HomeMy WebLinkAbout52481-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#: 52481 Date: 11/20/2025
Permission is hereby granted to:
David Grill
11 Prescott Ave
Montclair, NJ 07042
To:
install roof-mounted solar panels on an existing single-family dwelling as applied for with flood
permit.
Premises Located at:
1180 Corey Creek Ln, Southold, NY 11971
SCTM# 78.-4-16
Pursuant to application dated 11/13/2025 and approved by the Building Inspector.
To expire on 11/20/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
Flood Permit $150.00
CO-RESIDENTIAL $100.00
Total $350.00
u Inspector
'` $F1
"` 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 littps://www.southoldtownny.gov
pr Date Received
PERMITAPPLICATION FOR BUILDING
For Office Use Only
d
PERMIT NO. BuildingInspector:
P ector:
w � , e 13 �1
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an ° ^ �
Owner's Authorization form(Page 2)shall be completed. Town 0f'UUthC4,�1
Date:
OWNER(S)OF PROPERTY:
Name: David Grill SCTM#l000- 78.-4-16
Physical Address: 1180 Corey Creek Lane, Southold NY 11971
Phone#: 201-247-4619 FEmail: dwgrill@gmail.com
Mailing Address: 1180 Corey Creek Lane, Southold NY 11971
CONTACT PERSON:
Name:Permit Dept./Long Island Power Solutions
Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779
Phone#:631-348-0001 Email:Permits@GoPowerSolutions.com
DESIGN PROFESSIONAL INFORMATION:
Name:Michael E. Miele PE
Mailing Address:705 Orrs Mills Road., New Windsor, NY 12553
Phone#: 845-629-9693 =mail- Nypsengineer@gmail.com
CONTRACTOR INFORMATION:
Name:Michael Catizone/Long Island Power Solutions
Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779
Phone#:631-348-0001 Email:Permits @gopowersolutions.com
DESCRIPTION OF PROPOSED'CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
ROther Proposed c3I )panel roof mounted array. ( )kW System $37,057.00
Will the lot be re-graded? ❑Yes MNo Will excess fill be removed from premises? ❑Yes BNo
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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 8 No IF YES, PROVIDE A COPY.
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Catizone Electrical/Long Island Power Solutions
Application Submitted By(print a BAuthorized Agent El Owner
Signature of Applicant: Date:
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
day of 20',>-6 ,.,v ^w , N ..........,...
Notary Public
ESCAYLIN CRISOL RIVERA RODRIGUEZ
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 R16434031 -PROPERTY (
ON
Qualified in Suffolk County (Where the applicant is not the owner)
My Commission Expires 05-31-2026
I, _ ,�I iCI wri residing at 1180 Corey Creek Lane Southold 11971
Michael Catizone/Long Island Power Solutions
do hereby authorize, to apply on
my b;T o the To tit old Building Department for approval as describe here'
rs natu Date
Lai, 6
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Print Owner's Name
2
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�w� ��sy ROBE HURRAY
1'v'� � �Y � E5TATEB" N DOROTHY HURRAY
FILED A Z. 15, KIb'1 A5 FILE 4425 MARINE MIDLAND MORTGAGE CORP,
1 5ITUATE- B,4YVIEJN GHIGAGO TITLE INSURANCE 00
#9908-0054548
TOWN OF 50VTHOLD W E
m%FFOLK COMM NY
SURVEYED 05-24-44
AMENDED 04-12-99 s
OI-22-01
SUFFOLK COUNTY TAX#
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