HomeMy WebLinkAbout50455-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
4 n�'
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#: 50455 Date: 3/19/2024
Permission is hereby granted to:
C_VJB LLC
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Water Mill,-NY 11976_ .�,., .___.��...... .�..... �.. .����. � �..._ . ........ ....... _.�..
To: Install an accessory generator to an existing single-family dwelling as applied for per
manufacturers specifications. Must maintain minimum setbacks of 25 feet.
At premises located at:
1390,Demarest Rd Orient
SCTM # 473889
Sec/Block/Lot# 13.-2-7.7
Pursuant to application dated 1/19/2024 and approved by the Building Inspector.
p' 8 To expire on 9/112025.___mmmITIT_mm�
Fees:
ACCESSORY $125.00
CO-RESIDENTIAL $100.00
ELECTRIC $100.00
Total: ...$3...._._..
25.00
Building Inspector
"ikn.
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
a r Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowiiny.Lov
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only 1J,
�"
PERMIT NO. Building lnspector: j a ! N ^� p
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Applications and forms must be filled out in their entirety.incomplete pµ
applications will not be accepted.' Where the Applicant is not the owner,an "
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(A OF P OPERTY:
SCTM # 1000- a —'Name: (- { NfAg _ rl
�.
Project Address: ✓ e yy, �a
Phone#: 6 f j Q Email:da` , A
Mailing Address: s ,
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: " Email:.
a
CONTRACTOR INFORMATION:
Name: PQNI� U j L U ' 7
Mailing Address: -fib )'t 2 (O
Phone#: 1 g� Email (}•( bn.�0
DESCRIPTION OF PROPOSED CONSTRUCTION
pair ❑ emolition
❑jOtheStructur ❑ ditionAlteration []Repair Estimated Cost of Project:
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes No
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.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 ofthe Town Code. APPLICiCTION'IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone y
ordinance ot't�e T&n of SouthoW#'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 witk6ll,applicable laws,ordinances,building code,
housing,code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections:Fatse,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) 11 _I ❑Authorized Agent E Owner
Signature of Applicant: ( Date:
STATE OF NEW YORK)
S.
COUNTY 0�' �� SM If )
being duly sworn, deposes and says that(s)he is the applicant
(Name oY individual signing contract) above named,
(S)he is the 0Lj)k_2_
(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.
r
Sworn before me this
��
-ljqayof JAMA6�� 120
Notary Pu
DEBOR A.WOJCIK
Notary Public,State of New York
PROPERTY OWNER AUTHORIZATION No.499015,9
Qualified in Suffolk Coun
(Where the applicant is not the owner) Commission Expires Dec.30,
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
Electrical Inspector
Ff t BUILDING DEPARTMENT-
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
rnesh southoldto'wnn oar— sea southoldtornn . ov
a
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
m
Company Name: L,I Lam .
Electrician's Name: A V _ .
I
License No.: Elec. email �.
Elec. Phone No: I request an email copy of Certificate of mpliance
EIec. Address.: 'Iy
JOB SITE INFORMATION (All Information Required)
�—
Name:: z
Address:
Cross Street:
Phone No.:
BIdg.Permit#: email: tiLA
. ,��
v
! ,
Tax M'a District: 1000 Section: Block: Lot:"7.""7
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
aquare Footage:
Circle All That Apply:
Is job ready for inspection?: �„ YES NO Rough In Final
Do you need a Temp Certificate?: YES 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 2 H Frame Pole Work done on Service? Y N
ormatiort:
Additional I f
PAYMENT DUE WITH APPLICATION
GENE
MODEL! G.0072900 -
SERIAL: 30'13836622
P -
ITEM NO: NIA
k PROD DATE:
VOLTS: 120/240. 1 PHq:S_E:-;;;:;
LPV AMPS: 217/iO&3' HZ�60'
NG AMPS:987.619ZA" `. :RPM 3 600
INSULATION CLASS:,'H'
CONTROLLER PIN:: _ 1440.0003275 ..:;.
ro ; CGUNTRY OF ORIGIN' US:.
- QUTY RTGEMERGENCY_
0.035•
----------OA47----_. ;p , . =:.
;..•:° :RATED AMBIEN.T�TEMR:..25:': C:.. :;.':;;• -
i':;•" FOR STANDByZERVlCE.-_ `.,::
MANUF
i�f'OTRAI FLOATING;; , : '.`,':. LOC -?;
'.. UtdBALat^7CED-LOAD :.: _ ;o ::.... ... ....
-.C,APA.CITY SQ: /o : 1434
RAIflPROOF'ENCLOSORE';.
•.c 1�I o�Cc�%iF2p
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Intertek;.tpcs,sb
- �-�;:` Compliant viitfi'Ssetion A.1,A.1.2`:`;
61 NFPA 37,2021 Edition
S,wR _
t'.IS7ED`BY�'$autfiwast Reisaarafi';"-� •�""
Institute 5an•Antonlo,.Tox
GEfJERAC`POWER`SYSTEMS:INC`',:;; OL2157SP
WAUKESHA,WI:53189,.,?, .:•"
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LOT COVERAGE CALCULATIONS '. ' ::�vv,:; -� •
SfP SB kdkt �
TOTAL LOT AREA 74,118 SF
LESS AREA NORTH OF BLUFF: -6,780SF
TOTAL LOT AREA: 67,338 SF
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EXISTING HOUSE: 2,812 5F �'n,_ �".`"` •�x���'__^
EXISTING GARAGE: 1,100SF
..;
PROPOSED REAR DECK: 925 SF
uF�Y S:e,.0 xxx
I TOTAL PROPOSED COVERAGE: 4,837 SF jj
j LOT COVERAGE PERCENTAGE: 7% z
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i3' zj6 z0• �--. AT FATID EElC1V PADV,ERS W.UL
:.� 2j.9•�, i, NOT ENCROAVi r-YO14DTHE �
T\ FOOTPRINT OF THE DECK ABOVE
�;„�. •<`a'.: ! _.;'xscurcooasFovrEREELOYi
i 1 //� DECKING
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SEE DECISIQN7'i7if. r&NABEL RESFDENCE
DATED•�r tom•I a'_a5 1980 DENAREST ROAD
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