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Home My WebLink About51679-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#: 51679 Date: 02/25/2025 Permission is hereby granted to: Samantha Grassle 110 4th Ave Apt 6D Brooklyn, NY 11217 To: install roof-mounted solar panels to existing single-family dwelling as applied for. Premises Located at: 3825 Stars Rd, East Marion, NY 11939 SCTM#22.-2-26 Pursuant to application dated 01/13/2025 and approved by the Building Inspector. To expire on 02/25/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 ELECTRIC -Residential $125.00 CO-RESIDENTIAL $100.00 Total S325.00 �� Building Inspector ell , , 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) 765-9502 lit t s://w^w.southoldto on Dae fej APPLICATION FOR BUILDING PERMIT For Office Use Only � Cl PERMIT NO, Building Inspector, adiing ld townOf � tg;�C1 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: ( 2 Q 5 OWNER(S)OF PROPERTY: Name:Luis Palacios ECTM 1000-22-2-26 Project Address:3825 Stars Road, East Marion, NY Phone#:425-614-6781 Email:luisdaniel@gmail.com Mailing Address: CONTACT PERSON: Name: Barbara - GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 x117 Email: Barbara@Greenlogic.com DESIGN PROFESSIONAL INFORMATION: Name k `-� Mailing Address:F I✓�G'" l�'/) \ f' L� �, N °- 5Smail: ) ' `n Poe#::` _ Name:GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 Email:AM@Greenlogic.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition WAlteration ❑Repair ❑Demolition Estimated Cost of Project: [il0ther Solar Panels $ 30,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes IiNo 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes No IF YES, PROVIDE A COPY. ch �� 'U r, ck Box Aft0 water o no', professional Is resp6rk blefor ail drelnage 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 Af"the Townpf Southold,Suffolk,P;1 unty,.New York and other applicable Laws,ordinances or.Regulations,for the construction of buildings, additions,alteratlons or for reri7oval or Jemo ftlon as herein described.The apprrcar `agrees to compiy with all applicable laws,ordinances,building code, housing code and regulations and to adrni6uthorized Inspectors on premises aril In building)s)'for rreoessarV Inspections.False statements made herein are punishable as a pass A misdemeanor pursuant to Section 210 4S of the New York State Penal Law. 71 Application Submitted B (print name):GreenLogic LLC pp Y�P ) EAuthorized Agent ❑Owner Signature of Applicant: Date: 1194) STATE OF NEW YORK) SS: COUNTY OF Suffolk ) NeSim AlbUkrek 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 >J _day of TCt Y1CJA Notary Public BARBARA A CASCIOTTA PROPERTY AUTHORIZATION Notary Public-State of New Yolk No.01 CA41MM (Where the applicant is not the owner) OualifiedIn Suffolk CouW Commission Expires May 11,20271 I, LU1S 1 (� � ✓4 c I bS residing at �g2 J�r�:ZS 20 .14 f °i `,60 GreenLois LLC v� do hereby authorize g to apply on my behalf to the Town of Southold Building Department for approval as described herein. 2� 2Lf '.� Owner's Signature Date < EKLEEFIELD A.GE0RGE5Print Owner's Name Public-State of New York N0.01GE6234683 alified in Kings County ission Expires May 21, 2027 1 �� , �, BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 w Southold, New York 11971-0959 W Telephone (631) 765-1802 - FAX (631) 765-9502 ro err southoldtownn . ov sear rd _southoldtowi� ri gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1/7/2025 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ✓Z1 request an email copy of Certificate of Compliance Address.: 97 North, Sea Road Southampton, NY 1168 JOB SITE INFORMATION (All Information Required) Name: Luis Palacios Address: 3825 Stars Road, East Marion, NY Cross Street: Phone No.: 425-614-6781 Bldg.Permit#: email: luisdaniel@gmail.com Tax Map District: 1000 Section: 22 Block: 2 Lot: 26 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system **(21) REC460AA PURE-RX panels Et 21) En hale IQ78x micro inverters (1) Enphase IQ Gateway ENV2-IQ-AMI System Size: 9.660KW Check All That Apply: Is job ready for inspection?: F_�YES R✓ NO ❑Rough In ZFinal Do you need a Temp Certificate?: ✓ YES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph F❑3 Ph Size: A #Meters Old Meter# DNew Service ❑ Service Reconnect ❑ Underground ❑Overhead Underground Laterals E]1 D2 E]N Frame Pole Work done on Service? Y E]N Additional Information: PAYMENT DUES WITH APPLICATION Electrical Inspection Form 2020.xlsx