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HomeMy WebLinkAbout52430-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#: 52430 Date: 10/31/2025 Permission is hereby granted to: Lisa H Jacobs 170 Emory Rd Cutchogue, NY 11935 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: 955 Lilac Ln, Cutchogue, NY 11935 SCTM# 104.-1-14 Pursuant to application dated 10/16/2025 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 S200.00 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 s: outholdtgyLm Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 10 PERMIT NO. Building Inspector: OCT ``2 , �10, ; b Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an 13ullding De nrtme Owners Authorization form(Page 2)shall be completed. Town of Date: t.OT q 1.S OWNER(S)OF PROPERTY: Name:Lisa Jacobs SCTM#1000-104-1-14 Project Address:955 Lilac Lane, Cutchogue Phone#:631-495-1714 Email:ljacobs928@msn.com Mailing Address: 1 1C) / B O G 4c4o a -P, Ny 11 q3 S CONTACT PERSON: Name:Barbara - GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 x117 Email:Barbara@Greenlogic.com Greenlogic.com DESIGN PROFESSIONAL INFORMATION: Name: -Pa-ct-fi [� tneC�'t IMF Mailing Address: -706 �Q�ld ,� f3o��in l�� /`1 11 ?1 6 Phone#: 631 — Cl 8- OCR 66 Email:,50 jar©p1Ct_jC0 t CONTRACTOR INFORMATION: Name:GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 Email:AM@)Greenlogic.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: 0 other Solar Panels $75,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes i0lNo 1 � s PROPERTY INFORMATION Existing use of property: VO-OL-� Intended use of property: R -,,AA4,j 6�wcf li/n Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ErNo IF YES, PROVIDE A COPY. ig 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 By(print name):GreenLogic LLC BAuthorized Agent ❑Owner Signature of A �ant: Date: l 0'fq•2 SJ pnli STATE OF NEW YORK) SS: COUNTY OF Suffolk Nesim Albukrek 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 day of .20 notary lic DROPERTY OWNER AUTHORIZATION Notary Of�It (Where the applicant is not the owner) 0 No.01S1GM140 Quallflad In MY CMIRIk lon Eow_ 1 iS � S residing at do hereby authorize GreenLogic LLC. to apply on my behalf to the Town of Southold Building Department for approval as described herein. O a Signature Date �. 0- , 10 S Print Owner's Name 2 S.C.T.M. NO. DISTRICT.- 1000 SEC11ON: 104 BLOCK: 1 LOT(S):14 PIO LOT 105 LOT 124 LAND NIF OF LAND N/F OF LAND NIF OF CHRISTOPHER SCHAFFER RAYMOND JOHNSON CONKLIN FAMILY DWELLINGS W/PUBLIC WATER IRREVOCABLE TRUST 150, _ N 63013'50"E STK. MON. EL 19 8 EL185 N zCilw N O bra O O Oc r 55.0' f EL1B.6 EL189 154 25` � 1 P/O LOT 105 P/O LOT 105 PIO LOT 105 VACANT LAND NIF OF LAND N/F OF JAKE BEHAN DORIS&THOMAS CYBULSKI LINDSEY BOHRER YARDLEY VACANT I10' DWELLINGS WI PUBLIC WATER DWELLING WI PUBLIC WATER 110' 150, EL 19.5 v k EL 19,5 �99 m 1 7I k a 0 > Ii w lm EL 19-6 g a EL 19.4 1 I L__ 55.0' U, N 0 V O_ O Q EL 18.5 R10N- EL 19.5 O PIPE 130.00' a S 69°48'S0"W 90.08' C OF PAVEMENT CL 18.3 LILAC LANE CL19�_ Up� D U.P. ,.� ZONED R-40 6 NON-CONFORMING LOT DWELLINGS WI PUBLIC WATER FRONT YARD: 40' MIN 150' ADD ELEV.&WATER SERVICES 81-16-25 DISTSIDE YARD: 15' MIN, 35' TOTAL REVISED UPDATED TIE 1-08-24 01-00-24 01-8924 REAR YARD: 50' MIN THE 4'lA1ER SUPPLY, SELLS, fiRY1I.LS AND CESSO{?OL MAX. GROSS FLOOR AREA: 3,350 S.F+(107x3575)=3707 S.F. LOCA71ONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA:23,575.35 SQ.FT. or 0.54 ACRES ELEVATION DATUM: NAVD88 -- - - UNAUTHORIZED ALTERA77ON OR ADD177ON TO THIS SURVEY/S A VIOLATION OF SECTION 7209 OF 7HE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITU770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD17IONAL STRUCTURES OR AND 07HER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY h SURVEY OF:P/0 LOT 105 CERTIFIED T0: LISA H. JACOB& FIDELITY NATIONAL TITLE INSURANCE COMPANY, MAP OR NASSAU FARMS f FILED:MAR. 28 1935 No. 1 179A SITUATED AT:PECONIC at rowN OF:SOUTHOLD 1 NN T) ' TYO C1 iT1 LAND SURVEYING, PUC' SUFFOLK COUNTY, NEW YORK 'max a Professional Laud Surveying and Design P.O. Bog 153 Aquebogue, New York 11931 PHONE (e31)296-1566 FAX (631) 296-1586 FILE #223-65 SCALE:1„=30' DATE:MAY 20, 2023 N.Y.S. LISC NO. 050882