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HomeMy WebLinkAbout52494-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#: 52494 Date: 11/25/2025 Permission is hereby granted to: Marjorie Snyder PO BOX 558 Greenport, NY 11944 To: install EV charger as applied for. Provide protection from vehicle impact. Premises Located at: 1245 Inlet Pond Rd, Greenport, NY 11944 SCTM#33.-2-29 Pursuant to application dated 10/15/2025 and approved by the Building Inspector. To expire on 11/25/2027. Contractors: Required Inspections: Fees: EV Charger $125.00 CO-RESIDENTIAL $100.00 Total S225.00 k-11 Building InspectorT Fe '61 d ., 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 ttt ://�rw. a utholdtownny V Date Received APPLICATION FOR BUILDING PERMIT or Office Use Only I �� PERMIT N0. Building inspector. Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Appl icant is not the owner,an < Owner's Authorization form(Page 2)shall be completed. Date:10/06/2025 OWNER(S)OF PROPERTY: Name:Marjorie Snyder SCTM# 1000- Project Address: 1245 Inlet Pond Rd, Greenport, NY 11944 Phone#:9178617662 1Email:MARJSNYDER2@AOL.COM Mailing Address:1245 Inlet Pond Rd, Greenport, NY 11944 CONTACT PERSON: Name:John Felbinger Mailing Address:20 Clark St, East Rockaway, NY 11518 Phone#:5168874876 Email:jack@jffelectric.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:John Felbingerl�c Fr r Mailing Address:2O Clark St, East Rockaway, NY 11518 Phone#:5168874876 Email:jack@jffelectric.com D Frnom OF PROPOSED CONMUCTION ❑New Structure DAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther EV Cha er Inslatiation lFord�C nectad Charge Station) f"17a,/ l 2957 6 Will the lot be re-graded? Yes E No Will excess fill be removed from premises? ❑Yes ❑No 1 e o Existing use of property:Residential NIA property: Zone or use ,. _ . tended use of rop e district in which premises is situated: � Are there any covenants and restrictions with respect to ZA this property ❑Yes BNo IF YES, PROVIDE A COPY 7; r rori w � rr roe. y •,��1 t, 4 y,�.;x �° iy - r ; a 1m��.i��t A w°y �. ap&•:' 0 .W.PM' ,.ry.Y, ( F�-. fir, n�•, ..F Application submitted BY ant naurlrwe)sJohn Felbin er A thortzed Agent [:]Owner9 re of Applicant: . D STATE OF NEW YORK) SS: COUNTYOF „r "S l being duly sworn,deposes and says that Ohe is the applicant (N a of individual signing c'on ract)'above named, )he is the =r1zed Agent,Corporate Officer,etc.) of said owner or owners,and is duly aperform or have performed the said work and to make and fife 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� IV Notary Public KANTILAL T.VA SOLA' Notary Public,State of New York No.01vA4912079 PROPERTY QWNER AUTHO—RI w'TNCl111 Qualified Suffolk County Commission Expires February S,20Z (Where the applicant is not the owner) Marjorie Snyder+ residing at 1245 Inlet Pond Road, Grew3rwport, NY 11 944 I, do hereby authorize JFF Electric / John Fern er to apply on my behalf to the To uthold Building Department for approval as described herein. August 27, 2025 news Signature Date Marjorie Snyder Print Owner's Name 2 1245 Inlet Pond Rd Greenport, NY 11944 Town of Southold - Electrical Diagram North South House 200-amp Panel &Load Management Garage Device(next to panel) 60-amp circuit under house (crawl space) Electrical Meter EV Driveway Charger (Not subject to vehicular impact) JFF Electric, Inc. 20 Clark St East Rockaway, NY 11518