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
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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
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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
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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
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