HomeMy WebLinkAbout1000-75.-1-20.1 SPUD Addendum
EV Charging Stations @ Osprey Dominion
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The following items are intended to be included and enforced in the permitting process through
the Building Department;
1. Prohibit the installation or use of any LED Banner/screens; including any audio,music,
speakers, etc.,on or near proposed charging units
2. Provide sufficient evergreen screening of the equipment proposed in the area of the
new 800 amp power service connection,These units must be sufficiently screened from
view, as this proposed point of connection is located within feet of NYS Route 25,a
designated Scenic Byway.
3. No exterior light fixtures were reviewed as part of this application.Any proposed light
fixture shall be verified to be in compliance with Chapter 172.This Department can aid
in the review of any proposed light fixtures.
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4. All signage must comply with Chapter 280-80 and shall not be internally lit.
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SITE PLAN USE DETERMINATION
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Initial DeterminationDate Sent ( � �D �...-._
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Date: ) / /!�. _..._ -...._
911 Project Name: � C.. ,
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Project Address: Lt Ll C) ji j1 s
Suffolk County Tax Map No.: 1000-1---L,_._-� zoning District:
Request: —To I n'' a na�
(Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should
be submitted.)
Initial Determination as to whether use is permitted:
Initial Determination as to whether site plan is required:
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Signature uilding Inspector
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Planning Department(P.D.) Referral: � i
P.D.
Date of Comment; 1 _�
.D. Date Received: G
d,� J
Signature of Planning D Staff Reviewer
Find Determination
Date: ._._f.,_._...�
Decision:____
Signature of Building Inspector
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RECEIV
FOR INTERNAL USE ONLY p` "...".�
SITE PLAN USE DETERMINATION
n
Initial Determination Planning Board
. __....
Date: B L Date Sent: 3 _/ 3 D q
Project Name: � �
Project Address: �d_ w� .. �� .� _ .. _ . _ . .. ._ _....
Suffolk County Tax Map No.: 1000- Zoning District:
Request: Jwn—s
(Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should
be submitted.)
Initial Determination as to whether use is permitted: mw,A--
—-—-------
Initial Determination as to whether site plan is required: . ____....... ...w..._w.�.�_m_.._..... _.,_ �. _........_.__ -....,.-...........--....,.-_................. __..._..�.
Signature ��uilding Inspector
Planning Department (P.D.) Referral: .........
P.D. Date Received: Date of Comment:
Comments" .___�.__..�...... .._....�.�.V�._w. ..__..........._..ww._...._..�_.�w_..�.,...�.w_....�.. . -._.......w
Signature of Planning Dept. Staff Reviewer
Final Determination
Date:
Decision:...._.. -... ...� � ��..
Signature of Building Inspector
" � TOWN OF SOUTHOLD—BUILDING DEPARTMENT
n Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 1 1971-0959
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• Telephone (631) 765-1802 Fax (631) 765-9502 htt T sa/Nv .south ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO.,,. ._...........w.... Building Inspector._... .. 4
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Applications and forms must be filled out in their entirety. Incomplete 'poo
applications will not be accepted. Where the Applicant is not the owner,an "a'
Owner's Authorization form(Page 2)shall be completed. ON"
Date:June 7, 2024
._,...OWNER(S)
O R(S)OF PROPERTY:
Name:Osprey Dominion SCTM#1000-075.00-01 .00-020.001
Project Address:44075 Main Road, Southold, NY, 11971
Phone#: Email:
Mailing Address:44075 Main Road, Southold, NY, 11971
CONTACT PERSON:
Name:NA
Mailing Address: NA
Phone#:NA Email:NA
DESIGN PROFESSIONAL INFORMATION:
Name:NA
Mailing Address:NA
Phone#:NA Email:NA
_CONTRACTOR INFORMATION:
Name: Del Core Electric & HVAC Inc.
Mailing Address:35 Corbin Ave A, Bay Shore, NY 11706
Phone#:631-835-7272 Email:Istewart@lynkwell.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
DOther DCFC(1-3)Charging Station - $ 13,000
Will the lot be re-graded? ❑Yes *No _ Will excess fill be removed from premises? *Yes ONO
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PROPERTY INFORMATION
Existing use of property:Commercial merclal Intended use of properly:No Change
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Commercial this property? ❑Yes BNo 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 BuBdbng Department for the Issuance of a Building Permit pursuant to the Buildmg Zone
Ordinance of ttwYowrr of So ,,Suffolk,County,New York and other applicable Laws or Regulations,for the construction of buildings,
a tuitions,alter at for,remowai or demolition as herein described.The applicant affefs to compty with all applicable laws,ordinances,Witting code,
housing code and regulations and to a#mlt 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 210AS of the New York State Penal Law.
Application Subrni ed By, nt name): A.% � /�/ []Authorized Agent owner
Signature of Applicant: t° Date:
STATE OF NEW YORK)
COUNTY OF_ Sgjt) K )
3DkIl "` Imo_ _ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the......Owner
(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
1 t7 day of J u e __m..._ _..._., 20
Notary Pub
hJotry Fnutw3i .
PROPERTYOWNER .., ._gy�pp ggryrypr��//�� r /�q��qy�p�P�fif� a
nVi. V 6', I.xA h✓R" v
Where the lii�lfit l5 fart the 13AI�PA' ( t�Of New-York
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Qualified In Suffolk County
I Commission Expires Dec.2, 20 a(o
1, John Kohler residing at 44075 Main Road,Southold
do hereby authorize Del Core Electric and HVAC to apply on
m Lbefw11:1'ko the Tiown of Southold Building Department for approval as described herein.
O unere's'Si n ure
Print Owners Name
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