HomeMy WebLinkAbout48510-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 #: 48510 Date: 11/18/2022
Permission is hereby granted to:
Corcoran, David
PO BOX 1106
C utchog ue, NY 11935
To: install generator as applied for with flood permit.
At premises located at:
405 Fleetwood Rd, Cutcho ue
SCTM # 473889
Sec/Block/Lot# 137.4-15
Pursuant to application dated 9/21/2022 and approved by the Building Inspector.
To expire on 5/19/2024.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO-ACCESSORY BUILDING $50.00
Flood Permit $100.00
Total: $335.00
Building Inspector
v 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 littl)s-//www.sotitliol,dto,wtiii,.. ..,--
Date Received
APPLICATION
For Office Use Only
V
PERMIT NO. Building Inspector.__Iz n - P p"
1 2022
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BUILDING DEPT.
Owner's Authorization form(Page 2)shall be completed. TOWN OF SOU+HOLD
Date:August 31, 2022
OWNER(S)OF PROPERTY:
Name:David Corcoran SCTM#100137-04 -5'
Project Address:405 Fleetwood Cove, Cutchogue NY 11935
Phone#:631-727-6550 1 Email:Constructiveframing@gmail.com
Mailing Address:405 Fleetwood Cove, Cutchogue NY 11935
CONTACT PERSON:
Name:Nick D'Amico @ Shore Power Electric
Mailing Address:108 Frowein Road - Unit 2, Center Moriches NY 11934
Phone#:631-766-7423 Email:Nick@ShorePowerElectric.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Shore Power Electric, Inc
Mailing Address:108 Frowein Road - Unit 2, Center Moriches NY 11934
Phone#:631-766-7423 FEm-;i�l:Nick@ShorePowerElectric.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
F10therStand-by Generac Generator $20,216.52
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes I@No
1
PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Residential
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.
❑ 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 15 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 210AS of the New York State Penal Law.
Application Submitted By(print name):Louis DeSantis WAuthorized Agent ❑Owner
Signature of Applicant: Date: August 31, 2022
STATE OF NEW YORK)
.SS:
COUNTY OF .._„)
Louis DeSantis being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Agent
(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 20 ZZ
Notary Public
PROPERTY 0W1'4..1 UT11 l IIRIZ '"ION
(Where the applicant is not the owner)
I, V � 1 �t9 _ ,AN residingat +� � *�
O� e
` �do hereby authorize apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Aj 141� f/ 3� v2 Z
Owner's Signature ANDREA AM)
10—i AqY PU::LIC,STATE OF N ZVJ � �<
Layij " No.Oib11609654-1
Print Owner's Name QUALIF-M IN SLMLK COUNW,"Y
2
g�FFOEk -� BUILDING DEPARTMENT- Electrical Inspector
.v TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
r; Telephone (631) 765-1802 - FAX (631) 765-9502
ro err southoldtownny.gov— seand@southoldtgWony.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: . 1-ate
Company Name: a c �ZkC.
Name: DAIca
License No.: ie email.
Address: ZQ& 690 &P1- Sta—a t" 'r
Phone No.: 3!— o R,'
JOB SITE INFORMATION (All Information Required)
Name: L2,6cvid Co'qCOAAP4,
Address: O; "' r a COV 119',3s''
Cross Street: 510
Phone No.: 6 3 7A, 7- S:SO
Bldg.Permit#: email:9 q ;vEc
Tax Map District: 1000 Section: Block: C) y- Lot: 3 7. 3
BRIEF DESCRIPTION OF WORK (Please Print Clearly)0
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 Sf- 2 1 P-0
22BUILDING ®
Request for Inspection Form.As °
Suffolk County Dept.of
Labor,Licensing&Consumer Affairs
HOME IMPROVEMENT LICENSE
Name
NICHOLAS UAMICO
Ousiness'lame
This certifies that the
bearer is duly licensed SHORE POWER ELECTRICAL
by the County of suffolk CONTRACTING INC
License Number:H-48269
Rosalie Drago Issued: 01/06/2011
Commissioner Expires: 01/01/2023
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