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Home My WebLink About53170-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#: 53170 Date: 08/04/2026 Permission is hereby granted to: Mazi Hldgs LLC 149 Dosoris Ln Glen Cove, NY 11542 To: install generator as applied for. Premises Located at: 530 Broadwaters Rd, Cutchogue, NY 11935 SCTM# 104.-10-4 Pursuant to application dated 07/13/2026 and approved by the Building Inspector. To expire on 08/03/2028. Contractors: Required Inspections: Fees: GENERATOR $125.00 CO-R IDENTIAL $100.00 Total 225.00 Bc�� ing Inspector ..................... F,01 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0- Box 1179 Southold, NY 119 71-09 5 9 Telephone (631) 765-1802 Fax (631) 765-9502 hal s,,-,,)/wVww.,s,o,,ti,,th,old,toLyiii y, —--------- ............ Date Received APPLICATION FOR BUILDING PERMIT rr For Office Use Only PERMIT NO* Building Ins pecto r.,_ ................................ JUL 1 3 20,26 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,,an 'T Owner's Authorization form(Page 2)shall be completed. Owil,of SOUthold Rrfment ............... Date-, OWNER(S)OF PROARTY: N a m el`,,.° SCTM#1000-,/ "S A Project Addiress. 011 11,1 lu rt Phone#: Email: op *0� ailing Address: e 14 CONTACT PERSON: Name: 1. *012- Mailing4dress: ...... ..... Email I'd I lip" � Em Phone o DESIGN PROFESSIONAL INFORMATION: Name: Mailing Adoriess: Phw,e#: Email-, ........... y. Name: 000',*........ Mailing Address., Phone#: Email-, DESCRIPTION OF PROPOSED CONSTRUCTION FINewStructure F-lAddition FAlteration EIR pair 17-1 'molition P Estimated Cost of Project.- Al, $ h e r -]Yes F-11I Willthe lot be re-graded? F_1Yes F-1 No 'ill excess fill be removed from premises? F PROPERTY INFORMATION Existing use of property: Intended use of property: A Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? E]Yes EJNo IF YES., PROVIDE A COPY. 0 Check B o x After Reading: The owner/contra ctor/design professional is responsible for all drainage and storm water issues as provided by Chapter 2136 of the,T own Cod'e. APPLICATION IS HEREBY MADE to,the Building Department for the lssuaoce of I a Building Permit pursuant tothe BuHdipg Zone �,S 11, 1 Ordinance of the Town,of' outhold,,Suffolk),Countyo Ne—w York and other applicableLaws,Ordinances or Regulations,,for the,tonstru,ction of buildings, R, a,dditiions.,alterations' or for re m"ova"If or dem-olition as here in described-The applicant agrees to,comply with all appikable laws,ordinances,building,w4e, hous-Ing,code,and regulationsood to admit authori,,�,,zed'"n,,spe,,ctors on prises end in building(s)for inecessary,inspections.False,statemiants made,herein are punishable,as a Class A misdemeanor pursuant to5ettion,210.45 off' he New York State,Pennal Law. Application •Submitted By(print narne),01, 1401.1 Authorized A ent *Owner Signature of Applicant., Date: STATE OF NEW YORK) SS: COUNTY OF r101 cd ak A fL— ....being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, I (S)he is the Iiillzg-&- (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 JL)Iv 2 0 N" ry Public TRACEY L. DWIYW1 NOTARY PUBLIC,STATE OF NEW YORK No.4IDW6306WO AU PROPERTY OWNER THORIZAT I ON LIFIED IN SUFFOLK COUNTY ((Where the applicant is not the owner) 0 SSION EXPIRESdUNE 30,2DJO residing at 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 . ................... BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD W Town Wall Annex - 54375 Main Road - PO Box 1179 Southold, New York 9 71-0959 Telephone (631) 765-180" o1, 9 APPLICATION TOR ELECTRICAL INSPECTION ------------------------------------------------------------- ............. ELECTRICIAN INFORMATION (All Information Required) Dates Company Name: , LElectrician's Name: � w n o ■ ■ ense No.. Elec. email. 0 hone No: . , ❑I request an ail copy of Certificate of Compliance Address.: OWN JOB SITE INFORMATION Inf ' ation Required) Name: . �- Address. 2 Cross Street: ZZA,1*, A. 4c 41a ltZ �F�.L4 Phone No.: tlw Bld .Permit141 #: e rn a 1: Tax Map District: 1000 Section: Block: Lot.' BRIEF DESCRIPTION OF WORK, IN BUD SQUARE F OTAGE (Please Print Clearly) Square Foolage Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: 11 YESE]'�O Issued On Temp Information: (All information required) Service Size 1:11 Ph _ 3 Ph Size. A # Meters old Meter# F New Service❑Fire Reconnect❑Flood Reconnect[]Service Reconnect Flu n de rg rou nd FlOverh ead T Underground Laterals 1 T H Frame Pole Work done on Service? Y N d'ditional Information: PAYMENT DUE WITH APPLICATION S.C.T.M. N0. DISTRICT: 1000 SECTION: 104 BLOCK: 10 LOT(S):4 .3ppAD-WATER CON TIE LINE TO s 7*0' „E INSERTIDP+t-Mp�SH o m 0 m TIDAL WETLAND BOUNDARY AS DELINEATED BY pwp EN—CONSULTANTS AUG.5,2021 LOT 184 LOT 185 LOT 186 ww, C 0 six �pw 16.6 CpOc n n? Y, 1'S•A' &w�, � w 20.0 y. auww�wwaraaww SANITARY LOCATION METER R POINT A e .`� d I/A SEPTIC 16 36 COVERED 'A D.B. 2 7' 38.5 v � C 1w w ww ww LPi 40 48 n LPG o Rw A �. .-» � N z o Q a 'WE POE Vp 1.; w , 576.23' 98p62' MON 0A D ArA-PER ",Wpfr 'eOAD FINAL 06-04-26 FND. LOC. 01-14-26 ADD TOPO 10-28-24 U PO FIELD INSPECT/UPDATED 03-22-23 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL FEMA MAP#36103CO164H LOCATIONS SHOWN ARE FROM FIELD OBSERVARONS AND OR DATA OBTAINED FROM OTHERS. AREA: 28,701 SQ.FT. or 0.66 ACRES ELEVATION DATUM: NAVD88 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA T70N OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 77-1E SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE, THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRU6.7VRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 185 ' CERTIFIED TO: MAZI HOLDINGS LLC; MAP OF:AMENDED MAP A OF NASSAU POINT ��, a FIRST AMERICAN TITLE INSURANCE COMPANY; u , : ^ FILED:AUG 16, 1922 No. 156 3020-1305082 ry SITUATED AT:CUTCHOUGEµ 0 TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK °" �� ' Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE #221-193 SCALE: 1"=40' DATE:OCT. 15, 2021 PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S LISC. NO. 050882 maintaining the records of Robert J.Hennessy&Kenneth M.woychuk