The URL can be used to link to this page

Home My WebLink About51682-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#: 51682 Date: 02/25/2025 Permission is hereby granted to: Jon A Hlafter 33 Riverside Dr Apt 15FG New York, NY 10023 To: install roof-mounted solar panels to existing single-family dwelling as applied for. Premises Located at: 1400 Meadow Beach Ln, Mattituck, NY 11952 SCTM# 115.-17-17.18 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 $325.00 mil°ding Inspector�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 At Telephone (631) 765-1802 Fax (631) 765-9502,Iitti //%v win�L�t ttio dt(wtin e c Once Receive APPLICATION FOR BUILDING PERMIT For office Use Only AA�PERMIT NO. Building Inspector. ,,,,_ .- t V 6 V-0 SO Applications and forms must be filled out in their entirety.Incomplete to applications will not be accepted. Where the Applicant Is not the owner,an Owner's Authorization form(Page Z)shall be completed. Date: 11/11/2024 OWNER(S)OF PROPERTY: Name:Jon Hlafter SCTM#1000-115-17-17.18 Project Address: 1400 Meadow Beach Lane, Mattituck, NY Phone#:917-693-3926 Ema-iI-jon.hIafterC@skadden.com Mailing Address:33 Riverside Dr, Apt 15F, New York, NY 10023 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: Pacifico Engineering PC Mailing Address:800 Lakeland Avenue, Suite 2B, Bohemia, NY 11716 Phone#:631-988-0000 Email:solar@pacificoengineering.com CONTRACTOR]N FORMATION: 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 ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Solar Panels 38,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes F*No 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 XNo IF YES, PROVIDE A COPY. ig 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 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 210.45 of the New York State Penal Law. Application Submitted By(print name):GreenLogic LLC BAuthorized Agent ❑Owner Signature of Applicant: / Date: l I ZI Z� 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 02 day of: 4, ,200?S Notary Public BARBARA A CASCIOTTA Notary Publlo-State of New Yo* F)R T .. . µIII I UTIJ � IZATI III No.01CA4as4sss (Where the papplicant is not the owner) _ Oual'Ified In Suffolk County Commission Expires May 11,2027 I, Jon residing at LZ �tt C bo`- I i l\j\1 do hereby authorize GreenLogic LLC to apply on my behalf to the Town of Southold Building Department for approval as described herein. _._ d1il /2 s nature Date Pri O ner' Name 2 r � tfg � 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 �y f�rrsoutholdtownn ov °� seand outholdtowl�n orb APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1/3/2025 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 R]I request an email copy of Certificate of Compliance Address.. 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: Jon Hlafter Address: 1400 Meadow Beach Lane, Mattituck, NY Cross Street: Phone No.: 917-693-3926 Bldg.Permit#: email: jon.hlafter@skadden.com Tax Map District: 1000 Section: 115 Block: 17 Lot: 17.18 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system **(211 REC460AA PURE-RX panels Et (21) En phase IQ8X-80-M-US micro inverters (1) Enphase IQ Gateway ENV2-IQ-AMI System Size: 9.660KW Check All That Apply: Is job ready for inspection?: DYES Fv- NO ❑Rough In ✓Final Do you need a Temp Certificate?: R]YE S [-]NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: -www A # Meters Old Meter# FI New Service ❑ Service Reconnect ❑ Underground []Overhead Underground Laterals D1 2 ON Frame DPole Work done on Service? DY ®N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx