HomeMy WebLinkAbout50351-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
' `5r 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#: 50351 Date: 2/16/2024
Permission is hereby granted to:
Mea her....D.e.c.la..nm.........-
750 Blue Marlin Dr _._
Southold ... ......_____....... _ ---..._
.
NY 11971
To: Install an accessory generator to a single-family dwelling as applied for per
manufacturers specifications. Must maintain minimum setbacks of 10 feet.
At premises located at:
750 Blue Marlin Dr. Greenport m
SCTM #473889... ........ ...........................��.—_. m WW�...............................................................................
Sec/Block/Lot# 57.-1-29
Pursuant to application dated
024 and approved by the Building Inspector.
To expire on a... 8/17/2025.
Fees:
ACCESSORY $125.00
CERTIFICATE OF OCCUPANCY $100.00
ELECTRIC $100.00
-----------------
Total: $325.00
Building Inspector
TOWN OF SOUTHOLD-BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�n
Telephone 631 765-1802 Fax 631 765-9502 htt -// ww.sol�tlioldIgM � .. Dov'
ce � A
P � ) J
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only gg
E C E WE
?� JA
PERMIT NO." „ S I Building Inspector P)u ,JAN
1 9
2024
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owners Authorization form(Page 2)shall be completed.
Date: 'Q44-21
OWNER(S)OF PROPERTY:
Name: ' , �., v� me SCTM#1000-
_ �--r- _
Project Address: -75`0 ?-L I AJ P112-, LJ 1 ,
Phone#: 16 7Z3 Email: Ae e j14Q I,, Ir wa I , ev&t
Mailing Address: 4AK f- ,5 PXX.FC!T-
CONTACT PERSON:
Name:
Mailing Address: 7() H A e L,-J
Phone#: l & 4 Email: (JL°L144t4 V-V ® Ototc ► �A---
DESIGN PROFESSIONAL INFORMATION:
Name. kCA6 i4W At 1 (.A
Mailing Address: -7G0 - , v r
Phone#: ! Email:
der- dl�v it ®
CONTRACTOR INFORMATION:
Name: '� D to(C- b W �� � ��if
Mailing Address: fo 50 Ct>'T<-Ho
Phone#: (Q�j -73 L� S V
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
then AJS-%A vtiJ 41k'
Will the lot be re-graded? ❑YesNo Will excess fill be removed from premises? ❑Yes 300
1
PROPERTY INFORMATION
Existing use of property-4 mow. Intended use of property.
I" ,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
„, t this property? ❑Yes; No IF YES, PROVIDE A COPY.
Ch ck Box the Town Code. API PUPATION IS er SEB rector design professional Is responsible for all drainage and storm water Issues as provided by
Reading: I
Ch,pte
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): JLO�^4A&S C-,�14 � ❑Authorized Agent OGwner
Signature of Applicant: Date: //7/
STATE OF NEW YORK)
S:
COUNTY OF
cc—(O-sa a R s "` being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the -� n
(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
. I
day of V GL vl U oc / 20
Notary Public
Rebecca A. Lucak
Notary Public, State of New York
PROPERTY OWNER AUTHORIZATION Reg. No. 01 LU6386882
(Where the applicant is not the owner) Qualified in Suffolk County -
Commission Expires 02/04/2027
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
n � d u✓,cr,M
fft BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
amesh southoldtownn ov sea nd southoldtownn .aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 1/19/24
Company Name: Peconic Power Systems
Electrician's Name: Robert Stanevich
License No.: ME-45056 Elec. email: Peconicpowersys@gmail.com
Elec. Phone No: 516-819-7191 ❑I request an email copy of Certificate of Compliance
Elec. Address.: PO BOX 512 Cutchogue NY 11935
JOB SITE INFORMATION (All Information Required)
Name: Declan & laura Meagher
Address: 750 Blue Marlin Dr, Southold
Cross Street: Dolphin
Phone No.: 516-761-7343
BIdg.Permit#:- 50 1 email:decmarr@gmail.com
Tax Map District: 1000 Section: S7 Block: I Lot: a
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New 24KW Generac generator with 200 amp transfer switch
__Square Footage:_
Circle All That Apply:
Is job ready for inspection?: YES NO ❑Rough In Final
Do you need a Temp Certificate?: 0 YES I`/ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph 3 Ph Size: A # Meters Old Meter#
❑New Service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 n2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Z
N
r
Ln
All
� rrio
21
(14
15
o M"00,9
"0 CnR' �
m z r' � cn
r C co
Do
-
Ti
-4 o
EA
me
Nly
ryl 30
ca 17-
En
t3
30
7i L,4 LA
9.09
NA
Ln
y
14,0
oc
WJ �
a
o m '30 ��
to
Ci 1.9 lzi
cf) v -�-To
ti „
000 � ry, .� `Zg•`l o
Q)
� � � rn � � 0
v � � b
O 9P�
O