HomeMy WebLinkAbout53004-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#: 53004 Date: 05/20/2026
Permission is hereby granted to:
Alan Litner
2945 3rd St
Boulder, Co 80304
To:
install roof-mounted solar panels on an existing single-family dwelling as applied for with flood
permit. All associated equipment must be located at elevation 16.5'or higher.
Premises Located at:
1025 N Sea Dr, Southold, NY 11971
SCTM# 54.-4-12
Pursuant to application dated 05/13/2026 and approved by the Building Inspector.
To expire on 05/19/2028.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
Flood Permit $150.00
CO-RESIDENTIAL $100.00
Total S350.00
B s ector
TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Rh
" Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 htt s:11WWW.southoldto..............
� . ov
Date Received
APPL1CATION FOR BUILDING PERMIT
D
r office Use Only
a
• I IIfI^'I'II^
P
I
PERMIT NO. � Building Inspector: �
I
Applications and forms 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.
Date:
OWNER(S)OF PROPERTY: , ' .
Name: f, f-.--~ 054 0O 04 CIO 000 012
.� � SCTM# �.000-_ _ _ _ _ _
Physical Address: 1025 North Sea Drive,Southold,NY,11971
...................
Phone#: .�. ► '9"y "7 Email:
r-
7 l
Mailing Address: 1025 North Sea Drive,Southold,NY,11971
nr
CONTACT PERSON:
Name: Permit Dept./Long Island Power Solutions
Mailing Address..
2060 Ocean Ave., Ronkonkoma, NY 11779
Phone#:631-348-0001 Email:Permits@GoPowerSol.utions.com
............
DESIGN PROFESSIONAL,INFORMATION:
Names (/.%
,4t r
Mailing Address: -
-' '*
0 r
r N
Phone#: Email
11113- 1...................................................... .......
I '
CONTRACTOR INFORMATION:
Name:Michael Catizone/Long Island Power Solutions
Mailing Address: NY 11779
v R nkonkoma Ocean A e o
Phone#:531-348-0001 Email:mike GoPowerSolutions.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition Alteration EIR,ep,air DDemol"t on Estimated Cost of Project:
®Oth e r Proposed ,„ panel roof mounted array. l,'),YkW SystemE
�
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes WN
1
.................................... ....
PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ' wIF YES, PROVIDE A COPY.
IN Check Box After Reading: The owner/contractor/design professional' responsible forill rainage 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.
Catizone Electrical/Long Island Power Solutions
Application Submitted By(print name IgAuthorized Agent E]Owner
Signature of Applicant: Date: 2
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
Michael atizone 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
day of A 201(
-Notar Kub6c (7
DAVID J MACKEY
Notary Public,State of New York
Reg. No.01MA6381235
Qualified in Nassau County
PROPERITY OWNER AUTHORIZATION
Commission Expires October 01,204v(1Nherethe applicant is not the owner)
M ..
1025 Norte Sea Drive
residing at
Southold,NY,11971 do hereby authorize Michael Catizone/Long Island Power Solutions to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
15,0-k /Coo,#
----------- "
Owner's Signature Date
W,v
Print Owner's Name
2 ...........................................