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Home My WebLink About50520-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 50520 Date: 4/8/2024 Permission is hereby granted to: Mor alishvili, Anthon 505 8th Ave Ste 2202 -..............................,,. ..�..............._............___................................ __ _.............................................................................................. ..............................................._.... ..... New ork, NY 10018 To: Install roof mounted solar panels to an existing single-family dwelling as applied for per manufacturers specifications. At premises located at: 2345 Hobart Rd. S uthold . .. ....... ----------------.....�. SCTM # 473889www Sec/Block/Lot# 64.4-10 Pursuant to application dated 3/1/2 024 and approved by the Building Inspector. To expire on 10/8/2025. Fees: SOLAR PANELS $100.00 CO- RESIDENTIAL $100.00 ELECTRIC $125.00 ._...........................________ Total: $325.00 Building Inspector r"'" y ' 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 https://www.sotitlioldto:wpny,gqv Date Received APPLICATION For Office Use Only PERMIT NO.'S 52o Building tA V "" Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. r Date:2-28-24 OWNER(S)OF PROPERTY: Name:Anthony Moralishvili SCTM#1000- vb Ao0-oy- 00 -010. 000 Project Address: 2345 Hobart Rd, Southold, NY, 11971 Phone#:(917) 374-3521 Email:amorali@moraliarchitecture.com Mailing Address:2345 Hobart Rd, Southold, NY, 11971 CONTACT PERSON: Name:Michele Cardon Mailing Address:177 Cantiague Rock Road, Westbury, NY 11590 Phone#:56-318-4035 Email:lipermits@sunrun.com DESIGN PROFESSIONAL INFORMATION: Name:Humphrey K Kariuki Mailing Address:1708 Roxborough Rd, Charlotte, NC 28211 Phone#:980-689-9776 Email:info@mightyengineeringco.com CONTRACTOR INFORMATION: Name:Sunrun Installation Mailing Address:177 Cantiague Rock Road, Westbury, NY 11590 Phone#:516-318-4035 Email:lipermits@sunrun.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition DAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $35,550.00 Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes LINO 1 PROPERTY INFORMATION Existing use of property:one family Intended use of property:one family 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 r 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 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):M i ch e I e Cardon MAuthorized Agent ❑Owner Signature of Applicant: �[� �� `' L Date: 2-28-24 STATE OF NEW YORK) SS: COUNTY OF ) Michele Cardon being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent iv`gent (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 Dtday of 1��11� 20)M— DAVIo i MACKY Nota Public Notary Public, State of New york Reg. No. 01 A53812 5 Qualified in Nassau County PROPERTY OWNER AUTHORIZATION Oas9ion E'xpire .October 01 2025 (Where the applicant is not theowner) I, residing at Anthony Moralishvili 2345 Hobart Road, Southold, NY 11971 . do hereby authorize M ichele Cardon to apply on my behalf to the Town of Southold Building Department for approval as described herein, 2-28-24 Owner's Signature DAVID J MACKEy Date Notary Public, State of News York Anthony Moralishvili Reg, No, 01MA5 51235 Oualied in Nassau County Print Owner's Name Commission Expires October 01 2025 2 d f 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 rogerr@southoldtownny.gov— wand outholdtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2-28-24 Company Name: Samy Mounas Electrician's Name: Sunrun Installation License No.: ME-33878 Elec. email:lipermits@sunrun.com Elec. Phone No: 631-741-0378 ❑I request an email copy of Certificate of Compliance Elec. Address.: 177 Cantiague Rock Road, Westbury, NY 11590 JOB SITE INFORMATION (All Information Required) Name: Anthony Moralish-,111 Address: 2345 Hobart Road, Southold, NY 11971 Cross Street: Phone No.: (917) 374-3521 Bldg.Permit#: 50520 email:amorali@moraliarchitecture.com Tax Map District: 1000 Section: Block: If Lot: 10 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Installation of roof mounted solar panels. (17) 6.800W Scluare Footage: Circle All That Apply: Is job ready for inspection?: YES ✓ NO Rough In Final Do you need a Temp Certificate?: I YES NO Issued On Temp Information: (All information required) Service SizeF11 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 Additional Information: PAYMENT DUE WITH APPLICATION � I a- IA stillolk COU'lly L)opt,Of A Connumor Affnif Name oAM I('Y( asisirloss Nanlo fdJh !'U I m'lg ticell,se N tnj)or: lssoll& 000"Wf)14 ruffolk County COW- 01 Alliaw Labor, Licensing & Consumer Affairs jiLMASTER ELECTRICAL LICENSE Name SAMY MOUNAS SUNRUN INSTALLATIONC SERVICES "ti k q . 0 Ih IN (A "�O, lk License Number ME-3387$ Issued 1010112003 r-)w ,0- Expires: 1010112025 (,Ommissioner