HomeMy WebLinkAbout49586-Z , TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
14
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#: 49586 Date: 8/16/2023
Permission is hereby granted to:
Tropeano, Michael
1 Boerum PI #5A
Brook) n, NY 11201
To: install generator as applied for.
At premises located at:
1740 Inlet Pond Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 33.-3-19.7
Pursuant to application dated 7/7/2023 and approved by the Building Inspector.
To expire on 2/14/2025.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Building Inspector
z.
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) 765-950211th %rawratt o�lc�Crararc
Date Received
APPLICATION FOR BUILDING PERMIT
El
For Office Use Only � � pp
� f
PERMIT NO.� a _..� .__.m.._..,®... Building Inspector-,. �I
_, ._ ..... J U L. — 7 2023
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BUTUDING DEPT.
Owners Authorization form(Page Z)shall be completed. C""T T7
Date:
OWNER(S)OF PROPERTY
�. o_ iq.7
Name:'" SCTM#1000-. �7�1
Project Address
I-- . ������ �:m
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name: Loco tr ke - r-Ao
Mailing Address: yyt,E,.
_..... ..�u.._ m -® .._ ... G1�` �r-�4 fZQo mil Gt. P Cain
101 4494..Phone#..... (. �� �'� Email .... corr��..... ... ....�__._—_if, ....m
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Emall ...�.� .u.�...A � .. ._.._ ... .... .....
CONTRACTOR INFORMATION:
......... _. . ...
Name: h5r.�r��v TJ.as«cn &'f ........��.. .—_. ._�—..._�...__..�.—,......_-....___..._.
Mailing Address: .&y $Sw L((LI,le �t(�,� Term f1`f ll'ti'17
Phone#: ( ..4.. _ .w ........ _ Email L(ova .Cv
DESCRIPTION OF PROPOSED CONSTRUC71ON
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
her (X+�rar�r 4WA 12-, a a=
Will the lot be re-graded? ❑YespNo Will excess fill be removed from premises? ❑Yes KNo
1
__ _..,_.............__ .._ ...� _.,a _e.......�.. ........... .�. .._.. _.
PROPERTY INFORMATION
Existing use of property: jFj�;�v Intended use of property: 2� k
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes �Vo IF YES, PROVIDE A COPY.
- CheCk BOX After Reading. The owner/contractor/design professional Is responsible for drainage anm
(� ag d storm water issues as provided by by
Chapter 236 of the Town Code. APPUCATION 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 descnbed.The applicant agrees to comply with all applicable laws,ordinances,b+arlding code,
housing code and regulations and to admit authorized Inspectors on premises and In bullding(s)for necessary inspectlorm False statements made herein are
punishable as a Gass A misdemeanor pursuant to Section 210AS of the New York State Penal taw.
Application Submitted By(print name): hzo 41-r Ld'Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
,�.Pco being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the A 6--t1� ...........
(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
Y _.._. 20 _ ..m....... _._ � ...
L011i r
Notary Public
Notary Public - State of New Ya,k
a NO. O1 SM6184458
Qualified in Suffolk C11 ly PERTYAUTHORIZATION
._,. NER
M', �r
Cornission Expires
(Where the applicant is not the owner)
r
tq It,
nk IT� .
residing at
•___. ( r lc.ti
.�.._ ...� .�. ..n...., do hereby authorize�._._.. ...,, ��.�.�_ ._...... ....�. �_ to apply of n
� 3C-0 ' A �VILV-/� Y
my i If the 'own ° outhold Buil Department for approval as describ d hi hrein.
�
&Oner's S ,natures � Date7RI � ..... .
..........
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
'y Town Hall Annex- 54375 Main Road - PO Box 1179
rye:
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631)765-9502
r cterra out oldtownny. civ s and a southoldtownn civ .90V
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ( Is-
Company Name: FM Electric Inc
Electrician's Name: Louis Otega
License No.: 4099-ME Elec. email:finelec01@optonline.net
Elec. Phone No:"631 727 6822 El I request an email copy of Certificate of Compliance
Elec. Address.: 83 Forge Road, Riverhead, NY 11901
JOB SITE INFORMATION (All Information Required)
Name: Tropeano
Address: 1740 Inlet Pond Road, Greenport
Cross Street:
Phone No.: 516 903 6498
BIdg.Permit#: 22'5� email:finelec01 @optonline.net
Tax Map District: 1000 Section: Block: O'; Lot: (Q
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
22KW Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES FJ NO E]Rough In Final
Do you need a Temp Certificate?: El YES NO Issued On
Temp Information: (Ali information required) -
Service Size❑1 Ph E]3 Ph Size: -- .u..-.A # Meters--- Old Meter#
F-1 New Service[]Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2F H FramePole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION