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Home My WebLink About51645-Z o , 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#: 51645 Date: 02/13/2025 Permission is hereby granted to: Susan Schneider 1495 Gin Ln Southold, NY 11971 To: install generator as applied for. Premises Located at: 1495 Gin Ln, Southold, NY 11971 SCTM#88.-4-12 Pursuant to application dated 12/23/2024 and approved by the Building Inspector. To expire on 02/13/2027. Contractors: Required Inspections: Fees: GENERATOR $125.00 ELECTRIC -Residential $100.00 CO-RESIDENTIAL $100.00 Total $325.00 B "inglnspector� � µ TOWN OF SOUT14OLD—BUILDM DEPARTMENT i Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �v� Telephone (631) 765-1802 Fax (631) 765-95021 ://www. ot� ( oldtcwrnrcr + DM6 Received APPLICATION FOR BUILDING PERMIT For Office Use Only �, ' PERMIT NO. � �lY 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: OWNERS)OR PROPERTY: Name: 5 � � SCT-M# 000- Project Address: Phone#: Email: Mailing Address: ~ ,<r S'J 1 CONTACT PERSON: Name: er h v✓C Mailing Address: Phone#: Email; DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:. Mailing Address: Phone#: Email; DESCRIPTION OF PROPOSED CONSTRUCTION []New rStructure ❑Addition ❑Alteration :]Repair ❑Demolon iti Estimated Cost of Project: F2iothe❑New /6 i)CSt�J2 0 K q� �� ."� $ Will the lot be re-graded? ❑Yes L7No Will excess fill be removed from premises? ❑Yes/❑No 9 r � 1 PROPERTY INFORMATION Existing use of property: _ Intended use of property: exetk4ria Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes N No IF YES, PROVIDE A COPY. �l 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, additioro,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 210A5 of the New York State Penal law. Application Submitted By(print name): ❑Authorized Agent ❑Owner Signature of Applicant: Ct E NIE D.BUNCH rk Date: Notary Pubic,State Of New YO No.OIBU6185050 STATE OF NEW YORK) Qualified in Suffolk County �. SS: Commission Expires April 1 ,2.. COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the �L T�AC'Td (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 ah ' day of _C P��YI ,20�7 -r Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, � � der� ,residing at .S' e,,-11 do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date SI/I Itt Print Owner's Name 2 u � fFO(,� ,. BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD w x r Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ' ., Telephone (631) 765-1802 - FAX (631) 765-9502 k 'amesh southoldtownn ov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1;L_J 3 JY Company Name: � &t- a Electrician's Name: License No.: Elec. email: Elec. Phone No: 7 171 " L`�^°I I request an email copy of Certificate of Compliance Elec. Address.: f Gv`C 1�' I - JOB SITE INFORMATION (All Information Required) Name: Address: ILIi`r✓ f /� Cross Street: 6F- / V OtfzJ Phone No.: 631 - BIdg.Permit#: 51 5 email: Q ,`-X i ,C Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): /0E[.AJ /y r!CI,J k--Ofi /6E Square Foota e: Circle All That Apply: 11 Is job ready for inspection?: YES HIN09 Rough In Final Do you need a Temp Certificate?: El YES O Issued On Temp Information: (All information required) Service Size 01 PhE]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame LJ Pole Work done on Service? LUY MN Additional Information: PAYMENT DUE WITH APPLICATION SURVEY OF LOB' ' 3 MAP OF BAY HAVEN FILE No. 2910 FILED JANUARY 22, 1959 SITUATED AT SOUTHOLD o cy Sso01 TOW N OF O SUFFOLK COUNTY, NEW YORK �� ., S.C. TAX No. „1000-88-04-1 2 1 � o�, ✓ ,µ. �V I, SCALE 1 =20 J A N U ARY 6, 1998 NOVEMBER 5, 1998 REVISED PLOT PLAN 4 JULY 12, 1999 REVISED PROPOSED SEPTIC SYSTEM LOCATION AJULY 75, 1999 REVISED PROPOSED SEPTIC SYSTEM LOCATION UGUST 6, 1999 UNDER CONSTRUCTION SURVEY r 5 0 JUNE 16, 2000 FINAL SURVEY AREA = 17.500.00 sq. ft. " E . l 0.402 ac. 4/ �"'�,.. •",�ry� CERTIFIED TO * FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK WALTER SCHNIDER SUSAN SCHNIDER S �- D i 'sDa„ A � �� NOTES. �C 1. THIS PROPERTY IS LOCATED IN: FLOOD ZONE A4 (EL 8) V FLOOD INSURANCE RATE MAP COMMUNITY—PANEL No. 360813 0079 D f ZONE A4 (EL 8). AREAS OF 100—YEAR FLOOD- BASE FLOOD ELEVATIONS AND / FLOOD HAZARD FACTORS DETERMINED 0 2. S.C.D.H.S. REFERENCE No. R10-98-0013 3. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM. eo 2 �T6REDEONR ADDITIONmH ALTERATION AV OON O, SECTION 7209,ev EDUCATION IAWOF THE NEW YORK STATE COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S HIKED 5FAL OR TO BE A VALID TRUE COPY. G EMBOSSED SEAL SHALL NOT BE CONSIDERED ,,++ +• ONLY To THE PERSOINDICAN F HEREONTHE SURVEY RUN n n� ,/�" IS PREPARED.AND ON HIS BEHALF TOTHE �11 T j OJ` .J TOLE COMPANY,ION LISTED HE AGENCY AND 1" TO THE INSTITUTION T HEREON,AND TO THE ASSIGNEES OF THE +Q LENDING TUITION-CERTIFIGTIONS ME HOT TRANSFERA BLE V THE EXISTENCE OFDF RIGHTS OF WAY AND/ORYNOT EASEMENTS OF RECORD,IF ANY,KIDF SHOWN ARE NOT GUARANTEED. oR'PLIRRN.'D.Tr A AGaCWMLMME R�5+t"a:.rwpteti Atit N raaR,vaRGP Joseph A. IngegnoW TWE LIL a NOOPI q1 rgp 6MC ust B "Nw%tPoo,SZATE LWW wtf 4SOM.Wd Land Surveyor 1Au R.F T-Ue Surveys-WSabdras . - Sde Plans Co t—tion Layaul .tl Vw ° kl PHONE (631)727-2D90 Fax(631)727-1727 n -�d �. DMICES LOCATED AT MAIL ADDRESS NY Sy 1 r.. N. 1380 ROANOKE AVENUE PA.Box 1931 RIVERHEAD,NR York 11901 Riverhead,Neal York 11901-0965 ...,.....,.- ..,...._..� ..a.. �.._.,,,,,.,.�, .......... ............ ------- _,