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Home My WebLink About48092-Z g, a TOWN OF SOUTHOLD BUILDING DEPARTMENT ,r 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 #: 48092 Date: 7/20/2022 Permission is hereby granted to: Monzon, Juan_ 43750 Main Rd _. ....__ _... ._. . _.._......._.._... ..._ ... __ . _ _.. _..._ ..__.__.__ _. .w . . PO BOX 203 C ._. . . .._.... _ w.. . _..._ ._.. ... . . w...._ ....._. _.� ___ ..___.w.__ ._..._. w _.. ..__.._ _. . _. utch.. _.. . _ .__.wm _..__. _ _. __ _... -... _.._._w . __.._....._._...__...._.._. _.._. _._ ogue, NY 11935 x..w�. install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 43750 Route 25 Southold SCTM #473889 __ .....__..........._... .__._w_._. Sec/Block/Lot# 75.-6-12 __._._ .�_..__.. ..�w _.___.._...�.._w __._�.. .._.__......._._. ..._.._..._�...�.�.�.�..._w .. ._.__.._��.. Pursuant to application dated 7/14/2022 and approved by the Building Inspector. To expire on _1/19/2024. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Bu ding Inspector .��,_.w�,.. ...-......�, ,_�,. TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone 631 765-1802 Fax 631 765-9502i ° ill;cp11a P ( ) ( ) �R 1y- ly. Date Received AF11RUIC"AnON FOR BUILDING PERMIT pp For Office Use Only PERMIT NO. AM)— Building Inspector: � LDINGDiz Applications and forms must be filled out in their entirety.IncompleteiiJi ., applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 6/28/2022 OWNER(S)OF PROPERTY: Name: Juan Monzon ECTm �# � 00- Project Address:43750 NY-25, Peconic NY 11958 Phone#:(631) 276-4733 Email: monzonhomeimprovement@gmail.com Mailing Address: 43750 NY-25, Peconic NY 11958 CONTACT PERSON: Name:Complete Expediting Mailing Address: 265 Sunrise Hwy ste 1-173, Rockville Centre, NY 11570 Phone#: (516) 353-5360 Email: mary@completeexpediting.com DESIGN PROFESSIONAL INFORMATION: — Name:Naresh K, Mahangu Mailing Address: 124-15 Metropolitan Ave 2nd floor, Queens, NY 11415 Phone#: (516) 884-2208 Email: sol@srsolardesign.com CONTRACTOR INFORMATION: Name:Surf Clean Energy Mailing Address: 670 Long Beach Blvd Long Beach NY 11561 Phone#: 631-848-7093 Email: permitting@surfcleanenergy.com DESCRIPTION OF PROPOSED CONSTRUCTION n ❑Repair ❑Demolition Estimated Cost of Project: ❑New Structure Addition Alteration Project: 420ther Install Solar Panels L Will the lot be re-graded? ❑Yes R40 Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Install Solar Panels Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 2No 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. APPUCATION 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 authorised 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): ✓Y Sc4j i,ZA, ls.�'Authorized Agent ❑Owner � Signature of Applicant: c .W �� Date: ' 6 STATE OF NEW YORK) SS: COUNTY OF ) bM OLVV el being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing c n race)above named, (S)he is the 4,0A—r (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 day of20Rat�� CHRISFORER bTIRAMANTANO NOTARY PUBLIC-STATE OF NEW YORK No.01TR6265544 PROPERTY OWNER �U�i"H R!Z lified in Nassau County (Where the applicant is not the OVML&Wmmission Expires 10-12-2024 (, Juan Monzon residing at 43750 NY-25 Peconic NY 11958 do hereby authorize Complete Expeditin to apply on my behalf to the Town of Southold Building Department for approval as described herein. 6/28/2022 Owner's Signature Date Juan Monzon Print Owner's Name 2 y` yIG "y BUILDING DEPARTMENT-Electrical Inspector TOWN OF SO HOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 M x tiu MerL@IoLitholdtowfint.gov seand osoutholdtonn rho APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date: March 14, 2022 Company Name: Long Island Solar Solutions Electrician's Name: John Totten License No.: H-46439 Elec. email:john@longislandsolarsolubons.com Elec. Phone No: 516-768-8876 ❑1 request an email copy of Certificate of Compliance Elec. Address.: 22 HOLIDAY PARK DR CENTEREACH, NY, 11720 JOB SITE INFORMATION (All Information Required) Name: Juan Monzon Address: 43750 ny-25, Peconic, NY, 11958 Cross Street: Phone No.: (631)276-4733 Bldg.Permit#: email: monzonhomeimprovement@gmail.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 62 grid tied roof top solar modules S ware Foota e: 1 1,195.68 Circle All That Apply. Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES E]NO Issued On Temp Information: (AII information required) Service Size Z1 Ph E]3 Ph Size: 200 A #Meters 1 Old Meter# 98337789 21 New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑underground❑Overhead #Underground Laterals 1 R2 H Frame Pole Work done on Service? Y ✓ N Additional Information: PAYMENT DUE WITH APPLICATION