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HomeMy WebLinkAbout50245-Z .. TOWN OF SOUTHOLD °.f BUILDING DEPARTMENT TOWN CLERKS 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 #: 50245 Date: 1/23/2024 Permission is hereby granted to: Nastasi John 146 W 74th St Apt 5 New York, NY 10023 To: install generator as applied for. Must maintain minimum 10' setbacks from lot lines and provide protection from vehicle impact. At premises located at: 706 Wiggins Ln, Greenport SCTM #473889 Sec/Block/Lot# 35.4-18 Pursuant to application dated 12/15/2023 and approved by the Building Inspector. To expire on 7/24/2025. Fees: ACCESSORY $125.00 ELECTRIC $100.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $325.00 Building Inspector � rft/r 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 Littps://www.soutlioldtownny-,&O—v' Date Received APPLICATION FOR BUILDING PERMIT r Office Use Only PERMIT NO. Building Inspector: i �s ._ i ani Date: OWNFR(S)OF PROPERTY Name: SCTM # 1000- �,•, Project Address: 70 l// �',.5 Com, " r-e',•r ,.� Phone#: Email: ct r, ' Mailing Address: CONTACT PERSON: Name, f -.."" Mailing Address: S , ,,r�,��.r.a.. �✓ Z" • c Phone# �� � r Email; 7.z DEiiGN Pit FESSIONAL INPQRMATION: Name: Mailing Address: Phone#: Email: CONTRACTQR INFORMATION; Name: 1-21 Mailing Address: -5c-> /'4 Z,. Phone#: ( --/-73`[ — ;, - Email: �C 7,?-40 0 �0 r [?ESC,RIP1"ION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 00ther Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ENO 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 ❑No IF YES, PROVIDE A COPY. ❑CheckBoxAfterReading: :The aperi" nttactar/d ign professlonal is rasponsiW for all dratme and swrmy6terfssuesas Idedry uttdtn�zonae ��°zat*arf r "fazn�e A�PPf9u1i'tt=frit 13w kt�flE"�AAtaE tca thh amtf�tagg IJaa�arNtrraera�far tfae�suran�olre&kaatldtn{�Irea'n'it laaaasaaartt "ape �tfaotd f3k to � ,� �Sradtarae� ,�Tcra�ra "�+a ,� u 'a +; + tif�, PP w ,�d"dtttc ,a fares ori��yeaatf rur derwac+fttd tra desa6ltd."fie� � nf� tai�iawripfyr arm atP cable�aardlnafra' r baa��dGn 'm"ride, fpcar��ra � n �b� nr� tcat���afaddtatttaairtf�arfa'efaas�aera�rs�a�pPr �rafftat�ua�dutar)�ca��dryl ,parts.�rm�lz�sktetsrt��wfeher+�ln�re paintsfx�ibtas as C1as l"l rrm�scferti%eara�r' �a�rtf tta t �rttz„ftt�t5'+af tli�'twt�ltaaef't fi�ti���iial�k.�s�w; Application Submitted By(print name): h J ❑Authorized Agent ❑Owner PP ) t� olI12Zi�, �Jr. Signature of Applicant: r .?7 V�—� Date: �f CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) h-o 01BU6185050 SS: Qualified in Suffolk County COUNTY OF ) �'ornmission EXDires April 14, 202 ,11 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 f J-4'�'day of Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) �. S4Sl residing at _ .__�.-...—. do hereby authorize apply on my behalf to the Town of Southold Building Department for approval as described herein. /�• /� Z3 ---------------- wner's Signature Date Print Owner's Name 2 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 ❑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 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 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(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 By(print name): ht dy,' �f r, ❑Authorized Agent ❑Owner Signature of Applicant: -- Date: �f CONNIE D. BUNCH Notary Public,State of New York STATE OF NEW YORK) No. 01 BU6185050 SS: Qualified in Suffolk County COUNTY OF Conirnission Expires April 14, 200 ) 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 r J day of -� 200 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD �Z= ; 4, c Town Hall Annex - 54375 Main Road - PO Box 1179 e; Southold, New York 11971-0959 �� Telephone (631) 765-1802 - FAX (631) 765-9502 °`' ro err �southoldtowr�n . ov - seand sou�tholdtownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: / —lSs 7 Company Name: f�{��- 'e- Electrician's e-Electrician's Name; � s+Z2• ' . License No.: �` �I�_ Elec. email rze Elec. Phone No: ❑1 request an email copy 6f Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Ae Address: 1-412 L1 Cross Street: Phone No.: Bldg.Permit #: email: Tax Map District: 1000 Section: �66 Block: a Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):: Square Footage: Circle All That Apply: Is job ready for inspection?: El YES O Rough In 0 Final Do you need a Temp Certificate?: El YES NO Issued On Temp Information: (All information required) Service SizeEll Ph[—]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service?—Ly Additional Information: PAYMENT DUE WITH APPLICATION , tea ' AC t .. ssua C a(ato Location +,.^•r 42 2 71 Greenport Ll Residence , U , i L k nasia �JY F,pimeaflavtl , l -_ W CGL NS _, Site Plan ,p Site planAl 01.00