HomeMy WebLinkAbout17421-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218044 Date MAY 22, 1989
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 4950 PECONIC BAY BLVD. LAUREL
House No. Street Hamlet
County Tax Map No. 1000 Section 128 Block 04 Lot 02
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPT. 6, 1988 pursuant to which
Building Permit No. 174212 dated SEPT. 14, 1988
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 BATH ADDITION & ALTERATIONS_TO EXISTING ONE FAMIY DWELLING.
The certificate is issued to SOSEPH & ELIZABETH T. CONNELLY
(owner, a
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N064523 APRIL 3 1989
PLUMBERS CERTTFICATION DATED DAVID D`ORAZIO MARCH 13, 1989
~~~~
Building Inspector
Rev. 1/81
FOIBai NO. t
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)
-~~ 01742? Z
Dote ...;~-../..
......, 19 0„
Permission is hereby rante to: ~2.t~
to .. ..r:S:Gf~.4.....x~a*.~r~.ZG2u'rrr.•• • ........U-Y.~.... ,.~G~Lo/" •,
at premises located at~T.l.~~....~.~~ .... .......C~~~~~ ....................
Cvunty Tax Map No. 1000 Section ........~~~.... Block ....... a.~... Lot No..........Q.?--
pursuant to application dated .~/9 ......................................... 19Gl.~., and approved by the
~ 9%Gl~ ~
Building Inspector.
~! o ~
Fee $...~ vy„~
<~-~%~r .1... ......~~ ..............
Bui g 1 ector
Rev. 6/30/80
TOWN OF SOUTHOLD ~ 1'~ ~ fly//^Ir~I
BUILDING DEPARTMENT L5 LI `'.f L
TOWN HALL MAY i 91989
SOUTHOLD, NEW YORK 11971
765 - 1802 BLtC_Wl'+~`~i'~
IOt~lV U!= 5CTU i~hC;Li~ p .
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
5!11/89
DATE .................
NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING. X...VACANT LAND........
Location of Property...4g50 Peconie Bay Blvd.. Laurel .__ __ _ _._
HOUSE NO. STREET - HAY+ILET
Owner or Owners of Property..JOSEPH & ELIZABETH T. CONNELLY
County Taa Map No. 1000 Section .1z8.. Block .~..... Lot .?.......
Subdivision ....................... Filed Map ........Lot..........
Permit No. 0174212 Date of Permit 9/14/88 John Bernabeo(Architect)
...Applicant ...................
,Health De t. A royal ..- .............. Underwriters A ATTACHED
P PP PProval ..............
'-s
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate X
................
25.00
Fee Submitted: $ ....................
APPLICANT. ._ _.........
JOSEPH S. CONNELLY
Please send C.O. to:
Joseph S. Connelly
827 Morningside Road
Ridgewood, NJ 07450 ~ ~ ~,~~~
f~~/~9
rev. 10/14/88
=1::LD II:S:'.'-'.C:iU:~ ~ ~UATr. ~ GUMMENT:
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FOUIJDATION ('1st) _ ~~
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ }ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ 1 FRAMING [FINAL
REMARKS: _~
~v,~ ~ INSPECTOR
DATE
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765-1802
BUILDING DEPT.
f NSPECTION
[ ]FOUNDATION iST [ ) ROUGH PLBG.
[ )FOUNDATION 2ND [ INSULATION
[ ]FRAMING
[ )FINAL
REMARKS: . ~i ~ ~~
DATE 1 ~ ~ ~ o INSPECTOR/ `~ ~N~,.
~~ ---- ~~
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ' ] INSULATION
FRAMING [ ]FINAL
REMARKS. ~~2.e. ~'"~
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DATE INSPECTOR
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r3U1LDING DEPT.
INSP~CTIQN
[FOUNDATION 1ST [ l ROUGH PLBG.
