HomeMy WebLinkAbout26512-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27814 Date: 07/19/01
THIS CERTIFIES that the building ALTERATION & ADDITION
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 MARCH 31, 2000 pursuant to which
Building Permit No. 26512-Z dated MAY 19, 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ALTERATION & ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to RONALD STRITZLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-558457 05/14/02
PLUMBERS CERTIFICATION DATED 06/13/0 MATTITUCK PLUMB.&HEATING
1
ori d 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. 26512 Z Date MAY 19 , 2000
Permission is hereby granted to:
RONALD STRITZLER
51 STIRRUP LA
ROSLYN HTS,NY 11577
for
CONSTRUCT AN ALTERATION AND ADDITION TO EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 955 SOUNDVIEW AVE MATTITUCK
County Tax Map No. 473889 Section 094 Block 0001 Lot No. 008
pursuant to application dated MARCH 31, 2000 and approved by the
Building Inspector.
Fee $ 141 . 40
Authori Signa re
ORIGINAL
Rev. 2/19198
{ Form No. 6 \
TOWN OF SOUTHOLD
1 BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildin,
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 17 lead.
5. Commercial building, industrial building, multiple residences and similar buildin
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 an
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
a unusual natural or topographic features.
2. A properly completed application and a.conseut to inspect signed by the applicant
If a Certificate of Occqpancy is denied, .the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00. . .
2. Certificate of Occupancy on Preexisting Buildine - $100.00
3. Copy of Certificate of Occupancy - I • -�V
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential/ $15.00, Commercial $15.00
Date ... . 1..\.�. . . . . . . . . . . .. . . . .. . .. . . . . . . . .
New Construction. . .. . .. Q Old Or Pre-exist ng Building. . .l(. . . .. . . . . . . . .
Location of Property. . . . . 5's. . . . . .`J�.Y`. . . . .. . . . . h
'• House No. `} Street Hamlet
Onwer or. Owners of Property. . . .. . . :.r. .e. "-t .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,
County Tax Map No 1000, Section. . 9 L. . . .Block. . . cD D A . . . .Lot. . .Q(D(S. . . . . . . . . . .
Subdivision. . .. . . .•`« . . . . . . . . . . . . . . . . . . . . . . . . . . .).Filed Map. . . . . . . . .Lot/. . .. . . . . . . . . . . . . .
Permit No, .� �'J J'?.�. ..Date Of Permit. S/��{.O`. . . ... .Applicant. ��
Health Dept. Approval. . . , . .. . . .. . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . Al . . . . . . . . . .. .. . . . . .
\x�
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .:`/. . . . . . . .
Pee Submitted: $ . .. .... x. 0.6. . . . . . . . .. . . . . . j� �
J.�. ......
Town Halt,51095 Maln road ._' '•� r7! [ ax (S I f,)
7�5.182a
P. U. [lox 1179 rOmphone (516) 705 1802
Snidf old, Now York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OE SOUTHOLD
C G R T T F I C A T 1 0 N
Building Permit No
owner: _ —` a _.._
(please print) / (]
Plumber:
(please print)
1 certify that the solder used in the water supply system
contains less than 2/10 of 1 % lead.
i
( i' iinnhers �' ur_
Sworn to before me this
- /:a day of _.i 01®O_f
Notary Public, � County
�ryih�ibl 1A1!
awl[[i�d
Term EYPini Jw�x►
2
MAP OF PeOPEZTY
S(JZVEYEP IFOQ
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AvEf4vE
SOUr.ID
�OgpFFO(� C Town Hall
Albert J. Krupski, President ��� �l/y 53095 Main Road
James King,Vice-President 1 P.O.Box 1179
Henry Smith y = Southold, New York 11971
Artie Foster
���
Ken Poliwoda Telephone(516) 765-18192
�O( Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 31 , 2000
Frederick D. Milner
955 White Eagle Drive
Laurel, NY 11948
RE : Ronald Strittzler
SCTM #94-1-8
Dear Mr. Milner, ,
The Southold Town Board of Trustees reviewed the survey dated
and received in our office on January 31, 2000 , and determined
that the construction of a concrete foundation for an existing
house to be out of the Wetland jurisdiction, under Chapter 97
and the Coastal Erosion Hazard Area under Chapter 37 of the Town
Code.
