HomeMy WebLinkAbout48495-Z `OS t Town of Southold
o� o�• _ 12/20/2022
y P.O.Box 1179
- 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43704 Date: 12/20/2022
THIS CERTIFIES that the building IN GROUND POOL
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
11/4/2020 pursuant to which Building Permit No. 48495 dated 11/16/2022
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 swimming pool fenced to code as applied for
The certificate is issued to Osdoby, Steven&Jaci
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45458 12/27/2021
PLUMBERS CERTIFICATION DATED
Ao V'
ze i afore
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
0
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#: 48495 Date: 11/16/2022
Permission is hereby granted to:
Osdoby, Steven
24 Donna Dr
Plainview, NY 11803
To: Construct an in-ground swimming pool as applied for per Trustee, DEC, and ZBA
approvals.
Replaces BP #45458
At premises located at:
605 Bay Shore Rd, Greenport
SCTM #473889
Sec/Block/Lot# 53.-3-8
Pursuant to application dated 10/14/2020 and approved by the Building Inspector.
To expire on 5/17/2024.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
Building Inspector
S�fFo k TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
cL� 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#: 45458 Date: 11/18/2020
Permission is hereby granted to:
Osdoby, Steven
24 Donna Dr
Plainview, NY 11803
To: construct an in-ground swimming pool as applied for per Trustee, DEC, and ZBA
approvals.
At premises located at:
605 Bay Shore Rd., Greenpont
SCTM #473889
Sec/Block/Lot# 53.-3-8
Pursuant to application dated 11/4/2020 and approved by the Building Inspector.
To expire on 5/20/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
otal: $300.00
Building 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. 6L_1VbC4e_ 2, 2020
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property: 060S—
House
60J_House No. Street Hamlet
Owner or Owners of Property: '
Suffolk County Tax Map No 1000, Section S3 Block 3 Lot S
Subdivision At w o F ArAtL.&w iSWzJ —14ww W E Filed Map. //Zq— Lot: 3
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Al0zA Underwriters Approval:
Planning Board Approval: Al/A
Request for: Tem op mW Certificate FinaLCertificate: y _(check one) —
Fee Submitted: $
Applicant Signature
Town Hall Annex 631
Telephone Tele
r , P ( )765-1802
54375 Main Road n, Fax(631)765-9502
P.O.Box 1179 sean.devlinCc—)town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Steve Osdoby
Address: 605 Bay Shore Rd city:Greenport st: NY zip: 11944
Building Permit#: Lj5g58 Section: 53 Block: 3 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Promaster Electric License No: 59226ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 2 4'LED Exit Fixtures Pump 2
Other Equipment: Heater 220GFI, Pumpx2 220GFI, Salt Generator 220GFI, Lighton Tranny Deckbox,
Intermatic 8 Circuit/ 8 Used
Notes: ° AS BUILT NO VISUAL DEFECTS " Pool - Did Not See Bonding
Inspector Signature: Date: December 27, 2021
S.Devlin-Cert Electrical Compliance Form
-
�o�
} # TOWN OF SOUTHOLD BUILDING DEPT.
765-1$02
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ]: INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE-tSAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
DATE Z INSPECTOR
`7 `✓ l o��OF SOUTyo --- ---
f TOWN OF SOUTHOLD BUILDING DEPT.
°ycourmN�' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL fwt/
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
00 d--,L
DATE I ( �Z'�/ INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) �n y
fi
--------------------------------------
FOUNDATION(2ND)
."�h
ROUGH FRAMING,& �
PLUMBING -
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS "
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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 X
TEL.: (631) 765-1802Planning Board approval N/A
FAX: (631)765-9502 Survey X
www.northfork.net/Southold/ PERMIT NO. Check X
Septic Form N/A
N.Y.S.D.E.C. X
` Trustees X
Examined In 1 Contact:
Approved ,20 Mail to:SUFFOLK ENVIRONMENTAL
Disapproved a/c P.O.Box 2003;Brideehamoton,NY 11932
Phone: (631)537—5160
Expiration ,2026
`:'3 ,+ APPLICATION FOR BUILDING P
Date October Z2020
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.
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.
