HomeMy WebLinkAbout51219-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#: 51219 Date: 09/26/2024
Permission is hereby granted to:
Francis E Lupinacci
18 Sunflower Dr
Upper Saddle River, NJ 07458
To:
legalize "as built" generator as applied for.
Premises Located at:
5920 Indian Neck Ln, Peconic, NY 11958
SCTM#98.-5-17.4
Pursuant to application dated 05/28/2024 and approved by the Building Inspector.
To expire on 09/28/2026.
Contractors:
Required Inspections:
Fees:
As Built Generator $250.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total $550.00
Building Inspector
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°`�� ; TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
v Telephone (631) 765-1802 Fax (631) 765-9502 htt ;l/wr , �tl�oldton o,v
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only t+ U n ..� q
q ,
PERMITNO. � Building Inspector:
...a
MAY 2 `3 2024
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted, Where the Aoplica0t Is not the owner,an
piwners Authorization fdr P e 2)shall be completed.
Date: 5-10 --24
OWNERS)OF PROPERTY:
Name: l ( ► ?V IN�A C C. 1 SCTM#1000- 9 g � rJ �, � -7 ' �.
Project Address: 51 O N 0i A
Phone#: Z01 — fJ-7 5—52$5 Email:
Mailing Address:
CONTACT PERSON:
Na rne:
Mailing Address: 1 v LLv Z3;�
4
Phone#: G3 1 -2-18- S ogo Email, ",V S Z,o . ea w l
DESIGN PROFESSIONAL INFORMATION: M
Name:
Mailing Address:
Phone#: Email:
CON TRACTORaNFORMATION
Name' ' t C�6,.► C ""
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
E]NewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Pr
ther i . o .�� °Jett.
Will the lot be re-graded? ❑Yes L�J° Will excess fill be removed from premises? ❑Yes c�
1
PROPERTY INFORMATION
Existing use of property:
Intended use of property: <::z- ,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes Fe?llo IF YES, PROVIDE A COPY,
by
Check BOX After Reading: The owner/contractor/designprofessional
is responsible
for ralldraina issuance ofaeauidng and mwater Permi pursuant issues as to
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the BuildingDepartment
Ordinance of the Town ofSouthold,aISor dedinances or Regulations,for the construction of buildings,
m�ol tion ask County, Vherein described.The appliYork and other cant agrele Laws,erto comply with all applicable laws,o d nan es,building code,
additions,alterations or for
emov
on premises and in building(s)for necessary inspections.False statements made herein are
housing code and regulations and to admit authorized inspectors
punishable as a cla 'A misdemeanor,pursuant to Section 210.45 of the New York State Penal Law.
Alatl�lc�rfzed Agent ❑Owner
Application Submitted By(print n e):
�,. OZ
Date:
Signature of Applicant: ,
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the l this
--4, -LL�-- (Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the
aid work
knowledge and and to make and
fifeand
application;that all statements contained in this application are true to the best ofhis/her
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this .
dayf ' .
o 20 NoW,- I ublic
ot✓le
,�- y Na,QI
n "" DI:1IV H� ( TIV �Ilatrl
101.
(Where the applicant is not the owner)
I A—�t A "r esiding at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Date
Owner's Signature
Print Owner's Name
2
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INSTALLATION
GUIDELINES
Air-cooled Generators
TOWN
YtM
i.1_
O O
1 A rci
IN CRITICAL L
-;NOT.INTENDED;FO LIFE SUP
APPLICATIONS:•
"•�:THIS PRODUCT CAN'BE INSTALLED BY TH_ E:HOMEOWNER.
HOWEVER;:IF-YOU'ARE UNCOMF ORTABLE WITH,THE SKILLS`;., '_ ;.OR TOOLS'REQUIRED;,HAVE A QUALIFIED ELECTRICIAN OR•'
THIS.MANUAL MUST gE°.USED IN"CONJU�tCTION -.' "'CONTRACTOR�PERFORM THE-INSTALLATION.;•:"
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WI TH.THE.APPROPRIATE,OWNER?, MANUAL:,, DEADLY EXHAUST FUMESI OUTDOOR INSTALLATION ONLYI` ' :This' manual ,
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