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Home My WebLink About50999-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 PLAINS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50999 Date: 7/30/2024 Permission is hereby granted to: Yong, Trevena 101 Leonard St Apt PHA New York, NY 10013 To: Install roof mount solar to existing single family dwelling as applied for. Disconnects must be located on the exterior, labeled and readily accessible. At premises located at: 510 Slee Hollow Ln, Southold SCTM # 473889 Sec/Block/Lot# 78.-1-10.8 Pursuant to application dated 6/13/2024 and approved by the Building Inspector. To expire on 1/29/2026. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00 CO-RESIDENTIAL $100.00 Total: $325.00 Building Inspector 01 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 ll,tlpS://WWW.SOLitholdtownnv.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only , PERMIT NO. / Building Inspector,S�2AL- 1 2, 20 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an uq riing Department Owner's Authorization form(Page 2)shall be completed. ,Town of Southold Date:06/11/2024 OWNER(S)OF PROPERTY: Name:Trevena Yong AECTM# 1000- 78.-1-10-.8 Physical Address: 510 Sleepy Hollow Lane Phone#: 917-655-2213 Email: trevena.yong@gmail.com Mailing Address: 510 Sleepy Hollow Lane Southold NY 11971 CONTACT PERSON: Name:Permit Dept./Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:Permits@GoPowerSolutions.com DESIGN PROFESSIONAL INFORMATION: Name:Michael E. Miele PE Mailing Address:33 Quaker Ave. PO BOX 530 Cornwall, NY 1218 Phone#: 845-629-9693 Email: Nypsengineer@gmail.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@GoPowerSolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition R'Alteration ❑Repair ❑Demolition Estimated Cost of Project: B Other Proposed( 21 )panel roof mounted array. ( 8.82 )kW System $ 29,988.00 Will the lot be re-graded? ❑yes I@No Will excess fill be removed from premises? ❑yes MNo 1 AMR/ ppsir,l,/" 1rr>Jrtl "HAKr f/' i fi%1 i i r Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling 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. ,;�, r,// / t ,,� // ✓// r/ ✓ / ,f %/! 11/r ! �,/ /r /%/ r� � afY,9,c Al f,;r r/,,,i,o%ra,,,, r 1 ,, i, r rr f /J'tr i ➢ I I' r,1 r' ; �' l r l�r,, r(r', %/°pry,. r�- �I f�fr//i '� «1 f Yr',�/�//) /J r- /P 6 rf f r;/J/(irrrr R,('i �Iri/�" fiJiIft, l �r r �'�tCl� r✓«fir f'. Jy 1 I) i 1� � // / � rr� „-�✓ �a rvk rN�,rY>>' , �„�r s,e ir1Jr.oy I r 4 ri ,;�/e ti I'✓ y Ir J ar /?��,,r, r ( r. f ,di r aA r l �/ i�m / �'1I��ryry%I. s ,� „k Catizone Electrical/Long Island Power Solutions Application Submitted By(print name)I IgAuthorized Agent ❑Owner Signature of Applicant: Date: f I I �70 Lq , STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Catizone being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Contractor (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 day of 20, Notary Public DELCEMA 8t?RriN3 NOTMo��. . oJ!l;�E� ?��TF�oRB��T��3`m � �.e � (Where the applicant is not the owner) C Ex eattr!AlIn max 2027 I gat vLq "0 j do hereby authorize Michael Catizone/Long Island Power Solutions to apply on my behalf to the Town of Southold Building Department for approval as described herein. � - ✓ - -:))�� Cn �' Owner's Signature ate Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD tk Town Hall Annex- 54375 Main Road - PO Box 1179 a Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 � a ro err southoldtownn ov seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 06/11/2024 Company Name: Catizone ElectricaMong Island Power Solutions Name: Michael Catizone License No.: ME-53560 email: Permits@GoPowerSolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (AII Information Required) Name: Address: 510 Sleepy Hollow Lane Southold NY 11971 Cross Street: Grissom Lane Phone No.: 917-655-2213 yt Bldg.Permit#: o 2 11 email: treven.yong@gmail.com Tax Map District: 1000 Section: 78 Block: 1 Lot: 10.8 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed( 21 )panel roof mounted array.. ( 8.82 )kW System 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 Reconnected- Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: Inverters: 21 IQ8X-80-M-US Modules: 21 Rec 420AA PURE -R Su ort: Iron Ridge XR100 Lag Bolt PAYMENT DUE WITH APPLICATION Request for Inspection Form.As suffer County Dept of Labor.Lunging 6 Conaumer Af 's MASTER ELECTRICAL LICENSE Name MICHAEL CAT90NE Business Naffle ' LONG ISLAND POWER SOLUTIONS aoofts INC bramw b d0v koftsod oy mg Cam"tat suraIh Limm Number ME-635M Issued: 06f0612014 W09.4'T.Roserk Expired: 06101PIM Comnussio— ...,a Su County Demrt.of Labor.uco S C4rlsuaw Aftalre HOME IMPROVEMENT LICENSE Name MICHAEL J CATIZONE Business Fame LONE;ISLAND POWER SOLL111ONS C tlaet INC ru 1�awry by 4w Carty oI License Nwaber li-9 ksued: 0gIOGM14 Wagn&T.f AV4%, Expires: 06101f2M Cammnssioner