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HomeMy WebLinkAbout52368-Z *oe souryOI Town of Southold * * P.O. Box 1179 �0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46725 Date: 12/09/2025 THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION Location of Property: 605 Bay Shore Rd Greenvort, NY 11944 Sec/Block/Lot: 53.-3-8 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/09/2025 Pursuant to which Building Permit No. 52368 and dated: 10/17/2025 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: Gas fired boiler/hot water heater installation to existing single family dwelling as applied for. The certificate is issued to: Steven Osdoby ,, Jaci Osdoby Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Kolb MechMigak 11/20/2025 I AA tho ' ed ig ature pfSoOZ4'.;° TOWN OF SOUTHOLD BUILDING DEPARTMENT M Y ' 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#: 52368 Date: 10/17/2025 Permission is hereby granted to: Steven Osdoby 24 Donna Dr Plainview, NY 11803 To: remove oil-fired hot water boiler and replace with a gas-fired boiler&hot water heater combination to an existing single-family dwelling as applied for. Premises Located at: 605 Bay Shore Rd, Greenport, NY 11944 SCTM# 53.-3-8 Pursuant to application dated 09/09/2025 and approved by the Building Inspector. To expire on 10/17/2027. Contractors: Required Inspections: Fees: Single Family Dwelling-. Alteration $250.00 CO-RESIDENTIAL $100.00 Total S350.00 -- ----------------------- Building Inspector S'l FU1,��0 Town Hall Annexed �$� Telephone(631)765-1802 54375 Main Road = P.O.Box 1179 y = __�, r('� ��' Will r ;' Southold,NY 11971-0959 0 l�J L it v ' DEC - 8 2025 ; BUILDING DEPARTMENT �;2s'•:n ,_, J TOWN OF SOUTHOLD fcpv n c"" ~,s,u:ho1dl CERTIFICATION Date: iv G l/� Vv�h�� 2�j lo2 Building Permit No. Owner: (Please print) Plumber: KC f b M e c� r''Y1 i C G (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this 25 day of November, 20 2 5 I '1GL�C . C11 Notary Public, rj� k County SHARON L.TUTHILL Notary Public,State of New York Reg.No.01TU6074477 Qualified in Suffolk County County 1 Commission Expires May 20,2026 *pF SOUTy�� - # # TOWN OF.SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR ZRH PLBG. FOUNDATION 2ND ATION/CAULKING FRAMING /STRAPPING j6j# 4&-e Jabo� � [ ] =FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION OlV [ ] FIRE RESISTANT"CONSTRUCTION [ ] FIRE RESIST- ANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) Go,vV [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMAR jAli o DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS — b FOUNDATION (1ST) ----... .--- ----- --- ----------- -- ------------------------------------ -- ---- ------- - ------------- -------- FOUNDATION (2ND) - -- ------- -------- ---- --- -- , cn ROUGH FRAMING& ---- ----- ------ ----- v H PLUMBING ---- --- -- ------ - -- --- INSULATION PER N. Y. -�- ------ - -- - -- ---- - %�'y STATE ENERGY CODE - --- -- ---...--- --- -- --.. ------ FINAL ADDITIONAL COMMENTS -- -- -- - S 5�-1 - ?-6------- ---- ---------- C) . O - Z m - ---- --------- -- Y O TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �IzTelephone(631)765-1802 Fax(631)765-9502 httos:'/www.southoldtownnv Gov Date Received APPLICATION FOR BUILDING PERMIT � i 0 I E. ii CBuildjng Office Use Only CC G PERMIT NO. B� Inspector: g 202J _ SSP Applications and forms must be filled out in their entirety.Incomplete aTtment applications will not be accepted._Where the Applicant is not the owner,an �r pekt�®dd Owner's Authorizatioo-form.(Page 2)shall 6e completed. -�®fit►01 Date: , OWNERM OF PROPERTY: #200 � Name: SCTM 0 \, � �.�% ._ Project Address: Phone#: - Email: Mailing Address: CONTACT Name: Mailing-Address: Phone#: - DESIGN PROFESSfONAL INFORMATION Name: Mailing Address:. Phone#: rmailc - - - --- CONTRACTORJNFORMATION Name: ✓r /� Mailing Address: Ph-one#: -�?l._,.. .. .. ..���� Email- DESCRIPTION_OFPROPOSED,CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Esti ted Cost of Project: (Other $ Will the lot be re-graded? ❑Yes Z�M-o Will excess fill be removed from premises? ❑Yes [�i< 1. ROPERTY INFORMATION: Existing use of property: ��'$ _ GC Intended use of property: LC Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to tJ JA this properly?Aes ONo IF YES PROVIDE A COPY. 1 CheCft Box After ea49ng:.?he oinnier/contractor/design professlonai is:e ible.for all Brim a and stortriwawrissues as rovided pone g p by:• epter M ofthe Town code.AppucATIONIS HEREBYh=F to the Bu1(ding.Departrnent.forthe issuanceof a Dulldlngpermit PUrWimtt6the Building Ordinance of the Town ofsouthoid,Suffolk;,couirty,New Yorkand tither appik6lei�awsrordlnancei or