HomeMy WebLinkAbout52298-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#: 52298 Date: 09/25/2025
Permission is hereby granted to:
Karras Upstate LLC
140 E Shore Dr
Massapequa, NY 11758
To:
install roof-mounted solar panels to an existing single-family dwelling as applied for,.
Premises Located at:
205 Aldrich Ln, Laurel, NY 11948
SCTM# 125.-2-1.23
Pursuant to application dated 08/18/2025 and approved by the Building Inspector.
To expire on 09/25/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
-RESIDENTIAL $100.00
Total S200.00
Building Inspector
sr : 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 l tt // � outholdt i
Date Received
APPLICATION FOR BUILDING PERMIT
��" �����IL
For Office Use Only
PERMIT NO.,NN.... Building lnspector.,_w
Applications and forms must be filled out in their entirety.Incomplete AUG I
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: To
OWNER(S) OF PROPERTY:
Name: Lav S
SCTM # 1000- 1257_ �
Project Address: V t` LqL v2 i l 19Lt&
Phone#: �o9 _ I � Email: % VKY,4e C
Mailing Address: 7C - V}1Cj✓dc11 L'o -P-I
CONTACT PERSON:
Name: Lo i l 1 ,l
Mailing Address: l � ( (2-
Phone#:O31- SAS- 17u--) Email: (014�> P'ee✓ �1011 Cos
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address: "� PC). 6� --130 .CA(VIwcx i
Phone#: EZ L-(0- & - 9 to 9 .3 Email:
CONTRACTOR INFORMATION:
Name: W1 k. CA.)-e(
Mailing Address: ,
Phone#: ��—S-Z1�- -7L-f Email: + " +Pr
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
96ther cJ ' $ ��,Z.CJb....._
Will the lot be re-graded? ❑YesNo Will excess fill be removed from premises? ❑Yes ❑No
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PROPERTY INFORMATION
Existing use of property: fe% Cch C.2 Intended use of property: Cm FdCl-
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes jNo IF YES, PROVIDE A COPY.
❑ Check x 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): ❑Authorized Agent Owner
Signature of Applicant: Date: 'I I-;s/ZUZS
STATE OF NEW YORK)
COUNTY OFS IC)
Q IM-e`S 1�c� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, 1 $ if°
(S)he is the b�m-e L^tk— e-)
(Contractor,Agent,Corporate Officer, etc.
of said owner or owners, and is duly authorized to perform or have performed the P(d ' �p :and file this
application;that all statements contained in this application are true to the best&fpffi�/h aftelief; and
that the work will be performed in the manner set forth in the application file ther" �t� °
Sworn before me this
day of __ _ , ,202 L
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, ';residing at V 'k
do hereby authorize ��, l �"t �o apply on
m Wbehalf to the Town of Southold Building Department for approval as described herein.
LA 11-9— LtcA.� l
Owner's Signature Date
Print Owner's Name
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