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HomeMy WebLinkAbout35049-Z f', ylFOL Town of Southold Annex 8/8/2014 P.O.Box 1179 54375 Main Road ► Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37081 Date: 8/8/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1340 Duck Pond Road, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 83.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/5/2009 pursuant to which Building Permit No. 35049 dated 10/5/2009 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: accessory in ground swimming pool with fence to code as applied for. The certificate is issued to William&Ellen Birkmier (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35049 7/31/14 PLUMBERS CERTIFICATION DATED rite Signa re N ,f Town of Southold Annex 8/8/2014 P.O.Box 1179 54375 Main Road ' + 'W> Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37082 Date: 8/8/2014 THIS CERTIFIES that the building HOT TUB Location of Property: 1340 Duck Pond Road, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 83.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/5/2009 pursuant to which Building Permit No. 35049 dated 10/5/2009 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: accessory hot tub as applied for. The certificate is issued to William&Ellen Birkmier (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38049 7/31/14 PLUMBERS CERTIFICATION DATED AuthoeSigdature 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. 35049 Z Date OCTOBER 5, 2009 Permission is hereby granted to: WILLIAM & ELLEN BIRKMIER 1340 DUCK POND RD CUTCHOGUE,NY 11935 for CONSTRUCT AGCY SWIMMING POOL W/FENCE TO CODE IN REQ REAR YARD AREA (MAINT. PROPER SETBACKS FROM EASEMENT & PROPERTY LINE. ) REPLACES 25282 . at premises located at 1340 DUCK POND RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0004 Lot No. 009 pursuant to application dated OCTOBER 5, 2009 and approved by the Building Inspector to expire on APRIL 5, 2011 . Fee $ 250 . 00 J 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. 25282 Z Date OCTOBER 23, 1998 Permission is hereby granted to: WILLIAM & ELLEN BIRKMIER 5550 COUNTY ROAD #48 MATTITUCK,NY 11952 for CONSTRUCT ACCY INGROUND SWIMMING POOL W/FENCE TO CODE IN REQUIRED REAR YARD AREA (MAINT. PROPER SETBACKS FROM EASEMENT AND PROPERTY LINE. ) at premises located at 1340 DUCK POND RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0004 Lot No. 009 pursuant to application dated OCTOBER 6 1998 and approved by the Building Inspector. Fee $ 150 . 00 01 Buildin Inspec r ORIGINAL Rev. 2/19/98 FORK NO. 2 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) N? 24262 Z Date ............... .71 .. . ......................... 19y/ Permission is hereby granted to: . .......... ...................... to ..... -.A/ -V&.....folv....... zl&.<..... ...7.r ;n r -� A0 ............... .. .. ..... ....... 11.146K.................................. ....................0..............................................0............................................................................................ ............................................................ . at premises located at...... ..... C. ..... '"� ..... G ........... ............. County Tax Mop No. 1000 Section .....Q..3........... Block .... Lot No. ......452f.o...... pursuant to application dated .......-.,7kl',&...../9.................. 