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HomeMy WebLinkAbout25439-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26884 Date: 01/14/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2150 FAIRWAY DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1998 pursuant to which Building Permit No. 25439-Z dated DECEMBER 22, 1998 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH, TERRACE AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to CHARLES J. & NANCY UMBACH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0123 12/23/99 ELECTRICAL CERTIFICATE NO. N 504366 10/20/99 PLUMBERS CERTIFICATION DATED 12/08/99 PECONIC PLUMBING & HEAT. A tho ized ignature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26885 Date: 01/14/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 2150 FAIRWAY DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1998 pursuant to which Building Permit No. 25439-Z dated DECEMBER 22, 1998 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CHARLES J. & NANCY UMBACH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 497652 08/16/99 PLUMBERS CERTIFICATION DATED N/A 1 �uthrized Signature e 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. 25439 Z Date DECEMBER 22 , 1998 Permission is hereby granted to: ROBERT NAVESKY (UMBACH) 165 CLEFT RD MILL NECK,NY 11765 for CONSTRUCT A NEW ONE FAMILY DWELLING, ATT. 2 CAR GARAGE, COV. FRONT PORCH TERRACE & ACCY. I/G SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. at premises located at 2150 FAIRWAY DR CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 .011 pursuant to application dated NOVEMBER 6 1998 and approved by the Building Inspector. Fee $ 1, 193 .40 / A PJy6 i�2%,��a�Y�e �©moi Authorized'Signaturg ORIGINAL Rev. 2/19/98 4 FORM NO.6 TOWN OF SOUTHOLD Building Departments .a Town Hall Southold, N.Y. 11971 765 - 1802 JAN 1200u APPLICATION FOR CERTIFICATE OF OCCUPANCY. Instructions L A. This application must be filled in typewriter OR ink, and submitted a w w . to the 9uif mg n tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 5 .Updated C.O. / $ 50 . 00 Date . . . . . . . I.I.I. a. . . . . . . . . NeWCOns true t iOn .. Old or Pre-existing Buiilld�ing . . . . . . . . . . . . V�aca�nt Land . . . . . . . . . . . . . Location of Property . . . . .oil.J'... . . . . . c . . . . . . Ul.n . . . . . . . . . . .0 : . . . . . . . . . . . . . . House No. ' t Street Hamlet Owner or Owners of Property . . . Vrvt bo-J\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . . . . . . . Block . . 5 . . . . . . . . . . Lot . . . .f. . . . . . Subdivision om�. . . . . . . . . . . . . . . . . . . :.... . . . . . . . . .Filed Map No., . . . . . .Lot No. . . . . . . . . . . . . . Permit NR-'—.O�.`.'.'- Date of Perm.t .�1 .'Applicant . n"•`;6" �L- . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . .✓. ./. . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . I . . . . . . . . . . Fee Submitted $ . . . . . .. � . . . .( . C :�,S.J. Construction on above described building a6dpe mitmeets al applicable codes and regulations. Applicant . