HomeMy WebLinkAbout1000-45.-2-8 SUNKEEPER
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CONSULTANTS
-CONSULTANTS
E S "A' I T E
F J Ho 0 L F Um" I ON O"N 03
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ITE 'PROJECT:
CCC CCC 4444 L F&J HOLDINGS ESS
SITE 1
865 RTE.28,GREENPORT NY 11944
3
CLIENT:
SUMMIT RIDGE
ENERGY
100 CHURCH STREET,STE.800,NEW YORK
-- - ' NY 10007
KEY PLAN PROJECT NARRATIVE SHEET LIST
` -- ---- -- -- -- _ ' THIS DRAWING SHALL NOT BE USED FOR
- GENERAL INFORMATION TO ADJACENT CONTAINERS OR i. AT'SECURITY FENCE WILL SURROUND THE DRAWING NO. TITLE j CONSTRUCTION UNLESS APROFESSIONAL
STRUCTURES, ESS,THE FENCE WILL HAVE MULTIPLE 12' 1 T-100 TITLE SHEET SEAL AND SIGNATURE HAVE BEEN APPLIED.
1. PROJECT CONSISTS OF A CONTAINERIZED 3, THE SITE WILL BE EQUIPPED WITH A FIRE ACCESS GATES WHICH WILL BE
4 _= AREA OF WORK ENERGY STORAGE SYSTEM(ESS).THE ALARM SYSTEM.THE FIRE ALARM WILL BE KEY-LOCKED FOR SECURITY.UPON - A-ip0 SITE PLAN - '
PLANNED SYSTEM SIZE IS 4290 KVA 114,825 MONITORED BY A CENTRAL STATION,IN REQUEST BY THE AHJ A KNOX BOX OR --.
KWH.THIS SIZE MAY DECREASE PENDING ADDITION TO 2417 MONITORING OF THE EBS OTHER MEANS OF EMERGENCY i A-701 SITE DETAIL 3 '
REVIEW 0Y PSEG•LI,OUT WILLNOT CONTROL SYSTEM BY TME RESPONDER ACCESS WILL 8E PROVIDED. ? - - --
INCREASE.ESS WILL BE MANUFACTURED MANUFACTURER. 2. A V EGRESS PATH WILL BE MAINTAINED -
855 RTE 25 BY TESLA. 4. EACH CONTAINER IS EQUIPPED WITH AROUND THE ESS CONTAINERS,AND -
2. THE SYSTEM WILL CONSIST OF(5)EBS DEFLAGRATION VENTING,SIZED AND BETWEEN THE PERIMETER FENCE AND ALL j -
.- CABINETS,WHICH CONTAIN BATTERY DESIGNED BASED ON UL9540A FIRE TEST ESS EQUIPMENT. -
RACKS,DC BUS CONNECTIONS,POWERDATA. 3. POLE-MOUNTED SITE LIGHTING WILL BE
CONVERSION SYSTEM,THERMAL 6,
EMERGENCY POWER OFF(EPO)SWITCHES PROVIDEDTO ILLUMINATE ALL EQUIPMENT
MANAGEMENT SYSTEM,AND CONTROLS, WILL BE MOUNTED NEAR THE SITE GATES AT NIGHT. _[
3. THE SYSTEM IS STANDALONE(NOT PAIRED AND WILL OPEN ALL DC CONTACTORS IN 4. OTHER AUXILIARY EQUIPMENT INCLUDES ( _
WITH ANY OTHER GENERATION)AND WILL EACH CONTAINER,AS WELL AS TRIPPING CONTAINER-MOUNTED HVAC SYSTEMS, 1
BE INTERCONNECTED TO PSEG-LI.THE ALL AC BREAKERS.THIS WILL SHUT DOWN CONTAINER INTERIOR LIGHTING,AND 0 I.07-27-2020. ISSUED FOR REVIEW
685 RTE 25 SYSTEM WILL IMPORT AND EXPORT POWER INVERTERS,AND SHUT OFF AC POWER TO UNINTERRUPTIBLE POWER SUPPLIES(UPS) SITE INFORMATION
I PERIODICALLY THROUGHOUT THE DAY AND ALL ELECTRICAL EQUIPMENT ON THE FOR THE CONTROL AND SAFETY 1 TAX MAp M,10pp - REV DATE DESCRIPTION
WILL BE COMPENSATED BY PSEG-LI CUSTOMER SIDE OF THE POINT OF EQUIPMENT. 2. SECTION:;1 DRAWING:
f�}- ff ? THROUGH THE VALUE STACK TARIFF. COMMON COUPLING WITH THE UTILITY, ! 3. BLOCK,2 i
' I `£F' - BATTERY INFORMATION ELECTRICAL EQUIPMENT 4. LOT;e
£- s. ZONING:LB LIMITED BUSINESS : TITLE SHEET
1 BATTERY MODULES ARE MANUFACTURED f ELECTRICAL EQUIPMENT WILL CONSIST OF
BY TESLA. PADMOUNTED MEDIUM VOLTAGE 1
r= _ 2. BATTERY MODULE CHEMISTRY IS LITHIUM TRANSFORMERS,MEDIUM-VOLTAGE _ -
i/ _ ION. SWITCHGEAR.AND ALOW VOLTAGE 1 - SCALE NTS WHEN PRINTED ON 11X17 '
h - AUXILIARY SWITCHBOARD.