However, any activity within 75 ' of the Wetland line would
require permits from this office.
However, this determination is not a determination from any
other agency.
If you have any further questions, please do not hesitate to
call .
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
CC. Health Dept.
Bldg. Dept.
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229 EAST 79 STREET NEW YOKK NY 1002
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Town Hll
Albert J.Krupski,President �.t.O�O CCl/,y 53095 Ma naRoad
James King,Vice-Presidento= P.O. Box 1179
Henry Smith vi = Southold,New York 11971
Artie Foster
0 Oy ��
Ken Poliwoda Telephone(516) 765-181
�C� �aFax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 31, 2000
Frederick D. Milner
955 White Eagle Drive
Laurel, NY 11948
RE : Ronald Strittzler
SCTM #94-1-8
Dear Mr. Milner, ,
The Southold Town Board of Trustees reviewed the survey dated
and received in our office on January 31, 2000, and determined
that the construction of a concrete foundation for an existing
house to be out of the Wetland jurisdiction, under Chapter 97
and the Coastal Erosion Hazard Area under Chapter 37 of the Town
Code.
However, any activity within 75 ` of the Wetland line would
require permits from this office.
However, this determination is not a determination from any
other agency.
If you have any further questions, please do not hesitate to
call .
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
CC . Health Dept.
Bldg. Dept.
THE NEW YORK BOARD OF FIRE UNDERWRITERS "'' PdCE.
1135107
BUREAU OF ELECTRICITY -
40 FULTON STREET, NEW YORK, NY 10038
Date MAY 14 f 2001• Application No. on file 10661300/00 N 558457
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
RONALD STRITZLER, 955 SMMVIBW AVENUE, POLE-37, MALIrl=, NY
in the following location; ® Basement ❑ it PL ❑ 2nd PL OUT Section Block Lot
was examined on MAY 08,200A and found to be in compliance with the National Electrical Code.,
FIXTURE I1FIXTURES _ ___ RANGES _ COOKING DECKS _._OVENS__ DISH WASHERS EXHAUST FANS_
OUTLETS RECEPTACIFS SWRCHE$ INCANDESCE FLUOR Fff OTHER AMI. K.W. AMY. K.W. AMT. K.W. AMT. K.W.- AMI. H.P.l:
15 26 16 1-5
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC F.T. TIME CLOCKS BELL UNR HEATERS MULTI.OUTIET DIMMERS:'-
K.W. OIL H.P. GAS H.P. AMI. NO. A.W.a. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEM$ AMI. WANTS
NO.OF FEET
2 F z 1 -
SERVICE DISCONNECT No.of - _ - - - _ -
METER S E R V I C E -
AMT. AMP. TYPE EQUIP. 7 f RW I f 3W S•SW S f 1W NO.OF CC COND. A. 6.;N
6. NO.Of NI ISO A'W'O' NO.Of NEW"
PFR• Of LC.LOND. Oi Ht-LFe Of NEURAL
OTHER APPARATUS:
CO DETECM-1
3 TOis"AIR'"CO�DITSI7NE1t :C"-y
MOTORS:1-3 H.P. ,1—F H.P.
PANELHOARDS:1� 1 CIR. 6O
SMOKE DETECTOR:-5
LL
JAMES HURRAY LIC.#3653— GENERAL MANAGE
P.O.BOS 305
LAUREL, NY, 11948 Per
This csrtlllc0#6 must n.Ot k9,QltaJ.aQdRigy;llaptlrlgd;TRiLItD,tA ICER cglcq.or the eoac4:lfJ�F,slcs3ctiJ�SEE4�14r3..Al4Y.k@..5.19ti ed by fhelY Credentials. -
765-1802
BUILDING DEPT.
