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Home My WebLink About1000-95.-1-14 C O O CD o . N O rF rD rD 0 Q N � � � o m r+ O ro =:p M .pCDsv W " ccnn O Via, =:+ cr = Cll O =r Uh 3 CD w CD o O CD <- cn 0 X CL U) n O O 3• Z CD (p m C1 CD 3 CC � � � a _0 CD rD Z CD CD cD 0 0 z -r3 O rr CD CL goo CD x -n C,) CL Imo f7 O _ CD _ w v CCD � Cy r cQ = CD d o C szCL � CD IT n o `0 c C7 m v 0 rw S,J, CD -0 o c 0 cn -2 c =� o' � ccn O in' 0 TOWN OF SOUTHOLD—BUILDING DEPARTMENT "1�011 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 11 Telephone (631) 765-1802 Fax(631) 765-9502 "s://w vr.soi� it o Idtowniiygiy RENTAL PERMIT APPLICATION V _ Rental Permit Fee$300(Application must be renewed every two years) ' � '° Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK -LOT A- - SECTION B. OWNER INFORMATION: Property Owner Name: j Property Owner egal Address: Property Owner Mailing Address:. (Cannot be the same as Rental Property Address) Sf-ijtZI-ey c/o P n s+e� A4 IQ02- e - q 11 S`�g 1311 Telephone Number(s): Daytime Evening°_,,-,, - _ Emergency Property Owner Email Address: an S co It 3 vo Page 1 of 4 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, Q 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: 8 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 a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold >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. P DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. �Y✓s STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I Tair\ G��.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 (5) 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 av\ S4 le Y'~ P 0A Styi t Q� Property Owner's Signature: Sworn to before e this3F day of J J ,20 Official Notary Public Signature and OqVinal Notary Stamp MARIA PRIKAS GANLEY Notary Public-State of New York NO.01 PR5003206 Qualified in Suffolk County My Commission Expires Oct 19, 2026 Page 4 of 4 of so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 Z-1 �- INSPECTION [ ] FOUNDATION 1ST/ 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: � �� Cai2h�r► A40✓2 o w v lAT /� a INSPECTOR r 3 oS3 5ov .... �... �.�., e .. .�............,w. �� a . � o tide �,. a a �. ..............o ww It �tl ....,,.w �,. �R..,o m ` 6 1 - �., Awn —,* .�, �� .. �..� r .. � 1111,11,11,11,10.......... ". t�C. , r ,. .� r ". ', , ..�,. . ?!. Cho 14 .. ��w�. �m� ! ! .� „� '� l 0` 6 .� ... LT z ..... , 4 u �►� ., '� � , ., �. ..... O ,,,�, � a " . ......... a �� a m. �,,, —w. ®.. m .. ........ d...... n ®� �� ...,o��m,�, � — �� . —,, a,a . ...... , --� , f„ 1 .. ..� a t ... � FO Town Hall Annexes Telephone(631)765-1802 54375 Main Road 'N'< Fax(631)765-9502 CZ P. O. Box 1179 " y Southold, NY 11971-0959 �: v at h, 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 re uired for Architect or Engineer, Licensed Home Ina ector must rovlde copy of valid current certification Rental Property SCTM Number: I OOO — Rental Property Address: 11►1/ Owner/Name: Rental Dwelling Unit Identifier: i Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) S ME.PT Property Description (Include all improvements indicated on survey) 1L SWIMWtWG- paoL 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; ode of-New..Y rk Ste the Fuel Gas Code of New York State, the Fire Code of New York State, the° ro rky lnten ti a de Of New Yo rk State and the E orgy Consery on Construction Code of Npyr° " ( e Print Name and Title t�l� �patur ... p 1 , I"a� Please place Professional Seal: .—1 ..._..._....... _ ............... a_ u n� li � •z N n vr` nn It i g P, ��ry 4 tY qt Wip 6 y I � n wb� ' .N w - u I wP, t 14 M 0p P x N 6I Ll a r W.., m............. .`.. r xjig n p m i fi �- a �yGmuW° LF8 ` ems. Cr u � r --._M._--_-.—_____.------ _ A E IS %owl r Of AS NOTED ART ^ : . wY t t4 0tyt1.Dlt d'PME d• bMa�' " odehNAlsb� " h 1 _ sad �4M ". 1,6'OMJNDJ,"G'PO4ai, got +sous .. p .1+T1�tdJ'.tm&PL6.mov4s ._.. .........,. ......_ r �. MUST � o L pN#84L CQ C C Ct V' COt'6"d.E'4 ,K S�RMd,L pfi,wr AIL a7m" STP 4'E CCYM1 TION P CODES. M GST E5P- 'LE FP- Y DESIGN OR 6*ST pC`"E'14 �� . ,.....,.. d� p... 4 pew C ^ N 'kkR6MJ. �^'6 ry . Y Q p & IM^SGVr a u q . o 1 �'OrHJ J " , N t ,w P.1TU� CKI'�TINb ROVF .�� 11-0� kRa-•pp� �CN�' �, 4.11 , me.aeH6 C fC6�N1 ., .......,�,... ,....._ �_.. .__ were d� — OttZItZLEIQ 12�SIt7�lJLE „y �ITULIC 5W'�+rOI.D� LOIJb ISl.O+bJb �r�sr adw..�r�oN�%oo�c_..�La�s u " EDWARD F.KNOWLES,AJA wwwwwwww , .r' y 2 + Is WWI em Wow.emvoecNr."No raim:za«w "Na,BiIS OF J 0 � ' hWflot ........... ....... „ A6.KfGa Y � f r � r ry x,,4 00 etf 0 Z O W x, e/W V 4 & m , J k h- a J O P W J i Q { o '� o vj Q a fxx..,, m �,� r �-• 'i f— r W O O co � a 4y. V Lo Q V � � �� G VwIC4 V cu _ 0 3 -�_ cc W 6 i Q m �' U WxUJ NO cr LU q2� C7 C7 .