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . nev 10-10.78 /1/� �' `a,tp ��S D• �2ec- S�3S� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRIGIT'Y-�, - 40 FULTON STREET, NEW YORK, NV 10038, - Date AUGUST 1640 Application No. on file 1?7&591J ; N 497652 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 CHARLES UNBACH, 2150 FAIRWAY DRIVE, SEC. 109-0005-014.�1�011,,' CUTCHOGUG, NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd FL OUT - 1, 1 Section Block Lot was examined on AUGUST 09,1999 and found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT 'K.. AMT K.W. AMT. K.W. AMT. H.P. 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.I TIME CLOCKS "BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.D. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. -AMP5i TRANS, -AMi, H.P. NO.OF FEED AMT, WATTS 1 20 SERVICE DISCONNECT NO.OF S E R V„ Ir C E METER NO.OF CC COND. A.W.G.'- A.W.G. A.W.G. AMT. AMP. IVPE EAUIP. 1 D 2W 1 0 3W 3 0 SW 3 0 4W PER 0 OF CQ OND. NO OF HI-LEG... Of HI- NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWI141ING POOL-1 TIME CLOCKS 40 A11P-1 G.F.C.I-1 PANELBOARDS:1-•3 CSR. 115 '"(SWIMMING POOL) This Certificate covers compliance at the date of inspection only. Because of unusual have freqntsuent it is advisable to ai have frequent test/and or repairs <« Continued on Page 2 >>> GENERAL MANAGER NPer 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 'B�ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1001071 BUREAU OF ELECTRICITY _ F 40 FULTON STREET, NEW YORK,"NY'003.8 Date AUGUST 16,1999 Application No. on file 1$76999/99„ ' ': ' N 497652 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of CHARLES UMBACH,�}2,150 FAIRWAY DRIVE, SEC. 109-0005-014-011., CUTCHOGUE, NY in the following loco AULiUBT❑ Basement ElEl1st Ft. 2nd Fl. OUT _ Section Block Lot was examined on and found to be in compliance,with the National Electrical Code., FIXTURE RECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. 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 N.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, :, `' 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 OC.CONp. NO.OF HI-LEG Of HI-LEG NO.OF NEUTRALS Of NEUTRAL OTHER APPARATUS: made by a RLaalified person. G & S CONTRACTOR LIC.#578-E L L BOX 215 ANN SOUTHOLD, NY, 11971 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, M $L NOT BE-ALTERED IN ANY MANNER. THE 'NEW YORK BOARD. * OF FIRS 1N ERVRI.TERS PAGE 1 1001071 BUREAU OF ELECTRI&�__4 y 1 40 FULTON STREET, NEW YORI(fW�Q4�Bti OCTOBER 20 1999 cy : N 504366 Date � Application No. on file � ,, v t �'�`�n THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ndmed oit t�lte aboY application number is in the premises of , CHARLES UNBACH, 2150 FAIRWAY DRIVE, SEC.#109-0005 BLQt14.b11 ,^ CIpHOGUE, NY in the following location; ® Basement ® Ist Fl. ® 2nd Fl. GAR/ /� SQ,ption Block Lot was examined on OCTOBER 15,1999 and found to be to co ' ty lice wt t'ttielNahgi tI Electrical Code. FIXTURERECEPTACLES SWITCHES FIXTURES RANGES CEYAK NG DECKS OVEN$ DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENTJ FLUORESCENT I OTHER I AMT. I K.W. 'A K Wr,f AMT'I K.W. AMT. K.W. AMT. `H.P. 56 55 56 56 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC PT TIM ¢L>;tCKS .BELL'JOT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P.. GAS H.P. AMT. NO. A.W.G. AMT. AMP. � L?, A"fy1P < iR�¢f5H.P. NO,OF FEET AMT. WARE Or 4 F 1 EX/ 12/ 2 SERVICE DISCONNECT No.OF S ER :-an V' ri ' °i( �C _ E METER NO.OF CC COND. A.W ^t ,I^ A.W.G. A.W G. AMT. AMP. TYPE EAUIP. 