HomeMy WebLinkAbout48916-Z 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 PIANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 48916 Date: 2/15/2023
Permission is hereby granted to:
Byrne, Thomas
2345 Ba view Ave
Southold, NY 11971
To: Install accessory standby generator at existing single family dwelling as applied for.
Maintain minimum 5 foot setback from side yard property line.
At premises located at:
2345 Ba iew Ave Green ort
SCTM #473889
Sec/Block/Lot# 52.-5-1
Pursuant to application dated 2/1/2023 and approved by the Building Inspector.
To expire on 8/16/2024.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO-RESIDENTIAL $50.00
Total: $235.00
Building Inspector
C�
rzr w
ar 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 hii)s://www.s(,)utlioldtt)wniiy,gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use OnlyLD
�t
PERMIT NO. Building in�pecter�
F- B 2023
Applications and forms must be filled out in their entirety. Incomplete SUI) INGDEPI
applications will not be accepted. Where the Applicant is not the owner,an 7OWNOF ODTHOLD
Owner's Authorization form(Page 2)shall be completed.
Date:2/1/2023
OWNER(S)OF PROPERTY:
Name:Thomas Byrne SCTM# 1000-52-05-01
Project Address:2345 Bayview Avenue Southold NY 11971
Phone#:631-765-5275 Email:shrinkrhap@aol.com
Mailing Address:2345 Bayview Avenue Southold NY 11971
CONTACT PERSON:
Name:Sean O'Neill
Mailing Address:PO Box 64 Jamesport NY 11947
Phone#:631-722-3595 Email:oneilloutdoorpower@hotmail.com
DESIGN PROFESSIONAL INFORMATION
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email.:.
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
(]Other Generator installation $13,000.00
Will the lot be re-graded? ❑Yes MNo Will excess fill be removed from premises? ❑Yes MNo
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 235 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,F•diding code,
housing code and regulations and to admit authorized inspectors on premises and In building(s)for necessary inspections.False statements -ade herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the Newyork Stater Penal Law.
Application Submitted By(print name •Sean O'NeillIgAuthorized Agent ❑Owner
Signature of Applicant: � CO �
NNtg:�4�23
Notary Public,State of New York
No. 01BU6185050
STATE OF NEW YORK) Qualified in Suffolk County U
SS: Commission Expires April 14,20Q 1
COUNTY OF Suffolk )
Sean O'Neill 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
da of -. �, .. � ..
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Thomas Byrne residing at 2345 Bayview Avenue
Southold NY do hereby authorize Sean O'Neill to apply on
AOwne�s;iogwn�
ton of outhold Building Department for approval as described herein.
- _
2/1 /2023
the Date
Thomas Byrne
Print Owner's Name
2
0;-� ¢
tft BUILDING DEPARTMENT- Electrical Inspector
All,
TOWN OF SOUTHOLD
i M Town Hall Annex - 54375 Main Road - PO Box 1179
a rSouthold, New York 11971-0959
A Telephone (631) 765-1802 - FAX (631) 765-9502
ro err southoldtownn ov— seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2/1/2023
Company Name: Universal Electrical Services, LLC
Electrician's Name: Dennis Gebhard
License No.: ME-54018 Elec. email:gebhard73@gmail.com
Elec. Phone No: 516-242-9204 211 request an email copy of Certificate of Compliance
Elec. Address.: 151 First Avenue Massapequa Park NY 11762
JOB SITE INFORMATION (All Information Required)
Name: Thomas Byrne
Address: 2345 Bayview Avenue Southold NY 11971
Cross Street:
Phone No.: 631-765-5275
Bldg.Permit#: email:shrinkrhap@aol.com
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Tax Map District: 1000 Section:52 Block: 05 Lot:01
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly)w
Installation of 20kw Briggss & Stratton Generator
square Foots e,
Circle All That Apply:
Is job ready for inspection?: 11 YES NO Rough In Final
Do you need a Temp Certificate?: El YES NO Issued On
Temp Information: (All information required)
Service SizeF-11Ph[—]3 Ph Size: A # Meters Old Meter#
❑New Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 LiH Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT ITE WITH APPLI'CATI'ON