[fif FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING
[ ]FINAL
REMARKS:. (~ ~ ~ ~
DATE ~,~~' 8~ INSPECTOR
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THE NEW YORK BOARD OF FIRE `UNDERWRITERS PAGE 1
lOlil)bb? BUREAU OF ELECTRICITY
BB JOHN STREET. N!W YORK, NEW YORK10036
*~i
'` AirRIL Oi~'1§84 ''
6U2622B9/89 N ub45l::
P
Ap~~~llieattonNo.
PERMIT NU 0 T421'~
THIS CERTIFIES THAT
_`
Only thI ellcteieal egYtptnmt Y drerihed kelots and introduced kY the ttppBDant Mined on the chow ttppBeattan nYmkel7n the prom4p q
JOSEPH S. CUNNELLY, 440 PECK?N[C 8AY' BLVU., LAUREL, N. Y.
in thefdlouinR locatloni ^ Basement ®Ist Fl. ^ Pnd Fl. Strekm Block Lot
teas examined tm NANGN 13 , l 984 and found to 6e in eromplience with tha rnyuiroments of thb Buard.
tAXTVM Ate fYWTt9Mi RANOBf COOKI110 DlClff. O DNiIl WAf11Rf lXNA T
tf1IT1lTf INCANgiCFM rwaRnceNT OTHER AMT. R. W. AMT. R. W. AMT. R.W. NAT. R. W. AMT. H. r.
5 6 5
DBYBRf RIlNAGT MOTORS RiTUIt! AAIIANC! RTm!!f iPltlAt R!C'fT Tlflf CIOCKf ~ ~. t11MT 11lATlff MIIlT1.0YT1ET OlAlktlRf
AMr. R. W. Oil N. r. GAb N. 1. AMT. NO. A. W.O. AMT. NM. AMT. ,1Al/R. TRANS. 'AMT. X.I. tp q ~ AMr. wAm
2 600
-~~ fBIVK! DIfCONNB CT NO.q f ! R
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AML.
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NO.OF ~ .COND. p
CC. COND.
NO.OF n.1t0
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eq. Ot NEUTRAL] p
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tITIM! AMAfATUf:
D. F. C. [:-2
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GLENN N. BNAUI_EY LIC.ll227
F.O. BDk 602 ~,
LAUREL, NY, 11448 0lfllRAlf~IA}R
it ';
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This arlificate mtnt 110t I>. aRerad in any manner; return to tIN oflitY of the Board if incorrM. Infpsctors may M idanti/ied by Mwir c
. ' b.
MW if1Y t1Y1 MYP tfiC CTN6YT TMI( f•t1CV f1C /`f 1FIf ~ t~ItT at: ~1 Tglff W 1NV usWRC ~ ~
~oc,UFFf]C,Y~o`~ 'T'OWN o)F S(JUT~oLD
,? ;' ~.'c OFFICF. OF BIIILDING INSPEC'T'OR
o ~, rn P.O. BOX 728
v' ~ TOWN BALL
O ~ ~- SOUTHULD, N.Y. 11971
~,~j~l ~ ,~~0
C E I2 T I F I C A T I O N
TEL. 7GS-I 802
Date ~ 3
Building Permi//t No. OJ / /°~J
Owner ~C7~'e~d/ C_O!lAL'%/
( l//ease prin )
Plumber ~//ipl ,~ ~///Z IU
(please print-)
I certify that the solder usecl in the water supply system
contains less than 2/10 of 1~ lead.
Sworn to before me this
day of _ L1A,P V
14~.
~iG ~ / n
(plumber's si ature)
' Notary ublic
Notary Public, e~{FFC~K County
JOANNE SWEENEY
Ntu~ 4510326SSuffolkNe
Term ExP~res ~ ~ ~`~
~ ~,,~~FOr..~~o
~~
V i~ !4~~ij'i~.~ni ~
~'~~.~ ~i ~~~
To~trr or souT~ai,o
O1~FICL' OP AUILDING iNSPI:CTOR
r.o. uox t t ~ 9
T01VN IIALL
SOlJTI10LD, N.Y. 1 1971
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TLL. 7G5-180°
~~ 8 ~.~.v, .~. Cervn
To Whom This May Concern,
42e arc unable r.o complete your Certificate
of Occunanc~~ because
1 of t-he following reasons.
