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Home My WebLink About25549-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26786 Date: 11/15/99 THIS CERTIFIES that the building ADDITION Location of Property: 415 BLUE MARLIN DR GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 57 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 1999 pursuant to which Building Permit No. 25549-Z dated FEBRUARY 18, 1999 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 AS APPLIED FOR. The certificate is issued to CARL A CHRISTIANSON & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 11/04/99 PLUMBERS CERTIFICATION DATED N/A Bulfcti6g Inspec or 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. 25549 Z Date FEBRUARY 18 99 Permission is hereby granted to: CARL A & WF CHRISTIANSON PO BOX 772 SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 415 BLUE MARLIN DR GREENPORT County Tax Map No. 473889 Section 057 Block 0001 Lot No. 022 pursuant to application dated FEBRUARY 1 99 and approved by the Building Inspector. Fee $ 75 .00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT n TOWN HALL 21999 r,SI)A{�S On t 765-1802 APPLICATION FOR CERTIFICATE OF OCCILTANCY 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 buildir 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 ar "pre-existing" land uses: 1 . 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 Occupancy 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 $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential ,� $15.00, Commercial $15.00 Date . .NO. . ! 2!. 9.g.q. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . .. Old Or Pre-existing Building. . . . . . . . . . ./.. ' Location of Property. . . . :1.� s. . . . . . . . . . . . .13lvc_ l�! . . . . . . . .�T.J�f"/'�`t. . . . House No. Street Hamlet Onwer or Owners of Property.::° ov ./ r. . .. . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . .Fiiled Map. . . . . . . . . .... .Lot..�. . . . . . . . . . . . . . . Permit No.z �r 5 9. ��.Date Of Permit. Zl. .��` . 99 . .Applicanteo`'/ :`.s "� rI � Health Dept. Approval. . . . . . . . . . . . . . . . . .Underwriters Approval. .U�.�.��. . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . , / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ."Y. • . . . . . . Fee Submitted: $. Z:S`�- C11 o -2-, QU-7 SAO ::. . . :. . . . . . . . . . . . . �c L 15 �) i0(�. APPLICANT 2 �53 MAP O PPOPEO"Y 5,86 IS SURVEYED FOR. N:T 4506 63.85 N t 1 04215TINN'SON LI 1. N AT 0- ( 231fn t1+Gf iXI�10MAt�ISE \ _ToWI.! OF SOUT'}IOLD. N--Y, Irn!«,{N iO J(STApw,I D ZZ ! lwCAtwN �.,wy 1; T Jr s i�E r I r 1h7 1 3 {' SCALL 40 = r i STORY � t E L c -:.r ua I M.HO. COLE A 9A or :d`Et -O=IQ-QN PIPC-_ IlI£E COMPA A,l+i[Y AwC OND{NG IN R nu. Liz IO INE AffiI�!CS �F LLE E Iny Y p]HOMi GOA7IARI 'l AEE!I i 1 A Ll Dn ASx:mch a u I i R Owr. g No. 57•- 1 -22 67titi ! K ' vi ! Z V05.6 TOS 5-B9*15 OOwW. 130.00 GUARANTEED TO 1N Ti ( 4E vUA <AN7E CQM_�AIVY DOLPHIN HIN 09Z1YE L.� A5 5URVFYL"D AUG.17, 15$Q -- ! BLUE MACZL N STRIVE IZ f C _`1f 1�i TJ YL r NOTE-LOTh105zwWN REFEQ-TO MAP OF_SOVI HOLD.54Q& —1 LICEN-)El) IANID 5UQVEYQQ5 0M FILE lei 7HE5Uffi- J 6. tO J K; (ZZE 2K'S (?F�tCF___A`i GREENPQ�ZT- N-y t $r�4►�0.385�. � a5�4 Q '-7 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8077156 BUREAU OFELE ICITY 40 FULTON STREET, N YOR NY 10038 NOVEMBER 09,1999 q�t�y 9000599/99 H 066217 DateTHIS CERTIFIES THAT ��'1' N . on 9 only the electrical equipment as described below and introduced by t ap i t named;oR the above application number is in the premises of CARL CHRISTAINSON, 415 BLUE M�AyRLIN DRIVE, SOUTHOLD, QTY in the following location - EER Basement se ent [ , l st FL ❑ 2nd Fl. Section Block Lot was examined on and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES' RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. K.W. I AMT. K.W. AMT. K.W. AMT. K.W. AMT. I H.P. 11 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL I H.P. GAS I H.P. AMT. NO. A.W.G. AMT. AMP. AMT., AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WA1T5 -T SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC COND. A.W. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF III-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ADDITION-1 CARL CHRISTIANSON P. 0. BOX 772 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per This certiflcote must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. TFAIS--COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - 7W-lW2 BUILDING DEPT. SPECTION [ NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & HIMNEY REMARKS: 7` DATE INSPECTO �1 765-1802 BUILDING DEPT. INSPECTION [ ] FOU DATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: av zt- � T DATE INSPE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING [ ] FINAL [ ] FIREP CE & CHIMNEY REMARK DATE 411314INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY 'Olt REM KS: 'Ol` � Z DATE /, INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ; FINAL N ATION FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: lodl DATE INSPECTOR 1 • w._ MAAM Imi �l • 1 Iml IMM;IMR ri mill i / 1 ONAL COMMMMENTS : ID I 'I BOARD OF HEALTH . rnFRI FORM NO. I SETS OF PLANS TOWN OF SOUTHOLD S, RVEY . .. ... ... . . . . . . . . . . .... . BUILDING DEPARTMENT 1 CBECR .. .. ... ... .. . ...... . .. . . . BI DG.DEP1 TOWN HALL %SEPTIC FORM . . .. . .. . . ... . ... . . . ��0FSOU7N L SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: _ p p CALL Examined... ��....... 19�t/y G MAIL TO: .. .. .. . . . . . .. . ... . . . Approved.......Z:�Z..... 19.1p.1 Permit No. a C. ................................... Disapproved a/c ........................... ..... ................................... .. ....... ... ......... .. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . .. . . . . . . . . . .. 19. . . . INSTRUCTIONS a. This application oust 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 shoving location of lot and of buildirqK on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout property must be dram on the diagram which is part of this application. c. the work covered by this application may not he 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 mobile or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BMW MPDS 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 de<xibed. 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 inspections. G . !r .......................................... (Signature of applicant, or tame, if a corporation) P O (3vX 77 Z. Sc o '-w /o/ .v Y. //4 ................................................... (Mailing address of applicant) State %nether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluber or buildem 652....... w� GL..................... .......................................................................... / y... / / Name of Omer of premises �a�l A 7 '4` l o'er/L /- CHS/Sz/a "r ho '+r ........ ...... ......... ................................................................... (as an 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. .................... // I. Location of land on which proposed work will be done.`?./,r 13/v e- /G aid„ (>.,A- ............... ........................................ f . � .... . � ................. 40-e- ......... z<............................. House Limber Street yy Hamlet County Tax Map No. L10�00 Section .Sv! ...... Block ..3......... lot �r........... Subdivision SovJO .......... Filed Map No. .3 0S3 .... It ..2.:�......... (Name) 2. State eristiug use and occupancy of premises and intended use and occupancy of proposed construction: a. Foisting use and occupancy ...Aft- a7� ..ji++t ...................................................................... b. Intended use and occupancy ... 014 �c„WlrW e # aecW iii-1 1140 9ofs9 t es- G .�a � �t e -�d add / ter/A-.*4a Hature of work (check wldch applicable)t New Building .......... Addition .A✓ .... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .... ......... ............... (Description) estimated Cost 4'A.,5-0............. fee ............................................... (to be paid on filing this application) If duelling, maber of dwelling units ............ amber of dwelling units on each floor ................ Ifgarage, nnnber of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front` i7E.E.W.. Rear ............... Depth Height Naber of Stories .................. . Dimensions of same structure with alterations or additions: Front .4......e4o wRear ..6 7 2 ..... Depth Height .................... VlLm er of Stories ............... :, , 11 Dimensions of entire new construction: Front .��. ..... Rear . /............ Depth .............. Height ...... 2."8 „ .. Naber of Stories ...�.... ................ ............. Size of lot: Front .................... Rear Date of R¢dhase 2 .�G t /9!yNare of Forcer Owner .......... 9/4.-r. Zone or use district in which premises are situated .... Pj{.� '' !4 ...................................... Does proposed construction violate any zoning lata, ordinance or regulation: .../>%............... Will lot be regraded .....!YP.......... Will excess fill be removed fran premises: --AW NO dames of Amer of premises G.l!y G.. ............ r teas �Dp Be y 77z So ref �/d .. pts _7 L,S:-2,9 f3 Nacre of Architect .................................... Address .............................. Frown No. .............. Name of Contractor ................................... Address ...............................Phone No. .............. i. is this property within 300 feet of a tidal wetland? * YES .. .... NC) .......... *IF YES, SONHIIID 10WN TIMEES PE[Wr MAY HE WPM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ran property lines. Give street and block rud3er or description according to deed, and show street nares and indicate )ether interior or corner lot. 88( 5�1 )020 fir! -TRX MRP --- r/o. 57. -1-,22 - 00 � p`w ho Yp W U Ile to e ` Q r/r% PD TAIE Or NrV YM, SIS ma or / r. u '-!4.... ........::.................. ...... being duly sworn deposes and says that he Um applicant :Name of individual signing contract) ,bwe named, k is Cl,e ...fJ. w�l/�'.'., .......................................................................................... (Contractor, agent, corporate officer, etc.) �f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 3pplicatia); that all statements contained in this application are true to the best of his knowledge and belief.; and that the Bork will be performed in the manner set forth in the application filed therewith. 9aoro to before me this �. .........day oE� ��7 .19.. . Notary �� Not Publi .......•••••vY'•• ELIZABETH A STATHIS (Signature of Applicant) NOTARY PUBLIC,State of NewYotk No.01 ST6008173,Suffolk Corpty Tenn Expires June 8,20 0 DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. MaIN1A 111 �X15Tl�lU ELEVRrrC) r• SRt1E -130 'N slpEs SIDtYARD Soma-, /a 'y ,+ l I bLD �]� ! RGt-�Gc�' oPEhltrfES r!-f C: i<•'/Y. F)c ---✓ ='� /q,°([. ez .56!Y y W" tv G- - i/E/(T l H cr ''�'P 2 1 UNDERWRITERS CERTIFICATE REQUIRED -- - - i CAJ_ OCCUPANCY OR -- USE IS UNLAWFUL ------ WITHOUT CERTIFICATE -- - -- -- i a ! OF OCCUPANCY I:, flFa jL'f1 TO R –f -lr ! lc =� 200F -rO MI-7 76 EXISTI. 'a GFjRFJrrE 20 I -I ! APPROVED AS NOREO EXl S TI !Y 17-99 D.P.N. 3 y 3' l Gf�k' fiGF DATE ' FEE: BY J.Ric li rz / ! NOTIFY BUILDING DEPARTMENT R 766-1902 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: .t 1 FOUNDATION - TWO REGUMED �RbPoSED �� — ¢ TO f ATGN iFOR POURED CONCRETE 7p" poDR Eft S .t r`/ 2. ROUGH - FRAMING & PLUAMNIO FL O o R 3. INSULATION i 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ir ._ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. `O j STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ti GD^ Sri Jc ''�iv<z' � .S' T�1 /1Df�RD Frr71"lE I'2i,�G 1'iC —� — % EXtS7ING DOOR wF?«S 2x4 td"oc 2xu• PLQ-riF - odu8Z E 2 �e-f H&Roep, 2$'' – [L ,gFiE"KS 2X 6 16 J O/S S 2 k'Ob 16 " OG C�f F0071r-r' G 6 "x r£'" corrc� r r� KZ8' .. Z -i GN�ISrrRKs4K UF(DA77101`( cENIe= -vr CiLOGK 8x3'?c!6" O� 4/5 BLUE rtFfh'L1rr Dt FO rNIcfc co" c(ZE'rE �pvYNt�tp h(Y 1 FLco2 6" t� tCu cahiGkEf � SNk9T14ItY6 'r�8 F-� Rr� � BoAQp r tiSPNAG7 SN1t (CLES 200I I I r _ ---� - - C�"li�i d2 SN(hf GLES SlDE�' - I 1 I 1 - Z-1 "r I �