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Home My WebLink About48560-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE y w 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 #: 48560 Date: 12/6/2022 Permission is hereby granted to: Sieger Jo 41780 Route 25 Peconic NY 11958 To: legalize "as built" AC units to existing single-family dwelling as applied for. At premises located at: 41780 Route 25, Peconic SCTM # 473889 Sec/Block/Lot# 86.-1-7 Pursuant to application dated 11/16/2022 and approved by the Building Inspector, To expire on _ 6/6/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $450.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 V Telephone (631) 765-1802 Fax (631) 765-9502 Iltt $://�VNA .So Litl1c.)ldtowrlrl mor Date Received APPLICATION FOR BUILDING PERMIT �r For Office Use Only a.3 a1 I PERMIT NO, f 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 form(Page 2)shall be completed. Date: jl � t^ OWNER(S)OF PROPERTY: Name: �.-...,-,..�CTM Joy T. Sieger and Timothy R. Sieger # 1000-86-1-7 Project Address:41780 Route 25, Peconic Phone#: Email: Mailing Address: CONTACT PERSON: Name:Scott DeSimone, Esq. Mailing Address: P.O. Box 233, Peconic, New York 11935 .......�. _.� Phone#:(631) 765-3535 Email:taxcertesq@optonline.net DESIGN PROFESSIONAL INFORMATION: Name:Joseph Fischetti, P.C. Mailing Address:P.O. Box 616, Southold, New York 11971 Phone#:(631) 765-2954 Email:wingman@optonline.net CONTRACTOR INFORMATION: Name: Mailing Address:. Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑ CJOter -a,s aui�T „�,.� � �� Estimates most or Project ElIVCVV Structure Aldi ion ❑A era iol) Ionep air u vern11Tgon $ _. ■ .._............... _. ._.d._....... .........._ m ..... ........ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ANo 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 AC this property? ❑Yes 50No IF YES, PROVIDE A COPY. ❑ Cheek 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 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. Application Submitted By(pri'rr a ): Scott DeSimone ®'.Authorized Agent Downer Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk Scott DeSimone, Esq. being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)heisthe ~gent (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 I U- I day of OQ tj'Ur X i� x 20 zi J Notary Public HELEN E.BIELING Notary Public,State of New York PROPERTY OWNER AU III"� I ( IIII ',AIF(GIN No.01B15058968,Suffolk County (Where the applicant is not the owner) Term residing at Expires 04/22/�Z2 jimothy Sieger 41780 Route 25, Peconic, NY Scott DeSimone, Esq. do he eby authorize` ........ _IT -to apply on behalf tt�Tow�o So of uilding Department for approval as described herein. kAIAt5 ri Owner's Sign Lure Date Timoth Si er M Print Owner 2 f � f U ING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ��yly n Hall Annex - 54375 Main Road - PO Box 1179 � F 10"(00 Southold, New York 11971-0959 � Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov seand(cD-southoldtownny.ggy APPLICATION FOR ELECTRICAL. INSPECTION ELECTRICIAN INFORMATION (AII Information Required) Date: 75T2-72- Company Name: A \ �Iubb rdjicA Electrician's Name: o- rl P (,,(, V d License No.: ag 15 _ �� Elec. email; ,V-d r O'd S 0 Gbl . C-41„", Elec. Phone No: b3l It 9"1 L -2 15 L9l request an email copy of Certificate of Compliance Elec. Address.. b � � l I' .. wZ ►�'w.l l l ci 3) JOB SITE INFORMATION (All Information Required) Name: Timothy R. Sieger Address: 41780 Route 25 Peconic NY Cross Street: Peconic Lane Phone No.: 516-384-0728 Bldg.Permit#: 0 email: Tax Map District: 1000 Section: 86BLK Block: 01 Lot:7 BRIEF DESCRIP T_l -OF°°W °R L-UM"SO O T"A 'w ( e Print Clearly): ,,-�sus ta11ation of Ai onditioner unit4 First Floor Hoe � F Square Footage: Ci>a•+cle°"�► °�w��"" ..��.� v� � �... .,�ww., ,�,� .wwwwww..�wy�-. �.� Is job ready for inspection?: MYES E] NO [:]Rough In E] Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size Ill Ph®3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead Underground Laterals 1 2 H Frame M Pole Work done on Service? DY N Additional Information: PAYMENT DUE WITH APPLICATION CERTIFIED 70:TPMO77tiY R.SIEGER&JOY T.SPEGER LbTAREA:26;942 SG?FT=0.6,1H ACRE BRIDGE ABSTRACT 110,TITLE NO:BAL,4B63 ' VVFG NATIONAL T(TLE YVSURANDE COMPANY" tYIETES&BOUNDS HEREONAS PER ADJOINING DEED S,-P.REVIOUS SURVEYS 8 JOB NO.:2020-M dFN� FIELD MONUMENTATI�ON F1AI.EP' 0" ,P ,I-'" IiO, *y DEED METES&,BOUNDSHEREONASPER L.12670P.758 (� �' `•�,Ia �.� RE'WSIONS; S`' Vu ,a � NOV 1 d 2021 h Fj BUILDING DEPT. Nys Lt. TOWN OF 8OUTHOL NTS MAMMAL Ln i Cx M A � 'rvaeeur+rnr✓'rrmanvrr�irttr �s . wurrcuatxswrXktdmwW Y r aTr,rawasra.ea s�,x�masaa RSAA. +sa+ ++ d eaA.rErn ,1 cAvr�s�ara5s�ruEVXuts:'rpr�ra;� GrmreoE;N�naa ` 0xrl�WegaUNw'EJbwsw�o66ntti�tlCCdiNa$.s6'76En stltrW.wa'Cem Ck3AP9AEPoEA IIQEEX NADA CAWAH^DEEALLNAFEE'V$F•p iCRANMFtllANd9F .x A or « ,e f 4At N / a�a 0 r � le M4 , TD'S I A loll w l R.r('0 ` ' ° ` ° . DE r 0 R ` ITUNr�AT �� ° TOVW OF SOUTHOLD =E--1 1 ' SUFFOLK COUNTY NEW YQRX "" 16 8 0 15 1CF d5 b0 7B 00 105 120' 13Tv Lka . SCALE !}ATE.N VEMBE 21 2vJ2d