1 0 2W 1 0 JW 3 0 JW 3 0 4W PER 0 OF CC. ND. 5>a'� �lEP' "C'OF HIAEG NO.OF NEUtRAis OF NEUTRAL 1 200 1 CB 1 X 1 4/0 ` ; ,r ', 1 2/0 OTHER APPARATUS: °' h WELL PUMP F-1 WHIRL POOL BATH F-1 MOTORStl-1.5 H.P. ,1-2 H.P. ,1-3.5 H.P. ,3-F H.F. PANELBOARDSr3-1 CSR. 60 G.F.C.It-12 �;-` ^.' LL G & S CONTRACTOR LTC.#578-E BOX 215 ANN GENERAL MANAGER SOUTHOLD, NY, 11971 r Perms• C.._.._..- This certificate must not be altered in any manner; return to the office of the Board II si{A,cIi,,Irt4geGforBAi't°dy be Identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF;CERTIFICATE Uems' O'C BF,: ' i6D'IN ANY;MANNER 'rte 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECT�W" 765-1802 BUILDING DEPT, INSPECTION f ] FOUNDATION 1ST [ ] RO H PLBG. ] FOUNDATION 2ND fINSULATION l FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY REMARKS.- -------------- DATE EMARKS:DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1V4ZF,; AMING [ ] FINAL [ FIREPLACE & CHIMNEY EMARKS: 0'%it Yfyz J/7�//C C� 7 � c. L DATE 1 INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: A -J,-� 7 DATE / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS:-- DATE INSPECTOR r ISI i� Ill �- ��o�SOFFot/r�oGy Town Hall,53095 Main Hoad V2 Fax(516)765-182365-1802 P-O. Box 1179 W� • .�C Telephone(516)765-1802 765-1 Southold,New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N (� DATE Building Permit No. / 2a5�d�i Z Owner: `' Af-�iTJ (1mba&kl (please print) Plumber: (please print) J I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. � f -41� Y J plunwer,s3 signatu ) sworn to before me this t� day of 19 Notary Public, 5(1 L/�� QCounty �4 SMAR A� SAHBARASTEPNOWSKI NotalNo.018T48"M ffN�jWwyMk,, o�ogUFFO(�-�O Town Hall,53095 Main Road O Fax(516)765-1823 P.O. Box 1179 A Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 17 , 1999 Burger Construction P.O. Box 734 Cutchogue, NY 11935 RE: 2150 Fairway Dr. , Cutchogue, Umbach. Two Certificates of Occupancy required. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $50.00 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25439-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. HELAN, P.E. ` 0isP.O. Box 590 0.160 Bungalow Lane, Mattituck, NY 11952 I Telephone 516-298-5770 #Facsimile 516-298-9585 MAY 51999 tOWN 3r SOU HOLD May 4, 1999 Town of Southold Building Department Main Road Southold,New York 11971 Art: Mr. Gary Fish Re: New Residence Mr. &Mrs. Charles Umbach Fairway Drive Cutchogue, New York 11935 Permit No. 25439-Z Dear Sir: Pursuant to your request, the above referenced project was inspected on April 27, 1999. The purpose of the inspection was to determine if the as-built construction provided for adequate bracing of the roof structure, primarily in the tray ceiling area of the Living Room. The following additions in this area are recommended: 1. Add 2"x4" ties between ceiling joists of Family Room and Living Room. 2. Add(2) 2"x4"built-up posts on each side of masonry chimney to add support to the ridge beam. It is my professional opinion that the addition of these members will adequately brace the area of concern. Thank you for your time and cooperation on this matter. If there are any questions relative to the above please do not hesitate to call. �F OF NF pk ery Tru our fz C> s`nd No 614se vv * Robert H. Whelan, P.E. h�nFFSS10NP cc: Mr. Eugene Burger BOARD OF HEALTH . . . . . . . . . . . . FORhdNO. 