HomeMy WebLinkAbout51522-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#: 51522 Date: 01/07/2025
Permission is hereby granted to:
Brian Gebbia
665 Cardinale Dr
Mattituck, NY 11952
To:
install additional roof-mounted solar panels to existing single-family dwelling as applied for,.
Premises Located at:
25 Azalea Rd, Mattituck, NY 11952
SCTM# 115.-6-13
Pursuant to application dated 11/08/2024 and approved by the Building Inspector.
To expire on 01/07/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
ELECTRIC -Residential $125.00
CO-RESIDENTIAL $100.00
Total $325.00
Building Inspector
V " TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 1 1 971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 ham .//WWW.SOLlthOldto'wnii y. ,, v
Date Received
APPLICATION FOR BUILDING PERMIT
_ For Office Use Only
g _ u
oCNOV 2 24
PERMIT N0. Building Inspector:_
Applications and forms must be filled out in their entirety.incomplete',;"
applications will not be accepted. Wheed`0e Applicaiit;ls not the ownek,*h :'„'r + • �' '� 1 1
Owner's Authorization form(Page 2)shall=be completed
Date:10/23/2024
OWNER(S)OF PROPERTY:
Name:Brian Gebbia SCTM# 1000-115.00-06.00-013.000
Project Address:665 Cardinal Drive, Mattituck NY 11952
Phone#:631-740-6006 :IEII.wizardgebbia@aol.com
MailingAddress:665 Cardinal Drive, Mattituck NY 11952
CONTACT PERSON:
Name:Samuel Magliaro - Trinity Solar
Mailing Address:2180 5th Ave Unit 1 , Ronkonkoma NY 11779
Phone#:631-319-7233 Email:Brittany.Gaumer@trinity-solar.com
DESIGN PROFESSIONAL INFORMATION:
Name:Ayracon V. Almaraz
Mailing Address:2211 Allenwood Rd, Wall NJ 07719
Phone#:631-319-7233 Email:Ayracon.Almaraz@trinity-solar.com
CONTRACTOR INFORMATION:
Name:Samuel Magliaro - Trinity Solar
Mailing Address:2180 5th Ave Unit 1 , Ronkonkoma NY 11779
Phone#:631-319-7233 Email:Brittany.Gaumer@trinity-solar.corn
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[i]OtherSOlar Panels $54,539.92
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property:1 Family Residential Intended use of property:1 Family Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ®No 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+Department4or 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:fie applicant ag'rees'to comply with all"applicable laws;ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and=hf buildinils)'for necessary Inspections.,False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 310AS of the New York State Penal Law.
Application Samuel Magliaro - Trinity Solar
pp Submitted B y(priri ame)z BAuthorized Agent ❑Owner
Signature of Applicant: Date: 10/23/2024
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
Samuel M ag I la ro being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Contractor/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
_day of ) , 20J_LA___ �.
a Public
NOTARY PUBLIC, STATE OF NEW YORK
NO. 01 SA0013662 OPERTY OWNER AUTHORIZATION
QUALIFIED IN SUFFOLK COUNT
MY COMMISSION EXPIRES 09/20/2027 Where the applicant is not the owner)
Brian Gebbia residing at 665 Cardinal Drive
Mattltuck NY 11952 do hereby authorize Samuel Magliar0 - Trinity Solar toapply on
my behalf to the Town of Southold Building Department for approval as described herein,.
Owner's Signat Date
Print Owner's Name
2
u, BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
ro err southoldtownn , ov - seared southoldtownny gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 10/23/2024
Company Name: Trinity solar
Name: Richard Guaneri
License No.: ME-57843 email: Rich(ivarneri e trnut�-sotar.com
Address: 2180 5th Ave Unit 1,Ronkonkoma NY 11779
Phone No.: 631-319-7233
,JOB SITE INFORMATION (All Information Required)
Name: Brian Gebbia
Address:
665 Cardinal Drive,Mattituck NY 11952
Cross Street:
Phone No.: 631-740-6006
Bldg.Permit#: �5 email: wizardgebbiw'd4iolcom
Tax Map District: 1000 Section:115.00 Block:06 00 Lot:013.000
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Installation of a utility approved,grid inter-tied,flush mount,roof mounted,27 Hanwha 410 solar panels,MOM OM photovoltaic electricity generating system,
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / O 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:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
Suffolk County Department of Labor, Licensing &
Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 01/29/2014 No. H-52821
SUFFOLK COUNTY
E
Home Improvement Contractor .license
a This is to certify that William F Condit -
doing business as Trinity Solar LLC
having furnished the requirements set forth in accordance with and subject to the provisions of applicable t=
E 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.
NOT VALID WITHOUT Restrictions Additional Businesses
DEPARTMENTAL SEAL HI-Solar
AND A CURRENT
CONSUMER AFFAIRS
ID CARD
Wayne T. Rogers
Commissioner
Suffolk Counter Dept,of
Labor,Lc"rensingp&Consumer Affairs, '
HOME IMPROVEMENT LICENSE
Name
JILLIAM F CONDIT
Busi"ess Name
7tropserCrttes nbax the Trinity Solar LLC
bearer rs duty hcensed License Number H-52521
by the county at sutTolNc
Issued: 411d29'120 14
n4'T` y Expires, 01/01/2026
Commissioner
Suffolk County Dept.of
Labor,Licensing&Consumer Affairs
` MASTER ELECTRICAL LICENSE
Name
RICHARD GUANERI
Business Name
This cerifies.hat the
3earer is duly licensed Trin-ty Solar Inc.
:)y the County of suffolk
License Number:ME-57843
Rosalie Drago Issued: 12/15/2016
Comrrissioner Expires: 12/1/2024
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