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Home My WebLink About51510-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#: 51510 Date: 12/27/2024 Permission is hereby granted to: Panico S QPRT 801 Lytham Cir Osprey, FL 34229 To: Install roof mounted solar panels to an existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 575 Sleepy Hollow Ln, Southold, NY 11971 SCTM#78.4-10.11 Pursuant to application dated 11/04/2024 and approved by the Building Inspector. To expire on 12/27/2026. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 ELECTRIC -Residential $125.00 Total $325.00 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 https://wwwsoutlioldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT `u !i For Office Use Only PERMIT NO. Building Inspector:'` Applications and'forms must be filled outin their entirety.,lncomplete applications will notbe accepted."Where th6 Applicant is not the-6wner,an, Owher's;Authorization form(Page 2)shall be completed. Date: I(; .2- _2- OWNER(S),OFPROPERTY: Name: b rPayu SCTM# 1000- 70. - l - 10. I Physical Address: 575 Sleepyhollow Lane, Southold NY 11971 Phone#: 516-456-9344 Email: salpanico@gmail.com Mailing Address: 575 Sleepyhollow Lane, Southold NY 11971 CONTACT PERSON: Name:Permit Dept./Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:Permits@GoPowerSolutions.com DESIGN-PROFESSIONAL INFORMATION: Name: Michc2) E, Ke,le. PE Mailing Address: 33 Q�.Q�e� AYe- Coca wall _ N•y 1a5-10 Phone#: g Ys- &a q - 9 G 93 Email: N y('S e„ i eer - 1 co-►-� CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@GoPowerSolutions.com `'DESCRI PT,1ON,;OF P.ROP„OSED°C0NSTRU,CTION ❑New Structure [--]Addition iOAlteration ❑Repair ❑Demolition Estimated Cost of Project: BOther Proposed(Qq )panel roof mounted array. ( (►.q JS-)kW System $ 3 4 Lf as. 00 Will the lot be re-graded? Dyes RNo Will excess fill be removed from premises? ❑Yes BNo 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes RNo IF YES, PROVIDE A COPY. 8 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'ofthe,Towri of Southold,'Suffolk,County,New York and other applicable taws,Ordinances or Regulations,for the construction of buildings, additions,alterations orforremoval or demolition as,herein described.7he=applicant,agree sAo,comply with all applicable laws,ordinances,buildiing,codg housing code and,regulations and.to'admit authorized inspectors on;premises and in buildirig(s),for necessary inspections.False statements made herein"are punishable as a Class A misdemeanor pursuant to Section 210.45 of the=New York state Penal Law. Catizone Electrical/Long Island Power Solutions Application Submitted By(print a e): BAuthorized Agent ❑Owner Signature of Applicant: Date: 4202-V STATE OF NEW YORK) SS: COUNTY OF Suffolk Michael Catizone 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 day of voir'e/�C�CJ-�.f� ZD Notary Public Ile ESCAYLIN CRISOL RIVERA RODRIGUEZ NOTARY PUBLIC-STATE OF NEW YORFsERT No. 01 R16434031 Qualified in Suffolk County (Where the applicant is not the owner) My Commission Expires 05-31-2026 1, VCAO(C 0C�.►ti._c C O residing at 575 Sleepyhollow Lane, Southold NY 11971 Michael Catizone/Long Island Power Solutions do hereby authorize to apply on my behalf to As the aw of Southold Building Department for approval as described herein. -- --"� /0.22-7- Owne s Signature Date &A� Print Owner's Name 2 , m BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Ale Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 sw= ,. ro err southoldtownnygov seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Catizone Electrical/Long Island Power Solutions Name: Michael Catizone License No.: M E - 535a o email: Permits@GoPowerSolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) Name: 30 Address: 575 Sleepyhollow Lane, Southold NY 11971 Cross Street: Phone No.: 516-456-9344 BIdg.Permit#: 51,5 1 o email: salpanico@gmail.com Tax Map District: 1000 Section: r7 9-*' Block: I Lot: I C),:1 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(a 7 )panel roof mounted array, ( 11•H 115)kW System Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: �A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected-Underground -Overhead Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: ZnverAfzaX �: i c -4 PAYMENT DUE WITH APPLICATION Request for Inspection FormAs 10/23/24,8:00 AM Mail-Margaret Barker-Outlook i r � 1 iI I � � 1 i � 1 � r i i i t � t 1 1. 1 , I i lI for � 1 � i r i k 1 1 f a . I i r i r i l G ��uIII I I https://outlook.office365.com/mail/inbox/id/AAQkADZhZGU5ZGYyLWE5MzgtNDc3Nil hZjMOLTg5ZTk4ZWMl MmMwYgAQAP2pf6gte\MLvXeL%2BhFp.,. 1/1 rmo7 eMNfYbN"f« Suffolk County DePL Of Labor,licensing R Consumer Affairs U " MASTER ELECTRICAL LICENSE Name MICHAEL CATIZONE Business Name LONG ISLAND POWER SOLUTIONS Tt"0000e1.pbet me INC by am cw*morlsdr.SY lkwsed cd wftlk License Number ME635W Issued: 06/06/2014 Wa.y..,&T.Rogsrk E*Ims: 06101/2026 Commissioner ,..,., auffolkCounty Dept of Labor,Lkansing&Consumw Affalm HOME IMPROVEMENT LICENSE Name MICHAEL J CATIZONE NMI Business Name LONG ISLAND POWER SOLUTIONS Thw Caton uea111ke INC beogorisduly' rlrt4eecowlfale w License NumberH43M Isewed: 06/0012014 WoywT.RnJr+y Expires: 06fflirA26 Consrvsaiexrer