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Home My WebLink About53100-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY a BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTI L FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 53100 Date: 06/30/2026 Permission is hereby granted to: Alan Litner 2945 3rd St Boulder, CO 80304 To: legalize an "as built" EV charger(outdoors) as applied for with flood permit. Premises Located at: 1025 N Sea Dr, Southold, NY 11971 SCTM#54.-4-12 Pursuant to application dated 06/11/2026 and approved by the Building Inspector. To expire on 06/29/2028. Contractors: Required Inspections: Fees: CO-RESIDENTIAL $100.00 Flood Permit $150.00 As Built EV Charger $250.00 Total S500.00 Building Inspector " TOWN OF SOUTHOLD—BUILDING DEPARTMENT 4, 1 too, Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 1y� 5" Telephone (631) 765-1802 Fax (631) 765-9502 Date Received APPLICATI'ON a, rr,:4 �r v E For Office Use Only BuildingI e for � � PERMIT NO., ` JUN 1 5 2026 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. where the Applicant is not the owner,an c 0 'dng Department ownees Authorization form(Page 1)shall be completed. Town c) tSo_ithnld Date:518125 OWNER(S)OF PROPERTY: Name:Alan Litner SCTM# 1000-054-00-04-90-0 1 2-U00 Physical Address: 1025 North Sea Drive Phone#: 91? 208- 847 Email:ablitner@gmail.com Mailing Address: 1025 North sea Drive,Southold,NY,11971 CONTACT PERSON: Name:Permit Dept/Long Island Power solutions Mailing Address:20 0 Ocean Ave, onkonkoma,NY,11779 ............ ... Phone#:531- 48-0001 Email:prmitgopowersolutons.com DESIGN PROFESSIONAL INFORMATION: FName:Michal E. Mlele Mailing Address:33 Main street PO Box 530 Cornwall, NY 12518 Phone#:845.629.9693 Email NYPSengineer@gmaii.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power solutions Mailing Address:2060 Ocean Ave, RonkonkomaNY,1177 Phone#:831-348-0901 Email: emits o owersolutions.com p _ ��g p DESCRIPTION OF PROPOSED CONSTRUCTION ®New Structure DAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 8 other ChargePoint Home Flex EV Charger 12 k (240V AC*50A). $12,500 Will the lot be re-graded? ClYes No Will excess fill be removed from premises? DYes �R No 1 PROPERTY INFORMATION Existing use of property: Irl e FamilyDwellingIntended use of property:Sin le FamilyDwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Y IF YES, PROVIDE A COPY. Check Box After Reading" The owner/contractor/design professional Is responsible fear a, rainage and storm water Issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,Counter,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 can premises and in b uilding(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 IS.oI °t o Application Submitted By(print name),,, ❑owner Signature of Applicant: " Date g � STATE OF NEW YO R K} SS: COUNTY OF Suffolk Michael Catizon 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 �fL Y of 20 - ( . ............ --day _, Not ublic DAV I D J MA(.KEY Notary Public, State of New York Reg. No, o 1 MA6381235 Qualified in Nassau Coon R AUTHORIZATION Commission Expires October 01 4 f "Where the applicant is not the owner} residing at 1025 North Sea Drive Southold,NY,119 Michael CatizonelLong bland Power Solutions do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein owner's Signature Date e Print owner's Name 2 lyl nr 4WD BUILDING DEPARTMENT- Electrical Inspector 4 TOWN of SOUTHOLD y '*r Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 tk '��'' Telephone (631) 765-1802 g 0r APPLICATION FOR ELECTRICAL INSPECTION .................. ELECTRICIAN INFORMATION (All Information Required) Date: 518126 Company Name: Catizone Electrical Contracting INC Electrician's Name: Michael Catizone License No.: ME-36178 Elec. email: permits@gopowersolutions.com Elec. Phone No: 631-348-0001 El I request an email copy of Certificate of compliance Elec. Address.: 2060 Ocean Ave, Ronkonkorna,NY,11779 JOB SITE INFORMATION (All Information Required) Name: Alan Litner Address: 1025 North Sea Drive, Southold, NY,11971 Cross Street: Phone No.: (917) 208- 847 .Permit Bldg. #: email: ablitner@gmail.com � � Tax Map District: i'000 Section:054.00..................... Black: 04.00 ......................................................Lot: 012.000 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly) ChargePoint Home Flex Ell Charger 12 kW(240V AC* 50A). lllimmmil poll Square oota e circle All That Apply: Is job ready for inspection?: El YESE], N [:]Rough In Final Do you need a Temp Certificate?: YESE],NO issued On Temp Information: (All information required) Service Size 11 Ph 3 Ph size: # Meters Old Meter# Ej New Service[:]Fire Reconnect[QFlood Reconnect Elservice Reconnect Flunderground 0overhead Underground Laterals 1El 2 M H Frame Pole Work done on Service? Y N Additional Information: PAYMENT' DUE WITH APPLICATION