FIRE PROTECTIONS SAFTEY 2. ALL EQUIPMENT IS PADMOUNTED AND WILL 1 SEALBS)GNAY*- PROJECT NUMBER SKS20120
NOT SE HOUSED INSIDE OF ANY G �.._
1- ESS CONTAINERS ARE OF STRUCTURE. 1 :DRAWN 8Y: Me
I_ s NONCOMBUSTIBLE(STEEL] 3. THE SYSTEM WILL BE CONNECTED TO T
- CONSTRUCTION. PSEG-LIS RADIAL OVERHEAD SYSTEM VIA ,r * CHECKED BY:
I 2. THE SYSTEM HAS UNDERGONE ULS54GA DEDICATED SERVICE AND WILL INCLUDE A }
FIRE TESTING,TEST DATA IS AVAILABLE POLE-MOUNTED MEDIUM•VOLTAGE - { _ CHECK CODE:
UPON REQUEST AND DEMONSTRATES DISCONNECT SWITCH. I )L - I DRAWING NO.
THAT FIRES ORIGINATING WITHIN AN EBS I = 1
CONTAINER REMAIN CONTAINED WITHIN SITE AAUXFLIARY EQUIPMENT -
THE CONTAINER AND DO NOT PROPAGATE
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CONSULTANTS
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72'-2'
72'-2' f
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1 ESS SYSTEM AT$85 RTE 25 214'- '
TO BE FILED UNDER SEPARATE PROJECT: _-- ----
APPLICATION,SHOWN HERE r r
FOR CLARITY ONLY r 508'-4"
r 855RTE.25 F&J HOLDINGS ESS
r SITE 1
855 RTE.25,OREENPORT NY 11944
r'
3 - --. ---...
CLIENT:
O
\\ SUMMIT RIDGE
i UNDERGROUND CONDUITS T' € ENERGY
i WIRING TO FRONT f- 100 CHURCH STREET,STE.8DQ NEW YORK
OF PROPERTY r NEW PSEG-LI POLE(S) NY 10007
AND POLE-MOUNTED
i DISCONNECT SWITCH - --.. ----.
(EXACT LOCATION
1 - PENDING PSEG-LI _ THIS DRAWING SHALL NOT BE USED FOR
- PROPERTY - -
j LINE BOX . REVIEW} �. CONSTRUCTION UNLESS A PROFESSIONAL
r SEAL AND SIGNATURE HAVE BEEN APPLIED.
# 347-8" / ( -
r r�-u..TO IL
- -
j 585 RTE.25- ff 6^" CUSTOMER
POCC
STATE WETLAND I _
9 Y
WETLAND CHECK ZONE 007-27-2020 ISSUEDFOR REVIEW
A
REV .ATE DESCRIPTION t
\>` ZONING LOT DRAWING:
BOUNDARY
SITE PLAN
,l
®EXISTING STRUCTURES
SCALE=11128"=P-0` WHEN PRINTED ON 17X17
�k Il S 8`S GNATURE PROJECT NUMBER:SK82D120
DRAWN BY: MB --.
CHECKEDBY: -
CHECK CODE:
x }
DRAWING NO.
-100.00
_SHEET 2 OF 3
SUNKEEPER
S L A R
CONSULTANTS
sr-r
2 i
BESS SWITCHGEAR 227'-2' PROJECT.
F&J HOLDINGS ESS
BESS TRANSFORMERS ITYR OF SITE I
866 RTE.25,GREENPORT NY 11944
PULL BOX FOR CLIENT:
UNDERGROUND
WRING SUMMIT RIDGE
EBB SYSTEM AT 585 RTE 25 ENERGY
To
i BE FILED UNDER SEPARATE BESS EQUIPMENT
APPLICATION SHOWN HERE 100 CHURCH STREET,
i
NY 1 STE BGS NEW YORK
FOR
'CLARITY ONLY 0007
THIS DRAWING SHALL NOBE USED FOR
CONSTRUCTION UNLESS AT PROFESSIONAL
BEAL AND SIGNATURE HAVE SEEN APPLIED.
