HomeMy WebLinkAbout49657-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 PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49657 Date: 9/7/2023
Permission is hereby granted to:
Salerno, Gerald ..
1 Thier Ln ..�....... .�.... .. ._.. . ... ....
Upper Saddle River, NJ07458
To: Install standby generator to an existing single-family dwelling as applied for according
to manufacturers specifications.
At premises located at:
1485 Park View Ln, Orient
SCTM # 473889
Sec/Block/Lot# 15.-5-24.24
Pursuant to application dated 8/1/2023 and approved by the Building Inspector.
To expire on 3/8/2025.m
Fees:
ACCESSORY $100.00
CERTIFICATE OF OCCUPANCY $50.00
ELECTRIC $85.00
Total: $235.00
Building Inspector
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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 htt :// southoldt vv-p .
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
'7 PERMIT N0. 4965 Building Inspector.
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Date: dkr , a�i 1a (P�r s�(�N, e aEir� e � O� , , , ,
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Date:
01NNER(S)OF PROPERTY:
Name: SCTM # 1000-
Project Address: a �kj OW%4^
Phone#: - �.��� I ► '�'�11�" �w1�
Mailing Address: � �( Q�
"CONTACT,PERSON:
Name-, ,. . I
Mailing Address: "
Phone#: " Pip Emailtv 86rcoll
DESIGN PROFESSIONAL INFORMATION:
Name: LA
Mailing Address:
Phone#: Email:
li � O INFORMATION: r_ - /
Name: 01
� AAl C
Mailing Address: 19
Phone#; p Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑N cwt Structure ❑Addition [:]Alteration ❑Repair ❑Demolition Esti ated Cost of Project:
CJther hit
$
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes fJNO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
yew �
Zone or use district in which premises is situated: Are there any covenants d 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 236 of the Town Code. APPLICATION IS HER 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 withal)applicable laws,ordinances,building code,
housing code and regulations and to aIdmit,authorced 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.
Application Submitted B rl t n me):
e Authorized Agent ❑Owner
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Signature of Applicant: . "" Date: -t3 Z 3
CONNIE D.BUN
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
Qualified in Suffolk County
V Commission Expires April 14,2 oDLy.
CO T OF }
being duly sworn, deposes and says that(s)he is the applicant
(Name of individua signing con ct)above named,
(191s 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
No,
L day of
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
44 I, residing at
do hereby authorize44d) to apply on"f",
my behalf to the Town of Southold Building Department for approval as described herein.
/OS(,A�g 10# jq- 23
Owner' Signature Date
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
+' " N TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
pone (631) 765-1802 - FAX (631) 765-9502
Telephone
`
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN IN ISM TI III forrWation Required)
Date;
Company Name: � `
Electrician's Name: +
License No.: Elec. email:
Elec. Phone No:HLI11
1 request an email copy of Certificate of Compliance
Elec. Address.°
JOB SITE INFORMATION (All Information Required)
Name: • 'A +
Address:
Cross Street:
Phone No.: r•
Bldg.Permit #: email: W o nixf
Tax Mafia District: 1000 Section: 15 Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Foota
Circle All That Apply:
Is job ready for inspection?: YES 1___J NO ❑Rough In EI Final
Do you need a Temp Certificate? YES O Issued On
Temp Information: (All information required)
Service Size Dl Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals Li 2 H Frame__L Pole Work done on Service? Y N
Additional Information.-
PAYMENT DUE WITH APPLICATION
DWELLING 13,+13.4
SEPTIC 150' + � G
' GO
� U
l3�k
+13.3
TING `
ZEE R +13.3
(12.9) DWELLING V
P�
+13,0 +13.3 +150'
ADJACENT
lei AS PER FILE[
P +12.6 ` +13.3 CP+15(
UP TO WEc
(8C 12.3
-12.4 \ /
CGG \ \\ (12.6) LD
/ )
\ \ i PROPOSED (12.9 ;
\ STONE +12.7
�� 13.1 \ DRIVEWAY // �
12" \
1 P.O.B \ (12.5)+
a 80X
LL_33,57 1 _3)\ (13.0) \ +12.9
20,00
PROPOSED + 13.3
13� +
A=96°09'30m UNDER GROUND (13.1
ELECTRIC SERVICE -
` FLAG PROPOSED CLEAN
L ANBEDROOM 13.1
/\ POLE (12.8) BD WELLINGHYDRC
+12.7 r AN
\ \ 1 STORY YX3'CONCRETE - 12.9
\ FF. EL =15.5' PAD FOR AIR PUMP + AIR
\\ E GF. EL =15.0' AND CONTROLS I LINE
13. /
BF EL = 6.5' (13.2) 13.0 �
\ VES
PROPOSED
\ LINE
WATER SERVICEELECTRICAL- +12.6
12\
CONNECTION
�0 1 \
PROPOSED
IN CONDUIT
PORCH
I
1.6 ' (13.2) 18"
(12.2) 12,6 i4
+11,4 \� VACANT LOT
PROPOSED
�\ MACADAM 12.8
lZ_ 1S \ DRIVEWAY + (12.8)
+
4)
11.3 TR e°j 1 -
p (12.8) +12,4 12A.,
(12.5)
P >
12' 2"112" 12.2)
11.9 20"
+ SIM
Y \ /.. 12.6 20.
PROPOSED WELL(12 o
+11.5 16`
10,7 12.3a
k PROPOSED
t1D +10SHED \
T_
`mss'.
\le-
to „
14 IL6
0,3 8"
1
C ' 24" 16"
11..4 11.4 �+�X
+9.6
18, elm
14-110-
12"