUFFOLK RD (HOUSE NO.) (STREET) Co%u]ty Tax Map No. 473889 Section 109 Block 7 subdivision Filed Map No. __ Lot NO. CUTCHOGUE (HAMLET) Lot 5.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 2010 pursuant to which Building Permit No. 35504-Z dated APRIL 23, 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LYNNE & MARK v RICKABAUGH (OWNER) of the aforesaid building. SuffOLK COUNTY DEPARII~iTOFE~ALTHAPP£OVAL N/A ~.RUrKICAL C~I(TIFICATH NO. 35504 08/20/10 PLUMBERS C~u~TIFICATION DA'£~u 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. 35504 Z Date APRIL 23, 2010 Permission is hereby granted to: LYNNE RICKABAUGH 67 PINCKNEY STREET BOSTON,MA 02114 for : CONSTRUCTION OF A SCREENED PORCH AS APPLIED FOR at premises located at County Tax Map NO. 473889 Section 109 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 1075 NEW SUFFOLK RD CUTCHOGUE Block 0007 Lot No. 005.001 15, 2010 and approved by the 23, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL A[J$ 2 0 765-1802 BLDG. DEP]. · APPLICATION FOR CERTIFICATE OF occuPANCY This applioatton must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new buRding 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 Appr°val from Health Dept. of watex supply and aewerage-disposal (8.9 form). 3. Approval of electrical installation from Board of Fire Undemvritera. 4. Sworn statement fromplumber ceitifying that the aolder used in syatem contains te~ than 2/10 of 1% lead.. 5. Commer°ial building, industrial building, multiple residence~ and ~imilax buildings and iustallatious, a certifieate of Code Compliance from amhiteet or engineer reapousible for the building. '6. Submit Planning Board Approval of~'dompleted site plan requirements. For existingbuildings.(prior to April 9, 1957) non-~onforming uses~ or buildings and ~'pre~xisfinff' land uses: 1. Accurate survey 0 f property showing all property lines, streets, building and unusual natural or topographic features. 2. A Properly c°mpleted application and cousent to inspect signed by the applicant. If a Certificate of Oceupancy is denied, the Building Inspector shall state the reasons therefor in Writing to the applicant. C. Fees ~lew construction: V~ Old or Pre-existing Building: House No. Street OwaerorOwners0fproperty'· /~/~W~_ ~ L ' sUlYolk county Tax Map No 1000, Seetion '/ 8ubdiviaion 1. Certificate of Occupancy - 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. Ce~fic3tte of Oocupancyon Pre-existing Building - $100.00 3. Copy of CeCdficate of Occupancy - $.25 4. Updated Certificate ofOceupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00 _ t 'Date of Permit. Health Dept. Approval: 'Planning Board Approval:. RequeSt for: Temporary Certificate Fee Submitted: $ (cheek one) Hamlet Block .'O ~ 7 Lot Filed Map. . Lot: Underwriters Approval: Final Certificate: (check one) Town Hall Annex ,~ k373 Main Road P.O. Box 1179 Somhold, NY 11971-0939 Telcphonc (631) 711,;- 18()2 Fax (631) 76,5-9302 ro.qe r. richert~town, so uthold, ny. us BI 51 I~I)IN(; 1)EPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mark Rickabaugh Address: 1075 New Suffolk Rd. City: Cutchogue St: NY Zip: 11935 Building Permit #: 35504 Section: 109 Block: 7 Lot: 5,1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Gary Doroski DBA: Doroski Electric Inc License No: 2941-e SITE DETAILS Office Use Only Residential ~ Ind°°r F Basement ~ Service Only~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: screen norch Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS Notes: 2-paddle fans Inspector Signature: Date: Aug 20 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSI~CTION [ ]F~RERES~JN'rcoNsmgCT~ON [ ]FmERES~TANT~=NETRATION REMARKS: DATE ~;7f/~--//0 _ 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 REmSTANT CONSTRUCT~[ ] RRE RES~TANT FENETRA~ON ELECTRICAL (ROUGH) [~ ELECTRICAL (FINAL) REB~IA~KS: Dominick Salvati & Son Architects Established in 1910 August 2, 2010 Building Department Town of Southold Town Hall Annex P.O. Box 1170 Southold, NY 11971 Mark and Lyime Rickabaugh 1075 New Suffolk Road Cutchogue, NY Permit #: 35504Z 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. Sincerely, 26 Court Street, Suite 1804, Brooklyn, NY 11201 (718) 855-4686 TOWN OF SOUTHQLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ¢/~' ~ , 20/O Approved q3:5 20 /O Disapproved a/c 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Expiration /0/~ fl, 20// 5' / ,2otO ? BLOG O · / .. _ _vF.:ca,,,. ~vtua i oe comp~etmy nlled 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~' (S[gn~(ure~n~applicant or name, if 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 1,6~1~ ~, [,k~/,,~[j (As on {he t~>~ roll or lat~si deed) 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. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section /,Oq Block 0 7 Subdivision Filed Map No. Lot ~'-, [ Lot 2. 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 ~ i 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (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. Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height. Number of StOries 8. Dimensions of entire new construction: Front ~_~ '..~ Rear ~ .( .~ ct Height /,c'~ '~ ,th tc Number of Stories ! 9. Size of lot: Front Rear .Depth Depth Rear Depth 10. Date of Purchase 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 / l 3. Will lot be re-graded? YES__ NO ,,~ill excess fill be removed from premises? YES__ NO __ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 1F 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF._% ~ ~ /,'~.//-~'~ ~A,~ '~.,~5~"~ ~pt,~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, C0NNI£ D. Notary Public. State of New ¥0r~ (S)He is the ~ No. 01BU6185050 ~' ~'-- --(~2ontr~'ctor, 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 before me this , · )~"~/~x day of ~ 20 {~ Notary Public ieee to' 07 ( District Section Block Lot STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Ye~s N._~o 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (1Off) feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise 1o One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any tern Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultura~ Project? .~ Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requiredl __ COUNTY OF ..~.?....~...~. ...... SS That 1, ~...~x~....~... being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Dccument) And that he/she is the ~ CONNIE O. BUNCH ....................................................... ............. ( e, Contractor, Agent, Corporate Officer, etc. NO. 01~U6185050 -- , Qualified,in Suff0Jk,Counh'_ Owner and/or representative of the Owner of Owner's, and is duly authorized to penortn(l~3~i~r4jelma~0f~¢~a~l we'll and to make and file this application; that all statements cone, fined in this application are true to the best of his knowledge an~t belief; and that the work will be performed in the manner set fortb in the application filed herewith. Sworn to before me tbis; , Notary Public: ~.