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Home My WebLink About47062-Z ria 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#: 47062 Date: 11/1/2021 Permission is hereby granted to: Bournis, Kyriakos 1300 Bay Haven Ln Southold, NY 11971 To: install roof-mounted solar panels & energy storage system to existing single-family dwelling as applied for. At premises located at: 1300 Bay Haven Ln, Southold SCTM # 473889 Sec/Block/Lot# 88.-4-17 Pursuant to application dated 10/18/2021 and approved by the Building Inspector. To expire on 5/3/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Buil i sector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 <` Telephone (631) 765-1802 Fax(631) 765-9502 ' [t :., £, tlllt :10 _� Date Received APPLICATION IPERMIT For Office Use Only PERMIT NO. Building Inspector:: l i L Applications and forms must be filled out in their entirety.Incomplete BUILO:ke-�j_t' applications will not be accepted. Where the Applicant is not the owner,an TOWN Or BODY` L D Owner's Authorization form(Page 2)shall be completed. Date:10/13/2021 OWNER(S)OF PROPERTY: Name: Kyriakos Bournis SCTM#1000- Project Address: 1300 Bay Haven Lane Southold, NY 11971 Phone#: 718-362-0617 Email: kbournis@gmail.com Mailing Address: 3030 150th Street Flushing, NY 11354 CONTACT PERSON: Name:Tesla Energy Operations,lnc./Anais Fernandez Mailing Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714 Phone#: 631-406-9567 Email: anafernandez@tesla.com DESIGN PROFESSIONAL INFORMATION: Name:Barun Corp./Yurianto Yurianto Mailing Address: 905 Chesterfield Drive Lower Gwynedd PA 19002 Phone#: 972-896-5373 Email: yuriy@barun-corp.com CONTRACTOR INFORMATION: Name:Tesla Energy Operations,lnc. Mailing Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714 Phone#: 631-406-9567 Email: anafernandez@tesla.com DESCRIPTION OF PROPOSED CONSTRUCTION Install(16)Roof Mount Solar Panels 6.8kw and(1)Tesla Energy Storage system 13.5kwh =flew Structure ❑Addition ❑Alteration ❑Re air ❑Demolition Estimated Cost of Project: I�stell(16) Roof Mount Solar Panels 6.8kw and(1)Tesla Energy Storage system 1k $ 15,864 Will the lot be re-graded? Dyes No Will excess fill be removed from premises? ❑Yes . No 1 Is 119 2-q PROPERTY INFORMATION Existing use of property: - Intended use of property: Lin Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes CGW'IF YES, PROVIDE A COPY. deck 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 210AS of the New York State Penal Law. Application Submitted By ftint name): n de-7— Ol4uthorized Agent ❑Owner Signature of Applicant: �, Date: STATE OF NEW YORK) SS: COUNTYOF being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, - (S)he is the � l C-t&/` (Contractor,A ent,C rporate Officer, etc.) of said owner or owners, and is duly authorized to perform—for 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 AA 20clPA'vrRIZULLO Notary Public NOTARY PUBLIC-STATE OF NEW YORK No,01ZU6328662 Oualifled in Suffolk County � Ir-E My Commission Expires 08-03-20V'C (Where the applicant is not the owner) I, � i/c3-S f�`� residing at I � ��fyerl _()fha I C1 do hereby authorize to apply on my behalf to toe Town of Southold Building Department for approval as described h�rein. Jr 1 -� Owner's SignatureDate All Print Owner's Name 2 Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name CHARLES J PICARD Business Name rhis certifies that the �eerer is duly licensed TESLA ENERGY OPERATIONS INC :)y the County of suffolk License Number:HI-62558 Rosalie Drago Issued: 09/12/2019 Cammissloner Expires: 09/01/2023 RECEIPT SUFFOLK COUNTY GOVERNMENT DEPARTMENT OF LABOR, LICENSING,AND CONSUMER AFFAIRS COMMISSIONER ROSALIE DRAGO P.O. BOX 6100, HAUPPAUGE, NY 11788 (631)853-4600 Today Date: 03/22/2021 Application: ME-37295 Application Type: Master Electrical License Receipt No. 421664 Payment Method Ref. Number Amount Paid Payment Date Cashier ID Comments Check 149 $400.00 03/22/2021 CHRIST11 Renewal Contact Info: JASON KANE INC JASON KANE 127 WEST BLVD EAST ROCKAWAY, NY 11518 Work Description: Suffolk County Dept.of Labor,Licensing$Consumer Affairs MASTER ELECTRICAL LICENSE Name JASON KANE _ Business Name This certifies that the bearer is duty licensed JASON KANE INC by the County of suffoik License Number:ME-37295 Rosalie Drago Issued: 04/20/2005 Commissioner Expires: 04/01/2023