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Home My WebLink About51958-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#: 51958 Date: 05/29/2025 Permission is hereby granted to: Zurab Mamukashvili PO BOX 834 Shelter Island Hgts, NY 11965 To: Install roof mount solar to existing single family dwelling as applied for. Disconnects must be located on the exterior, labeled, and readily accessible. Premises Located at: 275 Marina Ln, East Marion, NY 11939 SCTM#35.-8-5.10 Pursuant to application dated 04/25/2025 and approved by the Building Inspector, To expire on 05/29/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 ELECTRIC -Residential $125.00 Total $325.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT ire Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www. outholdt w . v Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only Building Ins ePERMIT NO. ctor; h 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: I 1ZC- OWNER(S)OF PROPERTY: Name: SCTM #1000- 2��c� �91L 1� Ut �✓,� L I Project Address: �� rYICU1v\4 Phone#: 3ty�32 tog Email: 2,UvCQ6,�h0QC mac. he cGu Mailing Address: l d rr,rv, laaP-- 1Eg%+- 19 7 CONTACT PERSON: Name: ((ate t Mailing Address: ` --T� 4m , I- h L 1-7 3 s _, 1, Phone#: U (-S-05-- 1 7 L41 Email: t., r �✓I l�o� �1b, C" DESIGN PROFESSIONAL INFORMATION: Name: ICY\\ �1G Mailing Address: Gj QQ KI P 0 , VSCV ( I V1 1 Z S Icy Phone#: T L(s` -c to`?3 Email: CONTRACTOR INFORMATION: Name: W �, l L LCkr'-t uu-e Mailing Address: ( ( f-,cch oJo 'L'y-• 1�Cets+ Se-4QLa-4` L D 3 Phone#: Email: en DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑I Iterati n e air emolition Estimated Cost of Project: Other A0 - � 1 � -'p� "COA �� , Will the lot be re-graded? ❑Yes EYNO Will excess fill be removed from premises? Yes ONO 1 r , PROPERTY INFORMATION Existing use of property: Intended use of property: (-eSL -P14),Q-a Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes--4No IF YES, PROVIDE A COPY. by Check Box After Reading: The owner/wntractor/deslsn professional it,responsible for all drainage and stor Permit pursuant uss n o' the provided ovi ullldl Zone 236 of the Town Code. APPLICATION IS HEREBY MADE to the BuildingDepartment for the Issuance of a Building Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordloances or Regulations,for the construction of buildings, addltions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building coda, housing code and regulations and to admit authorized Inspectors on premises and In bulldinglsi for necessary inspections.Faise statements made herein are punishable as a Class A misdemeanor pursuant to Section 220.45 of the New York Stata Penal Law, Application Submitted By(print nam ): L ` tok wet Authorized Agent []Owner Signature of Applicant: Date: rTV ( I 2CL7�— STATE OF NEW YORK) S COUNTY OF�,��I ) W I 1 Ca,V Q 1 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the W ..4olr- (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 day of l y-) , 20 S Notary Pubk—" ) 0, PROPERTY OWNER AUTHORIZATION = ► �; Where the applicant is not the owner I, t ' residing at vi� JF do hereby authorize 1 l ✓it OP r ,PScIi "'to apply on my behalf to the Town pgSouthold Building Department for approval as described herein. Owners Si re Date Print Owner's Name 2 ff p 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 ro err southoldtownn . ov seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: L( lcf Company Name: � � Electrician's Name: 27 v-1C YVuVI r1 License No.: ')C)"L l 2- Elec. email: Elec. Phone No: �-1(1.,_ l request an email copy of Certificate of Compliance Elec. Address.: S ,+ &./Lf I! f JOB SITE INFORMATION (All Information Required) Name: V-"C V, J 'L1R. k ( 1 i Address: -2, 3- Cross Street: h Phone No.: Bldg.Permit #: email:2v + l- cr ('t ,C Tax Map District: 1000 Section: S Block: '�6' Lot: /d BRIEF DESCRIPTION OF WORK, INCLUDE SQUA E FOOTAGE (Please Print Clearf }: F Square Footage: j Circle All That Apply: Is job ready for inspection?: YES NO E]Rough In El