INSPECTION
/] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: '
f
C
DATE / ,✓ OD INSPECTOR
M-1802
BUILDING DEPT.
INSPECTl4N
[ ] FOUNDATION IST [ OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM RKS:
Gaze, 0�1
,
DATE INSPECTOR
Spy
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [Z ROUGH PLBG.
ZJOUNVATION 2ND [ ] INSULATION
RAMING [ ] FINAL
[ ] FIREPLAC/E /& CHIMNEY
REMARKS: G�/4ale�- /�//-�o //L1
. �
�1��fat a o loe�
Aimg
Ile
DATE Ti'U INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] �INLATION
[ ] FRAMING [ FINAL
[ ] FIREPLA" CHIMNEY
REMARKS.
,DATE L +� Vv INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] RGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CNIMN/EY l
REMARKS: (/rY�l tg�✓ /y ,s
72
DATE INSPECTOR
i / 7, 4
�?7
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE �C w INSPECTOR
1 1 I � •r
i
tom..-
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.. .- „.' :..,.:..,..-._>,... .,, , BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS
iony�y TOWN OF SOUTHOLD SURVEY .
3 4 M �”-` BUILDING DEPARTMENT CHECK ... ... . . . . . . .. . . . . . ..
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
-�n'y1� j ^r nvv^UTi-r0E..O
---� TEL: 765-1802 NOTIFY:
��Jf''..... drh;> CALL . . . . . . . . . . . . . . . . . .
Examined...... .1 > eMAIL TO: . . . . . . . . . . . . . . . . . . .
Approved. /!-....,o►9v"" Permit No A .................................
Disapproveda/c .................................. .................................
...................................................... 'a
_ ... ...
ldi I(bui .. .. .....
for
APPLICATION FOR BUILDING PERMIT coo
Date. . ��a`�j. 00 ,h9. . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector
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 mist 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 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
rvyupancy shall have been granted by the Building Inspector.
APPLICATION IS BEIM MADE to the Building Department for the issuance of a Building Permit pursuant to the
niilding Zone Ordinance of the Tuan 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 Anspections.
. h-E ..........�..............................
.(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build:
........_.. x ...I..................................................................
. T�Y .lL ........ b. .Z.. :��...................................................
Nam of owner of premises ...}�
(as on the tax roll or latest deed)
If applicant is a corporation, si&nature of duly authorized officer.
.........................................................
(None and title of corporate officer) pp pp r�jj
Builders License No.
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of lard on which proposed work will be done....`.....................................1..........................
..........--4. ...... Yl�V l 2 W........ ����.......................� C� `.�!.lv 4 ................
House Number 41 3 Street
ttHamlet
County Tax Map No. 1000 Section ....T.�....... Block ...1............ Lot ....F..........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy premises and intended use and occupancy of proposed construction:
J t I
a. Existing use and occupancy ....1..f-.ct?y.Gly'iT),.4�Icd... �j!::5.�!�!1)Ih( ...............................
b. Intended use and occupancy 4\�r�. �'e!ltiG: \ f�t�I` ..... ........
Q tr .•,.a
ftY wtr:9'. =YiIA'044
S �.4
3. Nature of work (check which applicable)- New building .......... Addition .......... Alteration ..........
Repair ............ Removal ............. Demolition ............ Other Work A.l3.lat.L...
��(( -(Description)
4. Estimated Cost ......:!�.1. .. .
.. . fee ............................. ...............
`� (to be paid on filing this application)
5. If dwelling, number of dwelling units ....-?...... tkmber of dwelling units on each floor ......
If garage, number of cars .........J%Jl.A......................
6. If business, commercial or mimed occupancy, specify nature and extent of each type of use...Pt �-:
7. Dimensions of existing structures, if any: Front......1....... Rear ...3?n...... Depth ... ...........
}leigfit ......� ................ Number of Stones ........�............
Dimensions of same structure with alterations or additions: Front ...`'(r........ Rear3 2
...............
Depth .......3.1.......... Height .......e[W-$-r....... Number of Stories .....!.........
