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Home My WebLink About15548-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate OI Occupancy No...Z.!6..69.7 ......... Date January 25, 1988 THIS CERTIFIES that the building A c c e s s o rE Location of Property 415 Blue Marlin Drive Greenport h3Os~ hiol ....................... 's't/o3i ....................... h3r4iol County Tax Map No. 1000 Section 057 .Block 0 I .Lot 22 Subdivision .... Southold.. .... ...........Sh°res ........ . .Filed Map No. 3.8.5..3 .... LotNo.2.3 ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov. 28, 1986 pursuant to which Building Permit No. 15548 Z - dated...D.e.c.....8 .,.. [ 9..8.6 ............. 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 shed as applied for. The certificate is issued to M. & C. CHRI STIANSON ..................... ? o¥,,'~; ;t '~' ~'~'~ i~ ~ ' ' ~ ................. of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A ding Inspector Rev. 1/81 FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16608 Date. Ja.nuary 25, 1988 THIS CERTIFIES that the building ... Ad. d..~ .t.i.q n. ................................... 415 Blue Marlin Drive Greenport Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 057 .Block 01 .Lot 22 Subdivision..S.o.u.t..h.o.l.d...8.h.qr.e..s ............ Filed Map No. 3853 .Lot No. 23 conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov. 28, 1986 pursuant to which Building Permit No. 15549g dated . .D..e 9.'.. 8. ~..1.9. 8..6 ............ 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 to an existing one family dwelling. The certificate isissued to M. & C. CHRISTIANSON ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... .bl./.A. ................................ UNDERWRITERS CERTIFICATE NO. N 832936 9 / 21 / 87 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO. 9 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) N~ 15548, Z Permission is hereby granted to: ....... ....~...~.~ ........................................................ ..~.~~....~.~.~.:...!~..~.~.~ ........... ~. ~ ot p~em,ses ,=ated at ..~.:.~.....~.~.~.~..L..~~.~ ....... County Tax Map No. 1000 Sectior~ ..... ,(~..,~,,'~,,.~. .... Block ...... .,.C~,....! ....... Lot No ..... ~ ......... pursuant to application dated ../~.~~...~,~ ............. , I9..~..,~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ~01B, M NO. 2 TO~N OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL $OUTHOLO, N. Y. BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15549, Z Date~ .......................... i 9,.~-..(~'. County Tax Map No. 1000 Section ..... .(~..~'....~ ........ Block ...... ~..~ .......... Lot No ........ ..'~...~ ...... pursuant to application dated .... )~.~....e~.~.. ........... , 19~....~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765.- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty st~owing all property lines, strgets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50,O0 2, Certificate of occupancy on pre-existing dwelling $ 50.00 3, Copy of certificate of occupancy '$ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Upda'ted C,O. $ 50.00 Date. ::..Z..~'/./..¢ ......... NewCOnS truc ti on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~./,.),~.. ~'~-~Z'~//~.~, ....................................... House No. Street Nam/et Owner or Owners of Property ~-~>f ~--'~-C~"~-~''~'''5~ '--~ ' County Tax Map No. 1000 Section ..... .~, .~., ? ....Block ...... ~../. ...... Let...~..~z'7 ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /.~. .F~/.~. . .~'~. Date of Permit/ ......... Applicant . Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Subm tted $ /, ,~. ' . ..................... Construction on above described building and permit meets alJ?.pplicable codes and regulations. Apo cant ~,-~T~,~'F~ ~ ............... Rev. 10,10-78 Z. 7 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 755 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 7 Instructions This application must be filled in typewriter OR ink, and submitted m Imm, a.~ to the Building Inspee- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a c0rtificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New I)wel].{ng $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre~existing dwelling $ 50.00 3, Copy of certificate of occupancy $ 5,00, over 5 years $10.00 4.Vacant Land C,O, $ 20.00 5.Upda-ted C.O, $ 50.00 Date ...... NewCons truc t~ on ...... Old or Pre-existing Building ............ Vacant Land ............. House No. ._,/' ~ /,/ Street Ham/et Owner or Owners of Property . County Tax Map No. lO00Section . .~..~.~, ........ Block ...0./,' .......... Lot Subdivision ................................. Filed Map No ........... Lot No .............. ........... . Permit No / 5--5~/ '~ Date of Permit . 4.. / ..... /-~pp cant , ,~. ~.7~.?~..~, 77- Health Dept. Approval ...... Labor Dept, Approval ........................ Underwriters Approval. ~,/..~'.? ~?: ?.3. ,~' .......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ,, .~ .............. Fee Submitted $ .~-, ?., ./..~'f .................... Construction on above described building, and _permi~ll applicable codes and regulations. 8.o. 7_I Ko3v THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 in the following location; ~ Basement ~ I st Fl. RXTU~ FIXTURES 2 1 Z DRYERS [] 2nd FI. Section Block Lot attd found to be in coty pliance u'ith the requirements of this Board. FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES OVENS DISH WASHERS EXHAUST FANS TIME'CLOCKS UNIT HEATERS MULTI-OUTLeT [ SYSTEMS NO. Of FEET SERVIC~ DISCONNECT S E R AWG OF CC COND NO OF HI-LEG OF HI-LEG NO OF NEUTRALS , OF NEUTRAL C~rt (.