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Home My WebLink About51766-Z rry TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Kr t. 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#: 51766 Date: 03/20/2025 Permission is hereby granted to: Donald E Schilley 640 Leslie Rd Cutchogue, NY 11935 To: Install roof mounted solar panels to an existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 640 Leslie Rd, Cutchogue, NY 11935 SCTM#97.-9-5 Pursuant to application dated 02/04/2025 and approved by the Building Inspector. To expire on 03/20/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 ELECTRIC -Residential $125.00 Total S32S.00 Building Inspector rt TOWN OF SOUTHOLD—BUILDING DEPARTMENT t° Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631) 765-9502 httL)s://www.soutlioldto nll ov Date ReceW APPLICATION FOR B,U�ILDINGPERMIT For office use only PERMIT N0.51 7 to 0-Building Inspector: Appll6tl6rws and fornris nnust bb filled out In their entirety.Incorpp to applications WlII,'not"be,ac ptedI. Where,the A pllcant;Is not the.ovw Pqr,an 0i OWher",Aothoark0on form(Page 2)s,bali be'cgmplet+ed. lute:213f2028 OWNER(S)OF PROPERTY: Name:Trinity Fleischman scTM#so00- �- 5 Project Address:640 Leslie Road, Cutchogue, New York 11935 Phone#:6312769139 Email:trinity8681 @ieloud.com Mailing Address:640 Leslie Road, Cutchogue, New York 11935 CONTACT PERSON: Name:Alex Yackery - Venture Home Solar LLC Mailing Address:100 Charlotte Ave. Hicksville NY 11801 Phone#:914-214-7108 Email:permittingny@venturesolar.com DESIGN PROFESSIONAL INFORMATION: Name:Patrick Busset Mailing Address:100 Charlotte Ave. Hicksville NY 11801 Phone#:914-214-7049 Email:permittingny@venturesolar.com CONTRACTOR INFORMATION: Name:Venture Home Solar LLC Mailing Address:100 Charlotte Ave. Hicksville NY 11801 Phone#:914-214-7108 Email:permittingny@venturesolar.com DESCRIPTION OF PROPOSED CONSTRUCTION []New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project 20therSOLAR INSTALLATION $$23,082.30 Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property:RES 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. B 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 Section210.45 of the New York State Penal Law. Application Submitted By(pri e);Alex Y -Venture Home Solar LLC BAuthorized Agent ❑Owner Signature of Applicant: Date: 2/3/2024 STATE OF NEW YORK) SS: COUNTY OF Suffolk Alex Yackery being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)heisthe Contractor- Venture Home Solar LLC (Contractor,Agent, Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work an ra make red de this application;that all statements contained in this application are true to the best of his/her kin edge a b f;and that the work will be performed in the manner set forth in the application file therewit Sworn before me this 3 day of February 2025 reWMAIRY y P li'c EPHEN JU]3N LUISE JR. PUBLIC,STATE OF NEW YORK PROPERTY OW'NER AUTHORIZ ION egistration No.02LU6401287 (Where the applicant is not the oQualified in Su lkCountyon Expires '. jrinity Fleischman residing at 640 Leslie Road Cutchogue, New York 11935 Alex Yackery-Venture Home solar do hereby authorize_ to apply on rr* behalf to the Town of Southold Building Department for approval as described herein. 2/3/2025 O ner's Signature Date Trinity Fleischman Print Owner's Name 2 BUILDING DEPARTMENT-Electrical Inspector �:a w TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 1 1 971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err southoldtownn ov-seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2/3/2025 Company Name: Venture Home Solar LLC Electrician's Name: Jason P. Sampogna License No.: ME-60556 Elec. email: permittingny@venturesolar.com Elec. Phone No: y-7� $ ❑I request an email copy of Certificate of Compliance " Elec. Address.: #,e-, re• -csvrlf2. N ISO 1 JOB SITE INFORMATION (All Information Required) Fleischman Address: 6401 Leslie Road, Cutcho ue, New York 11935 Cross Street; Phone No.: 6312769139 Bldg.Permit#: email:trinityr8681 @icloud.com Tax Map District: 1000 Section:97 Block: 9 Lot:5 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): PV ROOF MOUNTED SOLAR INSTALLATION - 18 PANELS / 18 MICRO INVERTERS /7.470 kW Square Footage: Circle All That Apply: Is job ready for inspection?: El YES IVI NO DRoughin Final Do you need a Temp Certificate?: 0YES NO Issued On Temp Information: (All information required) Service Size Ell Ph 3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑✓Overhead #Underground Laterals 1 2 M H Frame Pole Work done on Service? Y nN Additional Information: :1 PAYMENT DUE WITH' APPLICATION Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, Trinity Fleischman residing at_640 Leslie Read Cat ho ue,New York 11935 (Print property owner's name) (Mailing Address) ....� do hereby authorize Alex 'ate 'denture Home Solar (Agent) to apply on my behalf to the Southold Building Department. 2/3/2025 .............. (Owner's S i ature) (Date) Trinity Fleischman (Print Owner's Name) 8 u/ Or Licen4loo Cqnsum 1, L L71 � ��r r Suffolk County Dept,. Labor,, Licensing & Consumer, ". 11c,irs i'A S E HOME IMPROVEMENT Name ALEXANDER E YACKF. Business Nam( , Venture Home Solar LLC !'-)BA This certifies that the bearer is duly licensed License Number H-59758 by the County of suffolk Issued: 02/15/2018 Expires: 02/01 /2026 Commissioner