HomeMy WebLinkAbout51764-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#: 51764 Date: 03/19/2025
Permission is hereby granted to:
Luckyfront LLC
333 Central Park W Apt 106
New York, NY 10025
To:
install roof-mounted solar panels to existing single-family dwelling as applied for.
Premises Located at:
38015 Route 25, Orient, NY 11957
SCTM# 15.-2-15.8
Pursuant to application dated 02/12/2025 and approved by the Building Inspector.
To expire on 03/19/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
ELECTRIC -Residential $125.00
CO-RESIDENTIAL $100.00
Total S325.00
gilding Inspector
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 ilti��4�:/fr� �w.s�t��tlioltltownil v. )OV
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. � Building Inspector m��r
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an 1d old
Owner's Authorization form(Page 2)shall be completed. � Off,
Date:12/26/2024
OWNER(S)Of PROPERTY:
Name:LuckyFront LLC SCTM#1000-15-2-15.8
Project Address:38015 Route 25, Orient, NY 11957
Phone#: Email:
Mailing Address:333 Central Pak W, Apt 106, New York, NY 10025
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:700 Lakeland Ave, Suite 2B, Bohemia, NY 11716
Phone#:631-988-0000 Email:solar@pacificoengineering.com
CONTRACTOR INFORMATION:
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 RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
mother Solar Panels $ 103,000
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes BNo
1
Existi ng use of property:. Gs � Intended use of property: �j
_ e �� ,. _ side, 6c,i_
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes uallo IF YES, PROVIDE A COPY.
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Application Submitted By(print name): GreenLogic LLC ®Authorized Agent ❑Owner
Signature of Applicant:. V Date: 0
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,
Contractor
(S)he is the
(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
jf!�_day of h-- lr , 20 Zs
Notary Public
BARBARA A CASCIOTTA
PublIC-State of Now
PROPERTY OWNER AUTHORIZATION NON.01CA4894969 York
Where the applicant is not the owner QualitiedtnSutfo y11.2
( p p ) Commission ExpiresM M ay 1027
I, Jon 116m-�— residing at
do hereby authorize GreenLogic LLC to apply on
my behalf to the Town of Southold Building Department for approval as described herein,
2LA-1 / z l -z
Owner's Signature "Date
r�L
Print Owner's Name
2
m fft1 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
d'
w�
y ro err southoldto+ nn . ov --seand@,southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2/7/2025
Company Name: GreenLogic LLC
Name: Robert Skypala
License No.: 43858-ME email: Barbara@Greenlogic.com
Phone No: 631-771-5152 ❑✓ 1 request an email copy of Certificate of Compliance
Address.: 97 North Sea. Road Southampton, NY 11968
JOB SITE INFORMATION (All Information Required)
Name: Luckyfront LLC
Address: 38015 Route 15, Orient, NY 11957
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: 15 Block: 2 Lot: 15.8
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system
**(65) REC460AA PURE-RX panels Ft 65 En hase IQ78x micro inverters
(1) Enphase IQ Gateway ENV2-IQ-AMI System Size: 29.900KW
Check All That Apply:
Is job ready for inspection?: ❑YES [✓ NO ❑Rough In ZFinal
Do you need a Temp Certificate?: ZYES [:]NO Issued On 2/7/2025
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
0 New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals E]l EJ2 ❑H Frame E]Pole Work done on Service? ❑'Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
Suffolk CountyExecutive's Office of Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 5/25/2006 No. 40227-H
SUFFOLK COUNTY A z
Home Improvement Contractor License
This is to certifv that MARC A CLEJAN
doing business as GREEN LOGIC LLC
having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules
and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME
IMPROVEMENT CONTRACTOR,in the County of Suffolk.
Additional Businesses
NOT VALID WITHOUT
DkPARTMENTAL SEAL
AND A CURRENT
CONSUMER AFFAIRS
ID CARD
Director
Suffolk County Executive's Office of Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 12/10/2007 No. 43858-ME
SUFFOLK COUNTY
Master Electrician License
This is to certify that ROBERT J SKYPALA
doing business as GREENLOGIC LLC
a
having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance
with and subject to the provisions of applicable laws,rules and regulations of
the County of Suffolk, State of New York.
AdditionalBusinesses
i
9
NOT VALID WITHOUT
DEPARTMENTAL ENTAL SEAL
AND A'CURRENT
CONSUMER AFFAIRS
II)CARD �� t
a
Director
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