1 3 SETS OF PLANS . . . . . . . . . . . . SURVEY . . . . . . . . . . . . . . . . . . . . . TOWN OF SOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . . . TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY : TEL.: 705.1802 CALL Examined . 196TGi I/ MAIL TO : Approved . .f{s ':.. e4 ., 19/g.KePcrmit No. P. J I ��, L, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. 0 U (Building Inspect" or) APPLICATION FOR BUILDING PERMIT NOV '61998 BLDG.DEPT. ,ai" Date T WN OF SOUTHOIb 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 pian 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 Ivork covered by this application may not be commenced before issuance of Building Permit. d. 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 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. at (Sign ure of applicant, or name, if a corporation) . � P.tl .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, ((engineer, general contractor, electrician, plumber or builder. � Qn�. . . . .. . . . . . . . U . . .. . . cl., . . . . . . . . . (( . . . . . . . . . . . . . . .. . . . . . . . . . . . . . Name of owner of premises '� ?.C1�° . . . . . . . . (as the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . . /A 61&,Y1.. . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Tradc's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed1 work will be done: f 1 fy Elouse Numbcr, Str&t Hamlet County Tax Map No. 1000 Section . . . . . �9. . . . . . . . : Block , . . .0,`�, . , . . , , , , , , Lot . .���:�,�.. M1 Subdivision . . : G7.��.HO.q4-k,_T.0. O1.4 ,—. . . . . . . . . Filed Map No. . . . . Lot . ()(Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ` — a. Existing use and occupancy . . .� � • '•� • • • • • . . . . S, A . . ..... . .. . . . . ... . . . . . . . . . ... b. Intended us l q . .��3 !�. .�( . . Q(I, t9tclIuZ,waf2 180 TOI`A4*11l . e and occupancy ZS Qo ArE, tCT800c.TB?a.f , • , , :#@ead.�aroi4sP�tttSut`. .. 3. Nature of work (check which applicable): New Building • • • , . . . . Addition . . . . . . . . . . .Uteration . . . . . . . . . . . Repair . . . . . . . Removal . . . . . . . . Demolition . . . . . . . . . .Swimning pool. A . . . . . . . . Tennis Court . . . . . . . . . Accessory Building. . . . . . . . . , Fence . . . . . . .Other l4ork.�2rJr0.�4� . . 4. Estimated Cost . . . . ( �.�o C�. . . ... . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . 1 (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . .L . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . • Ifgarage, number of cars . . . . .6L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . g, Dimensions of entire new construction: Front . .. . . . . . . . . Rear . . .�`6 . . . . ....,.,, Dc pth . . . . . . . . Height . . . . ..3?' . . . . . Number of Stories . . . . .%. . . . . . : . . . . . . . . . . . . . . . .`r 9. size of lot: Front . V&0 Rear . . . . . I.W. . . . . . . . . . . . . Dep 0, Date of Purchase , .A.