S. Dimensions of entire new construction: Front ....�(.p......... Rear .....�..1...... Depth .......
i
Height ..........r ...._...._._ Number of Stories ......I..............
i
9. Size of lot: Front ...I QA:S.Y........ Rear ..... h:$3........ Deptth ......3.fP.4.......
10. Date of Purchase .......: .......... Name of Former Owner .......`.................................
Il. Zane or use district in which premises are situated ..�eS. ........................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ....tj�...............
13. Will lot be regraded ......... ...... will excess fill be removed from premises: YES
Names 14. Nes of Owner of premises i� :..c. .C}. ,,....... Address tQ4 b." Phone No.
Name of Architect L ....Sl1K�e..... Address .........(�:. . �-. .......... Rhone No.
......... ............
Glare of Contractor �1 ?..!`!)1l nz............... Address ..( tS��._wY. �F+�h ..W._ph oe No. .......
� -
15. Is this property within 300 feet of a tidal wetland? * YRS .A...... NO .......... Ir
*IF YES, SODI M IUM TROS'11.8S PM41T MAY 1E R1 QMRFD. >1 L's
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.
~� C
� g
Srxtr or N"1 YORK Y
Rs 3
OJUN[Y OF .sy.�^,q��.IC.........I
....�.'):e. ..... ✓'.....��14n .r..................being duly sworn, deposes and says that he is Lire applicant
(Name of individual signing contract)
above named, /
Ileis the .......�G}1 � .....................................................................
(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
LII the work will be performed in Live m neer set forth in the application filed therewith.
Sworn
11Lo be Fare me this ,_` �^
.J.�.........day of .4.IPlYI`yV�p.q.m.Q"j(... U `
Notary Public ...� 1.: .l�t�:� i J�J
DA M.BOHN ............J..!... ..�;.
NOTARYP BLIC,StateolNow`lhtk (Signature of Applicant)
No.01B06020932
Qualified in Suffolk Courtly
Term Expires March 6, 20rl
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T a *
OTG MICHAEL BLASBERG
gP
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., Dt4l/.•'tea a �gJ-u _— "JI OGT 99 zz9EAST 79STREET NEW YORK NY 10021
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S -�6y-G t+�C?RAr k.-
P�tOVEDASNOTED
f UNDERYVR(1ERSCERRFMJITE �1 yl•�f� gy;
REQUIRED NOTIFY BUILDING DEPA E T
765.1802 9 AM TO 4 PEI FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION • TWO REQUIRED
nEoi C°- r+ w µ�Rc FORPOUREDCONCRETE
N3(t f F�OaR RSG stl�FS I I 2 ROUGH - FRAMING & PLUMBING
I INSULATION
4. FINAL • CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
6� {TGH E N - tr t v r rJG JZo 0 M THE REQUIREMENTS OF THE N.Y.
" STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
1i -5Mo1�� p5r6G[a2 DESIGN OR CONSTRUCTION ERRORS
„II �Y- rt� PROYIOE OPENIM FOR
j - EMERGENCY ESCAPE AS
REQUIRED BY n4 of OCCUPANCY OR
N.Y STATE u%m*CODE. USE IS UNLAWFUL
IT
WITHOUT CERTIFICATE
- OF OCCUPANCY
PROVIDE SMOKE-DETECTING
L-4-00 v1,,—,EcTo9 ALARM DEVICES
t Vr .;,i 'M AS TO PART.721.1
c' o N N.Y$ BUILDING CODE.
! i
' PLUMBING
r r
n ALL PLUMBING WASTE
4 &WATER LINES NEED
6A—i 64—oe- com / 1ESFMBEFORE COVERING
-tt --�8 so, Fr - r 37 so, FT__
/ PROVIDE ANTI-SCALD ANO/OR
X` ��// �pT THERMAL SHOCK PREVENTING
DEVICES AS TO PARTT, 902.6(K)
11 STATE BUILDING CODE.
---
IN Copper tub IS UsedUMBER CERTIFICATION
`-- for-w _X LEAD CONTENT BEFORE_�_
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