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HomeMy WebLinkAbout48339-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE "o 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#: 48339 Date: 9/27/2022 Permission is hereby granted to: Feuerstein, Todd 90 Sterling Rd Cutcho ue, NY 11935 To: Install accessory stand-by generator at existing single family dwelling as applied for. At premises located at: 90 Sterling Rd, Cutcho ue SCTM # 473889 Sec/Block/Lot# 104.4-4.1 Pursuant to application dated 9/22/2022 and approved by the Building Inspector. To expire on 3/28/2024. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO-RESIDENTIAL $50.00 Total: $235.00 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 littps://www.souttioWigLAan � � Date Received APPLICATION FORSUILDING PERMIT m d � "a 8 For Office Ilse,Only PERMIT NO. 1 Building Inspector: 1'diptim 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: OWNER(S) OF PROPERTY: t Name: ;CTM # 1000- -`I Project Address: O Phone#: 9 g 7 - Li 72 --`I Y PA . Ce ki" Mailing Address: 9U �-cl^o rU f 3 S CONTACT PERSON: Name, . Mailing Address: Phone#: © Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: c0A, v- Mailing Address: Phone! � � � Email: C� Cl �� ��� � �� DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of ct: Uother ' $ � 06 Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes XNo 1 110", PROPERTY INFORMgTIOW Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES, PROVIDE A COPY. 801Aft Y Rea iYf Fhe owner/rontratkop/design professional is respoti"sable,for,all,drainageand storm waterlssues,as provided by Chapter 236 of the 7ovrn Cade APPLICdTfON IS HEREBY,MADEto:the Building Department for the issuance.of a.Buildmg Permft pursuant to the Building Zone Ordinance of the Town ofSouthald Suffolk,County,lYpllcable,I,aws,ordinancesorRegulations,forxFre�onstructionafibuFklings, addrtlons,aJtgrations r'forpamov l crdemolition<as herein described The;applicant agrees to'comply with al(applicabie laws ordinances,buiidirag code, housing code and iegulatdori'and to admtt authorized inSA dors ori,premli"and in buikiing(s)fob necessary;inspection"s.False staterneRjs made Herein are punishable a5,a, lass A:miSdemeangr pursuant to Sectk+n 210 45 ofthe;New York State,Penal Law °i Application Submitted By(print name): � eU or ❑Authorized Agent owner Signature of Applicant: Date: lo STATE OF NEW YORK) II COUNTY OF " I �C ) r t being duly sworn, deposes and says that( is theapplicant (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 day of 'v5 20 L J MERSTEIN 2Notaryublic,State of NewYork o.01FE6283115 � � � � � 1� ad in Newyork O+ unt n Expires May 26,2 (Where the applicant is not the I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 �ho�2 17 61, 5E . '" � E S16-34 r � lk 010 ... m. Ile i �,�v�ro+ 160.91 N7•59'50"W '� A SKUNK LANE ;:560 W W o Pyr V N W 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 ro err southoldtownn ov- seand0southoldtownny.gov APPLICATION FOR. ELECTRICAL INSPEOTIQN ELECTRICIAN INFORMATION (Au information Required) Date: q Z2 ZZ Company Name: � '. Electricians Name: License No.: -- 4444 1j�," Elec. email: ! Elec. Phone No: w !Wrequest an email copy of Certificate of Compliance Elec. Address.: atE% to q O JOB SITE INFORMATION (All Information Required) Name: :1 � e,( � ���V\ Address: C C1 C c Cross Street: Phone No.: Bldg.Permit#: email: Tax Mae District: 1000 Section: Block: Lot: / BRIEF DESCRIPTION OF WOR", INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO [—]Rough In ❑ Final Do you need a Temp Certificate?: YES O Issued On Temp Information: (All information required) Service Size❑1 PhF-13 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑underground❑Overhead #Underground Laterals 1 n2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DISE WITH APPLICATION