�Us /�d 4 V . . . . . . . . . . ,�!ame of Former Owner . . . .1?A �f . •A 4i!e.s 1, Zone or use district in which premises are situated . . . . ` i?� G .4 '�. . . •/� ;i„,.i;. . . . . . . . . . . . . . . . . 2• Does proposed construction violate any zoning law, ordinance or regulation: . .tiJ . r, . . . . . . . . . . . . . . . . .,....,... . No. . 3. Will lot be regraded . : . .'(` o Will excess fill be remov d f om prem�Ses: Yes . , d. Name of Owner of re tses c.6W,- .t �tti^G ,UrvL"dress p 0?• 1.11 sd No. 3y;.1f >Q� -1 Name of Architect pIZazil ,�. l���R c�. . . . . . . , . Address ����,Plq(Q A4y Phone No. c�g.FS Name of Contractor . .v�Rw� , ,LV Address 7,U�cTy47''� No. 1 : 5�f:7 . . . 15.Is this property located within 100 feet: of a tidal wetlan *Yrs. . . .NO. . *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 iroperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. �7 STATE OF NEW YORI` F a .iS.S "OUNTY OF / ! c;, ! (� . . . . . . . . . O.<1� 1r`�'• �L � . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) tbove named. icisfile . . . . . . . . . . . . . . . . . . 1 /. . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) • )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ipplieation; that all statements contained in this application are true to the best of his knowledge and belief;and that the ,Vork will be perforated in the manner set forth in the application filed therewith. iwom to before me this Clay of. :' .�h?0. . . . ., 19 .�GJ 40tary Public County ..._ . FL� 'IMA Ntl NOTARY PUBLIC • No.oTWO15 (Sigature of applicant) Term Expirett�i ms U, 0� e C' ¢' N. 9843820' W. I73Z3', RA� ft 3 � LOT ® h '.> VVELLAVG p WOOD WAY - - — S. 89'1270' E. ,:w 225.59' crr -- y t- — - a_ LACS Ece°.q 2se ^ gip - - — to �o v I t SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES W y pE .b=FOR APPROVAL OF CONSTRUCTION FOR A y S4NG4FAMILY REMENpCE ONLY 3 DATE L S / HS NO. /SIS-$a-D/a,3 to rz rso APPROVED FOR MAXWIM OF BEDROOMS EXPIRES THRBE YEARS FROM DATE OF APPROVAL C- fy" Wed 11P i4g. n Q LOT �,op oGr vc s' Well z SURVEY OF PROPERTY AT CUTCHOGUE Z TOWN OF .SOUTHOLD �c a00 40 � a_es,s Pw� M SUFFOLK COUNTY r N. Y. QO 1g�9 O ss ++ LpW CERTIFIED 'TO, 1000 — 109 - 06 - 14.11 891270 yOai 98 ass ' ' W 225.59' aS rb N CHARLES 'T UMBACH SCALE Y" = 40 reware �s NANCY UMBACH AX Y 80, 1990 �;,� ;•' OWELLING 1 ELEVA riom ARE REFEM LACED TO AN A^SlA" DA7UW. LOT ANY ALTERAnw OR Aanva/ To TFFS SWWY IS A MMA TARN OF SECTION T209 OF TIE AEW YORK STATE EDUCAWN LAW, / am laml6ar with the STANDARDS FOR APPROVAL OVAL EXCEPT AS PER SECTION 7209-SLBDlVlS10N 2 ALL LL5RTFOTIONS fM av ARE vALO FOR TMS.UAP ANO.COPFS 719W07 ONLY F AND CONSTRUCTIONt OF SUBSURFACE SEWAGE SAO ANP OR caws BEAR TRE AMssw SEAL OF 7W SL vvw DISPOSAL SYSTEMS FOR $#*LE FAm LY RESIDENCES *0Z MW RAPE APPEARSAMM and wif abide by the 001411009 sof lorth therCIP and ort the PSEpf NEW �O Aa%710NALLY TO COWtY WM SAO LAM' TIC TERM'A4.7M SY r permit to co"fiW4. &WT BE USED BY ANY AND ALL &RVEYORS UTLAW A COPY LF ANOT qx swvEYOR's AGP. T&W SXH AS 7J9ECTEV ANS WOMT-7'"ATF'ARE NOT N C%fU AX WAN TIC LAW The locations of wells and cesspools N Y.S. UC. NO. 49618 shown hereon are from field observations *' and or from data obtained from others. NOTE= LOT NUMBERS REFER TO WAP OF !123tOUR ~ , P.C. FAIRWAY FARMS' FILED /N THE SUFFOLK COUNTY CLERKS OFFICE ON FEB. 15,1974 C FILA MAP NO. 6066 STREET AREA = 40,606 sq. ft W°A . SOUTHOLD, N.Y. 11971 98 - 241 SCDHS Re/.