Regulattons;fotthe tonstruCdon of buildings, additions,alterations or for removal or demolition as herein described:The applicant agi+e6sto cornplywith'alt appliesbtelaws,ordinaneesti bu0dingcode, housing code and regulations and to admit authorized Inspectors on premises and in buildings)for nenssery�repectlons False ataterrrerrts made.herein are punishable as a Class A misdemeanor puisuem to Section 230.45 of the Next York State Penal.hw., Application Submitted By(pri Pfname): Authorized Agent Owner �lfSignature of Applicant: Date: °1 STATE OF NEW V9ti Q SS: COUNTY OF U WfUrY— ) :�'TE V l'A/ Qrr! 0 SP 10 being duly sworn,deposes and says that(s)he is the applicant (Name of individual)signing contract)above named, (S)he is the (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 his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn b eforeme thi �7C of 20 `l otary Public EUGENE S. CERULLI PROPERTY OWNER AUTHORIZATION Notary Public of New Jersey ID#2354853 (Where the applicant is not the owner) Commission Expires Jan.26,2027 1, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 (� J DECLARATION OF COVENANTS THIS DECLARATION made this 21 st day of November, 2022, by Steven L. Osdoby and Jaci Miller Osdoby, residing, at 24 Donna Drive, Plainview, NY 11803, hereinafter referred to as "DECLARANTS": WITNESSETH : WHEREAS, DECLARANTS are the owners of certain real property located on 605 Bay Shore Road, Greenport, NY, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 53, Block 3, Lot 8 which is more particularly bounded and described as in Permit #9682 and depicted on the plans prepared by SUFFOLK ENVIRONMENTAL CONSULTING, INC. last dated February 23rd, 2021 and stamped approved by the Board of Trustees on April 14th, 2021 and filed with the Town of Southold on April 14th, 2021, see Exhibit A attached; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approvals of the Trustees prior to being conducted; WHEREAS, the DECLARANTS therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a ten (10) foot wide "non-turf buffer" landward of the tidal wetland boundary thereon ; and ©qr- L WHEREAS, the DECLARANTS has considered the foregoing and has determined that the same will be for the best interests of the DECLARANTS and subsequent owners of the Property. NOW, THEREFORE, the DECLARANTS do hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained a ten (10) foot wide "non-turf buffer" as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." And as depicted on the Plans prepared by SUFFOLK ENVIRONMENTAL CONSULTING, INC. last dated February 23rd, 2021 "Exhibit A" and filed with the Town of Southold on April 14th, 2021 attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANTS, their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owners have duly executed this instrument this 21 st day of November, 2022. GC�Stev; adoby! b ; Jaci Miller Osdoby STATE OF NEW YORK COUNTY OF 6, J ss: On the — ay of ��oJc k. c� , in the year 20 )I;before me the undersigned, a Notary Public in and for said State, personally appeared Steven L. Osdoby and Jaci Miller Osdoby, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signatures on the instrument, the individual or the persons on behalf of which the individuals acted, executed the instrument. Notary P blic \ GRACE LO 2 Notary Public,state of New York No.01 L05015968 Qualified in Queens County Commission Expires August 2, 2_ I jai APP 0 ED AS NOTED DATE• B.P.# FEE ? ` U BY: NOTIFY BUILDING DEPARTMENT AT - OCCUPANCY OR MI 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: USEIJUNLA� WFUL 1. FOUNDATION-TWO REOUIRED E YY FOR POURED P WITHOUT CERTIFICATE 2. ROUGH-FRAMING& LU��r U: ._'li'aCa 3. INSULATION OR OCCUPANCY 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES AS REQUIRED AND CONDITIONS OF ELECTRICAL SOUTHOLD ZBA INSPECTION REQUIRED SOUTHO TOWN PLANNING BOARD SOUTH TOWN TRUSTEES MY,S. EC SO OLD HPC HD Page No. j of 'e- Pages - 11500 Old Sound Avenue,PO Box 106 Ma=uck,New York 11952 Fgkollb P 631-298-55271 F 631-298-5534 HEATING +.COOLING www.kolbmechanical.com PROPOSALSUBM TO PHO E Steven Osscoby ( 16)978-6889 D August 8, 2025 'M Bay Shore Road d0gd%ay Shore Road '%Fe 9WORTNY 11944 '%LrLr eWort, NY 11944 EM� 3malt com97et We herebysubmits rdCadons and estimatestar. Remove and discard the existing oil-fired hot water boiler, as well as the existing oil storage tank located in the residence basement. Provide and install one (1) new high efficiency gas- fired combination boiler and hot water heater to consist of the following: Scope of Work: • Remove and discard the existing oil-fired hot water boiler. • Legally abate the remaining oil stored