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Home My WebLink About52476-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#: 52476 Date: 11/19/2025 Permission is hereby granted to: James Wallace 400 Wilson Rd Cutchogue, NY 11935 To: install roof-mounted solar panels to an existing single-family dwelling as applied for. Premises Located at: 400 Wilson Rd, Cutchogue, NY 11935 SCTM# 103.-4-45 Pursuant to application dated 10/24/2025 and approved by the Building Inspector. To expire on 11/19/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 Total $200.00 Building Inspector �� w TOWN OF SOUTHOLD—BUILDING DEPARTMENT 9FC C Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 ` Telephone (631) 765-1802 Fax(631) 765-9502 tt) ://"w ww.�o tioldoldto rnn r, ow ,.ytirs ra"�aK,,rv4F Date Received APPLICATION FOR BUILDING IS For Office Use Only P PERMIT NO. t 41q1V Building Ins ecttar. 0 C" 2 Applications and forms must be filled out in their entirety. Incomplete , applications will not be accepted. Where the Applicant is not the owner,an �,cw"i . �iwle�aartrnrdra� pp p �"hy��Y� of SoIL4te'woId Owner's Authorization form(Page 2)shall be completed. Date:10/22/2025 OWNER(S) OF PROPERTY: Name:James Wallace and Pamela Davis SCTM#1000-103.00-04.00-045.000 Project Address:400 Wilson Road, Cutchogue, NY 11935 Phone#:603-502-0039 ]�Eail:hydebench@yahoo.com Mailing Address:400 Wilson Road, Cutchogue, NY 11935 CONTACT PERSON: Name:Ellen Bury (EmPower CES, LLC) Mailing Address:1000 Fulton Street, Farmingdale, NY 11735 Phone#:516-837-3459 ext 132 Email:permitting@empower-solar.com DESIGN PROFESSIONAL INFORMATION: Name:Gregory D Sachs Mailing Address: 1000 Fulton Street, Famringdale, NY 11735 Phone#:516-544-4592 Email:permitting@empower-solar.com CONTRACTOR INFORMATION: Name:EmPower CES, LLC Mailing Address: 1000 Fulton Street, Farmingdale, NY 11735 Phone#:516-837-3459 Email:permitting@empower-solar.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated cost of Project: DOther solar $32456.70 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property 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 El No IF YES, PROVIDE A COPY. 5Q 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): Ellen Bury WAuthorized Agent ❑Owner Signature of Applicant: ,.- Date: /o . STATE OF NEW YORK) SS: COUNTY OF SuffOlki ) Ellen Bury (EmPower CES, LLC) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent of 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 22nd day of October ,2025 r—r �,,, Notary Public LORENCE TRUDEL NOTARY PUBLIC,STATE OF NEW YORK Registration No.01TR0014007 :A fY ERAUTHORIZATION Qualified in Suffolk County Commission Expires 10/03/2027 Where the applicant is not the owner) James Wallace 400 Wilson Road, Cutchogue, NY 11935 I, residing at do hereby authorize Ellen Bury (EmPower CES, LLC) to apply on my behalf to tbeTown of Southold Building Department for approval as described herein. L00- 10/22/2025 "Idwner's Signature Date James Wallace Print Owner's Name 2 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) 1 James Wallace residing at 400 Wilson Road (Print property owner's name) (Mailing Address) Cutchogue, NY 11935 do hereby authorize Ellen Bury (EmPower CES, LLC) _...................................... (Agent) to apply on my behalf to the Southold Building Department. �j 10/22/2025 .. .............................................. ....... _.. ...... (Owner's Signature) (Date) LOREl�10E TRUI EL James Wallace NOTARY PUBLIC,STATE OF NEW YORK (Print Owner's Name) Registration No, 01TR0014007 Qualified in Suffolk County Commission Expires 10/03/2027 ' L OT 14 L OT 15 ( VACANT ) L DWELLINGN . 79° 13'50"E. 100. 00 man° d 02; a1.17.0 rron a.2'!Y e1.16.b 1 o•2+N i 1 ° fr LOT 12 _°o s � LOT 210 M ( VACANT 1 O i DWELLING) N LOT 22 0 I A Q�'K! god' - ro.a' r ! STORY "CK d MMP N N HOUSE d GARAGE 1 ' lGt7 G ri w Ode RF. fi LAJ u" m n LOT I l ) VACANT ) ft I I w CL 0 3 o m o ` ` ! t0 I ° cc a) O 1 - ul I 1 150.00, - _ aosai -- �, ,A` S.79° 13' 50W. 100. 00' E.P. � 7 86 �9.42 { DWELLING) � ( DWELLING ) W l L S O N R O A D { V AC ANT ) A R EA = 20,000 _SQ.FT SURVEY OF LOT 22 CERTIFIED TOl If MAP OF SUNNY SHORES II NORTH FORK BANK & TRUST AMERICAN TITLE INSURANCE CO, FILED AUG . 30 , 1960 FILE NO , 3231 CHRISTOPHER SPOR AT MADELINE SPQR EAST CUTCHOGUE TOWN OF SO U TH OL D ftndor& &r IM& VJMP at e0ablWwdby S U FF OL K COUNTY, N . Y. the LI.A.LS. and opproved mW adopted 1000 - 1 03 - 0 4 - - 45 i[Or bY NOW York State �d fitlef .m SCALE 111 " 3Of OCT. 16 , 1987 J,41\1. 5, 1988(UNDER CONSTRUCTION) AND& APRIL I4, 1988 (FINAL) M) LIC. NO. 49668 MX'Y, 1'X FP. CONIC 81 ENGINEERS , P. C . ! 6 ) 765 ,O. 60X. 909 µ�ALSN S�RVICE�a � MAIN ROAD - _ SOUTHOLD , N .Y . II97! 87 - 8 f 3