�x Q Q w w pw� O C > ` a: W :D .m J -LLJ ,. 1 � m 0 LU i � ^.,d a �1 LL cn �x w r w uo „^ U ccd° Cl) a a 0 Q 0 , p - V �aw ! Z ........, IV (A O yr uj LLJ 0-/ D- LA f U m J, lu 'JA ul ....... ..........N� 11......... ..... Lij LU NA UJ .......... ............ jj Li- f tu LU ce <) co "3 ................ rL ...... ...... ul .. ......;,, cn 0 -2 -2 vi a LLJ Lf) m 147 cs, 41 0 c 0 0 + LL LE Z 0 0 0 0 CY lb J, vm 0 0 f FL CL so 0 er if O en S, MCC A an i"A Llgix fq11 IT ... ........ 14 v I III" it LU m 0 (5 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 9.9$. . . . . . Date . . . . . . . . . F01uTs ry. . . . .$. . . . ., 19.7.3. THIS CERTIFIES that the building located at . .V/i .Sound.Urw..Ave. . . . . Street Map No. .XX. . . . . . . . . Block NO. . . XX. . . . .Lot No. .XXX. . . .1 i�t t 1 tuck . , i; .i .. . . . . . . .on . conforms substantially to the code X built before :►nril kt of occu ancy dialed . . . . . . . . . . . . . . .23. . . . ., 19 5.7. . pursuant to which No. Z1+9 . . dated . . . . . . . . .r eb. . . . . 8 , . , 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 . .rrIYAtP. one . fax-4iiY. v,�I; rkg . .a, AcCes.!iory. b.i�4ldjr)gs. . . . . . . . . . . The certificate is issued to Fs,ti. Frctncps stritzler Owner (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Pre-. existing. . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . ?re- eX sting HOUSE NUMBER. . .310.55. . . . .Street. . . . . . 5PW. . _Vista.Ayek* . . . . . . . . . . . . . . . . . . . . . . . . . 1,xCeption to houshing codes 19 No light on switch at point of entry (3) 529b 2. half bath a Kitchen -� no window or vent 21 5d A. . . . . . . . . . . . . . . . . 3« No handrail on ce1larway stairs 216b F,mer#'oncy switch for heating system is Buiiding Inspector not convenient or properly icievtified 424-22 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 Room: 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 win ows, 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. Heating 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, 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 Z1287No. . 6, . . . . . . . . Date . . . . . . . .October. . . . . . 9. . . . . . . . . . . . . . . . . .. 198. . THIS CERTIFIES that the building . .4ne. .f 4;n;;�y, dwel 1 inA, . , „ , , , , , , , , , , , , , , , , , , , Location of Property . . 3955 ,Soundyiew Ave.. . . . Mattituck .. Note No. Street Hamlet County Tax Map No. 1000 Section . . , .9 4. . . . , .Block . . . . .1 . . . . . . . . .Lot . . . . . . . . . . . . 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 2.pursuant to which Building Permit No. . .1189.6.Z . . . . . . . . . . . . dated . , . , . . . . . . .. . , . 19$?. ,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 . . . . . . . . . ong, family, dwell.inw with addition and alterations . . . w µ . µ . * w . . . , . . . . . . . . . . . The certificate is issued to . . .$Q1P A.% 1 . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . , .NIA. . . , . , . . . , . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .. ,#N 6 2 71 1 . , . . . . . . . . . . w „ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building,Inspector Rev.1/81 J 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 IWOTMV.. NO ) (RTRRRT) (HAMiTRT) M County Tax ap No. 47889 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 22 U20 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 COUN r DEPARTWMW OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 555698 04 11 01 PLU04BERS CERTIFICATION DATED 11 06 01 MATTITUCK PLUMBING & HEAT 1-1 zi //'Iltho�Ged S ature 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 AVEw 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. 29206-2 dated MARCH 1I L 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 IN GROUND 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 ELECTRICAL CERTIFICATE NO. 2997 07/25 02 PLUMBERS CERTIFICATION DATED N A u on 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: 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 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 HOUSE 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/Aggq PLUMBERS CERTIFICATION DATES N/A r A or zed 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-32428 Date: 09 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 HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NZA 4 jAu o ite Eg ature Rev. 1/81 r � r r r� ��r r f/ I �'r l aLa DEC 2 4 2024 I t I f / it r I