HomeMy WebLinkAbout47075-Z y 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#: 47075 Date: 11/4/2021
Permission is hereby granted to:
Owens, Mark
21 Devon St
Malverne, NY 11565
To: install roof-mounted solar panels to existing single-family dwelling as applied for.
At premises located at:
2550 Reeve Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-10
Pursuant to application dated 10/21/2021 and approved by the Building Inspector.
To expire on 5/6/2023.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO-ALTERATION TO DWELLING $50.00
Total: $200.00
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Building Inspector
F4 TOWN OF SOUT OLD-BUILDING DEPARTMENT
Town
epho el(63I)Annex 54375
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- -- _ Date Received
APPLITION CAI M PE
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PERMIT NO, Building Inspector- I L=
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BUILDING
Applications and forms must be filled out in their entirety.Incomplete TOWN OP SOU" IOL=:
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization farm(Page 2)shall be completed.
Date: 10/19/2021
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OWNER(S)OF PROPERTY: #' L —
Name: MARK OWENS SCTM#1000- ! I
Project Address: 2550 REEVE RD MATTITUCK,NY 11952
Phone#: 5162636318 Email: markowens173@yahoo.com
Mailing Address: 2550 REEVE RD MATTITUCK,NY 11952
CONTACT PERSON: Sung Lee
Name: Momentum Solar
Mailing Address: 45 Fairchild Avenue,Plainview NY 11803
Phone#: 5162185824 Email:permitsli@momentumsolar.com
DESIGN PROFESSIONAL INFORMATION:
(
Name: Mina A.Makar
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Mailing Address:30968 Hamilton BLVD,South Plainfield NJ 07080
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Phone#: 7329026224 Email: mmakar@momentumsolar.com
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CONTRACTOR INFORMATION: ,
t Name: Momentum Solar(Sung Lee)
Mailing Address: 45 Fairchild Avenue,Plainview NY 11803
Phone#: 5162185824 Email:permitsli@momentumsolar.com
DESCRIPTION OF PROPOSED CONSTRUCTION
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❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
®Other Solar Panels $ 21,000
Will the lot be re-graded? ❑Yes G'No Will excess fill be removed from premises? ❑Yes ❑No j
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AUTHORIZATION
(Where the Applicant is not the Owner)
I� MARK OWENS residing at 2550 REEVE RD MATTITUCK, NY 11952
(Print property owner's name) (Mailing Address)
do hereby authorize Sung Lee
(Agent)
to apply on my behalf to the
Southold Building Department.
10/19/2021
(Owner's Signature) (Date)
MARK OWENS
(Print Owner's Name)
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