HomeMy WebLinkAbout53217-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#: 53217 Date: 08/24/2026
Permission is hereby granted to:
611 Maple IJ.0
506 Main St
Greenport, NY 11944
To:
Legalize an "as built"mini-split HVAC system addition to a single-family dwelling as applied for.
Premises Located at:
175 Maple St,Greenport, NY 11944
SCTM#42.4-17
Pursuant to application dated 08/07/2026 and approved by the Building Inspector.
To expire on 08/23/2028.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $600.00
Building Inspector
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
� gl- Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 1lttas://wwwsoutlioldtowliny.gov
Date Received
APPLICATIONIi
For Office Use Only
PERMIT NO. r7 Building Inspector: A xy- G 7 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 Ottlllng OeloarfrrtRrft
Owner's Authorization form(Page 2)shall be completed. TO" of r.)ttthold
Date:8/7/2026
OWNER(S)OF PROPERTY:
Name:611 Maple LLC,Elizabeth Satterwhite,As Signing Member I SCTM# 1000-42-1-17
Project Address:175 a/k/a 611 Maple Street, Greenport, NY 11944
Phone#:917-686-5399 Email:elizasatterwhite@gmail.com
Mailing Address: 175 a/k/a 611 Maple Street, Greenport, NY 11944
CONTACT PERSON:
Name:Elizabeth Satterwhite
Mailing Address:"same as above"
Phone#:917-686-5399 Email:elizasatterwhite@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Schott Refrigeration
Mailing Address: 1540 Tuckers Lane, Southold, NY 11971
Phone#:631-384-2995 Email:johnpschott@yahoo.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
LilOther As-Built first floor air co ditioning condenser&handler,and second fl or air conditioning split $-
Will the lot be re-graded? ClYes ®No Will excess fill be removed from premises? ❑Yes ®No
1
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
00
a i r0
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 8/5/2026
Company Name: BJ Electric Co., Inc.
Electrician's Name: Bob Annabel
License No.: 2670ME Elec. email: RPA4300@yahoo.com
Elec. Phone No: 516-885-0660 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 4300 Stillwater Avenue, Cutchogue, NY 11935
JOB SITE INFORMATION (All Information Required)
Name: 611 Maple Street LLC, Elizabeth Satterwhite as signing member
Address: 611 a/k/a 175 Maple Street, Greenport, NY 11944
Cross Street: Sixth Avenue
Phone No.: 917-686-5399
Bldg.Permit#: email: elizasatterwhite@gmail.com
Tax Map .istrict: 1000 Section:42 Block: 1 Lot: 17
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
:'As-built"=,New Service, CAC condenser and handler,for first floor air conditioning,split unit for second floor air conditioning,
electirical outlets for bathroom.
Square Footage: 143
Circle All That Apply:
Is job ready for inspection?: YES[] NO [:]Rough In Final
Do you need a Temp Certificate?: YES Z NO Issued On
Temp Information: (All information required)
Service SizeF_11 Ph EJ3 Ph Size: A # Meters Old Meter#
❑New Servicen Fire ReconnectOFlood ReconnectOService Reconnect nunderground Doverhead
#Underground Laterals 1 2 H Frame M Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION