HomeMy WebLinkAbout51155-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#: 51155 Date: 09/10/2024
Permission is hereby granted to:
Arjun Bhattacherjee
420 W 25th St Apt 213
New York, NY
To:
install generator as applied for.
Premises Located at:
335 Village Ln, Orient, NY 11957
SCTM# 25.-2-4.13
Pursuant to application dated 07/15/2024 and approved by the Building Inspector.
To expire on 03/12/2026.
Contractors:
Required Inspections:
Fees:
ACCESSORY $125.00
ELECTRIC -Residential $100.00
CERTIFICATE OF OCCUPANCY $100.00
4 Total $325.00
8 : ing Inspector
4relf. GC
AX
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. ®. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1,802 Fax(631) 765-95021L� r� .s > a1:11� R�� ' �V
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. SJJ-�— Building Inspectar:_—_
�k- JUL 1 2024
Appl)cflp and fgrmSrn,pt a filled ctutln llteir entlrety Incomplete
applliatlb will riot be afed. Where 1ihi `ppllcant"IS'riot`tlie owner,an, &UI�DII�'O DE
Qwner's Authorlx tibn fart»(Pa a,21 shall be completed. TONVN )F SOUTIEIOI
Date.
Name.arjun bhattacherjee SCTM# 1000-
Project Address:335 Village Lane, Orient, NY 11957
Phone#:6513244224 EEmail:arjun483 a@gmail.com
Mailing Address:420 west 25th Street 2B New York, NY 10001
�d,I� A� pE�tSON:
Phone#: �5`1 Email: 14� 104-1-3 C'G7
It 1� 1 � ,�� N �,,INF,i;?RMATION;
Name:.
Mailing Address:
Phone#,. Email:
i Name: r� G� �dLlli
Mailing Address: 4-30,)
Phone#: Q
Email,1 � /10 i 11 � S a to
m>,
D �. Estimated Cost of Pro
m
❑Vew Structure ❑Addin AtA) pe�aar ❑f3e�molution�N�
Other
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes o
1
PROPERTY INFORMATIbN
Existing use of property:Residence Intended use of property:Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes *No IF YES, PROVIDE A COPY,
Check BQx After R@adin : The owner/contractor/design professional"Is r�sponslblerfor all drainage and farm wa;er issuea,as prti'xlded,bY
Chapter;236 of the Town Code. APPLICATION IS HEREBY MADE to`the Building Department for the issuance of'a,BuildIng Permit pursuantto thiiuilding Zone
u kbw�a� Of d rrt fgnut� pld uHple Plar�trP�4 a+ MCrYaenoothere pllnebde +s, tdNr ncetorfR ulatld +arthe �a krn Ie ,,df lidtc�t
addi)In lIetlti"naar$or ckowef erarpq`t�rr a Iharallertbal, tre apllentre�to ralY wit all eF1i dfrdlnA , 4� I e�.
iwous'i �aa no,te, itul 3A,i 000 to,aomIt a ttlprized.les �a ki mfse enoi hdlNrlin���l f��rr�11 in�lf tl�I � elte� n *l Wrliare
�.;
ptrni h ��a Clan t4 misdameenor pursu�tiaf to�ec+EionIC�� o�te iNwN��M' 'C�tt Stot4'Pexta� ge � �
Application Submitted By(print name):Arj u n Bhattaeherjee ❑Authorized Agent BOwner
Signature of Applicant., 1 Date:
STATE OF NEW YORK)
SS:
COUNTY OF jVr ✓)� )
Aran Qh aW I ache e being duly sworn, deposes and says that (49 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
Z'S day of 74 a, c 20
Notary Public
MJAT
PROPERTY OWNER AUTHORIZATION ��.SWOoft**
Illy.fyIMI6177520
(Where the applicant is not the owner) QInQueens Coudy
IIIr �tx ost1a
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
�lIwfCj BUILDING DEPARTMENT- Electrical Inspector
i"p "'" ` � �� TOWN OF SOUTHOLD
VA
. Town Hall Annex - 54375 Main Road - PO Box 1179
94
lmW Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502 ov
`amesh southoldtownn ov wand autholdtownn
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Awl Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email. '
Elec. Phone No: l0e) request an email copy of Certificate of Compliance
Elec. Address.: llf4lrelleLL �l
JOB SITE INFORMATION (All Information Required)
Name: l",qo
Address: l ' '
Cross Street:
Phone No.: 47110
Bldg.Permit #: email:
Tax Map District: 1000 Section Block: , Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
x '
,yl/e-i/l� Square Footage*
Circle A I That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES 0 NO Issued On
Temp Information: (All information required)
Service Size1 Ph 3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[—]Flood Reconnect[—]Service Reconnect❑Underground[]overhead
# Underground Laterals 1 2 L H Frame LJ Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
V NN
E,
-g!',�"Of" -
W
ll� al",N",
s
R
4�\ "'il-4-j
A Allf
'47 V�' za,
VVI LL-24 6" L
F
co
V",
I GE
'12 IAN'5
�(5UA
STOGKADE� ltt
to
77
45
ME-
A/C
�EXISTI
It/
2-"S'ry
"n
EAR
-DWELLING
'12
III Ali
-%wmm"g,
DWELLIN-
F
'77
j
0
\o'
�g
P
"R'3
777"
'4'
x 0
A
m-M
011
E� N '
R4 C
MODEL , - GO070439.
SERIAL:, ,10102851,09 .
N . NA,
' .0
PRO, D Q ..ATE
202,E
'BOLTS : 120/240 3.
IPHA SE
PV AMPS : '' 7'10
H Z -,eo ,.3.u!it/9 1 '
N G YA M PSG:: . 2, 81.
RPM I
600
NS,U LATI ON CLASS. R : L0
�CONTROL.LER P/
. . I 1000.0003275'
,.a
COUNTRY`..OF C7F�IGiN: US _
DUTY RTG. ,Etl1 E _
'_ ww
n1Y i..r"
ERA
XD �1 00 X�
+ I L.1 D •Ot^00-
ti RATEDAMBI-ENTM2 G.TEP:
w
• a _
F4R STAIN-DBY SERVECE
NEUTFkA.LABL'0ATING ` , MANUF
U N BALANCED -LOAD :
CAPACITY 50: %:' .
1064
RAINPROOF-ENCLOSURE
(TO
�ntertek { .
_ 11to. 93Z04-01-01 � -
Complla"t t+Oth-SectiOn 44.4,....
W_
Pf NPPA 97� 2