HomeMy WebLinkAbout52372-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52372 Date: 10/20/2025
Permission is hereby granted to:
Mary Grande
1 Thomas PI
Valhalla, NY 10595
To:
install roof-mounted solar panels to an existing single-family dwelling as applied for.
Premises Located at:
495 August Ln, Greenport, NY 11944
SCTM# 53.-4-44.16
Pursuant to application dated 09/10/2025 and approved by the Building Inspector.
To expire on 10/20/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
CO-RESIDENTIAL $100.00
Total $200.00
" ding Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box H 79 Southold,NY H 971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 h Ds:// ww.southoldto nl Igp
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
v' g Pi,`°
PERMIT NO, Building Ins ector; �
Applications and forms must be filled out in their entirety. Incomplete e10
applications will not be accepted. Where the Applicant is not the owner,an o, tlol
Owner's Authorization form(Page 2)shall be completed. ow�t 0"1
Date:
OWNER(S)OF PROPERTY:
Name:Kenneth Seel SCTM# 1000-053.00-04.00-044.016
Project Address:495 August. Lane Greenport NY 11944
Phone#:(203) 470-8668 Email:kseel44@gmail.com
Mailing Address:495 August Lane Greenport NY 11944
CONTACT PERSON:
Name: Samuel Magliaro
Mailing Address: 2180 5th Ave - Unit 1 , Ronkonkoma, NY 11779
Phone#: 631-319-7233 Email:permitting.ny@trinity-solar.com
DESIGN PROFESSIONAL INFORMATION:
Name:Ayracon Almaraz
Mailing Address:2211 Allenwood Road, Wall, NJ, 07719
Phone#: 631-319-7233 Email:permitting.ny@trinity-solar.com
CONTRACTOR INFORMATION:
Name: Trinity Solar, Inc.
Mailing Address: 2180 5th Ave - Unit 1 , Ronkonkoma, NY 11779
Phone#: 631-319-7233 1 Email:permitting.ny@trinity-solar.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ®Addition RAIteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $28,044.00
Will the lot be re-graded? ❑Yes MNo Will excess fill be removed from premises? ❑Yes ❑No
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PROPERTY INFORMATION
Existing use of property: Residential 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 ❑No IF YES, PROVIDE A COPY.
❑ 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 buiidingisl 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(printgame): Samuel Magliaro BAuthorized Agent ❑Owner
Signature of Applicant: Date: ,� �(�
STATE OF NEW YORK)
SS:
COUNTY OF I� )
Samuel Magliaro being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
® (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 ?C �
N ary Public
SARAH YARBROUGH
NOTARY PUBLIC-STATE OF NEW YO K
PROPERTY OWNER AUTHORIZATION No.01YA6441255
(Where the applicant is not the owner) Qualified in Suffolk County
My Commission Expires 09-26.202
Kenneth Seel residing at 495 August Lane, Greenport, NY 11944
Trinity Solar- Samuel Magliaro
do hereby authorize to apply on
my behalf to e Town of Southold Building Department for approval as described herein.
® q 5 .4-
Owner's Signature Date
Print Owner's Name
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