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Home My WebLink About47202-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 #: 47202 Date: 12/8/2021 Permission is hereby granted to: Lester WJ&T I Family Trt 1300 Hyatt Rd PO BOX 1890 Southold, NY 11971 To: install generator as applied for. At premises located at: 1300 Hyatt Rd., Southold SCTM #473889 Sec/Block/Lot# 50.-1-20 Pursuant to application dated 11/18/2021 and approved by the Building Inspector. To expire on 6/9/2023. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $235.00 kil�dinspector 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 hiti�s://www.soufholdto� rn1�,Qcti Date Received APPLICATION For Office Use Only PERMIT NO, Building Itis Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an T I, OF SOU@-- Owners Authorization form(Page 2)shall be completed. 1010 Date:November 18, 2021 OWNER(S)OF PROPERTY: Name:Theresa Lester SCTM#1000- S -- - 2-0 Project Address:1300 Hyatt Road Southold NY 11971 Phone#:631-965-0243 Email:skylark5763@optonIine.net Mailing Address:1300 Hyatt Road Southold NY 11971 CONTACT PERSON: Narne:So n O'Neill Mailing Address:PO Sox 64 Jarnesport NY 11947 Phone#:631-722-3595 Email:oneilloutdoorpower@hotmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Universal Electrical Services LLC Mailing Address:151 First Avenue Massapequa NY 11762 Phone#:516-242-9204 Email:gebhard73@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $10,000 Will the lot be re-graded? ❑Yes LYNo Will excess fill be removed from premises? ❑Yes N40 1 PROPERTY INFORMATION Existing use of property:Residential Intended use of property:Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ❑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 15 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 O'Neill Authorized Agent EJ Owner Signature of Applicant: _ Date: November 18, 2021 STATE OF NEW YORK) t-jx COUNTY OF� ,_ _ ) Sean 'neill being duly sworn, deposes and says that(s)he is the applicant (Name of Individual signing contract)above named, (S)he is the Agent (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 before me this -t-h day of .202-1 _ , 1> Notary AY p _ -- A IN OF N EW YORK N PROPERTY OWNER AUTHORIZATION l (Where the applicant is not the owner) Theresa Lester residing at 1300 Hyatt Road Southold NY do hereby authorize Sean O'Neill to apply on my behalf to the Town of Southold Building Department for approval as described herein. November 18, 2021 Owner's Signature Date Theresa Lester Print Owner's Name 2 L6 011 \\ \ � r5It •Fz $ g FF 4ic3i µ to B tF{ 9sMg ( a4 � U E r ,¢ r : ex' t N � �2 zLL LL It In U VV e Q a� r J`y w wiU t E vt. tt{ r F <i- t�i s Xx � - ti `` 1 ' \_,f`�a i � 1 ` # {R I { uOi}gag lu"a6eu*eHj lai a3 M 30# , AdOI 5111599 Ol GNnO3 •-i3 ' �'`" d "7t ,N � 3AVH NOUVO071 �s H80.-j gA(I it" dS1 3�JVM S 3HI q alva EQ Et' q 1N34N1 V3�IQ H.L d3H AiNnOO}i i033fIS ij} L�,