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
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APPLICATION FOR BUILDING PERMIT
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For Office Use Only
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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
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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
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Telephone (631) 765-1802 - FAX (631) 765-9502
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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
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\. 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
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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
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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
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