HomeMy WebLinkAbout52422-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#: 52422 Date: 10/31/2025
Permission is hereby granted to:
North Fork Landholdings LLC
400 Eagles Nest Ct
Laurel, NY 11948
To:
Install roof mount solarto existing single family dwelling as applied for.
Disconnects must be located on the exterior, labeled,and readily accessible.
Premises Located at:
270 Harvest Ln, Mattituck, NY 11952
SCTM# 120.-3-8.15
Pursuant to application dated 10/14/2025 and approved by the Building Inspector..
To expire on 10/31/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
CO-RESIDENTIAL $100.00
Total 200.00
Buil Ong,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 litt as:ll wr w.s utlioldtg���
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
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Building Inspector: k
PERMIT NO.,
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owners Authorization form(Page 2)shall be completed.
Date: cda q
OWNERS)OF PROPERTY:
Name: ` P SCTM#1000-
Physical Address: a�O �
Phone#: (A3 I - �7 Email:
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Mailing Address: Q-1 '
CONTACT PERSON:
Name:Permit Dept./Long Island Power Solutions
Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779
Phone#:631-348-0001 :I Email:Permits@GoPowerSolutions.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address: wlcw+....> I
Phone#: V���^cog-q-'Z�coq,a Email:
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CONTRACTOR INFORMATION:
Name:Michael Catizone/Long Island Power Solutions
Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779
Phone#:631-348-0001 Email:mike@GoPowerSolutions.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition @Alteration ❑Repair ❑Demolition Estimated Cost of Project:
@Other Proposed(jp)panel roof mounted array. (1-6_�;W)kW System $
Will the lot be re-graded? ❑Yes @No Will excess fill be removed from premises? ❑Yes i@No
1
PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes Fmi 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 building(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal taw.
Catizone Electricalll.. jig Island Power Solutions
Application Submitted By(print na e): RAuthorized Agent ❑Owner
Signature of Applicant: Date: d 113 I a- S
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Michael Catizone
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
a
Notary Public Ul
ESCAYLIN CRISOL RIVERA RODRIGU-"
� ,. 'w� .I, .°, ,��"m'� P� I 1 NOTARY PUBLIC-STATE OF NEW YOB-
_ � �._.... ..��. _ No. 01 R 16434031
(Where the applicant is not the owner) Qualified in Suffolk County
My Commission Expires 05-31-202
residing at . Lam/►
I � Michael Catizone/Long Island Power Solutions
do hereby authorize to apply on
my al to a Town of Southold Building Department for approval as described herein.
a
Owner's Signature Date
?di
Print Owner's Name
2
LONG ISLAND
,�
2060 Ocean Ave Ronkonkoma, NY 11779
SOLUTIONS
631 3 8-0001
ns.com
�y www.longislandpowersolutions.com
' ''NER AUTHORIZATION
This affidavit certifies that Long Island Power Solutions has been granted permission to sign for and obtain
permit(s) on behalf of the property owner(s).
I,
Owner of the property located at:
------------------
Street Town State Zip
Tax Map ID : 1 - ` ' - —25.ice_
Do hereby give: Long Island Power Solutions, ermission to sign all applications and to have the permit(s)
sent directly to:
Long Island Power Solutions
2060 Ocean Avenue
Ronkonkoma,NY 11779
Attn:Permit Dept.
-Pa L'
(Pr0 rty *owner) Print Name
(Property Owner) Signature
Sworn To Before Me This Day
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01 Now
(NOTARY PUBLIC ICNA � �gglra,c,I Nro°w Mstlr��
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Notary Stamp
SURVEY OF PROPERT Y
LOT 13
+Au MAP OF
FARMVEU ASSOCIATES
FILED: SEP. 01, 1989 — MAP #:8808
SCTM.• 1000-120.00-03.00-008.015 SITUATE
270 HARVEST LN, MATTITUCK, NY, 11952 MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
LOT AREA SURVEYED JUNE 15 2022
40000.00 S.F. UPDATED: DEC. 05, 2024
(0.918 ACRE(S))
LOT 17
N/F KERRI SPIELER
&MICHAEL SPIELER
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EMINENT ABSTRACT, INC .°.
WESTCOR LAND TITLE INSURANCE COMPANY
NORTH FORK LANDHOLDINGS, LLC
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