HomeMy WebLinkAbout53168-Z �o��QFgpuyo`� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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.�a 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#: 53168 Date: 08/04/2026
Permission is hereby granted to:
James A Pritchard
3225 Lighthouse Rd
Southold, NY 11971
To:
install roof-mounted solar panels to an existing accessory garage as applied for.
Premises Located at:
3225 Lighthouse Rd, Southold, NY 11971
SCTM#50.-3-1
Pursuant to application dated 07/13/2026 and approved by the Building Inspector.
To expire on 08/03/2028.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
CO Accessory $100.00
Total 200.00
Building Inspector
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TOWN OF SOUTHOLD-- BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box. 1179 Southold, NY 1 1971-0959
� Telephon� (63 I) "765-1802 Fax (631) 765-9502 ��t i,,.°,t - ,,".southoldtownny.gov
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APPLICATION FOR BUILDING PERMIT
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For Office Use Only w
PERMIT NO. Building
In , 0
Applications and forms must be gilled out in their entirety.incomplete 01,
applications will not be accepted. Where the Applicant is not the owner,an .1
' '044
Owner's Authorization form(Page 2)shall be completed.
Date: J306
OWNER(S)OF PROPERTY:
dame: SCYM # 1.000-
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Project Address,-, = : , �`� �� � 60t/t4h6j,41�
Phone#., ( Email
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Mailing Address:
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CONTACT PERSON:
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Mailing Address.�, I 7 'r
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Phone#
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DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMAT ION:
Name:
Mailing Address: t 7
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Phone#: p t` ,. Email:
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DESCRIPTION OF PROPOSED CONSTRUCTION
C-1 blew Structure ❑Addition DAlteration ❑Repair ❑Demolition Estim't d b,st of Project:
Other -"'SCICLe
Will the lot be re-graded? 7Yes :lo Will excess fill be removed from remises? ❑Yes o
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PROPERTY INFORMATION
Existing use of property: Intended use of property:
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? QYes o IF YES, PROVIDE A COPY.
M. heck Box After Reading.' The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Cade. 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.
Application Submitted By sprint name: CorAuthorized Agent Elowner
Signature 0 Appllca,nV &l')jV Date: 7
STATE OF NEW YORK)
SS;
COUNTY OF
L"fj Y-r i;t/,o - being duly sworn deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the - y6L c
(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 - ' 20 �.
nary Public
PROPERTY OWNER AUTHORIZATION
(where the applicant is not the owner)
l . ' - GL gat- residing -CL .(
P
L
r � C do hereby authoriz �
y e to a ppl� o n
my bejif to th n 'Southold Building Department for approval as described herein.
Allx
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lOwner's S nrture Date
'10UIS J FioMEO
Fairy Public,State of New York
No.01 FI08314813
-;Qualified in Suffolk County
Print Owner's Name Commission Expires November 17, 6,
2