# RIO-98-0123weg r-P• ap p Q e0irri F 23 r it 8803810' IV 173 ' �l1 j D:PTVf c LOT ® , I � p WOOD WAY DWELLMG tui! {150 vj m YLOWS. 89'12%O' E. 225.59' CW CW Q r4a I Q24.1 tzEEse G.P. I CO O N nj I I 0 -iz y A d 742' Ov) '.� . .>s,. (( - .fd,z°i...il�>:.'j.._>,>ti�: i�:�.:1] a<.0 Z / to V y i . .. ..., EL ESO { a Z7J SSC C`�'yC"a3''or;,f,t'i&; C EF�_sl;G� Q O� 4.lV 4i' C :stpf,, wiw2 `-',:;l G;/}i ... ;rte ti`:.38 y}r ,< _;�'';]:..i,ti33i3C 15:r�u.3 7 CL well 94" Vy w J.y. Ot`a Sr W MI r,e,4"...:P�u.._.. �.,.z1z e e..�..e U V` O a k li q o QAC 'iI wet! • rx t SURVEY OF PROPERTY AT CUTCHOGUE TOWN OF SOUTHOLD $ PSE Q.E5.3 ME SUFFOLK COUNTY N. Y. Q. E3J cxnAv cAar , CERTIFIED TO, 1000 - 109 - 05 - 14.11 o sora Z 0.3'E N. 89'/270' W 225.59 �, CHARLES J. UMBACH SCALE I" = 40r 1 NANCY UMBACH JUL Y 30, 1998 DWELLMIG 1 HORIZON LAND SERVICE, LLC FEB. 9, 1999 (foundation location) FIRST AMERICAN TITLE Nov. l8 1999 (Final) ELEVATTDNs ARE eEFERErrceD INSURANCE COMPANY OF NEW YORK To AN ASSL#AO DATUM. LOT ANY ALTERATION OR A=naN TO IM SURVEY 6 A VIOLA TOV ' OF SEcnav mos OF TIE AEW YOW STATE EDUCATXN LAW, I am tamfilar with the STANDARDS FOR APPROVAL EXCEPT AS PER SECTION 7209-9JOR SIGN 2.ALL CERTFXA TMS 19rEON ARE VALV FOR Tial NAP ANO)COPES THWOF ME F AND CONSTRUCTION OF SUBSURFACE SEWAGE SW NAP OR COPES BEAR TtE A4°RESSW SEAL Of 71E SURVEYOR DISPOSAL SYSTEMS FOR SMLE FAk4 Y RESIDENCES Of IYE/i sMSE S76M4T(ATE APPEARS MWOM id will Nd e b ue� conallfons set forth"fbereln and on the �,��� T Mer y ADDITIONALLY TO CaWkY VM SA8 LAW 7WTEW ALTERED BY' P to W MUST BE USED BY ANY AM ALL sWVEYORS U7X9W A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SACH AS 70TCTEO'AAF) _ VROLQiT-TATE'ARE NOT N COiPLWVCE" ME LAW, i •? C z,� .a �� The locations of wells and cesspools Y.S. LIC. NO. 496/8 shown hereon are from field observations NOTE LOT NUMBERS REFER TO IMAP OF and or from data obtained from others. FAIRWAY FARMS' FILED 1N THE SUFFOLK (E' C S, P.C. COUNTY CLERKS OFFICE ON FEB. 15,1974 P 6 AREA" = 40,606 sq. ft. • well C•P FILE MAP NO. 6066 SO�HOLD, N.Y, STREET1 98 - 241 q Im.1101,I)A if copper tub!I ng Is use, OR 16r Water distribut ng EHITING K )iping'sholl be - System;F OOPA 2.D$ ICES A to Y INS W.Y types K or L onL IL E IE so I T 7 A =77777�-7-=77-7=-'1.7 pL B ALL PLUMBING TE If L &WATER LINES NEED ------- tE F RING CE TIT] TESTING BEFORE COVE z TER, SE L E J:� J STE S PPLY LEA 0- 7.7j�-, v CEE 2 19 F 10 e r' pROvDE#A HR. FIRE IT , -J-' T- 1—r r -, - III "I' ..­�L � _ I ", - � — I -— -,�I— -� I I i . RATED SEPARATION TO 1 j,"'I PROVIDE OPENING$ FOR (1)OF PART,III, 7 t I ),"I If, I- EMERGENCY ESCAPE AS, T CODE. REQUIRED BY PART.1 OF N.Y. STATE BUILDING �J-r- L� J_I' N'Y' tTATEL BUILDING CODE. r7 II t........ PROVIDE SJADKE-OMCIING �E. -7 9 IMMEDWELY" ------- -----I, AiARM ICES -I--------- 72LI a COOL N L I�A I'7- -----I DO NOT PROCEED WITH IFRAMINd UNTIL SURVEY 0 UNDAliON LOCATION F FO J, HAS BEEN APPROVED. DATE: B P.