The URL can be used to link to this page

Home My WebLink About52041-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#: 52041 Date: 06/26/2025 Permission is hereby granted to: Deanna Alpert 5050 Pequash Ave Cutchogue, NY 11935 To: legalize "as built" central air conditioning as applied for. Premises Located at: 5050 Pequash Ave, Cutchogue, NY 11935 SCTM# 110.-3-25 Pursuant to application dated 05/22/2025 and approved by the Building Inspector. To expire on 06/26/2027. Contractors: Required Inspections: Fees: As Built HVAC $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total $800.00 Building 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 ht s://www.sc)utl oidtownn . ov Date Received APPLICATION NECE � M For Office Use Only 4/PERMIT NO. 6;26 Building Inspector: m ^ 025 Applications and forms must be filled out in their entirety.Incomplete Department applications will not be accepted. Where the Applicant is-not the owner,an B��°xding Town of Southold Owner's Authorization form(Page 2)shall be completed. Date:May 20, 2025 OWNER(S)OF PROPERTY: Name:Deanna Alpert SCTM#1000-110-00-03-00-025-000 Project Address: 5050 Pequash Avenue, Cutchogue, NY 11935 Phone#031) 800-9930 1 Email:oneoldvoice@gmail.com Mailing Address: 5050 Pequash Avenue, Cutchogue, NY 11935 CONTACT PERSON: Name:Deanna Alpert Mailing address: 5050 Pequash Avenue, Cutchogue, NY 11935 Phone#031) 800-9930 Emailmeoldvoice@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:N/A Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ■Other"AS IS" -- r& air conditioning unit Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes El No 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? ❑Yes El No IF YES,PROVIDE A COPY. ■ Check Box,After Reading; The owner/contractor/design professional is responsible for all drainage and storm water Issues '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 taws,Ordinances or Regulations,forthe construction of buiklings, 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 inspectlons.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal taw. Application Submitted By(print name):Deanna Alpert, ❑Authori/zed Agent ■Owner Signature of Applicant: Date: �`�/p[ ,/V-S, BUNCH STATE OF NEW YORK) CONNIF.ID Notary Publlo,$';a a of New York SS: No,01BU6186050 COU NTY OF ) Quallfled 1n Suffolk county Corftfrliswon Expires April 14.2h 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 befqre me this ay q ` 201 Notary Public PROPERTY OWNER AUTHORIZA"111-10N (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 - BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ip Telephone (631) 765-1802 40 ,i .r APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information 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: Deanna Alpert Address: 5050 P29uash Avenue, Cutcho ue, NY 11935 Cross Street: Southern Cross Road Phone No.: (631) 800-9930 BIdg.Permit#: ( email Tax Map District: 1000 Section:110 Block:3 Lot:25 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Need CO for"as is" - air conditioning compressor that was installed. Square Footage: Circle All That Apply: Is job ready for inspection?: YES E!NO 0 Rough In El Final Do you need a Temp Certificate?: El YES NO Issued On Temp Information: (All information required) Service SizeLJ1 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 F s , 20 1.4 ' Lei�}� 3 r - y . r 000 v _ YZEr r � . 7* 4 e . ... .e = -. , S �,• ♦�� - _ gyp x - , a . ��`� , f v s ts� j r FDA� . COUNTY DEFAR`WNT OF MILLI'9Et►" tm 714 Y DWELLM-MLY , V H.S.. REF.3dA.-sewage disposal and v.ater sb,�ply tk es 1cr thisation !rave been.inspec4ed b��tn;s c^,e artmen-and/or er a� -and J c sa a ry s �