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HomeMy WebLinkAbout52039-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#: 52039 Date: 06/26/2025 Permission is hereby granted to: Steven S Goodman 6 Piper Dr Searingtown, NY 11507 To: install central air conditioning to an existing single-family dwelling as applied for, Premises Located at: 1155 McCann Ln, Greenport, NY 11944 SCTM# 33.-3-27 Pursuant to application dated 05/22/2025 and approved by the Building Inspector. To expire on 06/26/2027. Contractors: Required Inspections: Fees: HVAC $250.00 ELECTRIC -Residential $100.00 CO-RESIDENTIAL $100.00 Total 450.00 Building Inspector TOWN OF OUTHOLD—BUILDING DEPARTMENT Town.1-fall Ann4x 54315 Main Road P. O. Box 1179 Southold,NY 11971-0959 x Telephone(631) 765-1802 Fax (631) 765-9502 //www.soutiloidtQwilti3i.gov Date Received I 1, For Office Use Only PERMIT NO. Buildin Ins sector; Y ��Q.25 I g p Applications and forms must be filled,out in their entirety.Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold Owner's Authorization form(Page 2)shall be completed. Date:5/21/25 OWNER(S)OF PROPERTY: Name:Steven Goodman SCTM#1000-33.-3-27 Project Address: 1155 McCann Ln.,, Greenport, NY 11944 Phone#:516-248-1053 Email:ssg062241@gmail.com Mailing Address: 1155 McCann Ln., Greenport, NY 11944 CONTACT PERSON: Rok%I W hQ In e. -J-y Name:Erich Gehm Mailing Address:500 Bi-County Blvd., Suit, 401, Farmingdale, NY 11735 Phone#:631-501-5010 Email:erich.gehm@homeserveusa.com DESIGN PROFESSIONAL INFORMATION: Name:n/a Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Erich Gehm Mailing Address:500Pi-County Blvd., Suite 401, Farmingdale, NY 11735 Phone#:631-501-50110 Email:erich.gehm@homeserveusa.com DESCRIPTION OF PROPOSED CO STRLJI&IION ❑New Structure ❑Addition ❑Alteration RRepair ❑Dgmolition Estimated Cost of Project: ❑Other $11,453 Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes RNo I' 1 PROPERTY INFORM/1TION,,/�// Existing use of property:Mq� /� �CSZ— Intended use of property: MA^ Zone or use district in which premises is situated: Are there any covenants 'd restrictions with respect to this property? ❑Yes 2rNo IF YES, PROVIDE A COPY. fJ 3 f (,�µ t f he,owrre�r contras r�0 n Professional is respon ible for all dra nagetdnd s J rrm, a e�/issues as provided by i " "p d of f ;FiftBff,pr to t``Building De artrtient for he issuance' a 4iuiltl Fntipxrr;uanLto the Building"zone Chapter236ofthe, orn� ro �;; r,,; i, rdinance of the;Town of Southoltl Suffolk,Coun New;YorKand ather`applicable laws,Ordinances oflegu(itl�id s'o tf, ;construction of,buiftlingsf ? t* ,,,, ,,,�;,,, ,,, ,ri/„///GiDi //.,�/rir f,�i��/i % /�f/i%/�//////�%%d%//lei/%/a,„i i�/G „/m� additions alteratior►s`orforremoval or dembutiortas herein described;The applicant agrees to omply witKalJ p ws rdf�a�ces,buiftlfn code, d ulatlo s;and;to adm it,authorized 1n ecto on preml;es and in bufldin (sf9 eeessa: pe,©n�i ales atemfs,mede herein are hpusmgcode an/f„e punishable;es " �,o " Application Submitted By(print name): Authorized Agent ❑Owner �c 1�. 1 I Signature of Applicant: `�-�` Date: ,S a 1/ STATE OF NEW YORK) J, ) COUNTY OF SS: I\ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the k CANMAO (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 _ 2D Notary Public Lisa Kmiotek Notary Public,State of New York Registration No, 0106372315 PROPERTY OWNER AUTHORIZATION Qualified In Suffolk County (Where the applicant is not the owner) Commission Expires Marcia 1 ,201 I, residing at 1 5 1�/L Ccl 1A \ Ln., C do hereby authorize <E to apply on my beh ' _to the Town of S thold Building Department for approval as described herein, AS' Owner's Signature Date STVVVAN C7C� n)A0 � Print Owner's Name 2 l B „ off BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Ze Southold, New York 11971-0959 ;w Telephone (631) 765-1802 - FAX (631) 765-9502 .s ac iamesh@southoldtownny.gov —sea nd southoldtownn .g ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 5/21/25 Company Name: Margin Electric Electrician's Name: Mark Camarano License No.: ME-41277 Elec. email: Mark@marginelectric.com Elec. Phone No: 516-343-9255 ✓❑1 request an email copy of Certificate of Compliance Elec. Address.: 2144 Jones Ave., Wantag „ NY 11793 JOB SITE INFORMATION (All Information Required) Name: Steven Goodman Address: 1155 McCann Ln., Greenport, NY 11944 Cross Street: Sutton PI Phone No.: 516-248-1053 Bldg.Permit#: email: ssg062241@gmail.com Tax Ma gDistrict: 1000 Section: 33 Block: 3 Lot: 27 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Replacing and air cond4ioner condenser(exterior), and an air handler.(attic) Square Footage: Circle All That apply: Is job ready for inspection?: YES NO ❑Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All informatio required) Service SizeEl1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground❑Overhead Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION i 0 1�\ ; 1u lu r�i/ �//�/i/i/� ✓ice ,'/iar/� �,, / i%r;%// ir, �%,�,%7i/��� �l ,�I man ,.a/fire, r/i ri /��2 �' r✓�///� °/(%/�/� it , �%�./� �� k,r ,, ^ ;\ ,,,,,"9� '"`'„ ;', fir ✓/�/ % � �//�.' // f� i �Ill�i��u 11116111111111111