19.,,4917, and approved by the Building Inspector. Fee ...i4i.. i.. .......... ............................ I uildi Inspector Rev. 6/30/80 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 I% 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 the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00, 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. i?z, New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet"' Owner or Owners of Property: Suffolk County Tax Map No 1000, Section C��3 Block Lot 9 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature DL �50 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 8071618 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 06,1998 Application No. on file 16298198/98 H 060448 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of WILLIAM ELLEN BIRKMIER, 1:40 DUCK POND ROAD, CUTCHOGUE, NY in the following location; ® Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JUNE 25,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 SPECIAL RECEPT. AMP.20-1 G.F.C.I-1 *(SWIMMING POOL) This certificate covers compliance at the date of - inspection only. Because of unusual -environments it is advisable to have frequent test/and or repairs made by a qualified person. l <<< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 8071618 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 06,1998 Application No. on file 16298198/98 H 060448 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of WILLIAM ELLEN BIRKMIER, 1340 DUCK POND ROAD, CUTCHOGUE, NY in the following location- IN Basement ❑ Ist FL ❑ 2nd FL OUT Section Block Lot was examined on `UNE 25,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLESi SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. I AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: WILLIAM BIRKMIER L L 1340 DUCK POND ROAD CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 Per This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. SOUryol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , • Q roger.riche rt(aD-town.southoId.ny.us Southold,NY 11971-0959 �yC4UNTY,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: W Birkmier Address: 1340 Duck Pond Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 35049 Section: 83 Block: 4 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub X Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect F1 Switches Twist Lock Exit Fixtures TVSS Other Equipment: electrical survey of "as built" GFCI protected self contained hot tub with disconnec --------NO VISUAL DEFECTS---------- Notes: Inspector Signature: Date: July 31 2014 81-Cert Electrical Compliance Form.xls Of SOUry�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 1 INSPECTOR�- =1-"LD Ii.S V':'-i:U:+ COHM ENT.S ' T� 3 =OUNDATION ( 1st) � ?OUNDATION ( 2nd) z o ROUGH FRAME & U •PLUMBING - N I In r� INSULATION PER N . Y. y STATE ENERGY CODE x a r 4 . d =&L�k I FINAL AC ADDITIONAL COMM NTS: x �' a 3 �o % x m a � . - x v m 'o r , i pF S131/r01 yo Town Hall Annex Telephone(631)765-1802 54375 Main Road N 1� (631)765-95Q2� P.O.Box 1179 G Q roger.richert(cvfNa`wnsoutho1a.ny us Southold,NY 11971-0959 i BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: �.. Name: License No.: Address: j Phone No.: 1. JOBSITE INFORMATION: (*Indicates required information) *Name: 1 IZor 3 *Address: Gt_ j *Cross Street: *Phone No.: a S Permit No.: Tax-Map District: 1000 Section:_ Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) ! i (Please Circle All That Apply) *Is job ready for inspection: YES / NO. Rough In Final *Do-you need a Temp Certificate: YES/ NO j Temp Information(if-needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other i *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82=Request for Inspection Form BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . . . . . . . . . . TOWN OF SOUTHOLD CHECK . . . . . . - . - . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . ; TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 . " " . . " " " " ' mt 9 J.- 0MAIL T0Examined . /. . . 19 .! . 3 �6 / 1 Approved . .V. . ., 19/. .Permit No. .a 2� Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . { . . . . . . . . . . . . . . . . . D (Building spector) ..S APPLICATION FOR BUILDING PERMIT Date �!4����1'. . . �4., 19� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. o. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 comp y , l�� laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on S- ing for necessary inspections. .u..-,. _._.._.0 .....,,fir.... AM (Signature of applicant, or name, if a corporation) V130 OINIWAII� k OT 471. Dom' (Mailing address of ap licant� 01"U6 111 41T State whether applicant is owne- _'11a*0, iec,�, engineer, general contractor, electrician, plumber or builder. A3zt- - - - M�►.x� .t Name of owner of premix 1. % . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hatyp,* _ :x t,4� M4y(as on the tax roll or latest deed) If applicant is a corporatio"signature of duly''a orizeAfficer. q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No.��.7`�C. . . . . . . . . . Other Trade's License No.,=;?.i.g1 v3. . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i 3. o. . . . p� -. . . . . . .Q041 - C.� -� . . . . . . . . . . .. . . . . . . . . . . . . . House Number Street JIamlet n ?� ` t�County Tax Map No. 1000 Section .�!� �.!. . . . . . . . Block . .4 . . . . . . . . . . . . . Lot . / . . . . . . . . . . . . . . . . .nDAV 1* 1e 1 . 1\4460.r.. . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises /and intended/use and occupancy of proposed construction: a. Existing use and occupancy . . �! 1. /'� �i�[ , . . . . . . . . . . . . . . b. Intended use and occupancy .2—a .)( 110 • • •1 • a '"�. J/v,�,1. (''(. -�/n . . . , . cod� , 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 00 (Description) 4. Estimated Cost . ` Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` tto be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . -8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . Number of Stories . . . . . . . . . . . . f 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . .Depth 10. Date of Purchase . . . . Name of Former Owner t ; 11. Zone or use district in which premises are situated . , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . 13. Will lot be regraded ' . . . . . Will excess fill be remove fro in ses:; e N 14. Name of Owner of p misess. . 1��/ I.�i!k&JCI'Address Name of Architect Z/Yl i . . . . . . . . . . . Address . . , , , • , ,3�/ Name of ContractorR /74k/ T R>-e4ci. . . . . . . . . . Address's?Uqt ;�iq C4( P�. Phone No. . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No X. . . *If yes, Southold Town Trustees Permit may� be required. PLOT' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. AS NOTED OY may, a" DWWMEiTTW 7►� NM TO 4 PAA FOR 11N 'N IMS: TWO CONMETE EOUI� � M NVANN i PUAMM 4. FINAL • 0111018TRUCTION AWT . FOR CSO. ALL COPWRUCTION SHALL MEET THE RE(NREMENTS OF THE N.Y. 13TATE C$NSTRUCTION & ENWG.': CODES. NOT RESPONSIBLE Ft's{, DESIGN 40 CONSTRUCTIO+%I ERROF STATE OF NEW YORK, S.S COUNTY OF . . . . . ' ' • • • • ' ' • • • • • • • • • • • •: • • • Jta• Y6eing duly sworn, deposes and says that he is the applicant (Name of individual signing ontract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . � 3�rfY.` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 before me this q . . . . . . . . . . . . . rr,..�. . . .day of. . . . . . . . . Notary Public, . . . . . . . . County wawwwnw dpILM NlNI SUffO�LK�COUNTY . . . . . 62-4260 4 l^19� (Signature of applicant) 1. Nilu;e of weak (check width a14)licable): New Ikrilding .......... MIili ► .......... Alteration .......... 14'Iurir ............ I"loval ............. ialioIit.i(xr ..........._ )(leer IJcrr ?t/� G/o;�.v� t�o6 .... 22 (DescripCion) 4. ESI.i110ed losAzt- qv-`.C)v.......... fee ... .... OU...................... (to lie paid cxr filing this application) 5. If ckrel I ing, iKnirer of ckrell iry; units !U —� _.. Ninix--r of Ak el I ing units on each floor .N/ ....... If garage, ixilher of cars ..../U/ ........................... / 6. If Ixrsiness, ouniercial or mixed occ7rpaocy, specify nahiree�/'aid extent of each type of use....�„(�.......... 1. Uiiiensions of existing sLnx_Urres, if any: Front-..../!?....... Rear .. .�//t ..... Del)th _��.......... ............... Mnber of Stories �............. i)illensions of sage stimhire wish alteration. or mWitions: Front ....�?! / Rear ..�� ...... Ikpth ......^!/./`.. Ileil),t. ........./�........ iJ�n/irer of Stories ...!U fl. Wili rasions of entire new consLruc:tion: Front ...... ,1/�.. Rear ..... ... depth .N ............. lanher of Stories .... / .......... 9. Size of lot-:: Front / Q....... .... Rear .... w, .... ..�.�/�IJ)epllr .. ��'......._... Ill. Ikrl a of 1111-4:11ase ...S./9.7......._. N me of Fom r (k.nx:r ../,/!T .......................... . If. Zcxre or use district: in wliicir premises are sitt><oted .................... ... ..... ................................. . 12. Wes prolxrc:d'd const:rm-Lion violate any rcoing law, ordinalwe or regulatiai: ..../f!%�i� ............. 13. Wi 1 I lot: Ix- regrxled .. "./ ../.).._..... Wi I 1 excess f i 11 lie rcirrnved fran pr(:ni ses: YES U) 14. N:a;x.s of ()<.nrer of rrernises 11�!(! !�_. ci r AtkIre." p� `Cryo I 4�.� � !??..� ..�����.!�•.�!:.. Nxxre No. �J7.T. . 9 N:nr'nr� of Architect: .... � ......................... Arklress ... ...-/—)h ��. / ................ llrcxr No_ .. .. ... ....... Nof Q-io[ractor ....Y! ........................ Acklress ......./.&................Yilone No. .... .......... Is (his properly within W) feel of a tidal wetlarxl? * YES NC) ....> *IF YES, S(11I1 IND •IMN 1IM-11TS 1'fi14ii-1- MAY ISIS MjIta-u). PLOT 1)1 AGRAM icx:ate clearly arxl distinctly all ixrildiogs, wlretlrer existing or prolxmed, aril inxlicate all set-hack dimensions fran prolx--rly lines. Give street and block rrrrr6er or description according to deed, and allow street r><nnes aril irxlicate c�irelher interior or corner lot-.'. C wu� / _ A-T -r"c 6 � ���r� G ��� ��� a• //� y :Deck C /'4l' (•c)r�� J�� rmCc� 8 �r v Int • t • t A 3 �" kyif M ; ri �•' d �r �i,f � s t 5 11 1 V3: .... ........... ..,.LK11 ;IC Jai',1�wwo, delxrses aril says that he is the appl ic•.nrt (N:nK�ir���}�l�T{nlx;:�tirrlrart) Ikis the ..