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Home My WebLink About51279-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE czy - 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 #: 51279 Date: 10/11/2024 Permission is hereby granted to: ARAM Irry Trust 46 Stauderman Ave Lynbrook, NY 11563 To: Install ground mount solar to existing single family dwelling as applied for. Disconnects must be located on the exterior, labeled, and readily accessible. Minimum 15 feet setbacks are required between property lines and solar structure. Premises Located at: 1425 Orchard St, Orient, NY 11957 SCTM# 25.-2-22.1 Pursuant to application dated 08/23/2024 and approved by the Building Inspector. To expire on 10/11/2026. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 ELECTRIC - Residential $125.00 CO - RESIDENTIAL $100.00 Total $325.00 Building Inspector oe- a F TOWN OF SOUTHOLD — BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1 179 Southold, NY 1 1 97 1-095 9 o Telephone (631) 765-1802 Fax (631) 765-9502 hMs://NvNyw-southoldtpwnny.g.0V Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only _ - PERMIT NO. Building Inspector: - AUG Applications and forms must be filled out in their entirety- Incomplete �, applications will not be accepted. Where the Applicant is not the owner, an Owner's Authorization form (Page 2) shall be completed. Date, 'S ! Z i OWNER(S) OF PROPERTY: �(r1rV IT•YLl S' Name: A A-f-f I o. - D-�V Q-'�- SCTM # 1000- 25-2-22.1 Project Address: 1425 Orchard Street, Orient, NY Phone #: c4 l S- 6 q O — c, Email: Gl r ► a C§L Q-"t 4-)-e-Q-0 yv� OL C - C-�b rv-% Mailing Address: t (o V-e-S b r o S S C S S-t- 4 .S %A b O 13 CONTACT PERSON: Name: Barbara - OreenLogic LLC Mailing Address: 97 North Sea Road, Southampton, NY 1 1968 Phone #: 631-771-5152 x1 17 Email: Barbara@Oreenlogic-corn DESIGN PROFESSIONAL INFORMATION Name: _ - �t C » Mailing Address: 2CI _ Phone #-. (Ej3�� TJ�;-; -- 3 s r" Email: CONTRACTOR INFORMATION: Name: Green Logic LLC Mailing Address: 97 North Sea Road, Southampton, NY 1 1968 Phone #: 631-771-51 52 1 Email:AM@Greenlogic-corn DESCRIPTION OF PROPOSED CONSTRUCTION =New Structure =Addition SimlAlteration =Repair =Demolition Estimated Cost of Project. C]Other Solar Panels $ 80,000 Will the lot be re-graded? =Yes lW No Will excess fill be removed from premises? =Yes ®No 1 PROPERTY INFORMATION` Existing use of property: 1 Family Residence 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 I<No 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 Zane Ordinance of the Town of Southold,Suffolk,County,:New.York and other applicable Laws,Ordinances or Regulations,for the.construction of buildings, additions,alterations on 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 building(s)for necessary inspections.False statements:made herein are punishable as a Class A misdemeanor pursuant to Section ZXO.45 of the New York State Penal Law_ Application Submitted By (print name): Green Logic LLC IRAuthorized Agent =Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek .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 f day of 2 � Notary ultli ARBARA A CASCIOTTA ""My Public-State of New York MO.010A4894960 PROPERTY OWNER AUTHORIZATION ' ' "f0d in Suffolk 0ounty rrii #on(Where the applicant is not the owner) Eclair Ma Y-116 2027 I, iT�`dt � Un Cf � 2 Il. gs-7 do hereby authorize Green Logic LLC to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owners grta ure Date l -n a ne G A r l Print Owner's Name 2 BUILDING DEPARTMENT - Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1 179 Southold, New York 1 1 971-0959 Telephone (631 ) 765-1 802 - FAX (631 ) 765-9502 rooerr southoIdtownn 9ov — soandt sou'tholdto r l y gpv APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 8/21/2024 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: BarbaraG�G reen Logic.com Phone No: 631 -771 -51 52 request an email copy of Certificate of Compliance Address.: 97 North Sea Raid Southam tors NY 11968 JOB SITE INFORMATION (All Information Required) Name: Arad Irrevovable Trust Address: 1425 Orchard Street, Orient, NY 11957 Cross Street: Phone No.: Bldg.Permit #: Cj ( ,�q email: Tax Map District: 1000 Section: 25 Block: 2 Lot: 22A BRIEF DESCRIPTION OF WORK (Please Print Clearly) Ground mounted solar electric system (40) Sun Power SPR-X21 -335-BLK-E-AC panels Et (40) Enphsase IQ7XS micro inverters �(1 ) SunPower PVS6 monitor S stern Size: 13 40OKW Check All That Apply: Is job ready for inspection?: DYES = NO =Rough In Final Do you need a Temp Certificate?: YES ONO Issued On Temp Information: (All information required) Service Size =1 Ph =3 Ph Size: A # Meters Old Meter# New Service F-1 Service Reconnect = Underground = Overhead Underground Laterals =1 =2 =H Frame =Pale Work done on Service? [=Y =N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx p d ti Suffolk CountyExecutive's ! ice o Consumer s. airs f a VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 m DATE ISSUED, 512512006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License This is to certify that MARC A CLEAN doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. ,v Additional Businesses NOT VALID WITHOUT DkPARTMENTAL SEAL AND A CURRENT CONSUNJU AFFAIRS ` ID CARD Director ecu ve'sOffice o Consun erAffairs su oIk �'oun x VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 DATE ISSUED. 1211 012007 No. 43858-ME SUFFOLK COUNTY Master Electrician License This is to certify that ROBERT d SKYPALA doing business as GREENLOGIC LLC having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York. 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