HomeMy WebLinkAbout43157-Z Town of Southold 1/8/2019
` P.O.Box 1179
a -
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40153 Date: 1/8/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 605 Bay Shore Rd, Greenport
SCTM#: 473889 Sec/Block/Lot: 53.-3-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/12/2018 pursuant to which Building Permit No. 43157 dated 10/22/2018
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:
"AS BUILT" INTERIOR ALTERATIONS (FINISH 2ND STORY)TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR
The certificate is issued to Osdoby, Steven&Jaci
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 298179 08-12-1976
PLUMBERS CERTIFICATION DATED 01-07-2019JMAt
l Daly
d Signature
�SUFFnt�.. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . oar SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 43157 Date: 10/22/2018
Permission is hereby granted to:
Osdoby, Steven
24 Donna Dr
Plainview, NY 11803
To: legalize "as built" interior alterations (finish 2nd story) to existing single-family
dwelling as applied for. Additional certification will be required.
At premises located at:
605 Bay Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 53.-3-8
Pursuant to application dated 10/12/2018 and approved by the Building Inspector.
To expire on 4/22/2020.
Fees:
CO -ALTERATION TO DWELLING $50.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $874.00
Total: $924.00
(A �
Bu ing Inspector'
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 buildings 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 and "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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. A 80
New Construction: Old or Pre-existing Building: (check one)
Location of Property: �� ;3!V ..7 � o�• P- ���/�
House No. OF Street Hamlet
L_.I v
Owner or Owners of Property: S'f �f" a.-A
Suffolk County Tax Map No 1000, Section _sr_ Block Lot
Subdivision P't d- (-j Ir Filed Map. Lot:
Permit No. J Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: V4000" (check one)
Fee Submitted: $ 5-D
Applicant Signature
CLJ. WaREAU OF ELECTRICITY
85 JOHN SYREET. NEW YORK. NEW YORK 10038
Dwit, AUgust 129 1978 Application No.onfile 862444
THIS oFaRTipjas THATN 2 9 8 1_7 S,
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premisebod
Earnest Shelby,, 5ayshore '.Road Kerwin Blvd. ' & Island View Lane,
Greenport L.I.
in I he following 40co t1oft; vi 84sctnent alalFl, `lead 1:1.IV
outside Section Block Lo,
I,:.r,mined uit August 9, 1976 andjound to be in cooWliance with the requirements of this Board.
FIXTURES DECKS OVENS DISH WASHERS'
IRMWACLEs•i SWITCHES
— EXI�AUSI
INCANDESCENT[rWORESCENT h W. AMT, K.W. AMT. X.W. MT. K.W. A.M.. H P.
30 l X3.3 Hyl
okYAERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECIPtl TIMI;CLOCKS BELL UNIT HEATERS MULTI-OUTW DiMMERS
W G&5 K P. AML NO. A W.G. AMT, AMP, AMT, AMPS, TRANS. IMI, WATTS
NO.OF FEET
2-
21 F 1 2 01
SZRVJCFE DISCONNECT NO,OF 5 E R V I-
0 3W 3 4WTt4o.OF A
.9 2W z --NO.OF MAW F
TYPE sacc.COND.
Z 3W13
Of CC.COND. NO.Of NEVIRMS
4/0
IL i20 CB
07,14A APPARATUS: - D
I G 12, 1
DECis 2 6 2018
To Oj?SOU _.LD
Wlalter Finger
. ;j Box .991 GENPAL MANA-3tg
Mattituak, L.I. 11952 Lie. 1845
PeD
),
T.Hs certificote must not be altered in any manner;,return to the office of the Board if Incorrect. Inspectors may be identified by ,t^,eir c
q��p�SOljj,��1=-, ,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
7 tj X
ov
TOWN
CE RT-1F IC-ATI-0-N
Date: ao
Building Permit No. LA S\ S-1
Owner: DS,
(Pleaseprint)
-
Plumber: -
(Please print)/
I certify that the solder used in the water supply system contains less than 2JI 0 of I%
lead.
—(Plum be-r-s-9ig-na't-utV'--
Sworn to before me this
day 1 20Lq
Notary Public, County
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUN;X.