(Signature of applicant, or name, if a corporation)
Suffolk Environmental Consulting,Inc.
P.O.Box 2003; Brid2ehamnton,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. H-4436
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 Road 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. 1.124 . ,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
Repair Removal Demolition Other Work Poo`
(Description)
4. Estimated Cost $35000± 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 28'
Height <35' Number of Stories 2
Dimensions of same structure with alterations or additions: Front N/A Rear N/A
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 Arthur Edwards Address Hauppauge,NY Phone No. 631-744-7185
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 X NO
* 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 before me this
G da f 2020
'
7 Rte ` (may 0 Gsf
IZ_,�I_Nolipry Public Signature of Applicant
MATTHEW D. (VANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01IV6053859
Qualified in Suffolk County
My Commission Expires 01-22-20P
Glenn Goldsmith,President ®� s®r��y Town Hall Annex
®� ®� 54375 Route 25
A.Nicholas Krupski,Vice President ® P.O.Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
c®Uf1f ,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
1949 C Date: August 17,2022
THIS CERTIFIES that the construction of a 16'x36' swimming pool and install pool equipment and a
drvwell for pool backwash-, install an at-grade 1 640sq_ft paver stone patio along the south,east and
westerly sides of swimming pool,• remove existing 12'x19' seaward side deck with ramp and stairs
totaling319sq ft and construct a new 14'x27' deck with stairs and landing(33sg.ft.)to grade,a 3'x4'
generator,and a4'x8''66tdoor shower• with the condition to lly establish and perpetuamaintain a 10'
non turf buffer landward of the wetland boundary' that no sand or fine materials be employed in the
buffer that might float/wash or otherwise migrate onto the wetland from the buffer.The existing
topography,a low profile berm noted sloping away from the wetland is to be maintained to prevent lawn
fertilizer/mulch etc washing over the berm into vegetated tidal wetlands;that no pesticides are to be used
in the buffer,• that a low profile delimiter barrier be placed at the landward boundary of the non-turf-buffer
and the lawn;that the derelict"t"stakes and derelict rusty galvanized wire fencing materials noted
seaward of the chain-link fence be removed as theLrepresent a possible human or wildlife entanglement_
hazard;that any replacement of the chain-link fence is to be open constructed fence, such as a split rail
fence to conform with Chapter 275 (Wetlands)standards and accepted environmental practice reducing
habitat fragmentation:
At 605 Bay Shore Road,Greenport;
Suffolk County Tax Map#1000-53-3-8
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated Max 11,2018 pursuant to which Trustees Wetland Permit#9682 Dated
August 19,2020 was issued and Amended on April 14,2021 and conforms to all of
the requirements and conditions of the applicable provisions of law.
The project for which.this certificate is being issued is for the construction of a 16'x36' swimming
pool and install pool equipment and a drywell for pool backwash,• install an at-grade 1,040sg.ft. paver
stone patio along the south east and westerly sides of swimming pool,• remove existing 12'x19' seaward
side deck with ramp and stairs totaling 319 ft and construct a new 14'x27' deck with stairs and
landing�(33sq ft to grade a 3'x4' generator, and a 4'x8' outdoor shower-, with the condition to establish
and pgWetually maintain a 10' non turf buffer landward of the wetland boundary;that no sand or fine
materials be employed in the buffer that might float/wash or otherwise migrate onto the wetland from the
buffer.The existing topography, a low-profile berm noted sloping away from the wetland, is to be
maintained to prevent lawn fertilizer/mulch etc washing over the berm into vegetated tidal wetlands:
that no pesticides are to be used in the buffer;that a low-profile delimiter barrier be placed at the
landward boundary of the non-turf-buffer and the lawn,• that the derelict"t"stakes and derelict rusty
galvanized wire fencing materials noted seaward of the chain link fence be removed as they represent a
possible human or wildlife entanglement hazard; that any replacement of the chain-link fence is to be
open constructed fence, such as a split rail fence to conform with Chapter 275 (Wetlands)standards and
accepted environmental practice reducing habitat fragmentation
The certificate is issued to Steven&Jaci Osdoby owners of the aforesaid property.
