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HomeMy WebLinkAbout50644-Z ° TOWN OF SOUTHOLD w BUILDING DEPARTMENT TOWN CLERK'S OFFICE lit" s�, 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 #: 50644 Date: 5/9/2024 Permission is hereby granted to: 5645 Aldrich Lane LLC 38A Fifty Acre Rd ......... ....................... _. . ...... .......... St James, NY 11780 ....... ......... .......... To: Legalize "as built" generator replacement to an existing agricultural property as applied for. At premises located at: 5645 Aldrich Ln, Mattituck SCTM...# 47388.9_.._.... _....... Sec/Block/Lot# 120.-3-11.13 Pursuant to application dated 3/27/2024 and approved by the Building Inspector. To expire on 11/8/2025. Fees: AS BUILT-ACCESSORY $250.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $200.00 Total: .$..._......................_ 550.00 Building Inspector w 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 htttt w.so t oldto nn .&OV Date Received APPLICATION FOR BUILDING PERMIT �� � �" ° q d � For Office Use Only y;l PERMIT NO. 50 Building Inspe,ctor;µ__.—,,, ......... w_www_ APPlisations and farms must befillled out in theirentirety.Incomplete applications will not'be accepted. Where the Apppllcant Is not the olwner,an Owner's Autharization form(Page shall be completed. Date: a y OWNER(S)OF PROPERTY: Name: NE W A41*-N /GErL sum# 1000- 1 0. 00 - 3_ 60 Project Address: Cb q�- AT-biel'CN I- [ hu2.0 L- Phone#: 631— 9-? Y —633o CEic '3187 mail: l ajer,ktj �c /�(�/L pn/ /�.�fL/UK/�SC41FS Mailing Address: 3 vA AzA-e S I, 7A kC5 /,,J 1780 CONTACT PERSON; Name: 5 tC— Ae s Mailing Address: Phone#: Email DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Ac"/Z a6c'-rp L Mailing Address: 603�> CC>MNtA--:,k 2-b (c>mAAc - J 7a � Phone#: 63(- -77�- 167� Email: At AreAcl.,Fcryfc _ ('aM DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: COther 67,15AI6 iaiZ $ Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes ONO 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 of the Town Code, APPucA noN 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,,Qrdinances or Regulationsfor tho conduction of buildings, additions,alterations or foeremoval 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 buildings)for necessary inspections:False statements made herein are punishable as a Class A'misdemeanorI pursuant to Section 210.45 of the New York State Penal Law, Application Submitted By(print me): ❑Authorized Agent/6Owner Signature of Applicant: Date: // CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01 BU6185050 SS: Qualified In Suffolk County �1 COUNTY OF ) Commisslon Expires April 14,2 qa-1 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 �+ � 4 d'ayof Co a�n „ L_ 20cl4- A��� f V �'1 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 %f� Town Hall Annex - 54375 Main Road - PO Box 1179 � Southold, New York 1 1 971-0959 Telephone (631) 765-1 S02 - FAX (631) 765-9502 � msh southoldtownn �ov seand soutloldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 7,16 LU Company Name: qC, P ���c. ��'c'L �a Electrician's Name: (G✓t °x C, License No.: El email: Elec. Phone No: 6 3/ �; l 6 4-1— I request an email copy of Certificate of Compliance Elec. Address.: 6 L— o mk,c.0 .. le-cl Wl' // 7o JOB SITE INFORMATION (All Information Required) Name: ! '( H� &D44,6K CANC GCC Address: 9&q i— � Cross Street: S'ou,i b ENu Phone No.: (0 31- Bldg.Permit 4 4 email: Tax Map District: 1000 Section: i as, L?o Block: 3, oo Lot: 011 of BRIEF DESCRIPTION OF WORK„ INCLUDE SQUARE FOOTAGE (Please Print Clearly): We rfelgcd a ele- Ryrs' %AS (,^ qAc Plvpv+r wAt^ wt PWz4F f4 � -�°'✓"" Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In Final Do you need a Temp Certificate?: El YES E] NO Issued On Temp Information: ( °rrfon"nation required) Service Size�1 Ph 3 Ph Size: <_ # Meters Old Meter# ❑New Service[]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead Underground Laterals D 1 H Frame D Pole Work done on Service? n Y ON Additional Information: PAYMENT DUE WITH APPLICATION VLW 04�Pis Cc -__CO MP -WIT-H.. LCODES..� ^F _...... . P &TOWN CODES z.. . B.P#,_� E !RK STATE REQU�RED AND CONDITIONS OF BY Ay NOTIFY 130I_I ING DEPARTMENT AT WWWWOOMM 1802 M O PM FOR THE 60I L mm GI I( WSP C'I'ONS:' KM ow F JNDATION-TWO REOUIRED F( POURED CONCRETE : R , U(41-FRAMING&PLUMBIN G �� I IN ULAT'ION M� FI 4AL-CONSTRUCTION MUST BE.COMPLETE FOR C.O. ALL C ONSTRUCTION SHALL MEET THE mm; REQU REMENTS OF TI II CODES OF NEW LE YOR STATE. NOTE R 0 N��R H _..w... _._.,._ .. ..ww I. DESIGN OR N w p +RICAL � t INSPECTION REQUIRED �I I V > nn C 70 o r m .. m ICJ ��0 _El r o Z Z �' boo __.... o o iz- 0 o Z r ii mr lr � //n/01,/alUJ7 fr r a f ! ,f�ii4�r�rry ✓`� iG�+�i/�q%�"frra J i r/�l%��0�1J i IJl uil�l� J11/ 1 o aN r � U1lavgj �� fapr„ "onr r1; i �� �raa+tnaa�ama�rmw� �n ^aan«aa�xar M Boas » Aar' of a �i no +arn s �ar r �y x AMP o C� c TU 7 FFFFF� EX. PARKING I r1'rRoi&Io1Z'd'eDe EX.IEANINGO_ POOLPROPOSED EX.SEPTIC© EXPANSION TANKPOOL OPOSFD IOOOgeL PTIC TANK ,Q © GROUND METAL CONC. 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