~......~...~~ ............................... FORM - 06107 I~.0. Box ~o~t~o~, NY 1~/ Telepho.c (631) ~ 1) ?~ BUILDING DF.,PARTM K.~ T APPLICATION FOR ELECTRIC~L INSPECTION JOB$1TE INFORMATION: (*Indicates required ir,f0!T~ation) 'Phone No.: Tax Map Dfstrtct: ~,0~:O_ Section; ~.~% (Ple~e CIr~ All That z~4)ply) *l, job ready for ,n,pe~tlor,' (~/NO~ ~_~g h~n~.~ Fi~, you ~ · Temp ~te: YES Temp In~ltl~ (~ *Service Size: 1 Phl~e 3Pha$® 100 150 20(. 300 350 400 Other *N~W Se~Ge: Re-connect Underground Numl~er of Meters Change of Setvl~e Overhead Additional Information; PAYMI~NT D_;JE WITH APPLICATION 82-1~eque~t for Inspection F¢,rrn C NIOIF OUINTON D.FINGER · ~ / 200.00' N. 80' 06° 40" £' N 200.00' 06' 40' W. NIOIF wALTER TERESKO AREA = 24,000 sq. ft SURVEY FOR MARK RICKABA UGH A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y 10~0 - 109 - 07- 5.1 Sca/e: 1"= 30' June 15, 1992 765 - BOX 909 MAIN /7..,DAD x$OUTHOLD,, N.Y. 11971 Prepared in accordance with lhe minimum standards for lille surveys as es/ab#shed bfy the L.I.A.L.$. and approved and adopted or such use by The New York Stole Land Tllle AsSociation. 92-178 SCREENED pORCH GENERAL NOTES: 1. ALL Cl0~Qo~lz I<)OTINiX8 TO BEAR ON UND~tll~uu SOIL WITH A MINIMUM ISEARIK~ VALL~ OF 2 Tol~/cu.Fr, {vJ~.) Z BOWfOM (~ ~OR OgNCRiEI'B POOTING8 [~{ALL I~ aq~ MIN. I]IR~OW AVi~AG~ tqNI~D GIZADB, U.O~I. a.) I~:~[NGS, PII~ I;OUNDATION WALLS: b.) SLAB ON GRADI~ cS SUPIfl~/P, UCI'UI~ SLAB: (~5) I Od common nade r.;ch ertl of ¢oF-r t~ ?rouge altomabn~j ,~mpeon H~ ~ H I 0 o' equ~l humc~ne etr~pe to be roof r~ter to dbl. Fli~,e ~ etud- ~. ProucJe 5~mpeon LPT4 or equal metal eVa~ -~.~ I ~.C. ~ m~l e~a~ wall ~d~ ~ ~ Pro.de 5~mFeon HG or equal metal etrap~ to t~e wall ~tud to plate (~ band joint -typ. ~ IG' O.C. ~ppro~la~ metal Flat~ wac, her, n~ ~u~on wall - ~. O.C. (~m I ~W). ~m ~rn~ ~ buIIdt~ BUILDING DEPARTMENT INFORMATION IrRltS ('AILPTIVE OR Elq(~ ~, PREBCRu-i1VB ~QUARE FOOI'AGB ADDEL~. EXISTING PROPOgI~D ~(,~mqBD FORCH AREA: 0 ~. KI'. 282 SQ. Fr. L DESIGN I~O8: ROOF: DEAD: ~ I~VB: ATtlC~l: W1THOOT STORA(~: DBAD: 10p~f; LIV~: 10 I~f - ~tIl'~ ST(~AGB: DIiAD: 10 plf; LIVll: ~0 Ixlf B3{I~OSURB CATI~ORY: C ~ilSMIC I~SI~ CATIKtORY: B PROT~CIIV~ (~AZ~G PANBLS: lt~" ~ PLYWOOD I'AN]~LS FOR PROTECTION AGAINST WIleD ~ DIOR18, APritOPI~IA~E A~TACI~t~IqT HARDWAR~ 8HALL LUMBI~. SPBC]~S & ~ DOUglAs2 FIR. LARC~.~'T STRUCTURAL ~ Fo = ]4501~i EN~II~D L~= LVL 1 81-1~A'rulN~P. FLOOR,q :(1) LAYER 3/4" WALLS :(1)L&Y~R ~/S" CDX APA RATED, NAILI~ ~xm SD ~4" ¢ Trap ~oor on dcchn0 i:o ba~mmnt eh:ry. Frame et:CFC down a~ required to mccq; NY'~ bmldln ,~ code Floor Plan 5came: I": Trap ~oor 5'- ~&' 5'- i)~' Foundation Plan St.,ale: I · = 20' (3) 2.x I 2 C~rd~r (~) ~x 12 ~rg~r I UNDERWRffEaS CERTIFICATE REQUIRED ~ ' ALL CONST~rJbT[ON SHALL '; MEET THE REQUi,::r:~ ;L:I,I':-S OF' ': CODESOFNEW ~O~IiSTAT APPi-iOVED AS NOTED .:~::::.::::::::::::::..OCS¢ P:NOY OR ~SE -]NLAWFUL T CERTIFICATE LJPANCY !TAIN STORM WATER RUNOI ¢RSUANT TO CHAPTER 236 : THE TOWN CODE. 0 Ol~ ~ 1~ ~ ~ SET: Bufl~g D~. ~o~-u~fi~ A-O SCREENED PORCH ~___~ 50UTIJ ELEVATION: D~I,, ,'= 2o' Do,e, ,"=~-o'- r ~-~ EAST ELEVATION EXI,.GTING ,!bOUTH ELEVATION Do. ale: I ' = 20' PERMIT SET: Elevatiom