Authorized Signature
r
a°
Scott A. Russell SU11Q S ST0)KIA�] WA\T)EIK
SUPERVISOR ( i
MA\N A\ G)EM[)E1�'7�
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEWYORK 11971 'lty�O _ Town of Southold
CHAPTER 2316 - STORMWA.TER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOUVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑KA. Clearing, grubbing, grading or stripping of land which affects more
i than 5,000 square feet of ground surface.
❑ B. Excavation or filling involving more than 200 cubic yards of material
i within any parcel or any contiguous area.
❑Ef C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of, horizontal distance.
r ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
i
erosion hazard area.
El E. Site preparation within the one-hundred-year floodplain as depicted
f on FIRM Map .of any-watercourse. -
F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet 'or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control PIan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner.Design Professional Agent, ontractor,Other) S.C.T.M. #: 1000 Date:
District
NAME: 2 Ar-C,
Section Block Lot �—
F-OR BUILDING DEPARTl-1ENT USE ONLY ""�'
Contact Information: 3-7
�r.irylarc tNnOrr
Reviewed By:
Property Address / Location of Construction Work: — — — -- — _ _ _ Date:
®
v�OApproved for processing Building Permit.
S' �`'T 57sa�,e- ���`� Stormwater Management Control Plan Not Required.
— — — — — — — -- — — — — — — —
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM ' SMCP -TOS MAY 2014
APPLICANT:
(PS.C,T.M. 1000 CHAPTER 236
(Property Owner,Design Professional,Agent,Contractor,Other)
�� $ Stormwater Management Control Plan CHECK LIST
NAME: _1ruCR A., kt tcf s-n't— Section Block Lot aha 5 M C P -Plan Requirements Provide ONE copy of the Building Permit Application.
Gat-�3? Date: � :� >1c The applicant must provide a Complete Explanation and/oi Reason for not providing
7sSIr6o °� �'` all Information that has been Required by the following Chec)flistl
I. A Site Plan drawn to scale Not Less that 60' to the inch MUST If You answered No or NA to any Item,Please Provide Justification Here!
show all of the following items: ®, NO NA If you need additional room for explanations, Please Provide additional Paper.
a. Location & Description of Property Boundaries �0
b. Total Site Acreage. �✓ I�r�
c. Existing- Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by§2s6-17(CX2).
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water,
e. Limits of Clearing& Area of Proposed Land Disturbance. —_71!==
f. Existing & Proposed Contours of the Site (Mtntmumz Intervals)
g. Location of all existing& proposed structures, roads,
driveways, sidewalks, drainage improvements&utilities.
h. Spot Grades & Finish Floor Elevations for all existing &
proposed structures.
I. Location of proposed Swimming Pool and discharge ring. _
i. Location of proposed -Soil Stockpile Area(s). ���I e=,�t--.,��-�l ao; i s 1„� .+•. ,,
k. Location of proposed Construction Entrance/Staging Area(s), +�� h�Z-t s rA.r;v .o �
I. Location of proposed concrete washout area(s).
m. Location of all proposed erosion&sediment control measures,
2. Stormwater Management Control Plan must include Calculations showing
Ihat the stormwater improvements are sized to capture,store,and infiltrate
on-site the run-off from all impervious surfaces generated by a two(2")inch �� I
rainfall/storm event.
r
3. Details&Sectional Drawings for stormwater practices'are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion &Sediment Controls.
h. Construction Entrance& Site Access. �F(--
c.
Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d. Leaching Structures (e.g.infiltration basins,swales,etc.) l
FOR ENGiNI:EIZ.ING DEPF,12'1'1viEN"C USE-ONLY
I Additional Information is Required.
Reviewed& I Stormwater Management Control Plaln is Not Complete.
Approved By: — . — — — — — — — — — — — — — — —
I — Stormwater Management Control Plan is Complete.
Date: I SMCP has been approved by the Engineering Department.
