HomeMy WebLinkAbout51579-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#: 51579 Date: 01/22/2025
Permission is hereby granted to:
Wayne Sailor
PO BOX 317
Mattituck, NY 11952
To:
install additional roof-mounted solar panels to the existing system on the single-family dwelling as
applied for.
Premises Located at:
2730 Grand Ave, Mattituck, NY 11952
SCTM# 107.-2-8
Pursuant to application dated 11/21/2024 and approved by the Building Inspector.
To expire on 01/22/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
ELECTRIC -Residential $125.00
CO-RESIDENTIAL $100.00
Total S325.00
umldng Inspector
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 littps://www.soutlioldtowatM.gov
.gate.Received
APPLICATION I L I I ;
r Office Use Only
PERMIT NO. ' Building Inspector:
s
, n
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: i l I is .
OWNER(S)OF PROPERTY:
Name:Wayne Sailor SCTM#1000� - mm
Project Address:2730 Grand Ave. Mattituck, NY 11952
Phone#:(631) 300-8745 Email:wesailor@hotmail.com
Mailing Address:2730 Grand Ave. Mattituck, NY 11952
CONTACT PERSON:
Name: Evelyn Polvere/Sunation Solar Systems
Mailing Address: 171 Remington Blvd., Ronkonkoma, NY 11779
Phone#: 631-750-9454 ext 346 Email:permitting@sunation.com
DESIGN PROFESSIONAL INFORMATION:
Name:Michael Dunn, Graham and Associates Inc,.
Mailing Address:256A Orinoco Drive, Brightwaters, NY 11718
Phone#:631-665-9120 Email:glenn@grahamassociatesny.com
CONTRACTOR INFORMATION:
Name:Scott Maskin/Sunation Solar Systems
Mailing Address:171 Remington Blvd., Ronkonkoma, NY 11779
Phone#: 631-750-9454 Email:permitting@sunation.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $ 13410&1 V
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
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PROPERTY INFORMATION
Existing use of property:Residential Intended use of property: Residential
Zone or use district in which premises is situated; Are there any covenants and restrictions with respect to
this property? ❑Yes BNo IF YES, PROVIDE A COPY.
Checker Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPUCATION 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 210AS of the New York State Penal Law.
Application Submitted By(print name): ott Maskln BAuthorized Agent ❑Owner
Signature of Applicant: Date: )) g
�.
� I ) ��
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
Scott Maskl n 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
`Y — ,-:J- /
rj day of E Inn L& 204
otary Public LYNN VITA
isiotery FublP c, State of Nerw York
{"eolstr:'lk',un ?�Gb"6�R"S.5068 99
GuI-ydifi ," irs Suffi.,)lk County (
PROPERTY OWNER AUTHORIZATION fly an ja:,jjission ExpiresOct.28,20 ?
(Where the applicant is not the owner)
Wayne Sailor residing at 2730 Grand Avenue
Mattltu do hereby authorize Scott Maskin to apply on
my ehalf the can f Southold Building Department for approval as described herein.
I(, II' 1�
Ow Sig Lure Date
Wayne Sailor
Print Owner's Name
2
' F BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
.q Southold, New York 11971-0959
a, a Telephone (631) 765-1802 - FAX (631) 765-9502
x- roge[r@southoidtow,nny.gov seared southoldtow nn y ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: SUNation Solar Systems, Inc
Name: Scott Maskin
License No.: 33412-ME email permittin2@sunation.com
Address: 171 Remington Blvd. Ronkonkoma NY 11779
Phone No.: 631-750-9454
JOB SITE INFORMATION (All Information Required)
Name: Wayne Sailor
Address: 2730 Grand Ave. Mattitudk NY 11952
Cross Street:
Phone No.: 631 300-8745
Bldg.Permit#: 5 email: wesailor hotmail.com
Tax MaE District: 1000 Section: 107 Block: 2 Lot:8
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Ipstg1latigp of solar panels - flat on rQQf- add-on ta exiating $Qlargjystem
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:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
i+w�j�Yli�,V ',dIB I1" {01yi1'm I Iw
Suffolk County Dept. of
,1 Labor, Licensing & Consumer Affairs
MASTER ELECTRICAL LICENSE
Name
SCOTT A MASKIN
Business Name
SUNATION SOLAR SYSTEMS INC
This certifies that the
bearer is duly licensed License Number ME-33412
by the County of suffolk Issued: 06/24/2003
R Pr"&. Expires: 06/01/2025
Commissioner
Suffolk County Dept. of
u
r Labor, Licensing & Consumer Affairs
HOME IMPROVEMENT LICENSE
Name
SCOTT MASKIN
Business Name
SUNation Solar Systems Inc
This certifies that the
bearer is duly licensed License Number H-44104
by the County of suffolk Issued: 03/06/2008
W�nz, T. Rogeory Expires: 03/01/2026
Commissioner