HomeMy WebLinkAbout1000-94.-1-14 w.
`OWN OF SOUTHOLD
�0'
Rental Permit
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y 1240
Owner H & R Stritzler PRT II
Occupied as Single Family Dwelling
Located at 3055 Soundview Ave Mattituck 94.-1-14
Maximum Permitted Occupancy 7
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection...,
12/11/2024 /1 kit
Code E ' r0koent 04ic--`
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 lts: ` .southodto ,go
4
RENTAL PERMIT APPLICATION g
Rental Permit Fee $300(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
1 15- E M&TTI TU e t<
Tax Map Number: 1000 SECTION 94 -BLOCK -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name:
trbope y OOwner�egal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
S f21-e,� c �e ns�e✓ G
a
qj1 1369 Telephone Number(s): Daytime Evening Emerg enc
Property Owner Email Address: ) Co
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3 vo Page 1 of 4
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SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each
room.
For properties with multiple Rental Dwelling Units use "Rental Permit Application
Addendum."
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Unit: 49
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
SECTION G.
INSPECTION:
Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety
inspection by Code Enforcement Official is required. If the owner chooses not to have said
inspection performed by the Town, a certification from a licensed architect, a licensed
professional engineer or a home inspector who has a valid New York State Uniform Fire
Prevention Building Code Certification is required stating that the property which is the subject
of the rental permit application is in compliance with all of the provisions of the code of the
Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and
by the laws adopted by the New York State Fire Prevention and Building Code Council.
❑ I am requesting afire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
Y(I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
SECTION H. M
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit 7y✓r
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
I a , certify under penalty of perjury,the following:
1. 1 am the owner of the property identified in "Section A" of this application.
2. The property owner's legal address set forth in "Section B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
applicable laws and rules. I further acknowledge that I will notify the Town of Southold
Building Department of any changes of address within five (S) days of any changes
thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and
agreed to abide by the same.
4. 1 will notify the Town within five (5) business days s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: ,-J Ci f 'Fen S4 r-
Property Owner's Signature:
Sworn to before me thi3r day of f I c ,20
Ucfl- L Qj---in I
Official Notary Public Signature and OqMinal Notary Stamp
MARIA PRIKAS GANLEDYork
Notary Public-State of NeNO.01PR5003206
Qualified in Suffolk CouMy Commission Expires Oct 1
Page 4 of 4
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road Y Fax(631)765-9502
P.O.Box 1179
Southold, NY 1 1 971-0959 :
tea;
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a licensed architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Engineer, Licensed Horne Insgecfor must
provide cogyof valid current certification
Rental Property SCTM Number: (000 — q+—l —
Rental Property Address: m
Owner/Name:
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sqft., Bedroom 42—90 sgft., etc.)
S ("6N'r
Property Description (Include all improvements indicated on survey)
I SwI MVnWCr PbOL
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully
complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York
State,the Building Code of New York State,the Plumbing d of w York State.the Fuel Gas Code of
Ci ca New York State, the Fire Code of New York State, r , � -te n e de of New York State
and the F ery Conse Construction Code.Af N ;�� Na
Print Name and Title � -�aturi
Please place Professional Seal: �a ,
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5ovf v e-uJ A v
Sea m At "� v " 77'=
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SQ1tT��
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS: O �- Ca,2h�n ,tiio✓r ox/al
d 'oil 9
V je, °Gv/j/1�i2T aY�
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DATE /0- a` INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST SUB LOT
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TYPE OF BLD,
_ PROP G LAS
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LAND IMP, TOTAL DATE �e',,.�
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FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
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HOUSE/LOT
TOTAL
TOWN OF SOUTHOLD P*OPE�v ir ncvwKw
OWNER STREET' VILLAGE DISTRICT i -&611-. LOT
FORMER OWNER E ACREAGE
W �TYPE OF BUILDING
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FARMND, CB,RES. SEAS, VL. COMM.COMM� z MlIsc, �0 t
LAND IMP, TOTAL DATE REMARKS
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ?+9.9�. . . . . . Date . . . . . . . . . Fe bur r3r . . . $. . . . .. 19.7.3.
THIS CERTIFIES that the building located at . .V/a .Sound .V iekw.AVQ . . . . Street
Map No. .xX. . . . . . . . . Block No. . . .X. . . . .Lot No. .X= . . .i i t t 1 tuck , , TF.-'._ . _ . . . .
r .r arts ` .oII fad l d��e: �, i"Qtt s 1�� code
conforms substantially to the 1.
built before Anril t of uccurancy
a ed . . . . . . . . ... . . . . .2. 3. . . . ., 19 5.7. . pursuant to which No. Z)+99.$ . .
dated . . . . . . . . .r eb-t . . . . . . . ., 19.73., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . r ,vats. onm . farntly. ve 11,ng , .Q, . . . . . . . . . . .
The certificate is issued to Fkgt?. tritzler. . . .thfner
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . Pre-. existing. . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER. . .3A.55. . . . .Street. . . . . .gip. .ylgw.4k e.* . . . . . . . . . . . . . . . . . . . . . . . . .
