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HomeMy WebLinkAbout51625-Z TOWN OF SOUTHOLD i 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 „r 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 1 PROPERTY INFORMATION Existing use of property: re Intended use of property: Ires,01tVI1 C k 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 a . ,. 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) !R yy Suffolk County Department of Labor, Licensing & Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEW YORK 11788 ak' DATE ISSUED: No.04/12/2024 ME-70212 IV M" SUFFOLK COUNTY W Master Electrician License 01 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. M NOT VALID WITHOUT Additional Businesses V DEPARTMENTAL SEAL HBO& AND A CURRENT Greenleaf Solar CONSUMER AFFAIRS ID CARD kk Wayne T. Rogers r aff, I 6R6 I-IN 0 0115 M 4ift- Al"Iffiffis-4 AM% M 0211�1111' M 5, ljp ME& Suffolk Coun-4- Department of Labor, Licensing & fly Consumer Affairs A VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEW YORK 11788 1 gq DATE ISSUED: 04/19/2024 No. HI-70178 SUFFOLK COUNTY A J1 Home Improvement Contractor License V This is to certify that William C Wei 10 doing business as Despaux Holdings LLC DBA 41- 1 having furn ished the requirements set forth in accordance with and subject to the provisions of applicable Z -Sol 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. kq NOT VALID WITHOUT Restrictions Additional Businesses IMRI DEPARTMENTAL SEAL HI I-Solar Greenleaf Solar A� AND A CURRENT CONSUMER AFFAIRS ID CARD Z-jjgzg Z, W M V9 Wayne T. Rogers Commissioner M OFRIS Y W M r