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Home My WebLink About47259-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 #: 47259 Date: 12/22/2021 Permission is hereby granted to: Tsoupros, David 129 Locust St Floral Park, NY 11001 To: Install roof mount solar to existing single family dwelling as applied for. At premises located at: 1860 N Bayview Road Ext., Southold SCTM # 473889 Sec/Block/Lot# 79.-6-3.4 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) 765-9502hqPs: � wsoutholdtownov Date Received APPLICATIONIL IPERMIT For Office Use Only —, PERMIT NO.___ Z — Building Ins Sectora Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:11/17/21 OWNER(S)OF PROPERTY: Name:David Tsoupros scTM#1000- Project Address:1860 N Bayview Road Ext, Southold, NY 11971 Phone#:516-776-4224 1Email:david.tsoupros@gmaiI.com Mailing Address:1860 N Bayview Road Ext. Southold, NY 11971 CONTACT PERSON: Name:Reid Garton Mailing Address:385 W John St. Unit 100, Hicksville, NY 11801 Phone#:516-418-2131 Email:permitting@nystatesolar.com DESIGN PROFESSIONAL INFORMATION: Name:Naresh K. Mahangu Mailing Address:124-15 Metropolitan Ave. Kew Gardens, NY 11415 Phone#:646-626-6299 Email:filing@srsolardesign.com CONTRACTOR INFORMATION: Name:NY State Solar Mailing Address:385 W John St. Unit 100 Hicksville, NY 11801 Phone#:516-418-2131 1Email:permitting@nystatesolar.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑' OtherSOlarpanel installation $71,081 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes ONO 1 PROPERTY INFORMATION Existing use of property: Intended use of property: � f Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes C7 No IF YES,PROVIDE A COPY. Checlf Box Afteredig: Thi onerjcontreetorJdeidrf psofesiol Is rnsllte for tlreae anistorm water Issues rovidd by C ranter i€3ri of the Town Code.WuCATION IS HERE11rMADEAo the Building-Department for the€ssua a of a buildini Permit;pursriant to the suilding zone ordinimce of the Town of sotithold,Suffolk,County,New York and other a pn 6le t aws,Ori>nanc s or Regulations,for the coristructi r}f hulidings, addittMsi ei !stints for moval Apr demolition as herein describe l h arft iitosfo"o m0ty Frith nil applInbte laws,ordmancesbulloing coo, housing code and regulations andto admit author kin drrpiu1640 46i rrecesiary lnspec iais.False steteritetits made herein are pdolshahle as a dass A misdemeapor pursuant toSectlon 210AS of tiro dew York State Penal Law. Application Submitted By(print name):P, � tl�Authorized Agent ❑Owner Signature of Applicant: _' Date3 STATE OF NEW YORK) SS: COUNTY OF ° km� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the j z. (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 /-0- 1A 0 - `�_,e day of I Z :� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) t : '1 _ residing at i do hereby authorize to apply on nyy behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date 4 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 Telephone (631) 765-1802 - FAX (631) 765-9502 rocierrs sou nold£ownn- cv s and� cut oldto� l APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12/22/2021 Company Name: Ny State Solar Name: Jamie Minnick License No.: ME-62692 email: permitting@nystatesolar.com Address: 385 W John St Unit 100 Hicksville, NY 11801 Phone No.: 516-418-2131 JOB SITE INFORMATION (All Information Required) Name: David Tsou ros Address: 1860 N Ba view Rd Extension Southold, NY 11971 Cross Street: Phone No.: 516-776-4224 Bldg.Permit#: Z 1email: permitting@nystatesolar.com Tax Map District: 1000 tion: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) 12.80kW Roof Mounted Solar Photovoltaic System Including 32 Q Peak DUO BLK ML G10+400 Panels w/32 Enphase IQ7+Microinverters. 60Amp Fused Service Disconnect.Fused at 60Amps. 1-Enphase Envoy IQ Combiner Box with 3 20Amp Breakers. Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.As NORTH BAYVIEW ROAD EXM S 73-40-W' E A" qs �t -NOW Av M Dom- mm__= POW"WES AR�IAI AM ap ` ngg A __RLA�U pe _��_,Ac _Oh 6ft ,- 'MM309 pff5av FW *,f 0 45 �WC�_ 1� A� v f�Lm�,� `Q-0,Aft . ..... ... - M, ��'g 4�— 6 rw��ffv?s %ff �v�n w Mcm rm R% AW U�w N_ Amff__ rzm%_ w WC, OR, E-i fmokk WP-, _�x CCX_,�T", NEVR !And sw�=m ma and Em—s— Be- aa mmuxtQc*� rm DO- 1 -0, m.-aim 60" MOM,v" I vtt#fit#R"wUlicy LjC c.UI Labor,Licensing on u er Affairs NOME IF-PROVEFIENT LICENSE Name REID T GARTON .< Business Name chis Cert#fies that the ?eerer is duly lioensed NYSS LLC DSA )y the County of suffolk License plumber:FII-62273 Rosalie Drago Issued: 0610312019 Commissioner Expires: 0610112023 2#f = 7i\ N 2 � \\\ �Va\: \ }ƒ: m = c 7 - K S \ o} I