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HomeMy WebLinkAbout51959-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUIILDING 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#: 51959 Date: 05/30/2025 Permission is hereby granted to: loannis Kordistos 1455 Cropsey Ave Brooklyn, NY 11228 To: Legalize accessory"as built"generator as applied for. Premises Located at: 375 Gus Dr, East Marion, NY 11939 SCTM#38.-7-10.1 Pursuant to application dated 04/22/2025 and approved by the Building Inspector. To expire on 05/30/2027. Contractors: Required Inspections: Fees: As Built Generator $250.00 As Built Electric $200.00 CO Accessory $100.00 Total $550.00 Building Inspector UFY$ 4 ,wf 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 https://www.soutlioldtownn ov Date Received APPLICATION FOR BUILDING PERMIT if EC E913E For Office Use Only R PERMIT NO, 5 Building Inspectors R 2 2 202 Applications and forms must be filled out in their entirety.Incomplete, Iaa`sl�le�eaamet applications will not be accepted. Where,the Applicant is not the owner,an Tot��� f Athol Owner's Authorization form(Page`2)shall be completed. ' Date: OWNERS)OPPROPERTY: , Name: p6.Y�'(\ J�C:T:M # 1000- �j�— C) Project Address: Cl 5 V� Phone#: to Email: Mailing Address: S YS 1 D CD9V1 I V CONTACT PERSON: Name: S t Mailing Address: Phone#: Email: 'DESIGN PROFESS IONALINFOR"ION: Name: Mailing Address: a ` 1—' k4� � �� } C Phone#: -J Email„ CONTRACTOR INFORIVIATION Name: Mailing Address: Phone#: Email; DESCRIPTION"Of PROPOSED CONSTRUCTION ❑Ne Structure ❑Addition ❑Alteration ❑Repair, ❑Demolition Estimated Cost of Project: finer A E l the lot be re-graded? ❑Yes �lo Will excess fill be removed from premises? ❑Yes ❑TO--" 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? Dyes ❑No IF YES, PROVIDE A COPY. ❑ 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 Ybrk'and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as hereindescribed.,The applicant agrees,to comply with all applicable laws,ordinances,building code, housing codeand'regulations and to admit authorized inspectors on premises'and in buildings)for necessary inspections.False statements made herein are punishable asaclass A misdemeanor pursuant to Section 20.45 of the New York State'Penal Law. Application Submitted By(print name):-2-6 �� cs�� S oS ❑Authorized Agent ❑' net' Signature of Applicant: Date: - _ 2-n-)- „ti STATE OF NEW YORK) CONNIE D.BUNCH SS: Notary Public,State of New York No, 01 BU6185050 COUNTY OF ) (qualified in Suffolk County Commission Expires April 14,2gd:C' 0 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (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 ,�,4►n day ofA{ j 2 Q-"f-1P L Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) (, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 I % fnt ' �: BUILDING DEPARTMENT- Electrical Inspector ,pASs ` TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 M Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 u rr iamesh@southoldtownny.gov- seared soufholdtownrt . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Au I fdr ation Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: `O 6fC" ©S . Address: S fe--\6\3 P' \eA Cross Street: Phone No.: Bldg.Permit#: J email: onSA`r' oYl i r..°Ty Tax Map District: 100 Section: Block: C) Lot: �0 , BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): J, 2C� pr:5 GLI Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: El YES Issued On Temp Information: (All information required) Service Size1 Ph[-]3 Ph Size: A # Meters Old Meter# ❑New service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals,0 1 D2 0 H Frame 0 Pole, Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION V. MEND 0.2'W, LAMP "J LAMP + P • " FE. > L '" a 6 W �— {� FENCE ti P '�C` C u l LAMP � 0.2'W + tlsy ,. P e^0 LAMP kl+O� MAN—MADE STONE WATER FEATURE 1 F a < o LAMP FENCE q ONLINE FLAG \ \ POLE LAMP FO.2'Wd FE COR. .+ ° 0.5•W. ,,� STORMI DRAINS iC3 � Or � LAM pe o- t9 CATCH BASIN 1 � C� 01 �lp METAL STRIP 1'�I.IN GENERA-OR DRAIN C $ a D 5v1 M1 ROOF 734A OVER HANG ✓ rC G�w EL.a TRIO METER "� " .,„C FENCE f� F FENCE WATER Or L. TANKw' 34.d" 1�$6 ��- V il lk J '9� t^ FEX S OXE. 3 COR ;91r � �ijax .aft {�'t �;} � � 4 43 s ♦ Wj a ` NMt `tt ! '•L r k: fl:c� xy x; ',6 ���,,�yt:.eo RF t}�.Pf .,r SqS" 1 x3 } �_�; t�T. '`X[�r�•.:-�1XT'".'F�." f � 4s g�' a rk.1 .'zs,�° �5, � �'.�� � �+F�y e� a - L y ♦ F. •k'a c.r -rt '� a � t` �+y ,r"{' —',� _ y ..+w,..wr.< .. ,.,,--�y«,,:.,.� a Y• t �., r:� g it e+ws. : _, p ,a b y e, r `;•r.35.:.. :s,_ '' d - r*i' a,�` r , 5e -'Sr '� *• r "' '`a'��`l �cr' ., -� ,p t'�91'� `d�. t t}✓ a';na s Y{� t a.:A"'±.♦"': - } t t i .i.,,., Sl.�` tx t t .-c R _ �''p " - -a.: °�.,- ,7:' i 1 4 4 5 .;3 r-A.. > e...� �,. 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