# f f UNDERWRITERS CERTIFICATE k Br. I REQUIRED FEE:NOTIFY BUILDING DEP 765AS02 9 AM TO 4 I r FOLLOWING INSPECTIONS: 1 FOUNDAIMR - FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING OCCUPANCY Oq 3. INSULATION CONSTRUCTION MUST 4. FINAL us is UNLAWFUL BECOMOLETEFORC.O. ALL CONSTRUCTION SHALL MEET WIT OUT CERTIFICATE THE REQUIREMENTS OF,THE N.Y. STATE CONSTRUCTION & ENERGY OF OCCUPANCY CODES. NOT, RESPONSIBL E FOR -7- DESIGN:OR CONSTRUCTION ERRORS , 7- T, r7-, T t7�- -------Tj t 7- T T, NT LI -I--I----- -------I ...... 17,7� ------ --- -------- ....... -------------- I &j TI. 7 CHI -CHO que, EL'V, TIONS RONT & )? 111, E ROREIRT -4 1 41 U, #ov IT7;77 77'T E 111H r -2 IV jTj�N R11 ��ij �7 .....I... IIIT w } I rf A . � � - � / �.�,r-rl--r*--\ kT 1rC'_C� }�-�� � � • l J -�.. L..! T r� rl - 1L1 I -�� .. I [ 71 Il , � 111 ] 11 r 1 , I t 1 [_. 1 L T 1 (_ 1 � r r-- � Tlr .fl i.I � rf r tlr ! rr� _ ! 1 f I { I 1T_ L S IIA. i. t L 3 .I ! ' t I 1_ 1 _!_ d, _ �_. � J r r Ii. i I i t1 r � � I ,• T r .._-.�. r_u7_.I"i"...''. -t= i'i'i".- i i.___.r -�.i�.��- ..t .: I �1 r �� ."3- I 7�1"T--. .-"1' . _.. f �__ ' f r1_I j,CC..., --, I1 L_ IIL1.li_.. ! 1-- .' i - I. T f,`T,,'v I t f t Y� - I r ]` LI' t .. r_ 1 r j 1 � I _.i �' ' 1, �. I. _T _11 i I_ .1 .i I .. I .TL__C.�_L C l t i....l L 1 s ::_i_ T... > _ hC... _t. C__._1 i, ; ._ � _ _L ! _ T t, _.. 1 .r 1t. 1 ! - - 1 _ I , . ,�. , 1 , ( .. 1 ('_. I. '1 I :'�.. ..._.,__;'_ !__ _ [ . ._. t _. _.7._I _ . _ .., .:_I I�.11.._ . -- f —__ T. _.____ . .r_...._ _ _ _ _... _ >s" ., _.�_�. � _., _._.,.• .. t...t � _.. L_. ; .1, 1 _ t_ }r„., _' is +: — ,,, � 4_.1. ➢ l_, t ! _t,:_t 1 t, h. I - ---- - Irl �}, �T , ' ...... Lii.T ? , 1_ .i_ l -�J ) --_ _ �1 r .Tt_ _. . rl r IJ .L t' _ � _... . .._ l L. _ l ' 1_ _, I. L i ..:) __.r _ .. - -' T T-_'__ '1 .. -{ r1� x I "(r .. _ .. 1. +.;LI11. 4 ' .# ..,1 . -1._I l ' 1 1L. 1 I I fz � ._.1; .r-�. f _ —� . I L.rr. . �� .1.:.r.. ( 1 .,:-r. ,!1 L ..I.rr t� I, fir. Ir-CIT_ 1 ` . ` �, �: . , , � � . � � , I � :. . I � I • .( --� _ r . _, _.Z r ,.,_. , 1 __ __ Iti t ._`..� 1 .Ii ; T. �_I � i -- _- ._,_.I.. . { . .:_,1,._t ! , . __ i. p-1 ,;.; — I L _ . -i. _-. e . . . c. f,.. I } T ' r_r ` r1 + ._:: t _ T . : L .+ iT'f' i-r- - �r., "r a._..� r L .I. _ r �-. _C. . r �_L 1 - _ � � T �I- _l I r ..!.T I . 1 r �l :,:J—f � .. . .. -_ _.._ ..._._. -. . . i I __iFNP 1 I I I I I I nT u. wii P, -4_ .— __ —.._ _.-- -_ I HOF$531UNPy �ti��� tf- -A- + -+- +- -4 - �DE,S'CR/PT10rV p,1%T; Old PROPOSED RESIDENCEFOR: eer CMA LES & NANCY UMBACH CUTCHOGUE, NEW YORK LEFT & RIGHT SIDE ELEVATIONS is XOBk.'RT It. WiLLAV, P.L. P.o. #ox 90 160HUNQ14/,0 m1m, - - ,N.1TT/TUCK,'NEW YgRKIl951': ,. 51629&5770 ' SCALL. AS NOTED ORrt IV,V IPK kfiii' DATE.' 1113198 ' _ ^. JOB NO. 98130 D2181LYCi NO. 11-2 WE'ETNO,3 OF 6_ .,r F ^.--++.v...+.+.m-v..m_..m.._.�....e.s..r.._..._.—_�...—�...e.,_..sw�..-...._..._....w-.�_..- -.-. _.._... ..�._.+.-._...m—....._...«.._.s.,...._.—._._....-..-,._.._.+....- .e...._ n..> ..-....... .....a.... ...�._......... V..,_n�_.x..�.- fix - 1 - - _ - ----------- 3-1 -3- I I — ,. : . � . �♦o may¢ I �: � � � � �. — _ I I AA -- - >' " II AV I �— �l 4-_I_�- ' jl! ( I I � t . ' : � I_ _�_ _ C!R � a' ��j ` * � �.._.,3z„51��Gf�il��G'oL!/.y�.✓ ab; I I � ,� Cg y I C (fII kA r + - -4 t - -D -• 1 ( _.__ r��.�/ I �T�/Cf141/ Cy SP GxT #i. ��f� o,� f. I. ._ ,�. -- --� .