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HomeMy WebLinkAbout27483-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27815 Date: 07/19/01 THIS CERTIFIES that the building ADDITIONS Location of Property: 955 SOUNDVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 94 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 2001 pursuant to which Building Permit No. 27483-Z dated JULY 8, 2001 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 DECK ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to RONALD STRITZLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r ut rized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27483 Z Date JULY 8, 2001 Permission is hereby granted to: RONALD STRITZLER 51 STIRRUP LA ROSLYN HTS,NY 11577 for CONSTRUCTION OF DECK ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" & AS PER ARCHITECT M. BLASBERG' S STAMPED PLANS-6/25/0y at premises located at 955 SOUNDVIEW AVE MATTITUCK County Tax Map No. 473889 Section 094 Block 0001 Lot No. 008 pursuant to application dated JUNE 1, 2001 and approved by the Building Inspector. Fee $ 300 . 00 R l A rized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT t TOWN HALL 765-1.802 APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted 'to the building inspector with—the—following: 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 buildin; and installations, a certificate of Code Comp.lianoe 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 _an( "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a.consent to inspect signed by the applicant. If a Certificate of Occgpancy is denied, ,the Building Inspector._shall state the 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 $25.003 Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.90. Businesses $50.00. - 2. Certificate of Occupancy on Pre-•existing Buildine— $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 27 ,Date ... . .... 1.C. . . .... ... . . . .. . .. . . . . . . . .. New Construction. . . .. ... Q Old Or Pre �-exist ng Building. ..X. . ... . .. . .... 11 i Location of Property. .. ...p . . .1 ? .. :`.�1:G':`� l • ., U� ... .. .. .. .. . . . . . House No. Street Hamlet... , 0� l , Onwer or. Owners of Property.. .2 . . . . . . ... . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . County Tax Map No 1000, Section. . 9 L.A. . . . .Block. . , . �, . . . .Lot. . .Q Q . . . . . . . . . . . Subdivision. . .. ... ► . . . . . . . . . . . . . .. . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . ... . . . . . . . . . . . Permit No. . .`�a.y. P. . ..Date Of Permit. :.Jsl$10 ... .Applicant. Health Dept. Approval. . . . . .!k� . . . . .. .. . . . .. Underwriters Approval. . . . . . . . . . . . .. . . . Planning Board Approval. . .h . . . . . . .. .. . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ... . . . .. . iee Submitted: $. ... ... S:�. . .. . . . . . .. . . . : . BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INU6ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CRIMNEY REMARKS:Z /A dYl � c s ,DATE INSPECTOR �� >! BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTgOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: rr CALL . Examined......�e`.�.5...., 20.41. MAIL TO: . . . . . . . . . . . . . . . . . . . Approved.......(r�.�.�..., Q Permit No. QQ. VI�.`.� ................................... Disapproveda/c .................................. ................................... ...................................................... (Buil' tor) 'APPLICATION 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 wi 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 application. 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 permit shall bekept 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. APPLICATICN IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 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 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 tions. ........ . ....... ................... (Signature of applicant name, if a corporation) —V .......��1' :..c . �.... .. (Mailing address of appkant) State whether amlQm t is,owner, l'�esssee agent, architect, engineer, general contractor, electrician, plumber or buildem .....................�. .1...4r:Y�:...�.6.���. .. ............................................................. Name of owner of premises .... �Qcx,;AJ......s.? !...a ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name'and title of corporate officer) Builders License No. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... n/ I I 1. Location of land on which proposed work will be done.............. ton ....;��-.................................. A15�.......5:o ry y. ,w......4(j Q--.........................l�l c.1.�I. VUC--**-*******--**"*- House Number StreetccHammmlet 9.1. q� County Tax Map No. 1000 Section ...... ..l..... Block ......1......... Lot .L1.......... Subdivision ...................................... 