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
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For Office Use Only �-^ �:..�.N �.. a.
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[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