HomeMy WebLinkAbout46644-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 46644 Date: 8/2/2021
Permission is hereby granted to:
Menta, Drew
BO
mPO X 1466
Southold, NY 11971
To: Install generator at existing single family dwelling as applied for.
At premises located at:
900 Gin Ln., Southold
SCTM #..._47388.9..................... _...,........................_.__ __........_...�........_._ ..........w_..................... a _...,...........�.. _...
Sec/Block/Lot# 88.-3-11
Pursuant to alication dated 7/2
pp 3/2021 and approved by the Building Inspector,
.
To expire on 2/1/2023,uu_.._
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO-ADDITION TO DWELLING $50.00
...
Total: $235.00 00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
4111,
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htthw://www soutlioldtownnv Dov
........ .....
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
.�� ;
PERMIT NO Building Inspectom°_„,n
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an F, 1 „��,.r�lt
Owner's Authorization form(Page 2)shall be completed. t p y
Date:July 22,_2021
OWN..ER(S)�OF PROPERTY:_................eeeee.....M...�_.........�_ _M....... ........�....�...�.........._u.._�...�. .......,_ .
Name:Drew Menta SCTM# 1000-088.00-03.00-011 .000 ......._
Project Address:900 Gin Lane Southold NY 11971
Phone#:631-407-5326 Email:unciel02l@gmail.com
Mailing Address:900 Gin Lane Southold NY 11971
_......_.............�_..... ......... .�... _._... .........._�.�.�.. _a ......._..........a.-... ._m. ..........................—..........w.._._.. . ........................._ .._......_...__ . .......�
CONTACT PERSON:
Name:SearlONeill ...w.-._w www ..�....._ ....��..�__..�._�.-..._._ . _ w. ._._.�
Mailing Address:PO Box 64 Jamesport NY 11947
Phone##631-722-3595 ~ 11111- Email:oneilloutdoorpower@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Laurel Lighting Inc. & Frank Fenoy
Mailing Address:1977 Main Road Laurel NY 11948
...... 31
6: ._-..__....... Email kfcelectric@aol.com
##:631-457-3363 ............_...W�.._ ..................�._._._..M._._...� r ....@.._...... .�_�_..._w_�_.._.,,..mm_......................�..._.d�_ .....
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
DOther Generator $16,000.00
Will the lot be re-graded? ❑Yes iii No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property:Residential
......_�..______.......�. Intended use pro
ertxy�..��.�..___.........���,.�...._
Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes *No IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name):Sean ONeill Authorized Agent ❑Owner
Signature of Applicant: Date: �— a
CONNIE D. BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No. 01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF Suffolk ) Commission Expires April 14, 2r .,µ
Sean ONeill being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) ab!�,ye named, .-
(S)he is the Agent
Contractor A ed"�
( g .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 before me this
day of � . °�& 20 a,, j-`�n,,p /-?�M d�
L
Notary Public
PR0Pl:::R"ry OWNER AU r I °11`1
(Where the applicant is not the owner)
I Drew Menta _.M.__. residing at 900 Gin Lane __. ..........................._
Southold 11971 Sean ONeill
do hereby authorize„NNNNw mmm_N_N_ to apply on
my behalf to the Town of Southold Building Department for approval as described herein,
07/22/2021
Owner's Signature's Date
Drew Menta
Print Owner's Name
2