COMMISSION EXPIRES JUNE 80,
t�� SOF SOLI ,
# TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULA/T�IONki'h() 4C�FRAMING /STRAPPING [ FINAL ifs !/
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: CeAKI-,cob��
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DATE INSPECTOR
E ' S GINE.ERING
December 17, 2018
605 Bay Shore Drive
BP#43157 (� (�
Building Inspector D
Town of Southold
Main Road DEC 2 6 2.018
Southold,NY 11971
ry
TOWN OF SO T -11 uD
Dear Sir,
I certify to the best of my knowledge that the rough plumbing and insulation was installed
in accordance with NY State Codes.
NE
yO. 052b{�
®FES
BOARD CERTIFIED IN STRUCTURAL ENGINEERING
JOSEPH PI8CHETTI.COM FISCHETTIENGINEEPING.COM 631 -765-2954
1 7Z 5 H O B A R T ROAD S O U T H O L D 9 NEW YORK 1 1 97 1
F _
FIELD INSPECTION REPORT DATE COMMENTS _
FOUNDATION(IST) H
--------------------------------------
'FOUNDATION
-----------------------------------'FOUNDATION (2ND) �
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0
rn
ROUGH FRAMING&
PLUMBING y o
INSULATION PER N.Y: y
STATE ENERGY CODE
IYA
S.
FINAL
ADDITIONAL COMMENTS
C/ e X
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health N/A
SOUTHOLD,N.Y. 11971 4 sets of Building Plans O
TEL.: (631) 765-1802 Planning Board approval N/A
FAX: (631) 765-9502 Survey O
www.northfork.net/Southold/ PERMIT NO. ( Check O
Septic Form N/A
N.Y.S.D.E.C. N/A
Trustees N/A
Examined sbl Contact:
Approved Z61
Mail to:SUFFOLK ENVIRONMENTAL
Disapproved a/c P.O.Box 2003;Bridgehamnton,NY 11932
�7 Phone: (631)537—5160
i 6
OCT 201 8 (Blector)
ector)
BUH,I3Rg�EPTi APPLICATION FOR BUILDING PERMIT
wT�r DEPT.
T-0)` ' ' OU J ally°H Date October 10,2018
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 4
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 waterway.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy. w
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 necessary inspections.
,0.= I . A of applicant, or name, if a corporation)
Suffolk Environmental Consulting, Inc.
P.O.Box 2003; Bridgehampton,NY 11932
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician,plumber or builder
AGENT
Name of owner of premises Steven and Jaci Osdoby
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N/A
(Name and title of corporate officer)
Builder's License No. 13068-H
Plumber's License No.
Electrician's License No.
Other Trade's License No.
1. Location of land on which proposed work will be done
_ 605 Bay Shore Drive Greenport(Southold Town)
House Number Street Hamlet
County Tax Map No. 1000 Section 53 Block 3 Lot: -, 8
Subdivision Map of Peconic Bay Estates—Amended Map A :Filed Map No. 1124 Lot 4&5
(Name) :,,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.Existing use and occupancy Residence
b. Intended use and occupancy Residence with finished second floor
3. Nature of work(check which applicable): New Building Addition Alteration X
Repair Removal Demolition Other Work
(Description)
4.Estimated Cost $5000± Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor N/A
If garage, number of cars N/A
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use N/A
7. Dimensions of existing structures, if any: Front 58' Rear 58' Depth X28' ^
Height <35' Number of Stories 2
q
Dimensions of same structure with alterations or additions: Front N/A Rear N%A U
Depth N/A Height N/A Number of Stories N/A
8.Dimensions of entire new construction: Front Same Rear same Depth same"
Height <35.0' Number of Stories 2
9. Size of lot: Front 100' Rear 100' Depth 218'
10. Date of Purchase June 29, 2016 Name of Former Owner Michael K Hughes and Therese Hughes f/k/a Theresa Macaluso
11. Zone or use district in which premises are situated R-40
12. Does proposed construction violate any zoning law, ordinance or regulation: YES NO X
13.Will lot be re-graded YES NO X Will excess fill be removed from premises: YES N/A NO
24 Donna Drive
14.Name of Owner of premises Steven and Jaci Osdoby Address Plainview,NY 11803 Phone No. (516)978-6889
Name of Architect Joseph Fischetti, P. E. Address POB 909 Southold,NY 11971 Phone No.765-2954
Name of Contractor Joel Daly Address POB 343,Southold,NY 11971 Phone No. 631-926-6663
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES NO X (interior work only)
*IF YES, D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey, to scale, with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
Bruce A. Anderson being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) above named.
(S)He is the Agent-Suffolk Environmental Consulting,Inc.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of this knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to befo e me this
000O day of &16U_ 2018
Notary Public MATTHEW D. IVANS Signature of Applicant
NOTARY PUBLIC-STATE OF NEW YORK
No.01IV6053859
Qualified in Suffolk County
My Commission Expires 01-22-2019
GRAPHIC SCALE
20 0 10 20 40 S 0
( IN FEET ) SN0 0
1 inch = 20 ft. c'
DQE Tidal Wetland
Boundary as
determined by
Suffolk
Environmental
Consulting Inc. on
2 July 11, 2016
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METER HW UTILITY
POLE
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POLE
EDGE OF PAVEMENT
BAYSHORE ROAD „
(50' WIDE) (ASP. PAVED) 11
G P
Francis C. Watson
Licensed Land Surve or
A COPY OF THIS DOCUMENT NOT BEARING THE SURVEY OF EXISTING CONDITIONS AT LOTS 4 & 5
LAND SURVEYORS EMBOSSED SEAL AND MAP OF PECONIC BAY ESTATES — AMENDED MAP A
SIGNATURE SHALL NOT BE CONSIDERED A TRUE FILED May 19, 1933 AS MAP No. 1124
AND VALID ORIGINAL COPY LIBER 11882 PAGE 0914 SCTM 1000-53-03-08
F.C. Watson Land Surveyor P.C. SITUATED AT
21 Grove Place GREENPORT
Babylon, N.Y. 11702 TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK
COMMONLY KNOWN AS
9 m 9 31 328-3422 ph 605 Bayshore Rd.
627-3202 fax Greenport. NY
fcwatsonOveriznn•net Guaranteed To;
STEVEN OSDOBY AND JACI OSDOBY
`
GRAUTHORIZEDAL A ON OR AD I ory I nils 909MY Is o n o s n ry WELLS FARGO BANK, N.A., ISAOA
709-2 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY NOT BEARING
COPY. GUARANTEES AGUARANTTEEES SURVEYORS
SNDD CERIFC TIONSSINDICATED BE
SHALL RUNBONLYVTO TIE UE FIDELITY NATIONAL TITLE INSURANCE CO.
PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE
COMPANY, GOVERNMENT AGENCY AND LENDING INSTITUTION. GUARANTEES AND ISLAND ABSTRACT INC.
'CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS. LOCATIONS AND DIMENSIONS SHOWN HEREON ARE FOR INFORMATIONAL PURPOD ARE NOT TO SES Surveyed May 25, 2016
N.Y.S. License ADDIT10NS, POOLS, ETC..)E THS SURVEYOR WLL NO HELD R LY AN OAI�BLE FOR�YD TO LOCATE ANY NEW CONSTRUCTIEDs SCALE 1� = 20' NAVD 1988
No. 050786 �QqmjulaMmm, Revised July 19, 2016
V - A
AP R VED AS NOTED
DATE: B.P.# S� ELECTRICAL
FEE: BY:
INSPECTION REQUIRED
NOTIFY BUILDING DEPART AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED TRUSS PLACARDING REQUIRED
FOR POURED-CONCRETE
2. ROUGH'-`FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. PL UMBER CER TIFICA 770A
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW ON LEAD CONTENT BEFn�-
YORK STATE. NOT RESPONSIBLE FOR CERTIFICATE OF OCCUPA .
DESIGN OR CONSTRUCTION ERRORS. SOLDER USED IN WATER
SUPPLY SYSTEM CANNO I
EXCEED 2/10 OF 1% LEAD
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF -PLU(Ul� tC`.
,iALL-PLUMBING WASTE
a.WATER LINES NEED
' 't�fGiBFQRE COVERING
MULD—vANN P7ROMRD
SOITIUD TOWN TRU
OCCUPANCY OR Additional
USE IS UNLAWFUL Certification
. . may Be Required,
WITHOUT CERTQFIC � -�,
OF OCCUPANCY
Sprint ^ 2:38 PM 1 49% ■
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PROFESSIONAL ENGINEER
P.O.BOX 616
SOUTHOLD, NY
9'-5'/Z' 1'-4Y2' 6'-11" 16'-6" (631)765-2954
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EXISTING INSULATION
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2ND. FLOOR PLAN WALLS = R11 05 �
SCALE. 1/4" - l'-O" SSaO CEILING = R25 oFESHEET N O:
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