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Home My WebLink About53113-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT o 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#: 53113 Date: 07/08/2026 Permission is hereby granted to: Wirstrom M Living Trt 4630 Nassau Pt Rd Cutchogue, NY 11935 To: install roof-mounted solar panels to an existing single-family dwelling as applied for. Premises Located at: 4630 Nassau Point Rd, Cutchogue, NY 11935 SCTM# 111.-8-10 Pursuant to application dated 06/22/2026 and approved by the Building Inspector. To expire on 07/07/2028. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 Total $200.00 Building Inspector ryry "' dr o 'rW TOWN OF SOUTHOLD--BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P", 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 1 ,s� �, d o � . -------- Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only r PERMIT NO. Building in pector; f Applications and forms must be filled out in their entirety.Incomplete p p tY p applications will not be accepted. Where the Applicant Is not the owner,an J ' Owner's Authorization form(Page 2)shall be completed. Date:+6/16/2026 OWNER(S)OF PROPERTY: Name:Wirstrom M Living Trust SC TM#1000-111-8-10 Project Address:4630 Nassau Point Road, Cutchogue Phone#:212-363-0871 Email:mart@wirstroml.me Mailing Address:11 H oyt Ave Apt, 18 H, Brooklyn, NY 11201 CONTACT PERSON: Name: GreenLogic LLC Mailing Address:9y7 North Sea Road, Southampton, NY 11968 Phone#:631_771-5152 x117 Email:AM@Greenlogic.com DESIGN PROFESSIONAL INFORMATION: m� Name: Architect � James J. Stout & Assoc Mailing Address:2 Greg Lane, East Northport, NY 11731 Phone#:631-858.9388 Email:stouthu j'amesstoutarch.com CONTRACTOR INFORMATION: Name:GreenLogiC L.L.( Mailing Address:97 North ,Bea Road, Southampton, NY 11968 p hone#:631-771-515 Email:AM@Greenlogic.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure MAddition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: C10ther Solar Panels $ 33,650 �Iltl i ,ll the lot be regraded? ❑ Fes No Will excess fill be removed from premises? nYes '*No -------------................ PROPERTY INFORMATION Existing use of property: Residential dwelling Intended use of property: Residential dwelling A Zone or use district in which premises is situated,, Are there any covenants and restrictions with respect to this property? FlYes 2 No IF YES,PROVIDE A COPY. R Check Box After Readingo. 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 building(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. J Application Submitted By(print name):GreenLogic LLC WAuthorized Agent F-1 Owner Signature of Applicant: Date: 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 Co ntracto r n. (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 7dlay,of t 20 J1 Notary,Public EMBARAACASCIOTTA No"Publlo-SW&of Now*k PROPERTY OWNER AUTHORIZATION Na 01 CA4894M ............... ................. (Where the applicant is not the owner) CkXMW In Suffolk ftwOoWn EVilfft May I to residing at do hereby authorize GreenLogic L I LC to apply on my behalf t To of Southold Building Department for approval as described herein. --------- 01 "026 06 /Z Ownler's 'nature Date Marc Wirstrom Print Owners Name S.C_T.M_NO. DISTRICT: 1000 SECTION:111 BLOCK:8 LOT(S):10 WELL SO%I Lt?F 159 00 tv 0_ 96 e `+ ME U.P. f+, - d z mom PROPERTY LINE AS , IDENTIFIED IN FIELD BY :�- FEE Ile two _ SANITARY LOCATION LaPa = L.P. 57' 17,5 Of Tp- e _ / Vik ***NOTE:THE FILED MAP IS MARKED THERON "LOT DIMENSIONS ARE APPROXIMATELY ONLY" Ile ow-i- - / AND BECAUSE OF THIS LEGEND,DIVISION P / � LINES ARE INDEFINITE AND UNCERTAIN. PROPERTY LINES SHOWN ON THIS MAP ARE REPRESENTED ON SURVEY RECORDED IN LIBER 2006 PG.426 AND IN COMBINATION WITH PRESENT DAY MEASUREMENTS AND FIELD OBSERVATIONS, - �* THE WATER SUPPLY,WELLS ORYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OHTAINED FROM OTHERS. AREA: 37.806 S.F. or 0.87 ACRES ELEYATTOIJ DATUM:NAVD88 UNAUTHORIZED ALTERA7ION OR ADD177ON TO THIS SURVEY IS A VIOLAT7ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS S'URVFY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID MUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR KNOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 17TLE COMPANY;GOVERNMENTAL AGENCY AND LENDING INSTITUTION LOT 155 LISTED HEREON,AND TO THE AS96NEFS OF THE LENDING INS77TUI70N,GUARANTFES ARE NOT TRANSVERABLE. THE OFFSETS OR DIMENSIONS SHOW HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE ARID USE THEREFORE THEY ARE Nor INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS ANpOR SUBSURFACE STRUCTURES WOMM OR ONRECOWEU ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY oFF LOT 157 ._ ��Y CERTIFIED TO:ADVANTAGE TITLE GROUP ALENCY.L ; t,.. 3 'CIS Ir��O MW DATE MAK ,20 21. MAP OR AMENDED MAP A OF NASSAU POINT � FILED:AUG. 16, 1922 No.156 � _ ` & TRH TM-F.INSURANCEUP ANY AV RUST SITUA AT:CUTCHOGLIE o� � �A�_ ANY UPDATE 09-03-25 TOWN OF:SOUTHOLD FINAL SURVEY 07-02-25 � KEN TH WOYCHUX 4CND SURVEMIG,PLLC SUFFOLK COUNTY,NEW YORK FNI LOC. t8-29-2 I S _ _'_ REVISED 04-16-24 - P.O.Box 153 Aquebogue,New York 11931 REVISED 02-15-24 FILE j 221-04 SCALE:1.,-30' DATE:JAN• 6, 2021 U NO 052W PHONE(63a)29e-15aa PAZ(ase)age-><aaa