�� ............................................ ............................................ (U)nLracl.or, al;ent, corlxrrate officer, etc.) of said owiler or owix:rs, aril is duly <nrl.Irorized to Ix'rfonn or have ix�rforiied Lhe said work arxl to nuke arxl file this appl icaLion; I_haL all slale;renLs crnntairx-d in Ihi.s appl icat.ioo are lrxre to the hest of his krxywledge arxl lwl ief; a;xl lhat. (he work will Ix, performed in the nknnrer seL forth in the application filed therewith. :1w)III to before ne_ this .... .. ...day of19.s�17 No(ary Pnrbl is ./..R.� (Sigoattire of Applicant) JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Term Expires June 12,19- 'tet is BOARD OF 11EALT11 . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . 9 X997 .TOWN OF SOUT1101.D SURVEY JJUNBl1ILDING DEPARTMENT CHECK . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . BLDG DEF' SOUTHOLD, N.Y. 1 197 1 TOWN OF SG i'Ir.D TEL: 765-1802 NOTIFY: Q __..,.. q l CALL . . . . . . . . . . . . . . . Examined......... ...4.. 19...1 MAII. TO: . . . . . . . . . . . . . . . . . . . . Approved......... P�!.., 19. � Permit No_ �.(�.Z .................................... Disapproveda/c .................................. .................................... ..................................................... ry ... .. ... ......'�.. .(Build ns or) APPLICATION FOR BO114DING PERMIT 19. 7 INSTRUCTIONS a. Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scliedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. 'Ilk- work covered by this application my 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. Stich permit shall be kept on the premises available for inspection througiKxit the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPI.ICAPION IS 1CRGBY MATE to the Building Department for the issuance of. a Building Permit pursuant to the Buildipg pone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for renoval'or demolition, as herein described. the applicant agrees to comply with all applicable laws, ordinances, building code, Iausing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .............!. .....` . / ...... MUM=WMFUTE (Signature of applicant, or name, if a corpnraLicnn) IIIA iM REPW ......................... .. _...... A (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, 111111Wr, builder. ...........Q............................................................. �` LM Nene of owner of premises .. <.!./C c`t✓�.... L� ......... �- (as of tlne tax roll or latest deeds) ' if applicant is a corporation, signature of drily authorized officer. Mine and.title of corporate.officer)• bCCUPANCY OR =' � USE iS UNLAWFUL 4iaii Builders License No. .....,.�A.......WITHOUT E *�IiML OU C RTIFICATE. ALL CON Plumbers License No. ..... /.✓./J.... THEAVOUNIVANN SP TW M.T. Electricians License No. ....'�,/ .OF OCCUPANCY STATE CONSTRUCTION Ik �r CODES. NOT RESPONO W POA Other Trade's License No. .... �Y.i:........ DESIGN OR CONSTRUCtM N A M 1. Location of land on which proposed work will be d(wK .............................................................. lixise Number Street AlHamlet Canty Tax Map No. ,10000 Section ...o. ��.`� ..... Block ..... l ...... Lot ...`�........... SSubdivision -----! /:l .......................... Filed Map No. .!�/�....... i.ot ..���...