FORM " SWCP Check List -TOS MAY 2014
I: BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
`�, •; Southold, New York 11971-0959
Telephone (631) 765-1802- FAX (631) 765-9502
rooerr _southoldtownny.cov - seand2southoldtownnv aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: r�,c. r� � �►-_ C�o
,Electrician's Name:
License No.: ��l�Z ,.t.� Elec. email: s
Elec. Phone No: Ere 7 lam'request an email copy of Certificate of Compliance
Elec:Address.:
s
JOB SITE INFORMATION (All Information Required)
�
r Mame:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: 4(� q 0 email:
C
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply: —
Is job ready for inspection?: 7777 YES F7NO R Rough In Final
Do you need a Temp Certificate?: EJ YES Q NO issued On
_Jump information: (All information required)
Service Size[—]9 Phi—]3 Ph Size: A #Meters Old Meter#
❑New Service[]Fire:Reconnect®Flood Reconnect®Service Reconnect QUnderground QOverhead'
#Underground Laterals n 1 .2 H Frame n Pole Work done on Service? Ely N
:Additional Information:
PAYMENT DUE WITH APPLICATION `\
l 1 �vU
�1
o�saffitIr BUILDING DEPARTMENT-Electrical Inspector
„� Gy TOWN OF SOUTHOLD
y a Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
X41.4 �a0� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCcD-southoldtownny.4ov- seand(&-southoldtownny gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name: )Vgym
Electrician's Name:
License No.: rjq a to Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec.Address.:
JOB SITE INFORMATION (All Information Required)
Name: V/Pn
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email: ,
Tax Map District: 1000 Section: Block: 3 Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: Y I=S 0 NU F-1 Rough In Final
Do you need a Temp Certificate?: YES❑NO Issued On
Temonfarm-ation- (AII-ifformafidd required)
Service.Sizea1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service[]Fire ReconnectOFlood ReconnectnService Reconnect QUnderground QOverhead
#Underground Laterals 1 2 H.Frame ' n Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches I
Outlets
GFI's
Surface.
Sconces
H H's
Fans ': ...... ........ .... ....:__..:. ,._.......,...,_>.,......::......, .::..:::::,..:_:;:: Fridge: HW
Exhaust ' .: Oven
Smokes DW Mini.
:,_.._. ._ _ __...
' TVlicro-:.:.._...._. �. : .. �. .�- :Generator.:;" - - -
- - -- _
Combo:.,
AC AH Hood Service
„. ..
>`A,rrips ''Have: 'Used
Special.:. : . ._. ......`._.:._...._..,:....... _ .. ...... .
Comments:
-01,4J .
,
s
Jn � �
Suffolk Environmental Consulting, Inc.
Newman Village • Suite E • 2310 Main Street PO Box 2003 • Bridgehampton NY 11932-2003
t 631.537.5160 f 631.537.5291
Bruce Anderson,M.S.,President
April 27, 2022
Michael Verity, Chief
Southold Town Building Department
P. 0. Box 1179
Southold, NY 11932
Re. Osdoby
Situate: 605 Bayshore Road, Greenport
SCTM #1000-53-3-8
Building Permits:#45457,#454581#45459
Dear Mr.Verity,
Request is hereby made to extend the above referenced building permi0or an
additional six months all set to expire on May 20, 2022. 1 understand that the Building Permit
would then expire on November 18, 2022.
Sincerely,
Bruce A. Anderson
Cc. S. Osdoby
GRAPHIC SCALE; CR
20 0 10 2& 40 5 �—
P �
95�
( 0 T
N FEET ) ... _ 5�
i in h '= 20 ft. �O ��NG Bound ry os
determined, by
Suffolk
Environmental
Consulting' Inc. on
July 11,, 2016
FE.
0:,4.:w,.
GATE '. ,31.4' 'S
7 . . DNC. MON. FND.
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OSED
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M Lot Coverage Data:
'ax4•o 00.
ACHI
_ 0, TWOISTORY FRAME
Lot Area — O £ r-I-
9J #605 m
Wetland Area = ,753-:0' Sq: Ft. 0 o. F 460 13.9
�: v
7.44 Wetland z GAR. .FLR. ELV. 11.9
U12lond Area — °m 'CELLA FLR. ELV. 6.2
d' :
House Area = 1' 32:6 00'. r .
Shed Area = 71 3 'S Ft.'
Driveway/Walk Area = 1179.7 Sq. Ft.