/// A
n application for Certifica te of Occupancy
is not nn fi7.e. C~,,~~
~
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~
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/// Dto
'i'h ttndcr~aritcrs o
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..
Certificate on file.
e chr_cF: i:; ( ~-i-/nut on file.) d)~2S,u-fl
/_/ 240 lleal.th Dept. 1lpproval on file.
/_/ Nn final inspec tion has been made.
Plea:;c contact our office on this matter.
Thank you for your cooperation.
P,uilclin~7 Permit !I ~_ 1 ~ _~ ~ Z
L3uilrlutq Dept,
``"/V/ uo Plur,~br_r ;;older Certificate on file.
( all pr:rmits involving plumbing briny
issuccl aft.cr :1pri.1 1,19A4 )
JOHN BERNABEO
ARCHITECT
FOUR CINDERELLA LANE
ST. JAMES, NEW VORK 11780
(516) 862.8807
August 30, 1988
Town of Southold
Building Department
Town Hall
Southold, New York 11971
Att: Mr. Tom Fisher, Plans Examiner
Re: Connelly Addition
Dear Mr. Fisher:
As per our conversation of this date, I am
enclosing three sets of drawings, one copy of the appli-
cation for building permit, and a check in the amount
of $50.00. Please direct any correspondence to the under-
signed.
Thank you for your cooperation.
Sincerely,
J HN BERNABEO, AIA
JB:Jab
cc: Joe Connelly
Encs.
~~
JOHN BERNABEO
ARCHITECT
FOUR CINDERELLA LANE
ST. JAMES, NEW YORK 11780
(516) 862-8807
October 24, 1988
Town of Southold
Building Department
Town Ha11
Southold, New York 11971
Att: Mr. Tom Fisher, Plans Examiner
Re: Connelly Addition
Dear Mr. Fisher:
As per the direction of your office, we are
proceeding with a 12" thick trench footing as opposed to a
formed footing and foundation wall. If you have any
questions, please do not hesitate to contact the under-
signed.
Sincerely,
~~
OHN BERNABEO
Architect
JB:jab
cc: Joe Connelly
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FORM NO. 1
TOWN OF SOUTHOLD
I~UILDING DEPARTMENT
TOWN HALL
~SOUTHOLD, N.Y. 11971
q e TEL.: 765-1802
Examined .q! .`. ~.~........, 19 O~ ' /
r\pproved .. [. ~ ~. ~......, 19 1~~Permit No.. ~ ~ `T. ~" ~.
Disapproved a/c .....................................
BOARD OF HEALTH .. /.........
3 SETS OF PLty[~S ./..........
SURVEY /' VV
CHECK ..Y~.7~.~.........
SEPTIC I'ORM ............
~\
NOTIFY
CALL .....................
MAIL T0:
[. r 'l••• .~r.. ! ....... ...........I
ilding Inspector
APPLICATION FOR BUILDING PERMIT
Date . Augts~t. 9 ......., 15 83
INSTRUCTIONS
a. Tltis 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 may 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 until 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.
Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, nd regulations, and to
admit authorized inspectors on premises and in building for necessary ins ecti s.
(Si ature of applicant, or name, if a corporation)
L~. >Winderzlla. La. , . S.t...,James, . N.Y...117B.Q .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..............Archi•teet;........................................................................
Name of owner of premises . Jos•eph• S•.• •Gonxael,ly• • • • • • . • • • • • • • • • • • • • ............................... .
(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. . lanknown, , , , , , , , , , , , , , , ,
Plumber's License No. 1tTtknow}z, , , , , , , , , , , ,,,, ,
Electrician's License No. ttl\lSr}4WI1 ............. .
Other Trade's License No. ..N.A ...............:
1. Location of land on which proposed work will be done. . $ptltll~ast ,side, ,of. Peconic_ Bay Blvd:
4.9.SO.Pe.~anic..~ay.Blvd., .................................Laurel,, N.,Y.....................