~%r ist ianson P.O. Box ~thold~ ~ .y, 1197]_ This certificate must not be altered in any manner; return to the office of the Board if incorrect, InspectoJ's may be identified by their credentials. COPY FOR ~BUILDING DEPARTMENT. THIS COPY ERED IN ANY iVL.~NNER, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 January 4, 1988 TEL. 765-I 802 Mr. Carl Christenson Box 772 Southold, New York 11971 Re: BP #15548 Z BP #15549 Z To Whom This May Concern, / We are unable lo complete your Certificate of Occupancy because.of the following reasons. (Accy Shed) (Addition) /~ An application for Certificate of Occupancy is not on file. (Enclosed) /5/ No Underwriters Certificate on file. /~ The check is(x~not on file.) /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. $25.00 - Addition $10o00 - Shed Please contact our office on Thank you for your cooperation. Building Permit # Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) this matter. OUND~TION (1st) OUNDATION I 2nd) OUGH FRAME & PLUMBING ~NSULATION PER N, STATE ENERGY CODE ADDITIONAL COMMENTS: 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FFOUNDATION 2ND[ ] INSULATION MING [ ] FINAL ~DATE 2 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]'~INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSP£CTOR~"~ FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N,Y, 11971 TEL.: 765-1803 ApproX. ?-.., 19~.~,. Permit No.( ~..$'.~9..~.. Received ........... ,19... Disapproved a/c .................................. ~ (Bui!2ing Inspector) APPLICATION FOR BUILDING PERMIT Date .................. ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 appli- cation. c. The work covered by this application ~nay not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 untii'-a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town 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 necessaiuk~nspect~n~/'~..-9 / ? ~ ,~ .... ' ..... (Signature of applicant, or name, if a corporation) 0....% ........................ · ....... State whether applicant i~'owne~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..'~.~../Z/.../~... ~//'~//e,</~/-/,~? Z (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ......... ........... ............... House Number Street County Tax Map No. 100.0 Section ...... ~..5.: .7. ...... Block ...... ./ ........... Lot...2.. ?'7 ............ Subdivision..~.fi~ .............. ~:.~.?. ..... Filed Map No. J..~:.57.3. ...... Lot...7--..~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /.?~./.q:.c:~./.~..../z.~..?tf.'ff. ............................................... b. Intended use and occupancy .... .~..~..~..*T~.....-(~ .~ .c~.'-~'/1~ ' J~'~'~' ' '~" ..... '(~f'f~ '~' 3. Nature of work (check which applicable): New Building .: .~.. .... Addition ~ Alteration .......... Repair .............. Removal .............. Demolition ............ .. Other Work ............... (Description) 4. Estimated Cost ~ ~ ..................................... Fee ...................................... (to be paid on filing this applicat!on) 5. If dwelling, number of dwelling units ... / Number of dwelling units on each floor.../ .d-g..~? ./. If garage, number of cars ........... /. ................................ ! ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........... 7. D]mensmns of exmtmg structures, if any Front... ~ ......... Rear .... .~-'/..~. ........... Height .... ~ ~ ./ ...... Number of Stories .......... /.//.Z. ............... i ........................... Dimensions of same structure with alterations or additions: Front ....~Z.' .~ ~ .... i .... Rear ...?'.~.~. .......... Depth ....... 2...~ ........... Height ..... .~. ~ ./.~ ........... Number of Stories ....... /..t/.~....,. ~ ...... 8. Dimensions of entire new construction' Front / ~. ~4.~-. Rear . /. ,~ ~ n--*~- Height . . 77..~.. Number of Stories / ..... i ...... 10. Date of Purchase ...~. ?..~.../~F.~. ..... Name of Former Owner '..i .... .~i¢../.'~i~ ~/ ........... 11. Zone or use district in which premises are situated f~..<.~/ .~..~..'7. ~i.~.7' ~ ' ............... 12. Does proposed construction violate any zoning law, ordinance or regulatiol~:' i i~.' i i i i i i i i 13. Will lot be regraded .../fd/.o. ..................... Will excess fill be removed: from premises: Yes No ...................................... ....... ne No ........... ?'.... Name of Architect .... . ........ ~ i : ...... ?. . . Address ................ J... Phone No ................ Name of Contractor ....~.,q-..'7...~..'?...~ff.'7..~. ..x:- .... Address .......... [... Phone No .... 15. Is this property located within 1.00 feet of a tidal wetland? * Yes ..... No .~.'.. ' .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. inc icate all set-back dimensions from property lines. Give street and block number or description according to deed, and sho~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY~_OF..~_~ / ............../) ...c~/ /. (Name of individual signing contract) above named. He is the ............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa:id 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... ~ ~..-4:-~/. .......... day of.. . UNDA J COO .. Note~/Publlo, 8ulm d NM Tam(,/V (Signature of applicant) , No 4822503. Suffolk Cou~nty : Term Expires December 31,