— _._. , _... � ._,. __ , — � �"', ._, /rp�r .3if,✓z�,d :r,.rr��i ;c"ox:^ h i k-, -� � ? o 10 ( fir✓ '.s'Gr . ..T' �.a I .+ �v� � � — QQ r — — - 11” REV. No. Dh:S'(T&I'/ON U.1%'Lr. . PROPOSED RF.SfDFNCF, ('ORt CHARLES & NANCY UMBACH C'UTCHOGUE, NE IV YOf{K j i F4IINUATION l'I,AN ROBERTH. Will,,'LAN, P.O. ua, 190 160 EUYC�I GONE,,,INE 11952 - 516-29$-WO ` S(AL.F.' ASNOL'FOOg1 N,V 1)Y: /<IfiY VAM, 1ILt/98 _ __ _ _ ..�. _ JOBNO. 98130 g2UVLNQNO. 't.3 r . P) ---------- vy < ..... 7-'oved A T N' Ft PA N it% 'A A 144 IN 44 r N ]� e,1 T -/l v N eV OF W . )177,9 -E , 44 t 8/1"V. No. afrfe --------------- PROPOU'DRESIDENCh' FOR: 'HARLES & NANCY UAjBACff CUTCHOGUE, NEWYORK FIRROBERTA fffll, ST FLOOR PLAN UAN, P.E. CO.0. qoy 540 140 HUNG111,011"tANE 11A171TU('XiVh'lVFt)f?k 11052 'Jr5l el ft 5M408-5770 PRI I #A M. 1113190 ----------- -------- ......... P ..T'T ""ff iM1a'P.✓ 4 ' � X43 , ' .rT�, -.T- -. f'� . .wr .; i C. - 1 ... �-�. •':, ." -, , i , i V} 1 I I , r + IN � E y a��r ` r z I C. 1 I : II ' ' o r. I 1* F y I i � r R sC op - - ..1"r�� ?`'Gl � ^! 1 T — 74 Aok i 04L '+4 .. I - - - - a . No ------ 04� T- f j' r' r c�a .�Iut "Y1 4 ! I. ' ' • , . , ,�A / j 1.� .. ., "Belk 71�'a,�'W1191y11*;e} o.ryH' ' t�vfii , Ywt; ` MAftNiVe%'AW*51*084770i y*4f �y���; 1 � qb YyfY� nF� /WM nTmYT. „"` 9 14,1 1Vbtd 'a `y, s ' 3 �{II r 1-. ALL FRAMING LUMBER TQ'SkDOIJOLAS.'FIA1 AROM NQ'L x.1 ,� 2. ENO,IhIE$RED,JOISrTS TO'•6J A 4ra,0 T JAM AL1lA9JCE'F � ftp#N d,?I$1 , J�R;It 1�� 4.769kENgp.Di# !y #JOT +d# IRTS INC, OR;Ef�i L. l 3. AkLOW f5$o 1 , 89 IN UFJJT'SIiEl3&Sb`FOR'SWE�#4+EM� a. ALL TRucTraNSW1Ah COFnN?l�YW#TH(Ti �YOW$TA ,vr�HF � w Ei, r,Tra ; Jens ranrca CODE. 1 4�NDjNSULATIONTOGQ ?R�J`WITTHI�`JtS r& � ENERGYGGIMSEF+'I�AT#CW`O#�d#STRUCrTtON OGS , 1 � T'M!� # +�/OFJIi STATE 5. ALL DOORS, WVfiNJyOW$ 1 §. ALL FO �2�gT.Q�yttRSl ';SO#J:AWViTM' IIhIJidM{# g'ltiih }M�'F7APAICY`4EF':2Wns/ .E'AN#J . I BE AM I MOF Tit. $k-WW FJNi6k9b L'3R*T3E 7. MINIOUIUM AIGOiAt $(E Cc )BETE GTJESIptN T S� 50D mit' §Y ;. 81 DOIINLE Ft U4il' !G L UQ#I p d�T ALL f)1�6NI �S A� LE 9: SMOKE—J.�ETECTOKS TSA E3E SMIOLE'ST1C8;ION L��CT�+#RALt>,+c�wERA T�f7., _ 17).§NG#AJEER,F{A$ NOT'BEEN-RETAJ iP #� ON SITE INSp� ' dC1NS gJ31ONNT ##' h41J ON !a" 11.PRO'4i(7E i (J JNGS iN QQNFR�C' ;1NhF M$f?t71 14E. .'. MTS: 12 ALL Pk41#kiB1MS� W©RJc:TQ'Btg iN$>�NF M1ANC51YWI1 M ���Mt"3i�K STATE �UJLII)##II0 CONB'FRVCTJON COM REOLItREMENTS'. MALL WORK SHALL SE APPROVE E{Y THE ,NEW�KSPARM OF FIRE UNDERWRITERS, 1 N.DO NOT SCALE DIVENSION6,U$E- WRITTEN ,31iJIEN8J1iNS CSI W: Irv"dijm�l''S Gam„ Vic. �/� 9 Ebb �/c�r✓r_t G/ x'98"dei. �/ - 'r%o" �1 7V 1%6010' AOOW fy�J _�� ;�'+�� ��. � !°!tr'd' - . ' d.�_�+�R.'' 4 � 1 SiT6di ,✓f,S',�g'� d 1� ol "z" Djk%r�4 tom) :�_`l 9, !✓.nrrsaf,"9r' r"aywvtG io L syr. wa e rZs / � �/' 1/ ✓ q 3 `!�? . . L //}ia/ S/ i51?J 6'it'') G'©Gu Y T W O P h .�xu ~ ..,/iF' eY✓�'' . -__ M. J. x er I' ���Ak�0 61456 �yw� 1� ., FESSION ' `i b i 128" �' �� ,�` ! `.X✓�. �C,' l 17 n V.'iVO. ,7D �y�y���n p�+,�a -yy �ix�... . .�+y��. i "ear—ten+ 1 CHAJUEP B� ��ilM A✓' tK h' CIJ�'4' �, 1YL"II�''YtX SECTUONS A NOTES lib t R'T 11 AZA ,� P,E 7 7 1 ^yil� 160.BUNGAWWiANw 1WATTllV(XAWIVY0JW 419S2 ,VC E: AS,N,Or£,D MWNRY. ItBA? 1PAr$r 7Ln1Y98 • JO*NfA 9#`130 D;IZf,WlNC4 NU .1.6 3HE6TN2 4,YIK"6 ':I