PROPOSED 7'FENCE i 84'-9'
ENCLOSING BESS
EQUIPMENT
PROPOSED IZ ACCESS GATE
M OF 0 07-27-MO ISSUED FOR REVIEW
I
T CAL 4)
i
PULL BOX FOR REV DATE DESCRIPTION
UNDERGROUNDDRAWING:
WIRING
EASEMENT CROSSING TO BE COORDINATED
WITH PSEGJJ AND SKALL FOLLOW ALL
(5 PSEEC–U REQUIREMENTS SITE DETAIL
SCALE IW=V-0" WHEN PRINTED ON I 1XV
SEAL PROJECT NUMBER SKS20120
DRAWN BY: ME
CHECKED BY: —
CHECK CODE:
3
DRAWING NO.TUONFRONT ROGFUPNRDOWPIERRINTGY
A-101.00
SHEET 3 OF 3
SUNKEEPER
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'CONSULTANTS
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PROJECT:
F&J HOLDINGS ESS
SITE I
-----------
855 RTE.25,GREENPORT NY/}94a
3
My CLIENT:
nm,
7EI
SUMMIT RIDGE
ENERGY
100 CHURCH STREET,STE,800,NEW YORK
NY 10007
THIS DRAWING SMALL NOT BE USED FOR
CONSTRUCTION UNLESS A PROFESSIONAL
SEAL AND SIGNATURE HAVE BEEN AFI`UtU.
OVERALL SYSTEM SIZE 4290 KVA 14825 KWH
ESS SCHEDULE INVERTER SCHEDULE
SEE SHEET E-301 FOR WIRE SCHEDULE i UNIT SESSA,2,3.45 i MANUFACTURER TESLA
..........
MFG
TESLA ����11A,INTEGRAL TO 11�169i
EBB DO WIRING IS UNGROUNDED.EBB CONTROL RACKS INCLUDE INSULATION
MONITORING.ON DETECTION OF A GROUND FAULT IN DO WIRING,CONTROL MtN MErAPACK 4-HR RATED POWER 858 KVA
RACKS WILL OPEN BATTERY RACK DO CONTACTORS AND GENERATE AN 12 MAX.REAL P
NUMBER OF POWERSTAGE DINER(LIMITED BY
ALARM DC POWER) 741.2 KW
RATED POWER 7M.2 KW 1988 KVA
RATED AC VOLTAGE 480V 24 WYE
ALL PHASE VOLTAGES AND CURRENTS ARE BALANCEDRATED ENERGY 2965 KWH
1 07-27 2020 ISSUED FOR REVIEW
FREQUENCY 60 HZ REV DATE DESCRIPTION
MODULE MFG
I
-302 FOR RELAY FUNCTIONAL DIAGRAMS TESLA
SEE SHEET E RATEDACCURRENT 1032A
5 MODULE CHEMISTRY i i DRAWING:
LITHIUM[ON
HARMONIC DISTORTION(THD) .3%
SINGLE LINE
CONTAINER DIM 23'9 X 5'-3"X 8'4°
PEAK 1746A
CONTAINER WEIGHT(EA.) i 56,000 LBS SHORT CIRCUIT CONTRIBUTION TRANSIENT rK-1235A DIAGRAM
STEADY STATE 1,=1236A
-4
AVAILABLE BUT NOT ENABLED 'SCALE NTS WHEN PRINTED ON 1IX17
VOLT-VAR P-0 CONTROL BY DEFAULT,
POWER FACTOR SETPOINT "GO*
SEAL&SldNAJURE�, PROJECT NUMBER:SKS20120
DRAWN BY: ME
RAMP RATE USER SETTABLE
UNCONSTRAINED BY DEFAULT' CHECKED BY; —
AVAILABLE BUT NOT ENABLED 'ICHECKCOOE: —
FREQUENCY DROOP CONTROL
BY DEFAULT'
w'
UL LISTING 1741 SA DRAWING NO
'UL 17415A FUNCTIONALITY.NOT ENABLED BY DEFAULT AND NOT
PLANNED TO BE USED FOR PROJECT,BUT AVAILABLE IF
INTERCONNECTION.
i " - I - -
DEMONSTRATED TO BE NECESSARY FOR 300-00
.SHEET I OF 3
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SUNKEEPER
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CONSULTANTS
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=PROJECT:
F&J HOLDINGS ESS
SITE 1
# _ {+ '� € } 855 RTE.25,OREENPORT NY 14&44 3
CLIENT:
$T SUMMIT RIDGE
ENERGY
Ijnea h- 100 CHURCH STREET,STE.500,NEW YORK
1 � '
NY 10007
_ a THIS DRAWING SHALL NOT BE USED FOR
CONSTRUCTION UNLESS A PROFESSIONAL
F�
- I _ SEAL AND SIGNATURE HAVE BEEN APPLIED.