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 ........ :��lC/1.{�e:��C,.-4,._.....�.... "�:�;c:: ........................... b. Intended use and occupancy ...........:::L��. erl�.4-R...............X. ....................... I. Nature of work (check which applicable): New Building .......... Addition ... Alt tion .. ea Repair ............ Removal ............. Demolition ............ Other Work .. .'£' . ........ - I 66 (Description) Estimated Cost ...... 0, ..o.6. f� (to be paid on filing this application) If dwelling, nudher of dwelling units J ..:� ..... 1&mber of dwelling units on each floor ....�-�—....... Ifgarage, n►nber of cars ........K ��............. .... •. If business, commercial or mixed occupancy, specify nature and extent of each type of use....\Z- - Dimensions of existing structures, if any: Dont................ Rear ............... Depth ................. lleight ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Dont ............... Rear ............... Depth .................... Height .................... Number of Stories ............... Dimensions of entire new construction: Dont ................ Rear ............... Depth .............. Height ......................... Number of Stories qq..................... 2 Size of lot: Dont ..Loo.:, �....... Rear ..�.L:ss.�........ Depth ..3. ........ 0. Date of Purchase ..... .............. Name of Former Owner ...._.I. .............. I. Zone or use district in which premises are situated .... :e ► n. .G:. ......... l ....................... 2. Does proposed construction violate any zoning law, ordinance or regulation: ....... D.......... 3. Will lot be regraded ....... ....... Will excess fill be removed from premises: 1 'YES D 4. Names of Owner of premises ..C.�Q(►.�.1.. ;S i;!1;T2�¢;�C;;, Address RO. J1 .�....1.- 1�:... Phone No. Cd)..30sJ. Name of Architect ..1!��c,�a.eu:�.. ki�b?!�: ... Address .....Y . 5............... Phone No. ............. Name of Contractor .�.:�:e�... .l i l ............ ..... Address .c�.`S`i .�:`!. .... No. .-. �}.4`... .Phone ............. 5. Is this property within 300 feet of a tidal wetland? * YES ....... ND ...[ .... UU *IF YES, SOUR LHD 10WN 1RDSLFE.S PERMIT MAY BE MMM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block number or description according to deed, and show street names and indicate hether interior or corner lot. PAIE Or N1W NIM -� l L. SS WHIT of ..........� �C..,............ .........................being duly sworn, deposes and says that he is the applicant Name of individual signing contract) Bove named, , eis the .........co '��l,C.t .J2_................................................................. (Contractor, agent, corporate officer, etc.) E said owner or owners, and is duly authorized to perform or have performed—the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be perfonned in the manner set- forth in the application filed therewith. Worn to fore me this ..!....... ....day of�'Lt!!!� 2 . 20.,0�,.�.. Notary Public ..l................N n......... HELENE D.HORNE (Signature of Applicant) '..•' Notary Public,State of Now Ybtlt No.4961384 Qualified in Suffolk County Commission Expires May 22, o o SOUK ISLAND LONG ., E 991.38' // N 5g• 47' 59 TMS DATE (APPROX.) Z N.W.L• BM�HEAD v N� •Q N WOOO N (� STEPS X NIDE v O 7 DECK W/BENCH SEA ANG FD GUARANTEES INDICATED HERE ON SHALL RUN p/ ONLY TO THE PERSON FAR NH01W THE SURVEY SHOMfR IS PREPARED, AND ON HIS BEHALF TO THE AXE COMPANY, GOVERNMENTAL AGENCY, LENDING INSATUAON, IF LSIED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSATUAONN, GUARANTEES ARE NOT TRANSFERABLE TD ADDIAANAL INSAIUAONS OR SUBSEQUENT OWNERS UNAUTHORIZED ALTERAAON OR ADOIAON TO THIS SURVEY IS A HALATION OF SECAON 7209 OF Nt�OD DEC 00 0 THE NEW YORK STATE EDUCAAON LAW. N/F LANDAU • Z 32.4 to- CHIMNEY CANES OF THIS SURVEY MAP NOT BEARING 1 STORY2- THE LAND SURVEYWS EMBOSSED SEAL SHALL V WOOD �T NOT BE CONSIDERED TO BE A VAUD TRUE B2' FRAME RE COPY 4Z 7' WOOD PLAIFAR (u.r-) N ` � 3 Ovi N/F KOKKOR/S o' 0 PUMP HOUSE CA `D LAND N/F SIDOR W MAT77TUCK SHORES ASSOC. REP. OWNER W N �o FD O OP FD 77E- 100- "m100.55' s 61. 51 W AVENUE SOUND VIEW SURVEYED 20 SEPTEMBER, 2000 SCALE 1"-40' SUEVEY OF AREA 32,873.828 SF DESCRIBED PROPERTY 0.755 ACRES S1 TUA TE 7M 1000-094-01-08 MA TT1 TUCK, TOWN OF SOUTHOLD SURVEYED BY SUFFOLK COUNTY, N. Y P N�EY J�94 AKSEN, JR. SURVEYED FOR RONALD& HELEN STRITZLEROLKSNY 1 956 GUARANTEED TO g" LICEN LAND LI VEYOR RONALD STRITZLER NY$ NO. 2 ✓' HELEN STRITZLER TOWN OF SOUTHOLD OOR938 - T.l t!�6-17, G(c I J O " � 1 T- _�_ io ) "A 15- 6 1 i t 14 OG � :-.��(D POST• '1��-�D�"f 46W W kL-K"A"r, 3 o PA Or k tf rx5tt " N -St"Ps tie - 1 4 ATIM 1 G S rlerT -z. MICHAEL BLASBERC I .O _N M6r! -rve-le , NY A R C H I T E C T l=o - 229 EAST 79 STREET NEW YORK NY 10021 2 1 2 9 8 8 4 6 8 2