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Home My WebLink About51548-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#: 51548 Date: 01/14/2025 Permission is hereby granted to: Krestin DS Living Trt 790 Indian Neck Ln Peconic, NY 11958 To: install generator as applied for.. Premises Located at: 790 Indian Neck Ln, Peconic, NY 11958 SCTM#86.-4-1.10 Pursuant to application dated 11/13/2024 and approved by the Building Inspector. To expire on 01/14/2027. Contractors: Required Inspections: Fees: GENERATOR $125.00 ELECTRIC -Residential $100.00 CO-RESIDENTIAL $100.00 r Total S325.00 -- Building Inspector ¢ wr 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 littps://www.soutboldtownny,&oN� w„ Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 1 ( 1 PERMIT NO. Building Inspector: 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. ,l Date: U OWNER(S)OF PROPERTY: Name: 00- Project Address: -740 INt1 Owe- LJWE I '"ec-pNic- 1a 114158 Phone#: q( �1 "` o Email: d I*N Mailing Address: CONTACT PERSON: Name: V 1 flS"�1� Mailing Address: -74 0 14 bI pr„( r4ftX ,° LAr( 9� Phone#: 4) 1-7 G S- O Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: I III KV _CAA1T4 Mailing Address: PL� 8ox P01I4 t Phone#: 6�� L rq�d Email: Mslkl'�14' rldSOvx-rdGCWVL Mgr1 DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration []Repair ❑Demolition Estimated Cost of Project: ❑Other -f 2 $ Will the lot be re-graded? ❑Yes 1ZNo Will excess fill be removed from premises? ❑Yes ❑No 1 M A PROPERTY INFORMATION Existing use of property: REs 1h�- 1xL, Intended use of property: R63i b Ir a` -L Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Eyes XNO IF YES, PROVIDE A COPY. ® 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 210.45 of the New York State Penal Law. Application Submitted By(Print name): p u � ❑Authorized Agent ,kOwner Signature of Applicant: Date: — 1$ 020 2'T STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF ,: t ) Qualified in Suffolk County A ` Commission Expires April 14,2 VVI N being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the W1 (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 j � clay of b&)Y61n LO-7 , 20 Notary Public PROPERTYNEALITHOWNnON (Where the applicant is not the owner)�� I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 �r L � fft BUILDING DEPARTMENT- Electrical lnector � a TOWN OF SOUTHOLD 2 Town Hall Annex - 54375 Main Road -PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765=,501 � jamesh@southoldLwno .gov seand sputholdtownn . qv APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ni Information Required) Date: Company Name: . Electrician's Name: License No.: -. ,EEllec. email: Elec. Phone No: � Vf I request an em it copy of Certificate of Com pliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: ,:'k Address: Cross Street: Phone No.: BIdg.Permit#: SlS email: dLlil rr/.re;r7 Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Foota e Circle All That Apply: Is job ready for inspection?: ® YES NO []Rough In J Final Do you need a Temp Certificate?: 11 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 Reconnect❑Underground❑Overhead #Underground Laterals f7 1 H Frame Pole Work done on Service? Y N Additional information: ..PAYMENT DUE WITH APPLICATION SURVEY OF PROPERTY SITUATE x PECONIC TOWN OF SOUTHOLD MAIN ROA'D(s'R 25) SUFFOLK COUNTY.N.Y, TAX MAP NO,:1000-oe6 00-0400-001,,010 LCTAREA:127.340 38 S,F.(2 923 ACRES) DATE SURVEYED:APRIL 15.2022 -ELEVATIONS REFERTO NATI- -oTMVQ&GE,.81-11- 6 0 z > Z z m RqG l 0 WAY -,M oo 23146, Mi 66-00-00--W 0 0 > wslmn LAND N/F JAMES&MURIEL ANORF gp - pI wn N66'00'00"E - ------ --- --- --------fl, 0 0 LAND N/F MILLICENT GOSSNER 0 A., > TF I Y STORY 0 REGI.EN- 4t7g um wmew > > IT FWIIIVQ-1 "vil'u'A az bLAND N/F- ING AM FAMILY 2021 IRREVO—E TRUST z Cr Nvjv 0 ------- sGi-2t'10"W two LAND N" Al.AEL EIRA""'A"A" LOi .7_MAP OF WILD OATES FILE NO 9331 S U RR V T91,P'l�LC D7 MCA"",f�m F_MA�IL�,-&J,02 Ni7-2 IN 11