.p
173 r }7
CONDUIT&CONDUCTOR SCHEDULE
N
TAG CONOUIT, CONDUCTORS IN EACH CONDUCTOR MATERIAL CONDUIT SIZE AND MATERIAL2020'
CONDUIT 0 -07 2T ISSUED FOR REVIEW
' PER TAG i
1 16KV RATED.133%EPR,COPPER `4-RPVC,CONCRETE ENCASED - f-. - REV i DATE DESCRIPTION
A i 3+«410 AWG&t-#2 DEC FULL SIZE CONCENTRIC NEUTRAL i IN TRENCH -
4-3N AWG EGC XHHWIXHHW-2 COPPER 3'RPVC(BURIED)
( DRAWING:
THREE LINE DIAGRAM
G 4 4.500 MOM&imto EGC XHHWIXHHW-2 COPPER a RPVC(BURIED)
D 1 4-012 d#12 EGC THHWITHWN-2 COPPER 3/4'RMC
k t----.--- I SCALE=NTS WHEN PRINTED ON 71X17
E 1 2-012ZEGC THHW7THWN-2 COPPER 314*RMC SEALS SIGNATURE iPROJECT NUMBER:9KS20120
#12M SHIELDED -- - - I I DRAWN BY: Me
F 9 THHWITHWN-2 COPPER 3t4'RMC
' I EGC _ � vm)`i�. ,CHECKED 8Y: -
-. CHECK CODE;
4-q SHIELDED (t -
G ' 1 EGC THHWffHWN-2 COPPER � t'ftMG -�- I
---. ` € t I ! _DRAWING N0.
NOTES; ..
1.MV CABLE SHALL MEET UTILITY SPECIFICATIONS.ALL MV CABLE AND CABLE TERMINATION SPECS TO BE APPROVED BY —UTILITY PRIOR TO INTERCONNECTION.
1 2.PROVIDE 90'C RATED CABLE AND TERMINATIONS FOR TRANSFORMER SECONDARY CABLE CONNECTIONS TO -
TRANSFORMERS AND MEGAPACK AC SUSBARS, _
SHEET 2 OF 3
SUNKEEPER
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va_wsiu w.wr �a aa.+Rrarosr� r�.+m Rxuv�ru �
RELAY SETTINGS
SCHWEfT7PR SE1351 v�T�E -�;ca�.r.a,
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PROJECT:
Y
— aG F&J MOLDINGS ESS
o„ m ..------------
--------------
. SITE 1
855 RTE.25,GREENPORT NY 11844
I
} 3 ,MAIN Pf OTEGTIV RELAY FURICTIONAL DIAGRAKA CLIENT:
4 E-3D2'WT.S
SUMMIT RIDGE
ENERGY
100 CHURCH STREET,STE.800,NEW YORK
NY 10007
THIS DRAWING SHALL NOT BE USED FOR
CONSTRUCTION UNLESS A PROFESSIONAL
SEAL AND SIGNATURE HAVE BEEN APPLIED.
RELAY SETTINGS
suers» i
SCHWEITZER SEL 501 I -
if
0 +07-27-2020= ISSUED FOR REVIEW
3 i
REV DATEDESCRIPTION
i
a •� anm _ m_=_J
'DRAWING:
_ ____F___ RELAY FUNCTIONAL
DIAGRAM
€SCALE=NTS WHEN PRINTED ON 11%17
SEAL 5 SIGNATURE.,- _PROJECT NUMBER:SKS20120
'DRAWN BY: MB
3 1' iCHECKED BY;
CHECK CODE: ----
3 DRAWING NO.
z 1SECON DARY UVERCURRENT RELAY FUNCTIt NAL DIAGRAM
`�E-3G2 N.T.S
E-302.00
t
-''€# SHEET 3 OF 3
1
AUG 2 G 2020
FORM NO. 3 �,it
g Scrod
NOTICE OF DISAPPROVAL
DATE:August 20,2020
TO: F&J Land Holding LLC
855 Route 25
Greenport NY 11944
Please take notice that your application dated August 11,2020
For permit to instk Lla b tierStora Y energy system at
Location of property: .R aLgt�25,,Grccn c� J
County Tax Map No. 1000—Section 45 Block-2. Lot 8
Is returned herewith and disapproved on the following grounds:
"1w prc, asjt use isnw�t ems,,nitt cl,p wm tawltwtq licle 11I11 Sec .041,.A..:�"1?prr���tte�_C�se�.x,
battery storgpLenergyAystem is not a,per pitted it in the LB zonae.
