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Home My WebLink About47256-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 #: 47256 Date: 12/22/2021 Permission is hereby granted to: Kardwell, Nancy PO BOX 607 Orient, NY 11957 To: Install roof mount solar to existing single family dwelling as applied for. isconnects must be located on the exterior, labeled, and readily accessible as per code. At premises located at: 825 Maple Ln., Orient SCTM # 473889 Sec/Block/Lot# 17.-2-15.4 Pursuant to application dated 12/2/2021 and approved by the Building Inspector. To expire on 6/23/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO- RESIDENTIAL $50.00 Total: $200.00 Building Inspector 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 ht' s:H"A .southoldto =•n .i!O Date Received APPLICATION FOR BUILDINIG PERMIT For Office Use Only _ — PERMIT NO � Building Inspector: a Applications and forms must be filled out in their entirety. Incomplete _ applications will not be accepted. Where the Applicant is not the owner,an `�l WN F SOUTHOLD �U TH. Owner's Authorization form(Page 2)shall be completed. Date:November 17, 2021 OWNER(S)OF PROPERTY: I Name:Nancy Kardwell SCTM#1000-01700-0200-015004 Project Address:825 Maple Lane, Orient, NY 11957 Phone#:631-943-8440 Email:nancykardwell@yahoo.com I Mailing Address:825 Maple Lane, Orient, NY 11957 CONTACT PERSON: Name:Trinity Sol�r - amuel Magliaro Mailing Address: 2180 5th Ave Unit 1, Ronkonkoma, NY 11779 Phone#:631-319-7233 Email:lana.harrinanan@trinity-solar.com DESIGN PROFESSIONAL INFORMATION: Name: Thor Bojcun Mailing Address: 105 Waypoint Drive, Eatontown, NJ 07724 i Phone#:631-319-7233 Email:ihor.bojcun@trinity-solar.com CONTRACTOR INFORMATION: Name:Trinity Solar - Samuel Magliaro [ Mailing Address:2180 5th Ave Unit 1, Ronkonkoma, NY 11779 I Phone#:631-319-7233 Email: lana.harrinanan@trinity-solar.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition -Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $63,420.34 Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes am No 1 PROPERTY INFORMATION Existing use of property: ROOF Intended use of property:install 37 Hanwha solar on the roof,14,8 kw Zone or use district in which premises is situated: Are there any covenantsand restrictions with respect to this property? ❑Yes4No IF YES, PROVIDE A COPY. ii 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 i 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. I Application Submitted By(print name):Samuel Magliaro FgAuthorized Agent ❑Owner Sign atur f Applicant Date: STAIT OF NEW YOR SS: COUNTY OF ) Samuel Magliaro being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)heisthe Contractor (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 s > ' day of my 20 Nota SISTINE KRAUTHEIMER Notary Public-State of New York No.0:KR6270872 Qualified in Suffolk County RO _ V1 Y OW NBE R AU HOR.M710INa mm.F it s pct,?2,202 Nancy Kardwell residing at 825 Maple Lane, Orient, NY 11957 do hereby authorize Trinity Solar to apply on my behay to the Town O�outhotd Building Department for approval as dascribed herein. e Ow ' ,Signature Date N ; cy Kardwell Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telepp�h;o�ngeg (6p31p)q 765-q1p802 - FAX (6p31) 7g65g--9502 pq d4tl�nn', oy APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: November 17, 2021 Company Name: Trinity Solar Electrician's Name: Richard Guarneri License No.: ME-57843 Elec. email: richard.guarneri@trinity-solar.cam Elec. Phone No: 516-434-0856 ❑I request an email copy of Certificate of Compliance Elec. Address.: 2180 5th Ave Unit 1, Ronkonkoma, NY 11779 JOB SITE INFORMATION (All Information Required) Name: Nancy Kardwell Address: 825 Maple Lane, Orient, NY 11957 Cross Street: Back Lane Phone No.: 631-943-8440 Bldg.Permit#: -7 6 email: nancykardwell@yahoo.com Tax flap District: 1000 Section: 01700 Block: 0200 Lot: 015004 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 37 Hanwha solar panels on the roof, 14.8 kW, Square Footage: Circle All That Apply: Is job ready for inspection?: El YES k NO O Rough In F] Final Do you need a Temp Certificate?: YES k NO Issued On Temp Information: (All information required) Service Size Ill PhF-13 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 H Frame 0 Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION