HomeMy WebLinkAbout53233-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Y 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#: 53233 Date: 08/25/2026
Permission is hereby granted to:
Emily Kessler
405 Kerwin Blvd
Greenport, NY 11944
To:
install additional roof-mounted solar panels on an existing single-family dwelling as applied for.
Premises Located at:
375 Tucker Ln, Southold, NY 11971
SCTM# 59.-11-7
Pursuant to application dated 08/12/2026 and approved by the Building Inspector.
To expire on 08/24/2028.
Contractors:
Required Inspections:
Fees:
SOLAR PANELS $100.00
CO-RESIDENTIAL $100.00
Total S200.00
ABi ingInspector
ijin
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rFr "; TOWN OF SOUTHOLD—BUILDING DEPARTMENT
" Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
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Telephone (631) 765-1802 Fax (631) 765-9502 lit_ tg,)s:'w%v%v.soutil[(.Ito r t cav
Date Received
APPLICATION FOR BUILDING PERMIT
r� For Office Use Only
PERMIT NO. �� Building Inspector:
AUG2 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 Sultd"ing Department
U0
Owner's Authorization form(Page 2)shall be completed. Town Of Southold
Date: / 2 U�
OWNERS)OF PROPERTY:
Name: Emily Kessler SCTM#1000-
Project Address:375 tuckers lane southold ny 11971
Phone#: 9179691173 Email: Emilyjacklynkessler@gmail.com
Mailing Address:375 tuckers lane southold ny 11971
CONTACT PERSON:
Name: y
Sunrun Installation Services — / J- r" lvevL�
Mailing Address:177 Cantiague Rock Rd,g Westbury, NY 11590
Phone#: 97 & . FS-2 . 3 C/d Email:
� LlPermits@sunrun.com
DESIGN PROFESSIONAL INFORMATION:
Name: K(agaL e1 t1� �
Mailing Address: 1 2 q 3S -' p
Phone#: 2- Email:
CONTRACTOR INFORMATION:
Name:177 Cantiague Rock Rd, Westbury, NY 11590
Mailing Address:177 Cantiague Rock Rd, Westbury, NY 11590 ,"
Phone#: �
�� /� L Email:
F �r
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
*OtherSolar $ _ CO
Will the lot be re-graded? ❑Yes EUT60 Will excess fill be removed from premises? ❑Yes �o
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes �o IF YES, PROVIDE A COPY.
Check BOX After eadingw The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Cha
pter 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 an 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 Sub tted By(print name): �'1-E'Sidr ®Authorized Agent ❑Owner
Signature of Applicant: � Date:
STATE OF NEW YORK)
COUNTY OF *"0,5
� f, I" , ems w
"• ul s+ r gses and says that(s)he is the applicant
(Name of individual signing contract) above named "^ », "".." "
(S)he is the Contractor �, -
( ontractor,Agent, C rporate Officer, etc.)
of said owner or owners, and is duly authorized to 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_2_&
ry Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I� Emily Kessler residing at 375 tuckers lane
do hereby authorize Sunrun Installation Services to apply I on
my behalf to the Town of Southold Building Department for approval as described herein.
07/21/2026
Owner's Signature Date
Emily Kessler
Print Owner's Name
2