in the existing oil storage tank. • Cut and dismantle the existing tank and remove from site. • Provide and install one (1) Rinnai, model#IP120199C, 120,000 BTU, high efficiency gas fired combination condensing boiler and hot water heater. • Provide and install new T-drilled type copper hydronic supply and return manifolding and all associated Armorflex insulated boiler piping. • Provide and install new Taco, model #007, IFC wet rotor circulators,one(1) new expansion tank, and all necessary shut-off valves, neutralizer kit,air vents,flow control valves, and fittings. • Provide all necessary hydronic supply and return piping modifications and connections to accommodate the new hot water boiler. • Provide and install new schedule 40 PVC combustion air intake and exhaust piping from the new boiler to the exterior. • Provide all necessary low voltage HVAC control wiring,Argo control panel, control devices/relay's,and line voltage power wiring. • Provide all necessary materials, labor,installation,start-up, and test. Excludes: • Gas piping and/or gas storage tank, by Plumber. • Any applicable permits, certificates, or associated fees, if required. *Upon acceptance,please date,sign by the')r and retain yellow copy with your deposit. KOLB MECHANICAL HEATING&AIR CONDITIONING In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp., It is the responsibility of the Homeowner to have quarlled Service Mechanics maintain heating and air conditioning equipment as required by man- ufacturer in order to preserve warranties. AN equipment shall remain property of Kolb Mechanical Corp.,until fully paid All past due accounts shall be charged interest of 1.5%per month. All payments Due Upon Receipt. ;IB V M008 hereby to fumish matelot and labor—Complete in accordance with above spederadons,for the sum of. Base Total Options Total Payment to be made as follows: Grand Total lovdftAD metal is guarantied m be as spewed.AO wok b be o m aeodarenam irraruter owYheereedWyirpmwldlenoNetsmdtreoomeanadra 87� Authorized esrmne Nlagreerttentrmm4gerauputstn7resaod0attsmd�a dtageaveratdebffarta Signature roe.mrredo and airier ystteyortd atrcanyot amerto tarry necessary e�vraute.OurrwrlreB are t'ufycarered try Wknarl"s Note:This project may be Cawsexn l wanco. Withdrawn by is if not accepted within to 2JCtf O11Q¢ Df Dl3DY The attove.prices,specirications and safisfarmry and are hereby accepted. You are authorized to dotheworkasspecifled.Paymt:mmllbemuideasoulflttedahom P(intName Date of Acceptance �(signature Page No. 2 of 2 Pages 11500 Old Sound Avenue,PO Box 106 kolb Mattituck,New York 11952 f P 631-298-55271 F 631-298-5534 HEATING + C O O L I N G www.koibmechanical.com PROPOS&SUBM111EDTO PHONE DATE Steven Osdoby (516)978-6889 August 8, 2025 "M Bay Shore Road "W"IBay Shore Road c%i'eenpoi?;PNY 11944 'Vreenpart, NY 11944 `�1 �1��{ apt�lil.u►m cftYtgget wehereby submitspedfications and estimates for. Warranty: • All work to be done in a professional manner by trained installers and service personnel. • One-year parts&labor service during normal business hours on above system. • Rinnai Twelve-year Factory heat exchanger warranty. • Rinnai Five-year Factory limited parts warranty. • All factory warranties honored. Total investment: $9,260.00 I *Upon acceptance,please date,sign by the W and return yellow copy with your deposit KOLB MECHANICAL HEATING&AIR CONDMONiNG I In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp., It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man- ufacturer in order to preserve warranties. All equipment shall remain property of Kolb Mechanical Corp.,unlit fully paid Ali past due accounts shall be charged interest of 1 S%per month. All payments Due Upon Receipt. cq.�V@ WWpAM hereby to fvmrah malarial and labor­ompiate in aocordanao with abovo epoeinnsons,forfhe s„m of: ease Total Options Total Nine Thousand Two Hundred Sixty Dollars and xx/00 ----- ------- -orana Total�9r260.0D Payment to be made as follows: 50%Deposit; 50%Balance Due Upon Completion&Start-up. All ffiOaiisgioaCeedtoieas gafz&AR Yak bbe wnW mawativarftilemow W=&il10gai&dpraftn AMraft jMor&ja mftlabovagwftli advtl &*a Authorized oos5m3bamcemtebmiyuyonrnilorders ardc�beoomea+tamaawgaovetendatareare Signature esE+l a A9agleemaasmrtngeatr�mtst es aoddadsordmaisR4 o�omywoovto :This edma be carry rae,tornado a:ld sUler ra�essaly il►5urdnle tAv wallals are N4i mow ty Wodonans Prof y is withdrawn by us 11 not aaeptedwdhrrt I i{Ct�lew of Fr�uanl The atwve Prices.spedfirations and co are satisfactory and are hereby accepted. You are authomPd to PrinttJame dotheworkasspeciffed.PaymentwlsbernadeasoutiirWabo DateafAareptance x Signature