HomeMy WebLinkAbout51625-Z TOWN OF SOUTHOLD
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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#: 51625 Date: 02/11/2025
Permission is hereby granted to:
Domeluca II LLC
66 Leonard St 9C
New York, NY 10013
To:
install roof-mounted solar panels to existing single-family dwelling as applied for.
Premises Located at:
14895 Route 25, East Marion, NY 11939
SCTM#23.-1-2.10
Pursuant to application dated 12/02/2024 and approved by the Building Inspector.
To expire on 02/11/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
ELECTRIC -Residential $125.00
CO-RESIDENTIAL $100.00
Total $325.00
Building Inspector
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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) 765-9502la� ://www. otit oldtowntiv. o)
Date Received
APPLICATION FOR BUILDING 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: 10 131 I ZU-,?q
OWNER(S)OF PROPERTY:
Name: SCTM #1000- Z , _ _Z.
���1 t�C C6010
Project Address: I Lfli��� l C Z S- MQcp Acd Z. Mao It �� 1
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name: 1 C+0 V- 'Ck
Mailing Address: I-e_CAq I by- cLrS
Phone#: �� - 7- 1-7Lf-7 Email: �Vft cL If04
DESIGN PROFESSIONAL INFORMATION: q
Name: l' r r ► a2 1
Mailing Address: UCA V` s o Can
Phone#: 'i L4 S- U ZQ -0(0 -R Email: I e M te l e-CA-)QA4at :c)”
CONTRACTOR INFORMATION:'' . ))oo
Name:iud,t LO1AA l l
Mailing Address: . `
Phone#: (- Q cj — I 7 L4--� Em c0 'er, @ 'L-P rr.
DESCRIPTION OF PROPOSED CONSTRUCTION ki
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
VOther VQ40 I $ cn�
Will the lot be re-graded? ❑Yes 1KNO Will excess fill be removed from premises? ❑Yes No
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PROPERTY INFORMATION Existing use of property: re Intended use of property: Ires,01tVI1
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes y No IF YES, PROVIDE A COPY.
❑ Check Box After Read!ing: 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 210AS of the New York State Penal Law.
Application Submitted By(print name):W 11Qt"� wet [Authorized Agent ❑Owner
Signature of Applicant: ri� n,(,�,�,CI Date:
STATE OF NEW YORK)
COUNTY OF s"OTC),i- )
<✓ Q l being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the �\
(Contractor,AgIFo , etc.)
of said owner or owners, and is duly authorized to per arMWOP av e CW the said work and to make and file this
application;that all statements contained in this appli a ia, 41 best of his/her knowledge and belief; and
that the work will be performed in the manner set fort `11t1 ��� �rltherewith.
Sworn before me this "F'� �
6 [*"'day of k CLR IM.b�e-I11- ,20 Z"l cl,�ZWWUil
Notary Public
PROPIERIII"Y OWNERT 111111 T111
(Where the applicant is not the owner)
I, 1q6Lo S residing at L� f 4S- E
do hereby authorize Lo,;, c-P 6 a..� Sel� to apply on
jelalf to the Town of Southold Building Department for approval as described herein.:
Owner's Signature Date
[o S I �-
Print Owner's Name
2
� fl BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
v x Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
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ro err southoldtownn ov - seand southioldtownn ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: - -Z
Company Name: e � (oQS Lam... 1 k+
Electrician's Name: K4 CL V,V")
License No.: _C_,21 Z Elec. email: tq ft o0 , V" 1r 9 C:CI-4
Elec. Phone No: - (p3-7-4(1uS CED-request an email copy of Certificate of Compliance
Elec. Address.: [ .CVvic_,l -E-
JOB SITE INFORMATION (All Information Required)
Name: a l_l LLC C. tlo to0 ,
Address: �t� .- (�a."q
Cross Street: CAJe f,,J, g
Phone No.: - -ILI- (pLf(O- -
BIdg.Permit #: '51 email:
Tax Map District: 1000 Section: 2 Block: Lot: 2- 10
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Iscivo-Ir _klc� WIE;�N.
SAS
mac.( - -Ca Z 4kQ a) f Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES D NO F-1 Rough In F"� Final
Do you need a Temp Certificate?: El YES [51 NO Issued On
Temp Information: (All information required)
Service SizeF11 Ph 3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 D H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
CONSENT TO INSPECTION
4 ILC Ct I ( U C ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the premises in the Town of
Southold, located at I MC ck;1 Z0( L K-(Q-', C-VI _
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section a 3 Block i „ Lot Z- l U
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building hispector's Office for the following: ZbVc '- __-----__
e, ry a Ck
That the undersigned do(es)hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: 11-11- a
egblo S17tai :e
(Print Name)
(Signature)
Pri.... .....-...
( nt Name)
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Suffolk County Department of Labor, Licensing &
Consumer Affairs
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEW YORK 11788
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DATE ISSUED: No.04/12/2024 ME-70212
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SUFFOLK COUNTY W
Master Electrician License
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This is to certify that Eric E Mann
doing business as Despaux Holdings LLC DBA
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in
accordance with and subject to the provisions of applicable laws, rules and regulations of the County of
Suffolk, State of New York.
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NOT VALID WITHOUT Additional Businesses V
DEPARTMENTAL SEAL
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AND A CURRENT Greenleaf Solar
CONSUMER AFFAIRS
ID CARD
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Wayne T. Rogers
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Suffolk Coun-4- Department of Labor, Licensing &
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Consumer Affairs
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VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEW YORK 11788
1 gq DATE ISSUED: 04/19/2024 No. HI-70178
SUFFOLK COUNTY
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Home Improvement Contractor License
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This is to certify that William C Wei
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doing business as Despaux Holdings LLC DBA
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having furn
ished the requirements set forth in accordance with and subject to the provisions of applicable Z
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laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct
-d business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk.
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NOT VALID WITHOUT Restrictions Additional Businesses
IMRI DEPARTMENTAL SEAL
HI I-Solar Greenleaf Solar
A� AND A CURRENT
CONSUMER AFFAIRS
ID CARD
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Wayne T. Rogers
Commissioner
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