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Home My WebLink About34409-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34817 Date: 01/25/11 T~IS CERTIFIES that the building BASEMENT ALTERATION Location of Propezt¥: 1140 DUCK POND RD (HOUSE NO.) (STREET) County Tax ~4ap NO. 473889 Section 83 Block 4 S~bdivision Filed ~4ap No. Lot No. CUTCHOGUE Lot 11 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 2009 pursuant to which Building Permit No. 34409-Z dated FEBRUARY 2, 2009 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 ALTERATION OF BASEMENT FOR RECREATION ROOM WITH BATHROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN N & LISA BIEBER (OWNER) of the aforesaid building. SD~FFOLKC~)I~l"fDEPAR~l%~N~OFH]~AL~{AI~PR0~q~J~ N/A ELRt-rKIC~J~ U~(TIFICATE NO. 12518 03/18/10 I~ c~TIFIC3%TION DA'r~ 01/22/11 JOSEPH TUOMEY ~/ut~ho i~z ed~l ~natu re 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. 34409 Z Date FEBRUARY 2, 2009 Permission is hereby granted to: J & L BIEBER 1140 DUCK POND ROAD CUTCHOGUE,NY 11935 for : BASEMENT ALTERATION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 083 pursuant to application dated JANUARY Building Inspector to expire on AUGUST 1140 DUCK POND RD CUTCHOGUE Block 0004 Lot NO. 011 29, 2009 and approved by the 2, 2010. Fee $ 200.00 Authorized Signature Rev. 5/8/02 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA]N JAN 2 5 20il BLDG. DEPT. TOWN OF SOUTHOLO This application must be filled in by typewriter or ink and submitted 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, streets, 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 that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" 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 thc reasons therefor in writing to the applicant. C. Fees 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. 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, Commercial $15.00 Date. /~/~/ New Construction: Location of Property: //~ ~') t( C/6 House No. Owner or Owners of Property: '~-o J~ n A/. Suffolk County Tax Map No 1000, Section Subdivision J~/pa~[~ltIg tq~£oar- Old or Pre-existing Building: V/ (check one) Street Permit No. J q~a Health Dept. Approval: Date of Permit. Hamlet Block R Cd 5/ Lot 0// Filed Map. oC ,,7- ,-~ Lot: // .Z/,.z/~ t, ~, ? Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .'-~C' , (,) C) Final Certificate: (check one) Applicant Signature S tJ F F 0 L K+~ 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In [nspection Date: Application No.: Hubbard Electric Certificate No.: 12518 Final Tnspection Date: t4ar 12, 2010 12518 Building Permit No.: County Tax Nap No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: lohn and Lisa Bieber Site Location: 1140 Duck Pond Road, Cutcho§ue, NY 119"~5 Owner's Address (if different): Residential Commercial New Addition Indoor Outdoor Renovation Survey Single Phase Heat Three Phase Hot Water Main Panet AC Cond El Basement ~ Service ~ Shed ~J First Floor [] Pool ~; Hottub ~i Second Floor E~ Attic ~ Garage Other: INVENTORY Duplex Recpt 16 Ceiling Fixture 1 HID Fixtures GFCI Recpt 2 Wall Fixture 7 Smoke 1 Single Recpt Recessed Fixture 7 CO Detect The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Hubbard Electric Inspected By: Roger Richert License No.: 4709-ME Date Of Certificate: Mar 18,2010 CERTIFICATION .3~ Building Permit No. Owner: ~'~XrX c-~,5 (Please print) Plumber: '~--~'o .%.~tD tPlease print) Date: ~ { ?_TI I i 1 certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this c~ g~L~ day of ~vx.~. , 20 [J Notary Public, ~5gt.t..g.-~,~6~ County Public, State of Ne~ No. 01GA4865531 ~llified in Suffolk County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION INSPECTION ~,,ROUG H PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: /? TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~INSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR__~, ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH/~B~. [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~-,-, ~' INSPECTION FIELD INSPECTION REPORT DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY 11971 TEL: (631) 765-1502 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined '~./.2.