Deck Area = 31 .,1 Sq. Ft. T 1•
Current Cove = 27 Aephalt.Driveway to be
Proposed' Pool A ea 575.0 'Sqr ft. FE. removed':and,replaced.with
Proposed Deck Area = 392.8 'S ft. 0.3' E crushed clone (pervious).
P q• BLOC< C'RB STONE .WACK '
Proposed Walk A ea = 104 Sq. "Ft.
Pool Equip. Area 1'8.0 sq ft
Generator Area: 14.3 sq ft '�� SEPTIC. LOT 6
Shower Area: 32 0 sq ft TANK.Proposed Coveralle T5,51% .; LOT S
LOT 3 SAN ,
LP
LOT .4
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S7.9°54'00"W
62.43' TO. KERWIN BLVD. . No: oHw
OWATER UT.ICITY
METER OH W POLE
HW .
UTILITY,
POLE.
EDGE OF PAVEMENT'
SHORE ROAD1
. I' ASP.
(5.p WIDE) ( 11 .
ED 0 .P VE
Francis C'. W .tson,
Licensed Land' Surveyor
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
®,F N�,` SIGNATURE SHALL NOT BE CONSIDERED A TRUE FILED May 19, 1933 AS MAP No. 1`124
V AND 'VALID ORIGINAL COPY
�G,g C, . LIBER 11882 PAGE 0914 SCTM 1000-53-03-08
W SITUATED AT
.Watson Land Surveyor P.C.CA s 'A . .!.SITUATED
� Q.' 21 Grove Place
Babylon, .N.Y. 11702 TOWN' OF SOUTHOLD SUFFOLK COUNTY NEW YORK
COMMONLY 'KNOWN AS
631 328=3422 ph:' 6:05 'Bayshore Rd.
63"1 677=32'02 fax Greenport, NY
fcwa'tson®verizon.net .
�' Applicant;
�� STEVEN OSDOBY AND JACI OSDOBY
UNAUTHORIZED.ALTERATION,OR ADDITION-TO THIS SURVEYIS A VIOLATION:OF:SECTION :. -
0607 'b '7209-2 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY NOT'BEARING Proposed Pool, Equip., Generator, Shower and Leaching Pool shown
;THE.LAND,'SURVEYORS.EMBOSSED.-SEAL.SHALL',NOT;BE.CONSIDERED-T0=BE::A.VALID:TRUE:;''
,'.COPY;',OUARANTEES;AND;CERTIFICATIONS:INDICATED;HEREON:SHALL RUN';ONLY:TO:.iF1E' 1n BLUE.
A ''.PERSON:FOR'•YVHOM:7Y1E:SURVEY,15 PREPARED, AND'ON.WIS::BEHALF:30-THE TITLE
iZy COMPANY:.,GOVERNMENT �A
':AOENCY ND..LENDINOINST, TION;;.OUARANTEES AND: '
-- ---_-_ CERTIFICATIONS.ARE NOT d AN RAS .TO-ADDITIONAL.INSTI TUTIONS:OR:'SI"-;`'i-NT. _
OWNERS.LOCATIONS AND DIMENSIONS SHOWN HEREON ARE FOR'INFORMATIOI,j° POSES AV 1988 Surveyed 05, 2016
N.Y.S. n e A.D11-LY10NS:'POO SOT TO, ETC..)ETHIS SURVEYOR WILLNY NEW NOT BEHELD RESPONSIBLE, YDS' " 'SCALE 1'� = 20'
Ne• "B YSouthold Zone.-R,-40, , _ Revised ry 4, 2019 .
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- PROPOSED r
WOOD DRIVEWAY TO BE REMOVED AND 1 ' O O
N REPLACED WITH CRUSHED STONE _V O
°o. I DECK / is � I4
O m <. � f�4 Z
4.1' Li. O W
TEST HOLE
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n 16'X36' a O m
INGROUND
LID 2 STY HOUSE SAN m
LP .�
S -n GARAGE FF EL.11.9 a _
POOL HOUSE FF EL.13.9 ~ /r
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z POOL C� 8'diaX4'deep m
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DRYWELLul
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ry GEN SHOWERr4
WATER
on F METER rn
o oo �ILI c � t o. �Fc m
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F z
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UTILITY u' 1J . Q N
O POLE 1 x ��I
SITE PLAN L� dO
SCALE: 1" = 10'-0" r� o CD
/ EL 6.5 OSDOBY DRAINAGE CALCULATIONS �, z m =
BROWN LOAM
11 OL
GRADE > O M
BROWN SILT
J .
