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HomeMy WebLinkAbout49615-Z �r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE r 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#: 49615 Date: 8/24/2023 Permission is hereby granted to: Taplin III, Robert 200 Mathews Ln Cutchogue, NY 11935 ..................... To: Install 18 Kw generator to an existing single family dwelling a applied for per manufacturers specifications. At premises located at: 200m Mathews Ln, Cutchoguem SCTM # 473889....�.............. ... w ...._.......................................... Sec/Block/Lot# 84.-1-22 Pursuant to application dated 7/17/2023 and approved by the Building Inspector. ..._........................................ p /22/202 To expire on 5.2 Fees: ACCESSORY $100.00 CO-RESIDENTIAL $50.00 ELECTRIC $85.00 W.................�..�...� Total: $235.00 Building Inspector of 40"e„ TOWN OF SOUTHOLD—BUILDING DEPARTMENT i Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 a Telephone (631) 765-1802 Fax(631) 765-9502 htt s: Lwww.s0 gtholdtov-nr:r - Y Date Received APPLICATION FOR BUILDING PERMIT EQUIVE I For Office Use Only PERMIT N0, 1 1 NJ I Building inspector., � JUL � � 202M.- 73Un., G Applications and forms must be filled out in their entirety.Incomplete TC)I"% n, . applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:6/22/2023 OWNER(S)OF PROPERTY: Name:Robett Taplin SCTM#1000- - ( I Project Address:200 Matthews Lane, Cutchogue, NY 11935 Plane#: ti31-73 -7127 Email: r t.•�o.�+' +� . Mailing Address:200 Matthews Lane, Cutchogue, NY 11935 CONTACT PERSON: Name;Joe Whitman Mailing Address:PO Box 512 Cutchogue NY 11935 Phane :531.. 33-$502 Email:peconicpowersys@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Joie Whitman, MailingAddress:PO Box 512 Cutchogue NY 11935 Phone#;031-33-850 Email-, , CONTRACTOR INFORMATION: Name:JQO Whitman, Mailing Address: PO Box 512 Cutchogue NY 11935 e#:531 Email:3 3 3502 Phon DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other �' 'r.✓ r / Will the lot be re-graded? ❑Yes 0 N Will excess fill be removed from premises? ❑Yes 0 N 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ONO 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.APPUCATION 15 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 hereindescribed.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 210AS of the New York State Penal Law. Application Submitted By(print name):Joe Whitman WAuthorized Agent ❑Owner Signature of Applicant, Date: 6/22/2023 STATE OF NEW YORK) COUNTYOF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 2 day of 2 3 Notary Public Thomas � PROPERTY OWNER AUTHORIZATION EOTAIF� ' ` '' `TATEOFiVEWYORK (Where the applicant is not the owner) Q �>aDolkCotmty CCL ',:3 December 4,20 2 residing at c A 'j L— / . do hereby authorize ✓ to apply on my If to the To of So 1uilding Department for approval as described herein. 1, ��� Owner's Sign tore Date 6el-1 Ta,,42 Zz�2 Print Owner's Ntime 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 w New York 11971-0959 � ,� Southold, Telephone (631) 765-1802 - FAX (631) 765-9502 0'" ro err southoldtownn . ov— seared soutTholdq of . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 6/22/2023 Company Name: Peconic Power Systems Electrician's Name: Robert Stanevich License No.: ME-45056 Elec. email:Peconicpowersys@grnail.com Elec. Phone No: 631-383-8502 El I request an email copy of Certificate of Compliance Elec. Address.: PO Box 512 Cutchogue NY 11935 JOB SITE INFORMATION (All Information Required) Name: Robert Taplin Address: 200 Matthews Lane, Cutchogue NY 11935 Cross Street: Cox Neck Phone No.: 631-734-7127 Bldg.Permit#: r email: northwoods1 @onponline.net Tax Map District: 1000 Section: Block: Lot: , BRIEF DESCRIPTION OF WORK„ INCLUDE SQUARE FOOTAGE (Please Print Clearly): 18 KW Generator S ware Foota e:. Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES R] NO Issued On Tem P Information: (All information required) Service SizeEll PhLi3 Ph Size: A # Meters Old Meter# ❑New ServiceOFire Reconnect OFlood Reconnect[]Service Reconnect[]underground00verhead # Underground Laterals 1 2 H Frame M,.Pole Work done on Service? Y N Additional Information: PAYMENT IDUE'WITH APPLICATION X05 24/a•f�r� I !�. •�. 1ti'o, L Al T/4 r--t- ll,%vl ' r .- � A`� Q a5a[/rH .'�O, N. 'r'. lJ�y't/ 21976 ��. D. r,� :f -So " DATE OCTOC? r�1. _ �r��. `•: �d�� �,��f wQ,-rs40 ✓. F. The sewage disposal and water �; f �'.. 1 facilities for thin 'locution �..-.,....... ,, .. .,, .. . .. inspected by this d :p rtme .it and fou-Ld to. be sat SfaT, ° .- j =r hi . perm j > ©rind. arvio - i P,tj r 00 fi f ''3 J�-ale 4 C-1 i7A0HeAh1e_n i } ' ,• UNAUTHORIZEPAITERATION OR ADDITION za' ' IO THIS SURVEY IS A VIOLATION OF THE NEW YORK STATE • _ ` SECTION 7209 OF ' 1 EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SUR VEYUIt'S IIIKID SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TGUL• COPY. GUARANTEES 114DICAfLD I;LQON SHALL RUN ONLY TO THE kjERSON FOR WHOM•THE SURVE 15 PREPAGED, AND ON HiS GEHALF TO THE " TITLE COMPANY, GOVLMMD N'TAL ACTNCY AN BLENDING INSTITUTION LtSIFD HiR1ON, AND - a TO THF ASSIGNEES OF TTIF LENDING INS41- 1 TLITIOfC GUARMTEESi ARE NOT TRANSFEII.A U 'ISO ADOMNAL 1I61IT'UT1ON5 OIL SU6S O 40 S�res .- + '� a Z-7#1974 . s _ c � Y owl [ _ k [ f ..his a� '• . rrt j� i(y► 44 o- = I>r -Con r /* S re's 4i .......... e 5-lan ad) i i4 n e 7 _ g � I , pro V �. j . , -