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HomeMy WebLinkAbout51451-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 FLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51451 Date: 12/06/2024 Permission is hereby granted to: Veronica Hunzinger PO BOX 6 Cutchogue, NY 11935 To: legalize "as built"generator as applied for. Premises Located at: 315 Green Way, Cutchogue, NY 11935 SCTM# 109.-5-14.23 Pursuant to application dated 03/15/2024 and approved by the Building Inspector. To expire on 12/06/2026. Contractors: Required Inspections: Fees: As Built Generator $250.00 ELECTRIC -Residential $200.00 CO Accessory $100.00 Total $550.00 J� 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;.s:// = x.sooti1oldtoW 1 at Date Received APPLICATIONIII IT For Office Use Only E C WE : I PERMIT N0. � Building Inspector., r MA 5 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:3.13.24 OWNER(S)OF PROPERTY: Name: g SCTM#1000- Veronica Hunzln er 109-05-14.23 Project Address:315 Green Way Cutchogue Phone#:1-917-216-1954 Email:veronica@hunzingerpc.com Mailing Address:PO Box 6 Cutchogue NY 11935 CONTACT PERSON: Name:Joan Chambers Mailing Address:PO Box 49 Southold NY 11971 Phone#: Email J O@gmaii.com oanchambersl0 mall.com DESIGN PROFESSIONAL INFORMATION: Name:Lou Schwartz Mailing Address:? Ridgewood St, Bay Shore, NY 11706 Phone#:(631)410-6838 Email. CONTRACTOR INFORMATION: Name:as-built Mailing Address: #: �Emil- Phone DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Mother Generator $ Will the lot be re-graded? ❑Yes 09No Will excess fill be removed from premises? ❑Yes [kNo WON 1 PROPERTY INFORMATION Existing use of property:residential Intended use of property:same Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes *No IF YES, PROVIDE A COPY. 0 Clieck Bob 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 15 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 building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal Law. Application Submitted By(print name):Joan Chambers ®Authorized Agent El Owner Signature of Applicant: Date: 3.13.24 CONNIB D.BUNCH Notary Public.State of New York STATE OF NEW YORK) No.01BU6166050 SS: Qualified in Suffolk County �/ COUNTY OF ) Goan nlestaln Expires April 14.2_._ �O&yj CV&"4�eerzj being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 �W�1 day of ;i t I O .20,z� `" V Notary Public 2 �i° i'''':i'°t �.IIII't t i I H i ION (Where the applicant is not the own er) -�Tul'1.2( residing at 3 C1 C ' E �0 I ��O(� �Ci� ( Joan Chambers CV"rC. 6U'E do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. 3/13/2024 Owner's Signature Date Veronica Hunzinger Print Owner's Name 2 iaF04 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 m Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ru a ov seand southold smash southoldtown �townn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email;. Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: M A, �4Un2t Address: &Q -" C Cross Street: 1;? R• Phone No.: 416 Bldg.Permit#: j email: &_% Tax Map District: 1000 Section: LO Block: f75' Lot: � 23 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES pp�� NO Issued On �L Temp Information: (All information required) Service Size 1' Ph 3 Ph Size: A # Meters Old Meter# []New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 H Frame Pole Work done on Service? Ll Y N Additional Information: PAYMENT 171 E WITH APPLICATION . cv - w AREA - 4 ,333 sq.ft. L 2� to fWFOLKCOUMrr MAMWNTO FIRS�..�. w , e . dl l4+ W llb { a weN .+;w i'i2,v LOT ® I41 PORMA=.fU /,x: BMIMMS EMM TMM MW FiMM DAME OF Ap'PItOVAL R41 a lict L "T 23 "FARWAY FARAIS p41 h p• 1974 . 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