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Home My WebLink About47341-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 #: 47341 Date: 1/14/2022 Permission is hereby granted to: Hilgendorf, Eleanor 432 Court St Apt#1 Brooklyn, NY 11231 To: Install roof mount solar at existing single family dwelling as applied for. *Disconnects need to be located on the exterior, labeled and readily accessible as per code. **Follow all TESLA manufacturer safety cautions and warnings for ESS install. At premises located at: 15725 Soundview Ave., Southold SCTM # 473889 Sec/Block/Lot# 50.4-7 Pursuant to application dated 12/9/2021 and approved by the Building Inspector. To expire on 7/16/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-RESIDENTIAL $50.00 Total: $200.00 Building Inspector fro TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1 179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-950211 s= - ,v.w. uutl oldt °nn ,g Date Received BUILDINGAPPLICATION FOR For Office Use Only PERMIT NO, ! I Building Inspector: 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 farm(Page 2)shall be completed. Date:12/7/2021 OWNER(S)OF PROPERTY: Name: Benjamin Decker SCTM# 1000- — Project Address: 15725 Soundview Ave Southold, NY 11971 Phone#: 646-369-4454 Email: lucdecker@gmail.com gmail.com Mailing Address: 15725 Soundview Ave Southold, NY 11971 CONTACT PERSON: Name:Tesla Energy Operations,I nc./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:Yurianto Yurianto Mailing Address: 602 N. Atwater Dr Malvern, PA 19355 Phone#: 610-504-4211 Email: yuriy@barun-corp.com CONTRACTOR INFORMATION: 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 DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition 2AIteration ❑Repair ❑Demolition Estimated Cost of Project: ❑dfRta l(116)Tesla Solar Shingles 3.31kw and(1)Testa Energy Storage System 13.5kwh $--$4D-34a— Will $40,343Will the lot be re-graded? ❑Yes 12No Will excess fill be removed from premises? ❑Yes FIND 1 Tcc J .B 119251 PROPERTY INFORMATION Existing use of property: r'� �• Intended use of property: rr3 f Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 1W`o IF YES, PROVIDE A COPY. Fi-I-ereck Box After Readings 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 210.45 of the New York State Penal Law. 1A Application Submitted 13 print name): C� �n�rr(�� A thorized Agent El Owner Signature of Applicant: = Date: I �1 STATE OF NEW YORK) SS COUNTY OF ) is I�c�l Z- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 # ay of —120-2-1 � -I , Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) i I, rion V / residing at I � f = ( do hereby authorize le �4 _ + � to apply on my behalf to the Town of Southold Building Department for approval as described herein. - ¢� t Owner's Signature THOMAS S.VITALF.5 Print Owner's Name big, Of York ew Ftegistraton N .01VI6276776 Qualified inSO,olk County' 2 si sh it 1 BtILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD it Town Hall Annex - 54375 Main Road - PO Box 1179 On Southold, New York 11971-0959 A, Telephone (631) 765-1802 - FAX (631) 765-9502 oer � outtoldtownr� . ov seand;�southoldtownny. ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12/8/2021 Company Name: Jason Kane Inc. Name: Jason Kane License No.: ME-37295 email: jkane@tesla.com Phone No: 516-306-0126 01 request an email copy of Certificate of Compliance Address.: 127 West Blvd East Rockaway, NY 11518 JOB SITE INFORMATION (All Information Required) Name: Benjamin Decker Address: 15725 Soundview Ave Southold, NY 11971 Cross Street: Phone No.: 646-369-4454 Bldg.Permit#: / s � email: Tax Map District: 10 0 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Install(116) Tesla Solar Shingles 8.31 kw and (1) Tesla Energy storage system 13.5kwh Check All That Apply: Is job ready for inspection?: DYES ®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# E]New Service ❑ Service Reconnect F] Underground Fx�Overhead # Underground Laterals ❑1 2 ❑H Frame ❑Pole Work done on Service? Ely ❑N Additional Information: PAYMENT DDE WITH APPLICATION Electrical Inspection Form 2020.xlsx