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Home My WebLink About48561-Z w TOWN OF SOUTHOLD " BUILDING DEPARTMENT g,6 g . TOWN CLERK'S OFFICE kl� SOUTHOLD, NY x 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#: 48561 Date: 12/6/2022 Permission is hereby granted to- Sieger, o:Sie er, Jo 41780 Route 25 Pecos NY 11958 To: legalize "as built" generator 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-ACCESSORY $200.00 ELECTRIC $170.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $420.00 Building Inspector u a 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 ht1ps,/rw ww.southol jco drLr r Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only (,a3 � PERMIT N0. ._._...... Building lnspector°.— 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. _.. ...... .._.. _ .. — . w .. _...� -. Date it OWNER(S)OF PROPERTY: Name:Joy T. Sieger and Timothy R. Sieger�scTM# Z000 g6-1-7 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 ❑ r , ElA BUILT ^� 1i _ �...�nepalr ❑Demolition Estimated lost Of Project:' ❑� Othe&"LI UCtIJIC HUUILIUII LJHllel dtlUn � ...... .... . ... ....... _ ....... Will the lot be re-graded? []Yes ®No Will excess fill be removed from premises? ❑Yes WNo 1 ._. .. .... . PROPERTY INFORMATION Existing use of property: Intended use of property: Residential p p Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC this property? ❑Yes 4iNo 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 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. Scott DeSimone IAuthorizedA Agent ❑Owner Application Submitted By�rin f��►; ): g 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)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 _ N Jtil day of � "-e,20Notary Public 11'. HELEN E. BIELING Notary Public,State of New York PROPERTY OWN ER AUT1JURIZAT ION No.01615058968,Suffolk County (Where the applicant is not the owner) Term Expires 04/22/Zc)Z'2- jimothy Sieger residing at 41780 Route 25, Peconic, NY do hScott DeSimone, Esq. to apply on e eby authorize _ o _...� ._.._. ._ behalf tc Ton, So of uilding Department for approval as described herein, Owner's Sig Lure Date Timoth Si er Print Owner true 2 ff ;Couthold, G DEPARTMENT- Electrical Inspector ' TOWN OF SOUTHOLD g DEC '21[T�wnnnex- 54375 Main Road - PO Box 1179 New York 11971-0959 IIIItNG D epluone ( 3 1) 765-180 - FAX (631) 765-950 TOWN a° ro g err so tholdtownn . o seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1 D1312--2— Company 2ZCompany Name: 11 Al(kUgard 1,V(A ) ►1 C El ctrician's Name-....Ll" n � License No.: 4495 Elec. email CL6 �'1 Lx..� f�..y' V`�m G Elec. Phone No: ( q I"71 M I request an email copy of Certificate of Compliance Elec. Address.: PC 2 Zlj Ilam" l C 37 ,SOB SITE INFORMATION (All Information Required) Name: Tamothy R# sigagr Address: 41 780 Route 25 Peconic NY Cross Street: Peconic Lane Phone No.: 516-384-0728 Bldg.Permit#: 5 / email: Tax Map District: 1000 Section: 86 Block: 01 Lot: 7 BRIEF DE LUCRE SQUARE FOOTAGE (Please Print Clearly): Installation of Generator Square Footage: e. Circle All That Apply: Is job ready for inspection?: YES[] NO []Rough In FIFinal Do you need a Temp Certificate?: YES [2 NO Issued On Temp Information: (All information required) ❑ ❑ Service SizeF-11 PhF-13 Ph Size: A #Meters Old Meter#, ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground[]Overhead # Underground Laterals 1 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT D F- WITH APPLICATION CERTIFIED T0:TMOTH'Y R.SIEGER&JOY T.SIEGER BRIDGEABSTRACTUG,TITLE NO..BAL4983S LOTARFA,,26,942SQ.FT.=0,819ACRi� tW-'G NATIONAL TITLE INSURANCE COMPANY METES&.BOWNDS HEREON AS PER ADJOINING DEEDS,PREVIOUS SURVEYS& JOB NO.:2020-233 < FIELD MONUMENTATION. MAP: w S FO FILED. ell;?., .I F DEED METES&BOUNDS HEREON AS PER L 12674 P.753 REVISIONS: Q Y.. NOV 16 2021 fo , A •l BUILDING,DEPT JE"r TOWN OF SOUTHOL NYS Ld, "l rim wsu�Mem rwnx+zs. I A�" OVAL P&IfiIP/faN,'�d/�N8W7f1FA'JJ,!CPI% {.,d'" Ivd SUP-ddA�AAPd.PFA411+#6%'tw M3AlLM1M4YN Cw'llilAp�llfiW�/i�Y C�6RFtidPSSUANe'YfdNa.E1PMMk�R4PFR�J@EIEKW4@MC.�M099 FOM TUEL.a�81NMIsS.SI:Ad.PEWgG5SLd75EA1.5NA1,f.,NSf'A£' CBNSILiFREd TUu�AYp1IPYAIGp 91GfSH6N"9',C UAETI MIM hNNP � C. �kr..rF �6 4 e rs su �N'a ti . " yy 0-. C y 5 1y p+6 ��••, C�;�� rt ✓ t. �. p' l.' fM•Wh ' ."� A ?o T gyp' ` w `n96 'u, ot low'�t<y � P ,VR VEY OF PROPEMY ITTiE�T TCFV N aF.sDWrHLD SUFFOLK OOUNr'('NEWYORIf T'M.DIST• C.:B So 15 8 0 15 30 46 80 78 90 ...005 120, 135 r„ �', ,„,� r"•. SCALE,V=30, DATE:NOVEMBE 21 20120