2.51 ML HOUSE CD (n a: O CO
MIN. I' L I GDR - - - 58' x 28' = 1624 sf z m W �
Max.2' 1 CONOIETE BROWN SAND r
4 1624 s x2" x1 = 271cf c; m
1
®®®®®®® Y
HEIGHT OF BROWNFINETOCOA0.5E SAND
FILTER FABR C s" y
5.pp Use (2) 8-foot dia. drywells 4 foot deep �Pe
MUM= 6N' EL 0.7 WATEORIINBROWNFINETOCOARSESAND fl �1���
®®®®®® °I DMINAGE PIPE(n'P.) GRADE .... - ..... In �� O
AS NOTED 611,-.. In F
� I
- DRIVEWAY AND WALK
®®®®® 1200 sf
®®®® I P-1-IIN E o 13`
AS NOTED
®®®® i 1200x2" x1 = 271cf
o ®MM I PERSPECTIVE VIEW TEST HOLE DATA -
° I McDONALD GEOSCIENCE Use (1) drywell 8-foot dia. 5 feet deep
CIFAN WlD&id
9/11/2019 DRAWN BY: IF
�� � GxAVEEEIu
d°, m -Wo" MINIMUM 2X2
- - - - - - - - - - - - - - -ti - - - -� WOVEN WIRE FENG FENCEfi'05T
(GROUND WATER) (6X6 - I0/10 WWF)
2011 9/25/2019
FILTER CLOT MIN.
WN. - EMBED FILTER CLOT+.-L -G 16N SCALE: SEE PLAN
MIN, 611 INTO GROUND ¢I MIN.
NOTE
MAXIMUM DRAINAGE AREA INFORMATION FOR THIS SITE PLAN SHEET N O.
1/2 ACRE / 100 LINEAR FEET TAKIEN FROM SURVEY BY:
SECTION DETAIL
F.C. WATSON, LAND SURVEYOR
DATED:JAN. 4, 2019
LEACHING x'0011... SECTION_ SILT FENCE DETAILS-
N.T.8,
u.T.S. o
A P PIR 0 V E D A 3
DArq-:
-LL
NOT) AT
765-1802 8 J,,M TO 4 :PV, FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION tiUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL NAIEET THE
REQUIREMENTS OF THE COD'---S OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
- f 0 OF
CODE
ENCLOSE pbOl
UPON C LY WPM ALL CC,D
NEVA YOR" STATE- & TOM CODES
plS FrA-L-QUIRED AND CONDITIONS OF
SULF HOLD TOVY'N HOA
BOARD
SOUTKOLD TOWN TRUSTEES
N.Y.S.DEC
orCUPANCY OR
�,E�R�N S���p C�Fp i�� y36 USr-rIS UNLAWFUL
k NITHOUT CERTIFICATE
0F OCCUPANCY
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SIZE A BG b E F 'G :M AREA CAP. /
FEET FT. FT. FT.FT.FT..FT.FT.FT;SQ.FT. GAL. v� L.. Onl�.C�. .
12 X 20 12 20 8 9 0 3 3. 8. '240 8;000. �(}
16'X.34 �. W s oK PFJ
16 34 13. 12 6 3 3. 10 544 18,500. PbOI..$r:SE'A,:CEI�1tB
18 X 4Q 18 40 16 44 6 4' 4 8 720 28,500 PER ACRET : VAU SYSTEM: r��nPy
929. - Route 5-A :filler Place: NY 11764 Q / p
20 X 40 20 40 16 14 6 4 `6 B. 800: 30,000 (631.} 744-7186 FAX: (631} 744--014 q�Phm0 'c� 0
24X44 24 44 18 14 $ 4 :6: '1.0. 796. 30,000 Suffolk License :4438-HI
24 X 48 24 48 20 16 _ 8 '4 :6 10 :90.0, 31,000 Nassau License ##7+4460000