3zception to houshing codes
le No light on switch at point of entry (a) 529b � , .
2* half bath a Kitchen — no window or vent 215d . . . . . . . . . . . . . . . . . . . . .
3• No handrail on eellarway stairs 216b
Emer-oncy switch for heating; system is Building Inspector
not convenient or properly 16evtified 421+-22 Elec code
HOUSING CODE INSPECTION
February 8 , 1973
#3055 Soundview Avenue
Mattituck, N.Y.
Tax Roll: Frances A. Greenwood
Life Tenant: Nita C. Sheffield
Upon request of the Southold Town Building Department
I made inspection of this one story, part cement block,
part framed dwelling and found the following violations of
Local Law #1, Housing Code, Town of Southold. I arrived
at approximately 9:50 a.m. and was admitted to the west
entrance to living room by Miss Sheffield and started
inspection with this room.
Living: West entrance and north entrance,
no switch to control light in room at points of
entry - Section 529b.
Half Bathroom: at south end of kitchen, no
windows, no mechanical means of venting -
Section 215d.
Bedroom: outside entrance from court yard, no
switch to control light in room on entry -
Section 529b.
Cellar: Accessible through trap door in kitchen
floor, no handrail for stairway - Section 216b.
Keating System: Disconnected, switch not
conveniently located, switch not edentifiable as
required by U.S.A. Standard Electrical Code -
Section 424-22 (Switch and circuit breaker to be
indicating)
The dwelling is heated with a forced warm air
system with heat outlets in every room. There are three
accessory buildings on the premises. Miss Sheffield
accompanied me on inspection which I completed at
approximately 10 :30 a.m.
diespectfully submitted,
;y
Edward Hindermann
Building Inspector
EH:tle
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. .Z12876. . . . . . . . . Date , , . . October 9 > . ,. . . . . . . .. 1984.
THIS CERTIFIES that the building . .0 pp. 1'?i,3�y, dw a;. i n g p , . # ,
Location of Property . . 55, ,Soundv,iew Ave,.. # Mattituck
Ho o. �t 'Hamlet
County Tax Map No. 1000 Section . . . . . . . . , .Block . . . . .1 . . . . . . . . .Lot . , 4 . . . . . . . . . . . .
Subdivision . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . .Filed Map No. . . . . , . . .Lot No. , ... . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. .. . . A149 t. 1.7 . . . . . . . . 19 8?.pursuant to which Building Permit No. . .118 9 6 Z . . . . . .. . . .
dated . . . . . . . . . . . . . . > 1982. ,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 , . . . . . . . .
Qng, family, dwelling, with addition and alterations
. . . . . . . . . . . . . . . . . . . . . . . . . , .
. . . .
The certificate is issued to . . .$o p�.7.d . t r z 1,e r
of the aforesaid building.
Suffolk County Department of Health Approval ,. . . . . . . . .NIA. . . . . . . . . . .. ... . . . .. . . . . .
,
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .. . . .#N 6 2 71 1 1 . € . .. .. .. ;
* } # # # Building, # #Inspector . . . . . . . m
Rev.1/81 a
1
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28128 Date: 12 19 01
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 3055 SOUNDVIEW AVE MATTITUCK
(T;OTT14F. MO. f PTRRFTI (HNA ET)
County Tax Map No. 473889 Section 94 Block Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 22, 2000 pursuant to which
Building Permit No. 26479-Z dated MAY 1, 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 ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to HELEN & RONALD STRITZLER (TRUSTEES)
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 555698 04 11 01
PLUXBERS CERTIFICATION DATED 11 06 O1 MATTITUCK PLUMBING & HEAT
1
lAtho'�Kzed S
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-29451 Date: 05/21/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3055 SOUNDVIEW AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 94 Block I Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 11 2003 pursuant to which
Building Permit No. 2920 -Z dated MARCH 11, 2003
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 ENCLOSURE TO CODE AS
APPLIED FOR,
The certificate is issued to HELEN & RONALD STRITZLER,AS TRUSTEES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2997 07/25 02
PLUMBERS CERTIFICATION DATED N/A
u oriz Signature
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-29450 Date: 25/21/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3055 SOME ' AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 94 Block 1 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 11, 2003 pursuant to which
Building Permit No. 29205-Z dated MARCH 11, 2003
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 NON-HABITABLE POOL MOUSE IN FRONT YARD AS APPLIED FOR.
The certificate is issued to HELEN & RONALD STRITZLER,AS TRUSTEES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
A or zed _Signature
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-32428 Date: 06/25/07
THIS CERTIFIES that the building TENNIS COURT
Location of Property: 3055 SOUNDVIEW AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 94 Block 1 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 18, 2001 pursuant to which
Building Permit No. 27341-Z dated JUNE 2, 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 ACCESSORY TENNIS COURT AS APPLIED FOR & AS PER CONDITIONS OF
ZBA #4024 DATED 7/12/91.
The certificate is issued to HELEN & RONALD STRITZLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF B$ALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
+A .yizeSii iture
Rev. 1/81
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................
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OCCUPANCY OR
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Y USE IS UNLAWFUL
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