House Number Street Hamlet
Coun[y Tax Map No. 1000 Section ..128 ............. Block .. 04............. Lot ...~?............. .
Subdivision .... N.A......... .................... Filed Map No. .............. Lot .............. .
(Name)
Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ... R~~idet}Ce. Al ..........Y ................................... : ... .
b. Intended use and occuoancv ...lieSidenCe. Al ...W.L .A.~Q~~ba~"
3. Nature of work (check which applicable): New Building ... , .'..... Addition'', .. X.. , .... Alteration .... , , , , , .
Repair .............. Removal ............. , Demolition .........',.....Other Wotk ... , .......... .
(Description)
4. Estimated Cost ...~~-6.~ ~Q~ ........................... Fee .... , .. ............ , ............... .
If garage, number of cars , , N; A., , , . • .. , t ~ fie paid on filing this application)
5. If dwelling, number of dwelling units .. i`I•.E? s .... Number of dwellin units on each floor . , N. A:
6. If business, commercial or mixed occupancy, spec atu~ and extent of typ of use Zy..A...... .
7. Dimensions of existing structures, if any: Front . ~~~~:.:', , , , , ,Rear ,~~.~~',; , ~, , , , , , Depth 3.4,1t<, ,~, , , , . • .
Height .lg~t, , , , , , , , , , Number of Stories .. . ............ .
t
Dimensions of same structure with alterations or additions: Front ~ Number • • ' ' Rear , 70£t
Depth ...34£.t ..............Height .18~Z..............Rear ...... of Stories . 1..... .
8. Dimensions of entire new construction: Front ,loft;, , , • , N. A. sl'f ~ • • ' • ' • •
..Depth ...............
Height .12£iw . , , .... . Number of Stories . ~
9. Size of lot: Front 12 f1w. hear..95ft:~,::;;:....,i.•'••t"•'96£f•+""'••••••••
.. .. . -
°`!0. Date of Purchase ,~~,,,,,r,~,,,,,,•,.••,• ~••~~~Ill~••••
11. Zone or use district in which premises are situated ......... J
P P ~ Y g . .......... ..............................
12. Does ro ose~ constr;u~cotion violate an zonm law ordinWnce or regulationWn riP ..... . .......... . . . . . . . . . . • , ,
....
13. Will lot be re raded ...... 11 excess fill be removed from premises: Yes No
14. Name of Owner of premises J....Connellq. , ..::: Address49.COnderella~ Bad • Phone Nd.516 )298, ;9629• ,
€. . ~
Name of Architect Jahn .13ernabeo......... Address... ~.......... '. La :.Phone Nd.516) 862,-8807, •
Name of Contractor ..unknown ................Address ... , ... ......Phone No, x
IS.Is this property located within 100 feet of a tidal wetland? *YES....NO.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM '
Locate cleazly 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.
SEE PLOT PLAN ~I
STATE OF NEW YORK,
COUNTY OF .SUF~QL~. , , , , , , • S,S
... JD.HN. ]3F.,R11tQ$~,0, .... .
......................:..
(Name of individual signing contract)
above named.
~~
being duly sworn, depbses and says that he is the applicant
( ~~
He is the ... ArGhi.t.~Gt........ ~{~
................................... iF•.
(Contractor, agent, corporate officer, e~~
of said owner or ownCrs, and is duly authorized to pgrform. or have performed the?
application; that all statements contained in this application are true to the best of ti
work will be performed in the manner set forth in the application filed therewith.
Sworn to befote me this ~7
..... ~.~ .... . . .......day of~Q~~P ...., 19 ~0
id~work and to make and file this
knowledge and belief; and that the
Notary Public, ...~(.QIX,-Q-, ,~L (~ - . / _ '
NSAST ',f .'44//x/'//
NWlrp~e~ New Vork .... .
G~MIN~MSuNdk ntv ~~I ', (Signature of applicant)
Oanm plop rep July, TS
~~I