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Home My WebLink About52620-Z TOWN OF SOUTHOLD 0 BUILDING DEPARTMENT SOUTHOLD, NY V11, 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#: 52620 Date: 01/21/2026 Permission is hereby granted to:. Lemonaid Home LLC 20 Beekman PI #PHC New York, NY 10022 To: install an EV charger in an existing garage of asingle-family dwelling as applied for. Provide protection for vehicular impact. Premises Located at: 2850 Reeve Rd, Mattituck, NY 11952 SCTM# 100.4-7 Pursuant to application dated 12/10/2025 and approved by the Building Inspector. To expire on 01/21/2028. Contractors: Required Inspections: Fees: EV Charger $125.00 C - RESIDENTIAL $100.00 Total 225.00 Bw�l+ding Inspector of TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road.P. 0. Box 1179 Southold, NY119"71-0959 gyp° Telephone hone ?"65-1C2 Fax 31 -95C2 s �� ,d �" a Date Received APPLICATION FOR BUILDING PERMIT ,ell For Office Use Ot1lj! �ganw f u r; PERMIT NO.,, Building Inspector. r " i Applications and farms 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. „ i" rt Date:11/2512025 OWN ER(S)OF PROPERTY: Name: MAISON NORTH FORK LLC SCTMI#1000-100-1-7 ProjectAddress:2850 REEVE RD MATTITUCK NY 11952 Phone#: 9177437097 Email:maisonnorthfork@gmail.com Mailing Address:PO BOX 164 MATTITUCK NY 11952 CONTACT PERSON: Name:, Mong , Mailing Address:PO BOX 164 MATTITUCK NY 11952 Phone#:g17-743-7097 Email:mai onnorthfork@gmall.com DESIGN PROFESSIONAL INFORMATION: Name. Mailing Address Phone#: Emai1 CONTRACTOR INFORMATION: Name:ROBERT PALADINO Mailing Address:P0 Box 61 Mattituck NY 11952 Phone#:531-7 67-6034 Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Alteration ❑Repair ❑Demolition Estimated Cost of Project: E l Other $1000 Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes NO PROPERTY INFORMATION Existing use of Property:RES I DE NTIAL intended use of property:R ES I D E NTIAL J Zone or use district in which premises is situated., Are there any covenants and restrictions with respect to this property? FlYes No IF YES,, PROVIDE A COPY. ® 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 Code. APPLICATION 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 on premises and In building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210-45 of the New York State Penal Law. -04' Application Submitted By(print name):��L) CAI mw%� ElAuthorized Agent Rowner Signature of Applicant: Date: IZ/14/ 2.67Z5 STATE OF NEW YORK) SS. C 0 U N TY OF A #J JOLT0110 Op We)r,)jW f:OKK O'� HON16— ftM61 I being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, Nhe 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 elelo day of 20 PU Notary Public MIGUEL MADERA PROPERTY OWNER AUTHORIZATION Notary Public-State of New York No-01MA6381057 (Where the applicant is not the owner) Qualified in Flew York County My Commission Expires 09/24/2026 residing at .do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein, Owner's Signature Date Print Owner's Name ................................. , .7 ^ ' BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 co Southold, New York 11971-0959 US Telephone (631) 765-1802 $. fir. APPLICATION FOR ELECTRICAL INSPECTION ---------- ELECTRICIAN INFORMATION (All Information Required) Date: 11/26/2025 11111111-1 Company Name: Rep Electric Electrician's Name: Robert Paladino License No.: M E-4727 Elec. email: Elec. Phone No. 631-767-6034 ❑I request an email copy of Certificate of Compliance Elec. Address.: Po Box 61, M attituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: Maison North Fork LLC Address: 2850 REEVE RD MATTITUCK NY 11952 Cross Street. Phone No.: 9177437097 Bldg.Permit#: email: maisonnorthfork@gmail.com Tax Map District: 1000 Section: 100 Block: 1 Lot:7 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly) Installation of Level 21240V 140A EV (Brand:char er Grizzl-E Classic) NEMA 14-50 Plug g quare Footage: NIPPON Ci'r All That Apply: Is job read for inspection?: F.] YES DNO [:]Rough In E:1 Final y p Do you need a Temp Certificate?: YES y a Issued On .... ............... ................. Temp Informations (All information required) Service Size . Ph[:],'3, Ph Size: A # Meters Cold Meter# nnect loud ReconnectF-Iservice ReconnectDwnderground�verhead ew Service❑Fire Deco � Underground Laterals Frame Pole Work done on Service? DZY ...............Additional Information: ormation ........................ ............... PAYMENT DUE WITH APPLICATION