HomeMy WebLinkAbout52706-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE S�ET OF APPROVED PLANS AND SPECIFICATIONS,
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52706 Date: 03/03/2026
Permission is hereby granted to:
Libassi Family Trt
2 Grendon Ln
Farmingville,, NY 11738
To:
Install roof mounted solar panels to an existing single-family dwelling as applied for.Additional
certification may be required.
Premises Located at:
95 Billard Rd,, Cutchogue,, NY 11935
SCTM# 104.4-4
Pursuant to application dated 01/08/2026 and approved by the Building Inspector.
To expire on 03/02/2028.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
CO-RESIDENTIAL $100.00
Total $200.00
............
Building Inspector
TOWN OF SOUTHOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P.0.Box 1179 Southold,NY 11971-0959
'h o I d t,o w�,, i ,�., oyv
Telephone(631)765-1802 Fax(631)765-9502 h't Sm
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...........
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. "7,C) Buf1ding Inspector"-s., INN-
16"
Applications and forms must be filled out in their entirety.Incomplete
J14,
applications will not be accepted. Where the Applicant Is not the owner,,an
Ownees Authorization form(Page 2)shall be completed.
Date.
OWNER(S)OF PROPERTY:
Name: Libassi Family Trust scTM#l000- 104-1-4
Project Address: 95 Billard Road,Cutchogue, NY
Phone M 631-487-7817 Email:sparsloe@netscape.net
Mailing Address: 2 Grendon Ln,, Farmingville, NY 11738
CONTACT PERSONS
IN y
Name:Barbara - GreenLogic LLC
Mailing Address:97 NorthSeaRoad, SoUthampton, NY
Phone#:631-771-5152 A 17 Email:Barbara@Greenlogic.com
W ,
DESIGN PROFESSIONAL INFORMATION:
Name: James.J.Stout Architect&Associates
Mailing Address: 2 Greg Lane, E. Northport,, NY 11731
Phone#: (631)858-9388 Email: stouthub@jamesstoutarch.com
CONTRACTOR INFORMA1"ON:
Name:GreenLogic LLC
Mailing Address:97 North Sea Road, Southampton, NY 11968
Email:AM@Greenlogic.com
Phone#:631-771-5152
DESCRIPTION OF PROPOSED CONSTRUCTION
EINew Structure DAddition IRAlteration E]Repair ODemolition Estimated Cost of Project:
90ther Solar Panels s.77,000
Will the lot be re-graded? OYes 10 No Will excess fill be removed from premises? E I Yes NNo
.. . .........
PROPERTY INFORMATION
I 7Existing use of property: residential dwelling EIntended use of property: residential dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? DYes KNo IF YES,PROVIDE A COPY.
L
19 Check Box After Reading: Thewwm/conVaMr/design professional Is responsible for all drainage and storm wAw Issues as provided by
Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Buthfing Department for the Issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of SouthohL Suffolk,County,New York and other — Umn6 Ordirumces or Regulatims,,for the construction of bulidings,
additions,alterations or for removal or dernolltion as herein The appOcant agrees to comply with all applicable Lim,ordinances,building code,
housing code and regulations and to aftit authorized inspectors on premises and In building(s)for necessary Inspections.False staternents made herein are
punishable as a Chm A misderneow pursuant to Section 2UM of the Now York State Penal Law.
Application Submitted By(print name):GreenLogic LLC INAuthorized Agent 0 Owner
Signature of Applicant: Date* Ito
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,
(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
0 1111���'Ijjiiiiil
day of 20,2�(a 61111111111 4X"At� .................
Nota,ryf?ublic
BARBARA A CASCIOTTA
Notary Public-State of Now York
No.01 CA4894969
1' ROPERTY OWNER AUTHORIZATION
Qualffied In Suffolk County —
Commiss1on Expires May 11,2027 (Where the applicant is not the owner)
it residingat9
ZZ 2"l, do hereby authorize GreenLogic LLC to apply on
my b If"o the Tow o Southold Building Department for approval as described herein.1
Zt
Owner's Signature Date
Print Ownees,Name
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