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Home My WebLink About52562-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#: 52562 Date: 12/18/2025 Permission is hereby granted to: Patricia M Homan PO BOX 187 Peconic, NY 11958 To: install roof-mounted solar panels on an existing barn as applied for. Premises Located at: 460 Paddock Way, Mattituck, NY 11952 SCTM# 107.4-2.11 Pursuant to application dated 12/16/2025 and approved by the Building Inspector. To expire on 12/18/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 Total S200.00 Building Inspector °41 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 su Telephone (631) 765-1802 Fax (631) 765-9502 I ,: / .s mttlioldtownj1y_ . Date Received APPLICATION FOR BUILDING PERMIT ' For Office Use Only tY4 PERMIT NO. 5 Building Inspector. Applications and forms must be filled out in their entirety. Incomplete n will not be accepted. Where the Applicant is not the owner,an applications p pP Owner's Authorization form(Page 2)shall be completed. Date: 12/10/2025 OWNER(S)OF PROPERTY: Name: Patricia Homan SCTM# 1000- 107-4-2.11 Project Address: 460 Paddock Way, Mattituck, NY 11952 Phone#: 631-445-0106 F1 ail: homanpatricia@gmail.com Mailing Address: PO Box 187, Peconic, NY 11958 CONTACT PERSON: Name:Barbara - GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 x117 Email:BarbaraQa Greenlogic.com DESIGN PROFESSIONAL INFORMATION: Name:James J. Stout Architect & Associates Mailing Address:2 Greg Lane, East Northport, NY 11731 Phone#:631-858-9388 Email:stouthubQa jamesstoutarch.com CONTRACTOR INFORMATION: Name:GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 Email:AM@Green log ic.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addit'on ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: Z Other Solar Panelsarn $ 62,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 yx PROPERTY INFORMATION Existing use of property:single family residence Intended use of property: single family residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? .4Yes El No IF YES, PROVIDE A COPY. ® Check Box After Reading: The oww/con, l ISn professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code. APPUCATION 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 an premises and In buildings)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal law. Application Submitted By(print name):GreenLogic LLC Authorized Agent ❑Owner Signature of Applicant: , Date: 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, Contractor (S)he is the (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 lQ---day of ,20.2'5 Notary Public BARBARA A CASCIOTTA Notary Public-State of New York PROPERTY OWNER AUTHORIZATION No.01 CA4894969 Qualified in Suffolk County (Where the applicant is not the owner) Commission Expires May 11,2027 I, residing at 41,0 pie or-lC-L do hereby authorize GreenLogic LLC to apply on .d my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2