HomeMy WebLinkAbout52786-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
..g 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#: 52786 Date: 03/26/2026
Permission is hereby granted to:
Edward Martinez
162 Hall St
Brooklyn, NY 11205
To:
install a generator as applied for.
Premises Located at:
3480 Orchard St, Orient, NY 11957
SCTM#27.-3-3.3
Pursuant to application dated 02/20/2026 and approved by the Building Inspector..
To expire on 03/25/2028.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
CO Accessory $100.00
Total $225.00
~r Building Inspector
TOWN OF SOUTHOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
,w ,so,utbo'ldtoNvn,,,ny.aoNr Telephone (631)765-1802 Fax (631) 765-9502 Mt, s'-'//Ww
117
Date Received
Fwm�a�DD r�&
APP[JCATION FOR BUIL.DING PERMIT
For Office Use Only
4�1
PERMIT NO. Building Inspector;
F 8 2 0 2026
Applications and forms must be filled out In their entirety.Incomplete
a pplications will not be accepted. Where the Applicant Is not the ownier,'an
Ower's AuthorWdon form(Page 2)shall be completed.
-—--------------------
Date:11/11/25
OWNER(S)OF PROPERTY.
scrm#1000-27.-3-3.3
Name,",Sam Moyer & Eddie Martinez
..............................
Project Address-13480 Orchard Street Orient NY 11957
P Email:scmoyer@gma''11.com
Phone#"7131-635-7284
J
Mailing Address%162 Hall Street Brooklyn NY 11205
....................... ---—------------...--
CONTACT PERSON.
Name-Wichael Campbell
Mailing Address 42222 HI'mrod Street Ridgewood NY 11385
Phone#M206-669-8067
I'LE�;a*l:campbell.m'l'chaelb@gma'I'I.com
DESIGN PROFESSIONAL INFORMATIONG
Namea mWlw.f .fix
Michael Campbell
Mailing Address-2222 Himrod Street Ridgewood NY 11385
..............................
Ema'l-
Phone# 206-669-8067 -campbell.m'l'chaelb@gma'I'I.com
CONTRACTOR INFORMATIONG
Namew Dave Murry Des Build
Mailing Address'-449 Main St, Greenport, NY 11944
I NNINOWN"WRIN#0 ' '' WOMAN"
WW
Phone#- (631) 477-0075 Emall.dmurray@murraydes'l'gnbu'l'ld.com
....................
DESCRIPTION OF PROPOSED CONSTRUCTION
.................
E]NewStructure OAddition OAlteration EIRepair ElDemolition Estimated Cost of Project,
[i]Other New Back up Generator $,200000
Will the lot be re-graded? EDYes igNo Will excess fill be removed from premises? E]Yes EiNo
——-—....--—--
WON
PROPERTY INFORMATION
........... .................
I Existing use of Property:Residential Intended use of proper-tym-Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
RESIDENTIAL R-80, ORIENT HAMLET OF SOUTHOLD this property? 11Yes []No IF YES, PROVIDE A COPY.
N 011%eck Box After Reading, mu?owpiet/contle-aimr/dalp prvftsdana��I�is ussponsible�for @11�dir~Ienid dorm wetai,�Lwas Ias invviclaid Iby
Ch,*PW 2316 oft he'Town Code. APPLICATION IS HEREBY�MAM it*the�Bulldft oeprbnent�for the Issuance of a Blufliding parmit plursuain to�the Build'hqg Zoart
Ord'in I Iov Iof thia'Town at�Staft aid, I .u Ifty,IPkW'YW*,An1d othier app9cab lie,Lgw%"rwum iw meabdio em W ift cc nstruction iof bid 01,01p,
oidiftJons,afteradians or�for�mmiuva icw deanwilfthm�es hwellin dejullmd.The appliklaut agmes to c=1111 lwft 811 vppthmbla Ww,usAhmiums,bulicift unlie,
holushig icodle anidn*tlatbu and to admIt Mdhadxed�in5pectm lcm premis and'In bulgdftfs)'for immmssM IrripecUmm Wlse stiteffmft Made hiere-In wv
punishable as a class A misdemeanor pumant to section 210AS of the New York SUM Penal Lew.
Applicat'lonSubm'i'ttedBy(pr"lntnarrie):M'i'chaeI Campbell @Authorized Agent ElOwner
00"
Signature of Applicant.0 Dater: Ale 19,
STATE OF NEWYORK)
SSG-
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
individual signing contract)above named,
(Nam
(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
I j�day of by)bPjY 20_1�
No ary Pubiic
RITAWECZYNSKA
PRO PERT"NOWN ERAUTHO RIZAT10" 1WM',KWJC,,6M OF NEWYORK
(Where the applicant is not the owner) ce No�,OIVW
Q",u in,Qu"M co
14"071,11 0=7
residing at-
*"NNW*,0
do
t le I Al to apply on hereby auhorize
7 or n.
my behalf,to th T Wn of Southold Building Department for approval as described here i
'Y
ate
r Sisnature ate
mmI
lowft
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Print Owner's Name
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