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Home My WebLink About53107-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 WORD AUTHORIZED) Permit#: 53107 Date: 07/02/2026 Permission is hereby granted to: Zinnia Hill LLC c/o Katharine Stevens Fishers Island, NY 06390 To: legalize an "as built" EV charger(outdoors) as applied for. Premises Located at: 1 oceanic Ave, Fishers Island, NY 0639►0 SCTM#9.4-22.2 Pursuant to application dated 06/11/2+026 and approved by the Building Inspector. To expire on 07/01/2028. Contractors: Required Inspections: Fees, As Built EV Charger $250.00 CO-RESIDENTIAL $100.00 Total S350.00 Building Inspector TOWN OF SOUTHOLD--BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,1" Y 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 � n�t� : w�� .� �t �� e�� Date Received APPLICATION qw 1 For Office Use Only , PERMIT NO. u i l d i n inspector: � 2026 II i��.,� L � ............... ............. ........... Applications and farms must be filled out in their entirety.Incomplete ... ,. applications will not be accepted. where the Applicant is not the owner,an Tic owner's Authorization form(Page 2)shall be completed. Date:June 7, 2026 OWNER(S)OF PROPERTY: Name:Zinnia Hill LLB (Kate + arbaraStevens)I, cT .1 and9 .-4-22.2 Project Address: 1 Oceanic Ave, Fishers Island, NY 06390 Phone#:860 333 2270 Email:kate.p.stevens@gmail.com Mailing Address: 1 Oceanic Ave #595 Fishers Island, NY 06390 CONTACT PERSON: Name:Kate Stevens Mailing Address: 1 Oceanic Ave #595 Fishers Island, NY 06390 Phone#:860 333 2270 Email:kate.p.stevens@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Chris LaFleche, LaFlech & Sons Electric LL Mailing Address:PCB Box 245 Danielson, CT 06329 Phone#:880 908 5913 Email:chris@iaflecheelectric.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration D Repair Ll Demolition Estimated Cost of Project: C'�Other Level 2 electric car charger $2,200 Will the lot be re-graded? ❑Yes *No, Will excess fill be removed from premises? ❑Yes 'No 1 ...................................................... ............................................................... ----------- ----- PROPERTY INFORMATION ............ Existing use of property:residential Intended use of property:residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? MYes No IF YES, PROVIDE A COPY. Chiieck Box Afteir lReadi Ili Ing,, 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 bultding(s)for necessary inspections.False statements made herein are .........punishable as a class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print name}: Kate ��/tevens MAuthorized Agent ROwner Signature of Applicant: Date: June 6, 2026 ff f STATE OF NEW YORK) SS: COUNTY OF Suffolk Kate Steve ns being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Owner (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 da of y 20 &......................... QA-amw P u b1 I I C!"j- i S K%o 111 I 14,OW Y % O, *14, 1 0 A 4 1!Crmnt�ver,07,2001 F')IROIRE,�'R'TY OWNER A,u rHORIZATION (Where the applicant is not the owner) NJ, 4 residing at 00t,"IM4 Z)110 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 2 .............. 'KM PER PROPERTY TO IRE CON4E1tED TO JOAt+I CHAVES WEFT OW TAL AHENuE FISKERS MAND NY SCAM 1`•40 FT. H2137 DATECD alti£3,t976 ITT Ct{ AtmtEA.PALER AND IOttC \ \� .Ax � r oy\ a _ A uj - \� _ e a �e NIF RlCt4UtD Q AHbi t dt 'Q 1. BCS SURVEY WAS PREPARED FOR TILE FARMS AW PtQt M �� _ �.tUIE'+�.�tr�tcat�f L MCA=HUMM.ANr DMSM t or Try�KMQ rKE °� \ � E�NGAGEIZE NT. PUW*SW AMEEI)TO tea,W a>fNT TR Avcm c EXCEm3 THE SCOPE OF Tt� (/y ffil > z ,� JQ+1N A CH+fVES � � _ 2 IT�5 A NOlAT10N OF THE STATE EWGTfCN lA#X FOR ANY AWA DJ4:k ACRES �i 3 _ A UtEttgD_ ` PERSON.tlt4F.2g ACTING WIDER[F1E DJRELTION QC LAND��x>E�ut��+�rr WAY. a - �` try str"/ & oar OF Tras SIMv>:r 1rURKED tlTTtt TttE IANQ LU � t - ., t18ER�t2 f PR 3dE, y, �Qat sex - 1 SURVEYORS SIGNATURE AND AN ORIG7tAl Ef�SeD l ARC 7M PRCQUC[OF TR LAW WRifEYM 3 4. COORMATE OWAKC[S ARE MEA3i1RED FROM U3 COAST AND z tIDGWIC 51lRYE'f TRIAFtSilLATiCli STiilt{ft'PAILS' _- S SITE 15 IN THE MMN Or SMVQD,CMMM OF W"CIK TAX � W MAP I M SECTION 9.BiQGt 4.LOTS 22.WI AM 21002. _ _ Z 3 - 7. 517E IS LOGIEO 8J 2T7NRIG DtSTFItCT Ft-40 - _ 3 2050.77 - in m 4=� TMY-NM F17-7409-104171—SUFF N fF J GUNT c 0 t DESC TRW x _ Zft- mot or PAUDO - aVDIM "M a+� �y nor r AVF - _ Um"PoLt sm i n 8 IM Mm 0=- - DATE WARC14 27,2017 26 SCALE: t` 20` LmLmLoomd SHEET. t OF 1 CRAPM SCAM 10 nMf PROJECT:12017807 � � . mm BUILDING DEPARTMENT- Electrical Inspector TOWN of SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATIONFORELECTRICAL iNS .......... ELECTRICIAN INFORMATION (All Information Required) Date: 5/18/26 Company Name. LaFleche&Sons Electric LLC 'P'lectrician's Name: Chris LaFleche License No.. ME 35821 Elec. email. chris@laflecheelectric.com 7laflecheelectric.com Elec. Phone No: 860 617 539�1 request an ernail co of Certificate of Com Compliance copy p Elec. Address.: Po Box 246 Danielson, CT 06239 JOB SITE INFORMATION Information Re uired(All Required) Name: Kate Stevens Address: 1 oceanicAve *""'ww"� Cross Street: oriental Ave Phone No.: 631 7887729 Bldg.Permit# email. Tax Map District: 1000 Section: 9. Block: 4 Lot: 22.2 "IN NOWN --111111N Oil BRIEF DESCRIPTION F` WORK, INCLUDE SQUARE: FOOTAU (Please Print Clearly): Install Level 2 car charger, Replace faulty GFI's kitchen and bath,Add smoke alarm in Sun room 10 year Batt. S,9uareFoo12e# 115001 ........... Circle ALL That Apply., Is job ready for inspection'?: YES F1 No Rough In r/ Final Do you need a Temp Certificate LJ YES _ NO +✓' Issued Can Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# F]New Se rvi ceD Fire Recon n ect Flood Reco n n t�] ec ]Service Reconnect❑Under round Eloverhead Pnderg'round Laterals 1 2-0,1] H Frame Pole Work done on Service? Y ON, Additional Information ............. YME,NT DUE WITH APPLICAT10N