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Home My WebLink About52240-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#: 52240 Date: 09/08/2025 Permission is hereby granted to: John A Polywoda 255 Shepard Dr Southold, NY 11971 To: install roof-mounted solar panels to an existing single-family dwelling as applied for. Premises Located at: 2495 Main Bayview Rd, Southold, NY 11971 SCTM# 78.4-11 Pursuant to application dated 07/29/2025 and approved by the Building Inspector. To expire on 09/08/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 Total S200.00 Ufttding Inspector �gz"xs f01 t' 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.southoldtown.ny.ggv Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 4V Building Inspector; „ 2N5 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,anttl 'l � y ,t (f Owner's Authorization form(Page 2)shall be completed. f'tf,ro Date:7/1 9/2025 OWNER(S)OF PROPERTY: Name:Gus KlavaS I SCTM#1000-078.00-01 .00-011 .000 Project Address:2495 Main Bayview Rd. Southold, NY 11971 Phone#:(631) 276-6924 1H1l:-9cklavas@?gmail.com Mailing Address:2495 Main Bayview Rd. Southold, NY 11971 CONTACT PERSON: Name:Shannon Murphy Mailing Address:2-8 Johnes St. Newburgh, NY 12550 Phone#:(845) 317-8019 Email:Courtney@empiresolarny.com DESIGN PROFESSIONAL INFORMATION: Name:Michael Miele Mailing Address:705 Orrs Mills Rd. New Windsor, NY 12553 Phone#:(845) 629-9693 Email:mmielepe@yahoo.com CONTRACTOR INFORMATION: Name:Sean Burke Mailing Address:PO Box 644 Goshen, NY 10924 Phone#:(845) 590-5489 11 Email:burke@empiresolarny.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Roof Mounted Solar $30,000 Will the lot be re-graded? ❑Yes iiNo Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:Single Family Residence Intended use of property:SFR W/ Roof Mounted Solar Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 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 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 B print name):Shannon Murphy ®Authorized Agent ❑Owner Signature of Applicant: Date: 7/19/2025 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Shannon Murphy being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (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 r° day of ,20 ' No ry Public COURTNEY ELIZABETH ROBERTS 0TARY PUBLIC-STATE OF NEW YORK No.01 R06439611 PROPE111-1'III'°Y OWNER, TI MRIZATIOIN Qualified in Dutchess County (Where the applicant is not the owner) My Commission Expires 08-29-2026 I, Gus Klavas residing at 2495 Main Bayview Rd. Southold, NY 11971 Shannon Murphy of Empire Solar Solutions, LLC do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. AU A kA� 7/19/2025 Owner's Signature Date Gus Klavas Print Owner's Name 2 0�N�=°��=~�� 0N��0�� m ��0��m �~�� Licensed Professional Engineer Licensed |n New York, New Jersey, Connecticut&California New York License#0r9Orh New Jersey License#«xO^z Connecticut License#23158 California License#3l5O8 July Z3, 2025 Town of Southold Building Department The Office of the Building Inspector 5437S Route ZS Southold, NY11971. Re:- Single,Family Residence,Solar Panel Loading Certification DearBui|dingDepartment I am the engineer of record for the above referenced project. I have prepared the attached plans dated July 23, 2025 that consists of the installation of(17) REC460W 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 meets the requirements of The 2020 Residential Code of New York State, Publication Date, NoxemberZO19. The design loads were asfollows, Roof Design Load:Z0psf live load Wind Design Load: 130mph No additional structural members LA�� Theroofiscurrent|yframedvvithZx1Um/oodframing@16^ OI.Theroofstructura| membeoarein compliance with A5CE7'16 for deflection and acceptable bending stress. |f you have any questions, please feel free to call meat any time.Thanks in advance. Sincerely Yours, oF tu Michael E. Miele, PE ^ ^ 705 Ons Mills Rd, New Windsor NYl2SS3 A Phone:845.629.9693 A mmke|epe@yahoo.com