HomeMy WebLinkAbout52615-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WIT�i ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52615 Date: 01/20/2026
Permission is hereby granted to:
2707 W 16th St LLC
511 Surf Ave
Brooklyn, NY 11224
To:
install a generator as applied for..
Premises Located at:
795 Wildberry Ln, Southold, NY 11971
SCTM#51:3-12.12
Pursuant to application dated 10/23/2025 and approved by the Building Inspector.
7o expire on 01/20/2028.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
CO-RESIDENTIAL $100.00
Total $225.00
M Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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Town Tall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
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Telephone (631) 765-1802 Fax(631) 765-9502 hit s,, Tr�� s ,�th W �wn ., ov
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Date Received
APPLICAMON FOR BUILD114G PERMIT
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For Office Use Only
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PERMIT NO*,, p Building In pector �w�( �� �T
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Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where here the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. *„
Date:OCTOBER 20, 2025
OWNER OF PROPERTY.
.
Name:2707 W16 STR. LLC SCTM#1000-51.00-03.00-0012.12
Project Address:795 WILDBERRY LANE, SOUTHOLD
Phone#:917-885-6801 Email:MICHAELMISHA@GMAIL.COM
Mailing Address:5100 SURF AVE, BROOKLYN, NY 11224
CONTACT PERSON:
Name:MICHAEL MICHAELI
Mailing Address:5100 SURF AVE, BROOKLYN, NY 11224
Phone#:917-$$5-6801 Email:MICHAELMISHA@GMAIL.COM
DESIGN PROFESSIONAL NAL INFORMATION:
Name:VINCENT ALBE! T"
Mailing Address: 106 NEW HAMPSHIRE AVENUE, MASSAPEQUA NY 11758
Phone#:516-241-9146 Email:VI NCTNT VMAARCH ITECT.COM
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED ISE[ ONS'TRU TIC N
❑New Structure ❑Addition F lAlteration Tl Repair ❑Demolition Estimated Cost of Project:
T Other WHOLE HOUSE STANDBY GAS GENERATOR 15,000
Will the lot be re-graded? FlYes WNo Will excess fill be removed from premises? ! Yes ❑No
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PROPERTY MFORMWAT l
Existing n use ofproperty: Intended use,of ro� er #
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�a �nrhich remises is situated: Are there any covenants and restrictions with respect to
n or use district In p
m _R property?
thisYes 0 No IF 4'E5,PROVIDE A Cop_..W.._
�,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 Cade. APPUCA71ON IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Budding zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Lawns,Ordinances or Regulations,for the construction of buildings..
additions,alterations or for removal or derrnotit`ron as herein described.The applicant agrees to comply with all applicable laws,orilman+ces,,bu0ding code,
housing code and regulations and to admit authorized inspectors on 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.
� Authorized A � C��v�ner
ApplicationY
Submitted g rint na, e
Date.
Signature of Applicant:
STATE OF NEW YORK)
SS:
COUNTY CIF
being duly sworn,deposes and says that Whe is the applicant
(Name of individual signing contract)above named,
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....................
(S)he is the
(Contractor,Agont,Corporate Officer,etc.)
• ` e to perform or have performed the said v�rorlc and to make and file this
of said owneror owners,and is duly authoCz d p p
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 fide therewith.
Sworn before me this
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d a of
o C0E'L11Tt% Notary P b11 c
N� � � Slat of New York
AUTHORIZATIONqgj
PROPERTY OWNER
(Where the applicant is not the owner)
r s it .at �A\�r— Ein4,Y7� ..............
6autho
do hereby nze o apply on
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my behalf to the thel o t gold Building Department for approval as described herein.
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owner's Signature Date
Print Owner's Name
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PROPOSED V.
24 M STANDBY
GENERATOR By
'GENERAL
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PROPOSED 548.Z5 SF
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I OPEN PORCH
195.83 SF
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PROPOSED
Z STORY
DWELLING a v
2,309.41 SF z
$ F.F. 30.00
RIDGE 59.41
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o PROPOSED PROPOSED
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ELEv 28.0 528.00 SF
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