Final Do you need a Temp Certificate?: El YES NO Issued On Temp Information: (All information required) Service Size01 Ph[:]3 Ph Size:' A # Meters Old Meter# ❑New Service[—]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead Underground Laterals 1 2 LJ H Frame Pole Work done on Service? Y MN Additional) information: PAYMENT DUE WITH APPLICATION lBuiuldin* Dcoartment ApHlicaation (Where the Applicant is not the Owner) 1, Mat t:J a °`_j. jresidinsalµ_QjSAAayiV c w. .... (Print property.owner's name) (Whiling Address) C`V'1, ......... do hereby authorize _l \ .._._ -2 f..... G -�— (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signatu y (Date) (Print Owner's Name) VFFQ Scott A. Russell ST0]kMWATIE]k SUPERVISOR MANAGi]EMLENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town own Of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) =......��... ��. ....... . �_ DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) YeS No A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. 0 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. 016 C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. Od D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 00 E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of.impervious surfaces. ONANANANNOMWO If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above,please submit Two topics of a Storwater Management Control Plan and a completed Check List Form to the Building Department witFy—our Building Permit Application. .. �. _..,,.. _:. ... S.C.T.M. #: 1000 Date APPLICANT: (PropertyO«ner.Design Professional,Agent,Conuactor.Other) DGtrfct NANIE: L41 I L((?T Section Block Lot FOR BUILDING D1�P R i Ml`NT USE ONLN _ Contact Information: t 'I rrrlephoix"nxrk&rcr Reviewed By: Date: Property Address / Location of Construction Work: �— Approved i-processing _._ o Permit. rCIV � U1 El Storm�ate Management Control Plan Not Required. tForwardtto EI>;er �neen � Depart ne It for Reageent Contr Pan is view) .� _... _ _...._ mm._ . . ...... FORM ...#. .SMCP ,.TOS MAY 20.i.... .�.ww.n.� .. .....m.. .. ..... .....�. ......... _.... ... __...... - 4 Michael l Licensed Professional Engineer Licensed In New York, New Jersey, Connecticut& California New York License#079676 New Jersey License#44042 Connecticut License#23158 California License#31508 April 17, 2025 Town of Southold Building Department The Office of the Building Inspector 54375 NY-25 Southold, NY 11971 Re: Zurab& Manana Mamukashvili- 275 Marina Lane East.Marion NY 11939 Single Family Residence Solar Panel Loading Certification Town of Southold County of Suffolk State of New York Dear Building Department I am the engineer of record for the above referenced project. I have prepared the attached plans dated April 17, 2025 that consist of the installation of(28) REC ALPHA PURE-RX 460W solar panels at the above referenced location. I can hereby certify that the existing roof structure combined with the additional weight of the solar panels and ballast blocks meets the requirements of The 2020 Residential Code of New York State, Publication Date, November 2019. The design loads were as follows, Roof Design Load: 20psf live load Wind Design Load: 140mph No additional structural members were required. The pool house roof is currently framed with 2x8 wood framing @ 16" O.C. The roof structural members are in compliance with ASCE 7-16 for deflection and acceptable bending stress. If you have any questions, please feel free to call me at any time.Thanks in advance. Sincerely Yours, DOE N6`tv A^ DWyt4'/.00'/0100t q 7 co * (01 i rn Michael E. Miele, PE i9 07 67b "0 CSSo 705 Orrs Mills Road, New Windsor, NY 12553 ♦ Phone:845.629.9693♦ mikemielepe@gmail.com Suffolk County Dept,o Labor, Lrce�.sfrtg S s A Suffolk County Dept.of Labor,Licensing B Consumer Affairs MASTER ELECTRICAL LICENSE Name ERIC E=MANN Business Name Despaux Holdings LLC DBA dines that the w tlulyliceosed License Number ME40212 � Count'of Suffolk� Issued: 0417212024 Expires- 04101J2026 �`vv T Ro�t+� �