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ......... a. Existing use and occupancy .... ?c ?.e............................................. ... b. Intended use and occupancy ........ ......... G *pF SO�jyolo Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1 179 G 0 Telephone(631)765-1802 Southold. New York 11971-0959 �y00UNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 27th, 2006 Mr. &Mrs. William Birkmier 1340 Duck Pond Road Cutchogue, N.Y. 11935 RE: 1340 Duck Pond Rd. (Above ground-pool) �i SCTM# 83 0004 9 Dear Mr. &Mrs. Birkmier, Please be advised that your Building Permit#24262 issued July 22nd, 1997 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$50.00. At that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. copy FOR YOUR INFORMATION pF SO!/Tyol Town Hall Annex O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Southold,New York 11971-0959 '� o�yCOUNTY,a BUILDING DEPARTMENT TOWN OF SOUTHOLD September 21st, 2009 Mr. & Mrs. William Birkmier 1340 Duck Pond Road Cutchogue, N.Y. 11935 Re: 1340 Duck Pond Rd./ Violation SCTM# 1000-83.-4-9 To Whom This May Concern: Your BUILDING PERMIT # 25282 for construction of an ABOVE-GROUND SWIMMING POOL has been referred to me because you have not responded to requests to obtain your certificate of occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $250.00: to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m.PLEASE READ ENCLOSED DOCUMENTATION REGARDING SWIMMING POOL CODES. Respectful) Yours, Damon Rallis, Zoning Inspector Copy Southold Building Department W11:1101 COMPLETE THIS SECTION ON DELIVEPY ■ Complete items 1,2,and 3.Also complete Wdeliveryaddss item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse �`� so that we can return the card to you. B. me) D e of Deliv ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: nt from item 1? 5°ZS R If YES,enterdelivery address below: ❑No LJ? 1)1&41 13�b Ll vC PLO�� �D . ice Type +N�►b�I.Yz i'J y ll9 3 5 s 13NCertified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) Form 3811,February 2004 Domestic Return Receipt 102585-02-M-1540; SO�jyol 0 To,1n Hall Annex Telephone (631) 765-1802 54375 Plain Road Fax(631) 7650502 P.O. Box 1179 G Southold, NY 11971-0919 �Q �yC4UMf`1,�1c� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 30, 2010 William & Ellen Birkmier 1340 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$25.00 Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35049-Z In ground swimming pool SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax (631)765-9502 P.O. Box 1 179 G • Q Southold,New York 11971-0959 �yCOUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD August 9, 2011 William & Ellen Birkmier 1340 Duck Pond Rd Cutchogue, NY 11935 Re: 1340 Duck Pond Rd, Cutchogue TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. /A fee of$25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 35049 - Pool O��OF SO(/jyOl Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 ycoum,� BUILDING DEPARTMENT TOWN OF SOUTHOLD January 4, 2012 William & Ellen Birkmier 1340 Duck Pond Rd Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Item(s)Are Needed To Complete Your Certificate of Occupancy: ✓� Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ,//A fee of$ZS1.00. 