~ ,20 Approved Disapproved aJc Expiration PERMIT NO. 20/0 BLDG. DEPI [OWN OF SOU/HOI. D 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 Flood Permit Storm-Water Assessment Form Contact: Mailto: ~J~tl .~l~ Phone: ~d&'~Oe[14~ llq35- i'ION FOR BUILDING PERMIT Date ,20 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 adjdining 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. d (Signature of applicant or name, if a corporation) (Mailing address of~pplicant) ~ State whether applicant is o, wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~'&C~_ I~X-'-~ (As on thc tax roll or latest 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 1. Location oflarkd on which proposed work will be done: I~ouse Number Street ~ ~ - [-Iamlet County Tax Map No. 1000 Section83.-q-I~ Block Lot 1[ Subdivision ~00tst~lD'~r~c lYXOzt'~ (' Filed MapNo. ~'~L_~q Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed constmc~ioni ' a. Existing use and occupancy tj~--~C~xSS'~rx e~t~ ~?~(~o~¢ex~-C'x~i- b. Intended use and occupancy ~-~ ~, ~x~_dt ~ ~'rex ~;~ ~Lo-¢ .~ o~ ~o'~ Fo Addition Alteration ~ Other Work (Description) Fee 4. Estimated Cost ~[o~ooo ~ 8X~'~ooo (To be paid on filing this application) 5. If dwelling, number of dwelling units o Number of dwelling units on each floor If garage, number of cars o 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~- ~O" Re~ ~4~,~' q~" Depth Height Number of Stories ~.. .. , ." . : . Dimensions of same structure with alterations or additions: Front- ~ ~ Rear Depth 91k, v&x. Height ~veo..~ Nu~?~ofS~b'ri~s ~"" - · 8. Dimensions of entire new construction: Front Height 9. Sizeoflot: Front ~'(2k 00 10. Date of Purchase Ig\O~O~_ Rear Number of Stories L Rear [ S'0.00 Depth Name of Former Owner 11. Zone or use district in which premises are situated "~e'~x~e cx~ c~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES NO ~/Will excess fill be removed from premises? YES 14. Names of Owner 9f premises~Address ~,~gk~Phone No. Name ofArchitect~o*~ak~ V'~¢( Address ~¢~'m~,t~ ~ ~tto~rPhone No Name of Contractor :Xo~x,-x-~x e_)o~ Address Il'40 ~ ~o,.xt~ ~/.~hone No.~-- 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 V * 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. 18. Are there any covenants and restrictions with respect to this property? * YES ,/ NO__ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ~lJ[-~S: ~/'OhD ~1' ~)~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0oe, c~(Xc~-'~ f (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 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. Sworn to before me this~_.,0.D0~gL~ ~ day of 20 --- N (~ta~'~t~olic N OTAR~ i~UioB~U~C~i,~S7t~tZ;~NKlew Ye rk Qualified in Suffolk County Commi.~sion ~.xpires June d- Signa'ture (~f Applicant Town _of Sout_____hol d Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOR,',' PROPERTY LOCATION: .C.T.M. #: Bictdct Sect on Block Lct THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAH 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) Yes 1 2 3 4 5 6 7 8 9 Will this Project Retain All Slorm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all ran-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent craation 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 WaterFIowl 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 Matedal w th n any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Fee of Ground Surface? Is there a Natural Water Coume Runn ng through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Ex/sling Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to 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 dght..of-way? Will this Project Require the Placement of Matedall Removal of Vegetation and/or the Construction of any Item 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? r'~ NOTE: If Any Answer to Questions One through Nine ts 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: Does this project meet the minimum standards for classification as an Agricutiural Project? Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drathage & Erosion Control Plan is NOT Requiredl Ye~s N.._~o STATE OF NEW YORK, COUNW .............. ss That I ... ....... being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) CONNIE D. BUNCH And that he/she is the Notary Pub c, State of New Yoll~ ....................................................... t~.'0 t~U61-8'3950 .................... (Owner, Contractoq Agent, Coq~om~e O~cer, etc.) Quatified in Suffolk C0unlu Owner and/or representative of the Owner of Owner's , m,u is uu,y aumorlzeo to per[orm or nave penormed the smd w~ 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 herewith. Sworn to before me this; ......... ~...~A..~ day of ~" .......... ......... otary eubc ............... :Ih.. .................... ~.. ..... .~..'.../. F.~ .................. ~ '~/ (Sig.ature of Applicant) FORM - 06107 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET Jjl,.,/(~) VILLAGE DIST. SUB. LOT i I~ FOI~AER OWNER ~ - ~ N E '~ ACR. ~ J S W ~PE OF BUILDING RES. '~I~ SEAS. VL;~i~'t FARM COMM. CB. MlCS. Mkt. Value LAND IMp. TOTAL DATE REMARKS Tillable FRONTAGE ON WATER W~land FRONTAGE ON ROAD ~ ~O' Meadowland jl~ ~j DEPTH ~0' Hou~ mot ~ ~C ~ BULKH~D Totol Foundation Ext. WalEs Fire Place Bath Floors Pool Attic Patio Driveway ROoms 1st Floor Rooms 2nd Floor Interior Finish Heat 1140 Duck Pond Road Cutchogue, New York 11935 July 26, 2010 Town of Southold Building Department Office of Building Inspector Town Hall Southold, New York 11971 JUL 2 9 2010 BLDG. DEH. TOWN OF SOUTHOLO Re: Bieber/Permit #34409Z Dear Sirs: Regarding the above building permit please be advised that I am awaiting a contractor to complete work on our project. As the permit is due to expire on August 2, 2010 and the work will not be ready for final inspection by that date, I am writing to request a six- month extension to the permit expiration date, as per your office's recommendation today. Thank you and please don't hesitate to contact me should you have any questions. Sincerely, /lb Tow. llall Amlcx 5~375 Mare Road ILO. 1½ox 117!) Southokl, NY 11971-0959 Telephone {I;31) 76,5-1802 Fax (631) B1 ;ILl)IN(3 I)EPARTMENT TOWN OF SOUTHOLD January 18, 2011 John Bieber 1140 Duck Pond Road Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit:: 34409-Z basement alteration Th~ ~ifles that the bearer is duly licerme~ by the County of Suffolk SUFFOLK COUNTY EXECLITIVE'S OFFICE OF CONS ,UMER AFFAIRS MASTER PLUMBER JOSEPH J TUOMEY J & V pI.UMIBIN~I & HEATING INC 3674-MP r'zooo =~'J~'"~ ='"~ 08/01/2010 MASTER ELECTRICIAN MICHAEL A HUBBARD 4709-ME ~999 ACORD. CERTIFICATE OF LIABILITY INSURANCE ~ " ~, '1 ~a C~T~C~ ~ IS~ ~ · ~ OF I~On~ . I ONLY ~ ~ ~ ~S UP~ ~J ~F~AI~ [ Br~cct a 8~, ~nc. I ~. ~ ~ Tr~! PO~C~$ OF t~SURANC~J USTED BELOW HAVE JF.D TO THE/ISut~D NAMED A~OYE FOR THE POLICY P~ ~D~A~. NOT~H~NG .~ OR oTn~ ~C~T w~. ~ TO ~, T.~ ~TE MAY ~E ISSU~ O~ ,,]'oJua & L.'t,ge JOiebez 3.3.,J0 Ptzc~ PGod LOT AREA = 40,500 sq.ft VERTICAL SAND EASEMENT $.39° 00'00'' E. DRAIN 150.00' --~ drainage easemer ~ 125.00' 00'00~ W. 150.00' DUCK POND ROAD NOT~ CESSPOOL, SEPT~ TANK AND WELL LOCATION BY OTHERS. FINAL SURVEY 5-27-1999 FOUNDATION LOCATION 4-6-99 GUARANTEED ONLY TO JOHN N. BIEBER ALISA M, BIEBER STANOARD FEDERAL ~ANK FFJD~RAL SAVINGS BANK PEERLESS ABSTRACT CORP. HAROLD F.. TRANCHON JR. The existence of right of ways and or easement,, of record, if any, not shown are not guaranteed. N.Y. LIC. NO. (~48992 PENN. LIC. NO. 21115-E JOB NO. 97- 269 FILE NO. WOODBINE SURVEYED FOR LOT NOll MAP OF WOODESINE MANOR SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD - ---SUFFOLK COUNTY N.Y, SCALE 1" = 50' DATE 7-23 -1'B97 FILED MAP NO. 8239 DATE 12- 15 -1986 TAX MAP NO. 1000 - 83 - 4 - 11 (REF. ONLY) DISK '[76 HAROLD F. TRANCHON JR.P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 516-9Z~-4695 i 'r PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CEFITIFICA TE Of OCCUFANCY SOLDER USED IN WA TER SUPPLY SYSTEM CANNQT EXCEED 2110 QF I% LEAD. PLUMBING ALL PLUMBING WASTE & WATER LINES TESTING BEFOF E C'.. APPROVED FEE: ,¢<,:' NOT;:Y BLIILDID~3 765-',8'2 ~.AM :'-',. 4~'.~ FOil THE FOF: 2. ROL'3H ALL CONSTREQ~ IN SH&U. MEr' THE REQUIREMEN ~ YC~l~ STATE. NOT RES~ ON~ 3L FOR DEIGN OR CONSTRUCTION EBRORS , ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE ~ODES OF NEW I YORK STATE. · REQU~ OCCUPAI t.., WITHOUT