HomeMy WebLinkAbout52547-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#: 52547 Date: 12/12/2025
Permission is hereby granted to:
Ross Christopher Trust
10 Rangeley Rdg
Winchester, MA 01890
To:
Install roof mounted solar panels to an existing single-family dwelling as applied for. Additional
certification may be required.
Premises Located at:
3340 Park Ave, Mattituck, NY 11952
SCTM# 123.-8-21
Pursuant to application dated 08/22/2025 and approved by the Building Inspector.
To expire on 12/12/2027.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
CO-RESIDENTIAL $100.00
Total S200.00
Building Inspector
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ra 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 ht[ps://wAvw,sotitholdtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
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PERMIT No. 5;t4516f Building Inspector:
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/n�rrfrri�i/�H c �%Name:Christopher Ross Trust/Michelle Ross Trust SCTM#1000-123-8-21
Project Address:3340 Fear ,venue, Wtituc , NY
Phone#:I81-696-0988 Email:michelle-ross@comcast.com
Mailing Address°
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Name:Barbara - GreenLogic LLC
Mailing Address:97 Northe Seae Road, nSouthampton, NY 11968
Phone#: Email:
,. , 631- " '"�-61,82 � 1� � . . _µ Barbara@Greenlogc.com _e ,
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Name: C.IGf"T
Mailing Address: ', t� �
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Name QreenLogic LLC
Mailing Address:97 North Sea Road, Southampton,, NY 11968 e
Phone#:881 71-8- 'Email:AM9Greera1ogic.com
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❑New Structure *Addition *Alteration ❑Repair ❑Dernolition Estimated Cost of Project:
bother Solar Panels $ 37,000
Will the lot be re-g
raded? ❑Yes *No Will excess fill be removed from premises? ❑Yes *No
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Existing use of property: f Intended use of property:
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
l L,i this property? ❑Yes 01q'o IF YES, PROVIDE A COPY
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GreenLogic LLC BAuthorized Agent, El,Owner
Application Submitted By(print name):
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
NeSlrn 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 24.
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
`( " r7 r s
I, residing at l 14AA
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do hereby authorize GreenLogic LLC to apply on
,
my If to the Town of Southold Building Department for approval as described herein.: ' *•�,.
KY
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Owner's Signature Date 4 aa►
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6
Print Owner's Name
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