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TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 51598 Date: 01/30/2025 Permission is hereby granted to: Minor RA Revoc Trust PO BOX 68 Orient, NY 11957 To: install generator as applied for. Premises Located at: 360 Stephensons Rd, Orient, NY 11957 SCTM# 17.4-12 Pursuant to application dated 12/06/2024 and approved by the Building Inspector,. To expire on 01/30/2027. Contractors: Required Inspections: Fees• GENERATOR $125.00 ELECTRIC -Residential $100.00 CO-RESIDENTIAL $100.00 Total $325.00 Building Inspector�� � t � , TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 littt)s-://www. otttl oldtow,lin . ov Date Received APPLICATION FOR BUILDING PERMIT t �,f p fi For Office Use Only 1 PERMIT NO. I Building Inspector Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owners Authorization form(Page 2)shall be completed. Date:: OWNER(S)OF PROPERTY. Name:Sheila Minor SCTM#1000-17 - 1 - 12 Project Address:360 Stepensons Rd Orient NY 11957 Phone#:631-987-8300 Email: MailingAddress:PO# 68 Orient, NY 11957 CONTACT PERSON: Name:Jesse Gaffga Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-375-2737 Email:Jgaffga@jtechss.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:J-Tech Surface Solutuion Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-298-4238 Email:jgaffga@jtechss.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ROtherinstall Stand-By 22KW Generator $12000.00 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes WNo 1 d PROPERTY,INFORMATION`> Existing use of property:Slflgle family Intended use of property:Single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to resldental this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 Check Box After Readi r1g: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code. APPUCATION 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 Section210.45 of the New York State Penal law. Application Submitted By(prin ampe):Jesse Gaga BAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) Jesse Gaffga being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (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 l�) caw bee 20- lLA VICKI t BERRY Notary Public Notary Public - State of New•York No. 01 BE6070081 Qualified in Suffolk County F-11C PERTYOWNER AUTHORIZATION ommission Exp'i're) here the applicant is not the owner) Sheila Minor residing at 360 Stephensons Rd Orient, NY 11957 do hereby authorize Jesse Gafrga to apply on my byhalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Sheila Minor Print Owner's Name 2 fl f .0 BUILDING DEPARTMENT- Electricallnspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ez w `amesh ,southioldtownn ov— seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11/24/2024 Company Name: G&S Electrical Contractor Electrician's Name: Rob Guarriello License No.: 31568-ME Elec. email: Elec. Phone No: 631-375-2737 ❑I request an email copy of Certificate of Compliance Elec. Address.: 250 Budds Pond rd Southold NY 11971 JOB SITE INFORMATION (All Information Required) Name: Sheila Minor Address: 360 Stephenson Rd Orient NY 11957 Cross Street: Phone No.: 631-987-8300 Bldg.Permit#: S\5 email: Tax Map District: 1000 Section:17 Block: 1 Lot: 12 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE(Please Print Clearly): Install 22KW Stand By Generator Square Footage: Circle All That Apply: Is job ready for inspection?: DYES NO ❑Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size1:11 Ph 3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y DN Additional Information, PAYMENT DUE WITH APPLICATION aO �� yy e s+ mu' d h Mw �I r � d "�wrjpr 'Q. Lerrcea PL 07' Y. Il Y �• d gg l fr.If 79 r -S (St�ffol o. flIdd "top N. y: y�', A� x a O 9 Jrac: 0.93q Acre. (Y'e fie /irlej ,M Su#o/k. t i•y 'rcx Pd�celr 0a-fl-r-rz . `! N 1 ,p p yJOrllJffliN�' �! 'I. A Firs ` grnericon Titls /nscrral�c� C��. 'MAIN 47e Jmev?yrd c oba,• 12, /993 QogD At c: ticerlaed Gv�a!'Sa�wv� a�a l e e Owy Gnerato ® a 0 ® ® e rs Slv 1-7-1 lfa- (Y,- e e Generator Only Model 7171 7223 1 7226 7042 7209 7290 i Generator/100 Amp Select I _ Circuit Switch Model ` 7172 1 7224 j ! i f Generator/200 Amp Service Rated Load iiI 7225 7228 i 7043 7210 7291 Shedding Smart Switch Package Model I i Voltage(Single Phase) j 120/240 Amps @ 240V LPG 41.7 i 58.3 75.0 91.7 100 108.3 Amps @ 240V NG 37.5 � 58.3 � 70.8 s 81.3 I 87.5 93.8 Engine/Alternator RPM 3600/3600 Engine Generac G-Force Engine Displacement i 460cc 816cc 999cc 999c Fuel Consumption @ 1/2 Load- I NG cu.ft/hr + 101 195 I 169 228' ; 203 203 i 188 Fuel Consumption-@ Full Load- I i NG cu.ft/hr li 127 256 247 i 327' 306 1 306 333 i I i Fuel Consumption @ 1/2 Load- LPG cu.ft/hr(gal/hr) I 36(0.97) 65(1.81) 1 62(1.70) j 92(2.53)' 1 92(2.53) 75 Fuel Consumption @Full Load- 54(1.48) f 112(3.07) 110(3.02) 142(3.90)' i 142(3.90) 132 LPG cu.cu.ft/hr(gal/hr) i Quiet-Test Mode Yes db(A)at Exercise i 57 i 55 ( 57 i 57 i 57 db(A)at Normal Operating Load ` 61 65 67 ' 67 67 Enclosure ! Aluminum 1 Enclosure Color Bisque , Warranty 5-Year Limited Dimensions-If x W"x H"in.(mm) i 48 x 25 x 29(1218 x 638 x 727) Weight(lb) I 338 I 385 i 420 466' 1 445 455 ! 518 { , i Mobile Link Wireless Connectivity i Yes '7042-2&7043-2 specifications NATIONWIDE DEALER SERVICE NETWORK Generac's commitment to service includes scheduled maintenance programs,warranty assistance and emergency service to ensure that Generac customers are never left powerless.The largest nationwide dealer network has factory-trained technicians on staff and maintains large inventories of Generac parts,components and accessories.Find a dealer near you at Generac.com. Generac Power Systems,Inc. S45 W29290 Hwy.59,Waukesha,WI 53189 m www.Generac.com 1888-GENERAC(436-3722) 201902144 REV 06/06 GENERAC I ©2022 Generac Power Systems.All rights reserved. c Specifications are subject to change without notice. cry. V