I W@ v r gn is rantedk the S utholdwT crena Iowa pg Board of p eat�plan approv� l frown the Southold Town
I?lannin ward will e g uire
�...........
ffiorized Signature
Note to Applicant:Any change or deviation to the above referenced application may require further review by the
Southold Town Building Department.
CC: file,Z.B.A.,planning
- I °' FOR INTERNAL USE ONLN
SITE
PLAtV USE TERMINATION
...Nanning
�..�Boar��� ..._...�...,'
rct al 1 tarn'tlnat,o,,
Date _...�...�._.. �~
Project-Name:
Project Address: �
J
Zoning Dist�€�ct;�.. -,�
County Map No.:1'000=�'�---�-
Suffolk .�Tax
Requesf: °
documentation as to
d
(Note: Copy of BuildinghP should be submitted.)
r I allcation ansupporting
proposed use or uses
Initial Determination as to whether use is permitted: -m1t,
------------------
Initial Determination as to whether site plan is required
..�.�....._��;�-- ...-�, -�-. .�... ,..:tor
.. ....... Signature.. �._.,w _- Signature o' Buil Ing
artment (P.D..) Deferral:
Planning Dep
. Date Received: -�
Iq
Date of COmment:� = --
P. go
ornments: - rp
Signature of Plannin ept. Staff Reviewer
Fir at D t rr� hlaorr
Date:
�nPctor
eir.nafitre, of Ruiklin❑ In
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Hcalth
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved ate
Phone:
Ex iration .20
Building Inspector
J AUG 1 1 2620 _ APPLICATION FOR BUILDING PERMIT
Date 7/27 20 2Q
Tf; BUILDINGDEM INSTRUCTIONS
a.This application MIDST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy. F
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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,or 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 for necessary inspections.
(Signa re of applicant or name,if a corporation)
639 M rlborough Rd. Brooklyn NY 11230
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Agent for lessee
Name of owner of premises F&J LAND HOLDING LLC
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
855 Route 25 Greenport
House Number Street Hamlet
County Tax Map No. 1000 Section '45 Block 2 Lot 8
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy COMMERCIAL/VACANT STORAGE
b. Intended use and occupancy ADDITION OF NEW ENERGY STORAGE SYSTEM CONNECTED TO PSEG-LI DISTRIBUTION SYSTEM
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other WOIkINSTALLATION OF BATTERY STORAGE EQUIP.
(Description)
4. Estimated Cost $7,414,000 Fee $50
(To be paid on filing this appplication)
5. If dwelling,number of dwelling units N/A Number of dwelling units on each floor N/A
If garage,number of cars N/A
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. SEE ABOVE
7. Dimensions of existing structures,if any:Front 627 Rear 62'9" Depth 73'10"
Height 15' Number of Stories 1
Dimensions of same structure with alterations or additions: Front 62'9" Rear 62'9"
Depth 73'10" Height 15' Number of Stories 1
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front 347' Rear 294' Depth 506'
10.Date of Purchase 4@412008 Name of Former Owner SCHOENSTEIN,FRED ROBERT
11.Zone or use district in which premises are situated LB
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO X
13.Will lot be re-graded?YES_NO X Will excess fill be removed from premises?YES X NO_
14.Names of Owner of premises F&d Landhotdin9 LLC Address 855 RTE,25,GREENPORT Phone No. (914)819-8291
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES X NO
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO_X
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES X NO
*IF YES,PROVIDE A COPY. PSEG-LI EASEMENT IS KNOWN TO EXIST BASED ON PREVIOUS SURVEY,SEE ATTACHED SITE PLAN
STATE OF NEW YORK)
SS:
COUNTY OF
n"1,-H fl_-_R( S being duly swom,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 knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
7'4- day of 20 3'O
Regina J.Brooks
lies•York
otary Public No.0IBR6310577 Kinds County Signature of Applicant
Commission Expires 09.25 2022