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HomeMy WebLinkAbout50881-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 00, 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#: 50881 Date: 6/27/2024 Permission is hereby granted to: Zahler, Kenneth PO BOX 754 Cutchogueue, NY 11935m To: Legalize an "as built" generator accessory to an existing single-family dwelling as applied for. At premises located at: en63735 R 48, re L._ort .............................__ .. ._ .. ............. . SCTM # 473889 Sec/Block/Lot# 40.-1-20.2 Pursuant to application dated 5/7/2024 ®®® and approved by the Building Inspector,. To expire on 12/27/2025. n Fees: AS BUILT-ACCESSORY $250.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $200.00 ............ Total: $550.00 On ....................................... -` . .__---_____.............__.._ _ Building Inspector s' s 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.southoldtowniiy.go Date Received APPLICATION FOR BUILDING PERMIT ".1 r L5 Ui�ME" For Office Use Only PERMIT NO. Building Inspector; MAY 7 Applications and forms must befilled out in thei entirety.Incomplete lete PP applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: �cirr SCTM #1000- 0 - 1 — aD .,2 Project Address: 6,373Y )?wit. 49 Gmel N, Phone#: "' J. Email: Mailing Address: 37W 4 T CONTACT PERSON: Name: 6enoA Mailing Address: ea*W, �� Phone#: 31- — AZJ\J �N Email: p rye , DESIGN PROFESSIONAL INFORMATION: �a eS l Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone# 31 Q - I w. DESCRIPTION OF PROPOSED CONSTRUCTION ❑NtelweStructure ❑Ad Ition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Will the to ere-graded? ❑Yes)<No Will excess fill be removed from premises? ❑Yes *0 �f►; r- sOTA5W" 6A C 4". oe'� "Vr - or 5=kM Q our- �� ;t� L3733' I&W Greew_A)14-, A y 114q0I PROPERTY INFORMATION Existing use of property: © rs V, lm� Int ed use o.!f rya a y:nu rr Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes KNo 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 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): ,�llrl 1Q� ❑Authorized Agent Owner PP Signature of Applicant: Date: g CONNIE D.BUNCH STATE OF NEW YORK) j ublic,State of New York l0.. U6185050 SS: Qualified in ffolk County COUNTY OF ) Commission Expires April 14, _ D'Y J Joa Z61LAVI'lbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above namedd,, Cy(S)he is the wylk r (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 N. rv-p L tl&4 day of 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 1, 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 r�1ff BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD N Town Hall Annex - 54375 Main Road - PO Box 1179 ar " Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 µ 7 " C- smash southoldfownn ov - seand southoldto�rnn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Dater Company Name: CL-05 ertGiTreo L; f4o lmq . Electrician's Name5 % License No.: F3 Elec. email: Compliance Elec. Phone No: �,,�� , "' ;�"�' ❑I request an email copy o Certi cate of Com p Elec. Address.: JOB SITE INFORMATION (All Information Required) Name:' Address: Cross Street: Phone No.: Bldg.Permit # 150 email: Tax Map District: 1000 Section: Block: Lot: 201, BRIEF DESCRIPTION OF WORK, If,CLL TA E ( l UDE SQUA E FOOeVae PPrint �Iearl rate -r'1 � �GT 04 , , F CLOS 1n asA's% Re, V 37M- &2f-0f, ��I�' "'" r �-.. 7-1 ' wA- �" ZtVkS��iFe48*61LSquare Footage. _e: Circle All That Apply: Is job ready for inspection?: YES ONO 0 Rough In Final Do you need a Temp Certificate?: YES ® NO Issued On Temp Information: (All information required) Service Size 1 Ph 03 Ph Size: A # Meters Old Meter# El New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Li Y ON Additional Information: PAYMENT DUE WITH APPLICATION \ i0i \ N a sloK�So cK \ �-32 GC 51 AC-1 ►'����� W0�00 J v'i ,42 55h N 20 SGN9 f� oNc' Z5 SS�P SHOE SSOOp WS E S OVSSW�0 0 S PPO ii 25 SEPTIC SYSTEM TIE MEASUREMENTS FOR 0�E No 25� ,� HOUSE HOUSE ��c • ti� CORNER ❑A CORNER QBPTIC OVER TANK 25.5 59' 9` °xm¢ �.1k OVER ACHING POOL - 46' 61' G •O��G�'c�Pe G� a_ c' .p � � •_ G Cn s � Gy'" r act W Dsrn �'�`�aon � aR70 z STO Y WALK - 11 J NUJ+o o a ,'J� aarn.Q lPglso fy�c g�P G- a �yo so; 7A LNG •. •.� alp"cg "A '&Q�K •� \ i, #ZZ.v PlIELaTYPE, INPUT RES,UI�E . EA GY€1AT E . i E(FULL ... 3t SAX:2 7k 'A e 'NATb,RAL GAS 1in.H2 193 MWlft 1.2kPA { »►RES; . , r? (5oit,H�U} 20 RES: 281y LPG �fa+AS) MAX:2:7'kRA.(11in.H2Q}- 14 RESs }�y� r MIN: 1',7kPA(.in.H20) %0 RE�i S -3�4M0'ap�'JU©8 g �_ S.lGASAA ! Puff RECO�V MEND,4Tlfl �4 PIPE LENGTH' n =u >14120 RES nj ( ) NAt RAL GAS LP VAPOFE <<: - ; 314 30(100) , ! 114 46(150) 1 114 1 114 61 (200) 1114 '1 114