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 Marshall. — Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35049 - Pool ; t: C`�►'r� ' t ck BCOCK 4083Lot 9SCX0015rt1dOQ '�•' of r ''fy� r L'„` 9 �, .. s ( �h c tSti. `wt�{ f t f�. "�.. , �. r �. M�7„S{'{ F.k .rMe xf"r r' , •-�}f 1 ,." 1. ,..' I j r lkfd. �1''� 1 tfP,� „7•x!r a r yr '�UFFOLlt COUNTY D�P�1Rf6�ENT OF NEA17H'S� tC ,It'F`��(,' �4�ji►<'��+��+jr �i� w' I 44 {, �fl.• ,+ y• t ` 1 '`': NG�Er.FAr�I�Y ��1 '+t yrs 3 •i M , . l i �'. F t.. r 1. „ , }:'i ; DAT© r The sewage dispnsal and`w&ter supply !acuities f&this S f r , ; l�v � � '+x .,LOT #6 I .bcation,have been inslm�ied by tiii�(lepartnient and k,11C� �' t ' DWELLING other.a nci a 1 fo nd t '.be satis ctvty :SAND.`D IN Chief of l4ureau of:Wastewa er h1anagement44 r ! , S 39'00'00" E , �f,Y •t �s YON � 'MON , ,, O 2d DRA!lMCE EASEMENT ' • C2.'t, �' r , i Y� 'f. LOT LOl` 1 #$ I N' VACANT:. VACANT�!`,i �t'• ! y' tit `, 3 a s< r � � 1'�';`} r r:�'+M �� NNiHOW 00 or Hmm III$MY r•n t t t 'i gra IL Att Z ' 1. itiAYm f i•. ICLCISE,PQOL`TQ.t'iO$, ' owaua 3-UP•�. i Mil ETI . y K t , 10' W , ij rt w o o uNDERWRITEIS; 1rrATE P p REQN. R=25.00 ; La39.27' z 20'oNNNAtiE EASEMENT MON 4 275.00' N 39'00100 W. 150.00, ' ° DUCK POND ROAD (49.50) R _ � `' 'CU c 'PANO"; U-01' .J.& W "'ITH .1 i 0UT CER 1 PP C"' SEP VIE ti � " '' .��' •uneuMreh.e`dtseWlwl'ar iMtbn.tO tf1�'�OCI"11erd h r vlrlotlrn of Sectlen 7209. PROJECT: FINAL�'SURVEY:.OF �:��;♦ , !' •RT, t :..;othe New Yaf1<Seow t?Iurh". utr [{ C.A milebiM n1l..tr/WIN AA piml only y Y,4 person for .Awn N M pnperd LOT„:�9 Ar bi”10 aa.'nM.u.mp•�x,'0r41rfrnintd AgonsY..sW tAndhe nrututlen MAP,"0 WOOV9INF' s %W r� .nI 'Nr r of Mr"ll 1moft NM or nbeewrnt cont. i i Oeplss yM�Nr�Yf�mn{.iNl►s.ilne 1yM pnlMiliAd.hksd.sd w smless.d ..al { r i• . F ,, ', i rbfslltla/.'o Val two ocini r►::+�.:e•-tM ) �+�.f.erfhiffl,"nN`ewe to w w yK N ; SITUATE!AT: CUTCHOGUE f T.OWH 110E^soUTHQLOf4;N Y. t 0, ap"Is4!�► pontne acro.,.Id�Non t.e.wr,e.«enc other DAV. OCTOBEk,r 5. 9 ,r,i4t� 4'r,'5CA " � 5d' OWNERS , t3ARY D N11 E1LI EN:C, MATT SURVEY DATE'' .;! ''AREA' r d. SQ. FTr t`t B0X 1300! CUl'frNQG X; N',. r r 1935 .'(516) 734-5817 t FILED MAP NOS t r a DAT �1�,LED S ►' GUARANTEED T1k4HE BRIO�N�1i�PY0N„NATIONAL rBANK. FIELD BOOKS ' T `' a s��D�?A`b15Ca `.AI�ERlCAN TiitE INSURANCE COMPANY a t r s ' FND. '�/�o7s ADI, CO t r :.f• :4 ,• ray, is 1,A• t, !'r„4 cEit11fe By PII�JYED I ,iTAf�Etf .7%f�s ANLEY. ., SEN; Ja►t- N C. N0. 49273: .�. t �. t,�, �' ' �;k °�. t _ } iso ttox mel iec+�i ► ; DESIGNEO . ' OAAWN' G.D.M. 0 S.J.L �• * `` , S Nisi,Nf1J�a S.C. TAX MAP NO. DIST, 1000 SECT, 083 BLOCK 4 LOT 9 FILE N0. PROJECT N0. JUN _ V �,�.�L.. I asrear.•asracr.o�.�++�r i; t '• �� ' I � � Ir1;FLL Cf.-,' I,C. 4 1E�P"t!,�nl•i Fi :.iI" FD 1'owinl Cr #6 1 FINAL APPROVAL. VERTICAL LOT #13 _,."..::.... __ WEW9G SAND DRAIN VACANT OCCUPANCY 0 USE IS UNLAWF WITHOUT S 39"00'00" E 150.00' _ WON 101.0 WON 100.1 Off- OCCUPANCY p + 100.2 20' DRAINAGE EASEMENT + t000 - -- -- + TOia...- + 101.3- O N N TOOG WELL r iJJ LOT #8. LOT #10 VACANTZ VACANT o: UNDERWRITERS CERTIRCATe REQUIRED 4 101.0+ +CL=WALE 100.1 (W W-41 1 Z "IMMEDIATELY" TDo LUNG OU(3 ���/yy//�����y �y��y���r to %s' WOk7IOR 18.17' .�;y0 �lsn �(� GIRrWk7G CYN.eV VVYR `h F.F. 107.5 GAR. ka" ..' •..Ir'� ,,;'sc,'Sti 29 Q i UPON��IDMPLEiiON 'z.s' 11.0 11.0' ,ozo s . U .- N eEroaE N SJ 10 +POROH -- — — Y,.01.5+ -- 10.0' C 3 . + ,0,.5 ,m.s - J Ld Cr. �� ``�., 0 6772 O o o o d 0 Q o 4 CL SWAIE 91.5 R=25•.00'.. n —— — ----I 5 A � tii Z 20' DRAINAGE CASEMENT wE Q (n C�...'l f;F t.,�la. `-.