HomeMy WebLinkAbout51566-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#: 51566 Date: 01/16/2025
Permission is hereby granted to:
Perham C L Irry Trt
585 Moores Ln N
Greenport, NY 11944
To:
install roof-mounted solar panels to existing single-family dwelling as applied for.
Premises Located at:
585 Moores Ln N, Greenport, NY 11944
SCTM#33.-2-36
Pursuant to application dated 11/18/2024 and approved by the Building Inspector.
To expire on 01/16/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
ELECTRIC -Residential $125.00
CO- IDENTIAL $100.00
Total $325.00
u lding Inspector��
N TOWN OF SOUTHOLD—BUILDING DEPARTMEN
0�
,w Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
" Telephone (631) 765-1802 Fax (631) 765-9502 htt s://ww .southoldtownn' . owe
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Date Received
APPLICATION FORBUILDING PERMIT
For Office Use Only
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.
Date: ,2 V
OWNER(S)OF PROPERTY:
TM# 1000-
Name:
Ca ife � nil
Project Address: 1J °Ar 1
Phone#: �+� c�J Email:
Mailing Address:
CONTACT PERSON:
Name: ti 1 CC
Mailing Address: p- 7�'/ � e S4 Q
Phone#: .- Email:
DESIGN PROFESSIONAL INFORMATION:
Name: .
/
Mailing Address. _
mai':
Phone#: , 6 - E �/CJf�!
CONTRACTOR INFORMATION:
Name:
Mailing Address: !'-7 w �J 2 f
Phone#: , ? Email: Z. /�S C�� ,+
DESCRIPTION OF PROPOSED CONSTRUCTION
El New Structure ❑Addition eration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other ,- $
Will the lot be re-graded? Dyes ❑No Will excess fill be removed from premises? Dyes ONO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes ❑No IF YES, PROVIDE A COPY.
Wlfheck Box After : 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 Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name):111(ZdI C«C/017 -rued Agent ❑Owner
Signature of Applicant Date: 1
STATE OF NEW YORK)
SS:
COUNTY OF )
l (t 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, 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 POVO4 20 "(
PROPERTY OWWR AUTHORIZATION
(Where the applicant is not the owner)
I �" residing at r � ,Le
do hereby authoriz _ I k 9 to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
.+ 4 o
Owner's Signature " Date
�Gt-7dICe- t�harl
Print Owner's Name '
2
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
amesh@southoldtownny.gov -- seand southoldtownn . ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 11-15-24
Company Name: SUNRUN INSTALLATIONS
Electrician's Name: SAMY MOUNAS
License No.: ME-33878 Elec. email:LI PERM ITS@SUNRUN.COM
Elec. Phone No: 631-741-0378 01 request an email copy of Certificate of Compliance
Elec. Address.: 177 CANTIAGUE ROCK ROAD WESTBURY NY 11590
JOB SITE INFORMATION (All Information Required)
Name: CANDICE PERHAM
Address: 585 Moores Ln N Greenport NY USA 11944
Cross Street:
Phone No.: (631) 255-5454
Bldg.Permit#: 6 669 email:culleyclm@yahoo.com
Tax Ma District: 1000 Section: 33 Block: 2 Lot: 36
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
INSTALLATION OF ROOF MOUNTED SOLAR PANELS. (14) 5.740KW
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ✓ NO Rough In Final
Do you need a Temp Certificate?: 1-1 YES NO Issued On
Temp Information: (All information required)
Service Size1 Ph3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground Eloverhead
# Underground Laterals 1 02 D H Frame Pole Work done on Service? Y N
Additional I nformation:
PAYMENT DUE WITH APPLICATION
Suffolk County Dept. of
Labor, Licensing Consum er Affairs
HOME IMPROVEMENT LICENSE
Name
PAUL JOYCE
Business Name
Sunrun Installation Service Inc
This certifies that the
bearer is duly licensed License Number H-54140
by the County of suffolk Issued : 09/23/2014
W T. RO-8 e"rk Expires,., 09/01 /2026
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