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HomeMy WebLinkAbout51508-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#: 51508 Date: 12/27/2024 Permission is hereby granted to: Raymond T Tamayo 16083 Hampton Crossing Dr Winter Garden, FL 34787 To: legalize "as built"AC as applied for. Premises Located at: 54505 CR 48, Greenport, NY 11944 SCTM# 52.-1-9 Pursuant to application dated 11/01/2024 and approved by the Building Inspector. To expire on 12/27/2026. Contractors: Required Inspections: Fees: As Built Alteration $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total S800.00 4 Building Inspector at 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 httt)s://www.sc)ut,holdtownny.go „ k tf,Receivedl l. k APPLICATION FOR BUILDING PERMIT , .w _ r*" ,.. Y For Office Use Only �ar PERMIT NO, Building Inspector: ���� "�' �i ;��a�d4 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: OWNER(S)OF PROPERTY: Name:Raymond Tomayo scTM #Zo00-52-1-09 Project Address:54505 CR 48, Greenport NY 11944 Phone#:516-946-0744 Email:raytomayo@hotmail.com Mailing Address: CONTACT PERSON: Name:Pat Moore Esq. Mailing Address:51020 Main Road, Southold NY 11971 Phone#:631-765-4330 Email:pcmoore@mooreattys.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: TE DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other older AC unit $. Will the lot be re-graded? Eyes iRNo Will excess fill be removed from premises? ❑Yes BNo tw ./ U AT 1 PROPERTY INFORMATION Existing use of property: house Intended use of property: AC Unit Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to r-40 this property? Dyes igNo IF YES, PROVIDE A COPY. B 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 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 230AS of the New York State Penal Law, Application Submitted By(print e): at Moore BAuthorized Agent ❑Owner Signature of Applicant: Date: !0 y STATE OF NEW YORK) COUNTY OF Ca y �Yf— being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the ( ntractor,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 �M day of_ ;1 UIJCi�� , 20 Notary Public M A D I S 0 . N IVj�MM'i-'A NOTARY PUBLIC,STATE GF PiEW YORK PROPERTY OWNER TI 10RIZATION Registration No.01ME6370536 (Where the applicant IS not the owner) Qualified in,Suffolk County Commission Expires February 5,2aD Raymond Tomayo residing at 16083 Hampton Cross Drive I, Winter Park Fla. 37487 Patricia C. Moore do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. o ner's Signature Date Print Owne s Name 2 f BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Ze .;k a Southold, New York 11971-0959 � Telephone (631) 765-1802 - FAX (631) 765-9502 'amesh so�utholdtownn ov— wand southoldt wnin . ov APPLICATION FOR ELECTRICAL INSPECTIO c- ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 0Ca Yfr^I 0 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) LName: � � Gl t".�" Address:� ��� L Cross Street: Phone No.: -0 5 Bldg.Permit#: email: Tax Map District: 1000 Section: Block: O % Lot: a BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AC I�4� OT . Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO Rough In E Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service SizeF�1 Ph 3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 M H Frame Pole Work done on Service? Y NLINA Additional Information: PAYMENT DUE WITH APPLICATION SURVEY OF P/O LOTS 3 & 4 MAP OF blo PROPERTY OF W. H. YOUNG AND R. J. GOODALE FILED ON SEPTEMBER 11, 1929 gyp, AS MAP No. 585 p SITUATE 0; TOWN OF SOUTHOLD ' SUFFOLK COUNTY, NEW YORK r ` TAX No. 1000-05200-0100-009000 No SCALE 1"=20' � OCTOBER 21, 2024 AREA = 28,616 sq. ft. 0.657 ac. LEGEND: (S ® CATCH BASIN � PlO ® DRAIN GRATE Pjo LOT FIRE HYDRANT LOT 3 � LAMP POST � .a•"— ,— OVERHEAD UTILITY WIRES qk..) UTILITY POLE r ® MANHOLE LOTOS TREE �`� �Q � SIGN Nv' "O5 0 WATER METER o WATER VALVE CONC. MONUMENT EM m ELEC. METER LtT � GM m GAS METER $ - STAKE SET Tax Map Lot 8 e h GN�O 4. do cp \. ASPHALT DRIVEWAY AERIAL LAND SURVEYING, D.P.C. NOTE L CATION5 AND Dnn NCE OF ANY SS F'ROSST DRIVE MADLY u 4111 - Si MUM. 11667 CIRWICADONS 140MON NOT mAMSFEUB - F"NtRIE 333-m-S313 E_ 1JAND517RVEY6�.C�ii - tr� - ro wr rwwoir ofuw,un oner _ _ �DF 41" 0' l DISTRI i000 LO F OD0 BLOCK:01.00 SECTID Krou�Nx Nwnax Wes,.,,,,,0u „ � 8 p At l/ Id 0 jF IL NO,: 585 >sK e e wuna OF NITGL+s. R sueom z aF mE N7 roxK sreiE a Tw ur mTs 5'4p"W NOR1j1 MAP OF: "Property of W. H. Young and R. J. Goodole" _ «r` � + a C � ADTITLE NO: NIA " � a. �* R MAP FILED DATE: SEPTEMBER 11. 1929 _ r T DD LINTY TAX MAP ID: 10OD-05200�-0100—OOMO M 1 SITUATED AT: TOWN OF SOUTHOLD SUBDIVISION MAP LINT&BLOCK -S. P O LOTS 3 & 4 imme - k Nc� OATEe �1.�tx+