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HomeMy WebLinkAbout51644-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#: 51644 Date: 02/13/2025 Permission is hereby granted to: Matthew J Sirico 665 Moose Trl Cutchogue, NY 11935 To: install roof-mounted solar panels to existing single-family dwelling as applied for. Premises Located at: 665 Moose Trail, Cutchogue, NY 11935 SCTM# 103.-4-47 Pursuant to application dated 12/23/2024 and approved by the Building Inspector.. To expire on 02/13/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 ELECTRIC -Residential $125.00 -RESIDENTIAL $100.00 Total $325.00 Building Inspector a. ' 81 ofTOWN 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 h�ttps:Hwww.sotitholdtownay.gov Date Received APPLICATION FOR BUILDING PERMIT �:. For Office Use Only �-^ �:..�.N �.. a. R �02 ny .m [1 PERMIT NO. S Building Inspector °b 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: �a I 11 LH OWNER(S)OF PROPERTY: Name:Matthew Sirico SCTM#1000-103-4-47 Project Address:665 Moose Trail, Cutchogue, NY 11935 Phone#:631-834-8172 Email:mat.sirico@gmail.com Mailing Address:665 Moose Trail, Cutchogue, NY 11935 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 BAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ 33.o I "?. 2L� Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo 1 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. ❑ 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 demordion 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): of Maskin BAuthorized Agent ❑Owner Signature of Applicant: Date: �a 1 19I a y STATE OF NEW YORK) SS: COUNTY OF Suffolk Scott Maskin 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 day of Ly..0 142 20_2�± Notary Public LYNN VITA idotery NuLlic, State of New York ROc�lstrrl''lic-n #01VI5068399 PROPERTY OWNER I Cival'lli a jr, Suffolk County (Where the applicant is not the owner) icy Commission Expires Oct. 2-8, Matthew Sirico residing at 665 Moose Trail Cutchogue do hereby authorize Scott Maskin to apply on my behalf the=oldDepartment for approval as describe herein. ,3 0 Q Owner's Signature Oa' e Matthew Sirico 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 g " o err soutoldtowint . ov -� seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:: Company Name: SUNation Solar Systems, Inc Name: Scott Maskin License No.: 33412-ME email: germittin sunation.com Address: 171 Remington Blvd. Ronkonkoma, NY 11779 Phone No.: 631-750-9454 JOB SITE INFORMATION (All Information Required) Name: Matthew Sirico Address: 665 Moose Trail Cutcho roe NY 11935 Cross Street: Phone No.: 631-834-8172 Bldg.Permit#: 51 (, email: mat.sirico@gmail.com Tax Map District: 1000 S 'ction: 103 Block: 4 Lot: 47 BRIEF DESCRIPTION OF WORK (Please Print Clearly) 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 Formals ill Suffolk County Dept. of Labor, Licensing & Consumer Affairs MASTER ELECTRICAL LICENSE IY,VI14 Name �olVi illi��IIIVjIIIIi 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 Wa-y mew T. Rogery Expires: 06/01/2025 Commissioner Suffolk County Dept. of Labor, Licensing & Consumer Affairs J HOME IMPROVEMENT LICENSE Name SCOTT MASKIN Business Name This certifies that the SUNation Solar Systems Inc bearer is duly licensed License Number H-44104 by the County of suffolk Issued: 03/06/2008 W"",& T. Rog�y Expires: 03/01/2026 Commissioner