HomeMy WebLinkAbout52146-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#: 52146 Date: 08/06/2025
Permission is hereby granted to:
Cleaves Pt Club & Marina
2820 Shipyard Ln Bldg 7
East Marion, NY 11939
To:
install (1) outdoor EV charger as applied for. Must provide protection from vehicle impact.
Premises Located at:
Cleaves Point, East Marion, NY 11939
SCTM# 38.2-1-46
Pursuant to application dated 05/09/2025 and approved by the Building Inspector.
To expire on 08/06/2027.
Contractors:
Required Inspections:
Fees:
EV Charger $125.00
CO - RESIDENTIAL $100.00
Total $225.00
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 h,tt)s://W v w.sotiil"Iolcltownti , ov
Date Received
APPLICATION FOR I
For Office Use Only D E C E 0 V u
PERMIT NO. Building Inspector.,
MAY ` 9 22
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed. Town of Southold
Date: May 7, 2025
OWNER(S)OF PROPERTY:
Name: Cleaves Point Club & Marina, Inc. SCTM# 1000--038.02-01.00-046.000
Project Address: 2820 Shipyard Lane, Building 7, East Marion NY 11939
Phone#: 9178535837 =mail- reasurer@cleavespoint.com
Mailing Address: 2820 Shipyard Lane, Building 7, East Marion, NY 11939
CONTACT PERSON:
Name: Michelle Wallenhorst
Mailing Address: 2820 Shipyard Lane, Unit 6D East Marion NY 11939
Phone#: (516) 242-4205 Email: mw2854@optonline.net
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: RJ Corazzini Electric LLC
Mailing Address: 320 Richmond Lane, Peconic NY 11958
Phone#: (631) 335-9992 JEmail: rjc72@optonline.net
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:.
ElOther EV Charger -5000
Will the lot be re-graded? ❑Yes iANo Will excess fill be removed from premises? ❑Yes 10No
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 WNo IF YES, PROVIDE A COPY.
8 Check Bose 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 Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): Michelle Wallenhorst ❑Authorized Agent BOwner
nn
Signature of Applicant: at C. ll—Qh Date:
STATE OF NEW YORK)
SS:
COUNTY OF �j /���' n�.., ,�
\./r.�7r7lJUlL )
/ ,a4a,(r-- being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the :T
(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 20,2,1—
Notary Public'
COLLEEN A.PICKERING ti LARis '
NOTAPY PUBLIC STATE OF lei,.ol Yopi<
III III III IEwr OWNER R °TIHO R I TIII I No.61PI6 79950
".—. Qualified in Suffolk Caramw.
(Where the applicant is not the owner) my Commission EXPI S:August
I, residing at
do hereby apply authorize to a I on
my behalf to the Town of Southold Building Department for approval as described herein..
Owner's Signature Date
Print Owner's Name
2
fltm 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
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APPLICATION FOR ELECTRICAL INSPECTION
E Company Name:
N INF R
N All Information Re
quired) Date:
Electrician's Name: X20
License No.: � / Elec. email:
y � I request an email co of Certificate of Compliance.
Elec. Phone No: ��/ "- '�' q copy
Elec. Address.: 40 1't- «s`O'
JOB SITE INFORMATION (All Information Required)
Name: 6--lle-,Ves 4 "` '
Address: (
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF ,IN LUDE SQUARE FOOTAGE (Please Print Clearly):
i
C�
Square Footage:
Circle All ThatApply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 2 H Frame D Pole Work done on Service? Ely FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
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