•.:. WON Y9.5 YON 100.0 75.00' , " IT S 39'00'00" E 150.00 100.1 F 11•CULOTRT_—I 100.0 1 1992 Mai � '00' DUCK POND ROAD (49.5') + 100.• ELEVATIONS ARE ASSUMED 99.e -- - - ----- -+nes O NYS 90 O NYT 69 I AM4AI N'R WITH THE STANDARDS FOR APPROVAL �� SUFFOLK COUNTY DEPT. OF HEALTH SERVICES L AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL =J —FOR APPROVAL FOR CONSTRUCTION ONLY— SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS SET FORTH THEREIN AND ON DATE: _ UJ N O 1 992 _ THE PERMIT TO CONSTRUCT. H.S. REF. N0. '— APPUCANT 40 Al APPROVED: Unauthorized alteration or addita to this document Is a violation of Section 7209 PROJECT: MAP OF PROPER of the New York Stale Education Low. T�j Certifications Indicated hereon shall run only to the person for whom It Is prepared LOT #9 and an his behalf to the Title mpe Coany, Governmental Agency and Landing Institution listed hereon, and to the aeslgn"s of the lending Institutions or subsequent owners. MAP OF WOODBINE MANOR Copies of this document not bearing the professional's Inked sed or embossed sed shelf not be considered a wild true copy. The offset. (or dimensions) shown hereon from structures to the property lines are SITUATE AT: CUTCHOGUE, TOWN OF SOUTHOLD, N.Y. for a specific purpose and use and therefore ore not Intended to guide the erection of fences, retaining walls, pools, patios• planting areas, addition to buildings or any other construction. DATE: MARCH 1992 SCALE: 1" = 50' OWNERS: GARY D. MATZ EL EILEEN C. MATZ SURVEY DATE: FEBRUARY 1992 AREA 40,500 SO. FT. P.O. BOX 1300 FILED MAP NO. 8239 DATE FILED DEC. 15, 1986 CUTCHOGUE, N.Y. 11935 PHONE (516) 474-0600 FIELD BOOKS DATA DISC FND. UND. CONST. FINAL CERTIFIED BY 10 gal PREPARED BY GARY D. MATZ, PROFESSIONAL ENGINEER G4Y1, , P.E., N.Y.S. UC. NO. 066772 fi p.0. 00% 1306. CUTCHOGUE, NEW YORK 11933 DESIGNED G.D.M. DRAWN G.D.M. CKD. �' PHONE (5 16) 474-0600• N.Y.S. 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I ' SA'YNERS LAJ :•.:.- ( RETURNS �N L SLOPE O 2 ]` TO FILTER \ i ( ' ! /� p - 8' BARS �c"� ' � If O `/ O B , FROM SKIMMERS �I I o O `—�- I FORM TIES FILTZRo-ePt:1+P ., y I - \ } W I TC RETuANS Ita TO HAS'E —— — — n ROL_D FOAM 0:� � PIPINGR A N G E Arl E 1; = VINYL L NCR a<<,�E_N LINER A P, E C„NCRETE SIDE Ct ra.0 -�I STEPS 0 r:CNSL 23001b g'. P L A N .•- d PO RED coNCR�,� v:NYL LINER �•' :•�'. 1 ',D ; , tu JOZ. 1 y�o al'� Lu c)ir SEE TY C:L t :.:., •� � I i Fi3_.aa_ � S- 'ION •' /ix+ .C'%/�'"r^w n I M Q V L _ 17 �..0 zt > �� �f S-eCTION ` I ' CL Uj Lu w U CC cozo�OtJ! L— 2'• ♦•SANO 90TTON �.^ FORM TIE - ! S-3- �— g'•0' 13. f C f.?�� I _ _._24"MAX zI – _ BaRS OPTIONAL STEP Ln SECTION B- B ���` _ __— — _ TYPE 1. GRADE 3 ST=- IogcLA- F-.- P LAN �.� �. -� r•-- O' A y„ � �- g TYPICAL WALL c_, a -T- i CL. Iz'I14:0- 12, SECTION A- Q �— cj .. OPTIONAL STEP SIZE A 81 C ( O ( E F 0 I AREAL CAP Of Ng TYPE 2. sem. e w, FEET R. 12 R. R 7T. I R I ft I aoFL I 6 aL *-e g, NOTES-- O''G C CONTRACTOR I I I ( I I ( s WALKS TO 8_ SMOOTH- NON SKID TYPE. SLOPED f 4;I - �` �t AWAY FROM POOL a X`t GL i WATE RANDY T. RODECKER, I 16'c 32' �16 132 I 8 I 8 I IS I 4 I ♦ 1312 IIeS00 PROP TY STp�L SHALL 8E LIMITED TO OWNERS ;r a r SWIM KING POOtS SUIT LOCAL REGULATIONS 16' a 36' IB 36 I 12 ( 8 I 12 ( s I s 576 120= ��Q ~4 0ROUTS 2-SA 20'a AO' 120 I ♦O 112 I IO 12 6 6 800 24,000 ROCKY POfNT, NY 1177-