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Home My WebLink About51004-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 #: 51004 Date: 7/30/2024 Permission is hereby granted to: Divine , Daniel 400 Bay Rd Green port, NY 11944 To: Install accessory standby generator at existing single family dwelling as applied for, with Trustees #10258 and flood permit. At premises located at: 400 Ba Rd, Green port SCTM # 473889 Sec/Block/Lot#43.-5-8 Pursuant to application dated 6/14/2024 and approved by the Building Inspector.. To expire on 1129/2026. Fees: ACCESSORY $125.00 ELECTRIC $100.00 CO-RESIDENTIAL $100.00 Flood Permit $150.00 Total: $475.00 Building Inspector 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 htt w w. uutho)d ownn . at s:� , Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only -D EVE PERMIT NO. Building Inspector:, JUN 1 4 20 24 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an LOOM Owners Authorization form(Page 2)shall be completed. Date: , OWNER(5)OF PROPERLY: ' ' 7, qqq Name: �` SCTM# 1000- O 4 Project Address: r,,^, �y p� / YO jPhone#: Email: tWT 1;r1 jM�/ C� Mailing Address: 57��e f� z5`eer r, Al 1/ `t CONTACT PERSON: Name: Y1s� Mailing Address: 0 /V / 7 Phone#: —r -v �t mail. K04 �•y��^ �, � I�rrr -�2 " DESIGN PROFESSIONAL INFORMATION Name: " r" C� oz Mailing Address: Phone#: 7 / Email: CONTRACTOR INFORMATION: Name: Mailing Address, Phone#: 0 Lf- i Email; DESCRIPTION OF PROPOSED CONSTRUCTION DNew Structure ❑' Ad�rtion ❑Alteration ❑ReP air ❑Demolition Estimate f Project: VrOther Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes []No 1 z, 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 ONO 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 buildings)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 ° i9ya ie /� Oi-LI117 a ❑Authorized Agent Downer r Signature of Applicant: , Date: STATE OF NEW YORK) SS: COUNTY OF SU— �I�-- ) �i vi being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Ow `er (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 NotaryDReg� f�NYACONRAD cy State of New York 01 C06245154 in Suffolk..County 1) PROPERTY OWNER AUTHORIZATION CoExpires July 18,201, (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 BUILDING DEPARTMENT- Electrical Inspector � 0 , `°. 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 arnesh southoldtownr� . ovseand southoldtownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IN RMATION (All information Required) Date.!t�0 ,_ Company Name: Electrician's Name: License No.: S O Elec. email: .. Elec. Phone No: ' q copy p I request an email co of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: — Sv L I V 0,X e- Address: : 6 ce_g (1 — Cross Street: Phone No.: Bldg.Permit #: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): r 26 � vJ Square Footage. Circle All That Apply: Is job ready for inspection?: � YES NO 1:1 Rough In Final Do you need a Temp Certificate?: El YES NO Issued On Temp Information: (All information required) Service SizeF-11' Ph 3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Undergiround Laterals 1 2 H Frame Pole Work done on Service? Y FN Additional Information:. PAYMENT DUE 1i11i'ITH APPL.ICATICN GULL POND AF INLE--17 � QAY VdCrL.4h/GY8OU!NDARY^AS 9}ELIN5AT5D 9Y Ir EN-CONSULTANTS ON AttVIAati.T'a,Inxl J 414`01,91'gs W Z (n N Q 10 EkCS`dING N,ATURA:L WG TATIO'N TO M-ILAND W O BOUNDARY TO REMAIN AS NO rURBANCE.BUFFER Q Z 4'NADE CLEARED PATH ( TO BE MAINTAINED\ _ • Li J y Z PRO,IECTUMITM Q Q FENCE/UMIT OF 'E "`"�-*-r `* / m } 0 3 DISTURBANCE IY W Y Z V EK EDGE OF LAWN Q U L, F w 3 m l l Z 2 a Al PROP. F BUFFER FER O O O BABA SF F BI,IRFER Big ZE f S EXISTING SHED TO BE E�REMOVED EX EDGE OF LAWN "'^^M. a+ .3 S F.SCREENED PORCH AND SAND PAVERS BALCO k AND F.WOOD DJ '� NY ABOVE IN IN SAND PATIO I I A 97 SF.4'x d'T I SF.4'x 47 AE6 "7 V400 STE.'d 5 Irr, »-, 'kNC7OR7 s'7E-P'h LJ PROPOSED(4'x 4') 2 m 7 , SHOWER ENCLOSURE PROPOSEDi,p6SF.. 4 BEDROOM.STORY HOUSE OVER GRAVEL BED PIPED TO ZONE DRYWELLS ATTACHED 11 F.F.EL+md _ ONE,rORV R LA CC#dYgYCN.PANEL CONCRETE PADS FOR hlE:AY 7� "GARAGE ' `1 PUMPS wl � 9a SF.ROOF FIITUR F.F.ESFL«R 6' '.., OVERHANG pruP^�. l u.uw. di4M@Pl_ 3B S.F.CONC. ON t4 MCRE1IE PA �,,.. * wn� 'T,ABNOw," CABLE UNES TO BE BURIED /* ' 1'�'Y`' A" O ENYE "° + Z` 4 � w v FUTURE I ,,; EXII4'R o aw, ( VdA'IT?u Gi'.INI.nC',Er MANN gip, PA pkVPS �, O4tl7iuE Ch NCI 39 "PLACE VNATERNE TE% �..�, ,. �..... RYIOwu T. �. 3 tf TONE Z DRYVYELLS r NOTE: ENTIRE PROPERTY IS WITHIN ' WS.F.�LN (2)BDIAx36 D FEMA FLOOD ZONE AE6. FLOOD Una- POD.. gS.FSItYS ~wOE�ED � �` � OVERHANG DKr, EDGE PAVEMENT FROPOSP:vvA ZONE LINE IS NOT APPLICABLE SANITARY SYSTEM J W 0 BAY ROAD Q� PUBUC WATER IN STREET DWELUNG ON 100, 75' 0111001A� W ON DWELILING ON PUEWC WATER `" PUE�C WATER PROPOSED AM BASED ON SURVEY BY PECONIC SURVEY( S I T E PLAN LAST DATED OCTOBER 29,2021 ZSCTM No.1000-43-o5-o8 Q 1 = 20 18,500 sf to TIE LINES FROM TABLE N 1 1 02. 1 .2 (P,402. 1 .2) INSULATION AND FENESTRATION R1=QUIREMENT5 BY COMPONENT CLIMATE FENE5TRATION SKYLIGHT GLAZE® CEILING WOOD FRAME MA55 WALL FLOOR I BASEMENT SLAB CRAWL ZONE U-FACTOR U-FACTOR FENE5TRATIN R-VALUE WALL R-VALUE R-VALUE R-VALUE WALL K-VALUE 4 15PA�C�E WFMt„,L... 5HGC K-VALUE DEPTH R-VALUE