HomeMy WebLinkAbout51974-Z 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#: 51974 Date: 06/06/2025
Permission is hereby granted to:
Finch KA Living Trt
72 Broadway
Rockville Centre, NY 11570
To:
install generator as applied for.
Premises Located at:
739 Old Woods Path, Southold, NY 11971
SCTM#87.-1-23.6
Pursuant to application dated 04/30/2025 and approved by the Building Inspector.
To expire on 06/06/2027.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
ELECTRIC -Residential $100.00
CO-RESIDENTIAL $100.00
Total S325.00
Bur ding Inspector ����
I 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 ht( ://www*sotitholdt'or nn . ,o
Date Received
APPLICATION FOR BUILDING PERMIT
C FIE
For Office Use Only `.
PERMIT NO. _ Building Inspecton
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:3/14/2025
OWNER(S)OF PROPERTY:
Name:pan Finch SCTM#1000-
Project Address:739 Old Wood Path Southold, NY 11971
Phone#:516-902-2035 Email:danfinch@eefinch.com
Mailing Address:
CONTACT PERSON:
Name:Jesse Gaffga
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone#: Email:'
631-375-2737 �gaffga@jtechss.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:J-Tech
Mailing Address:3350 Grand Ave Mattituck, NY 11952
Phone#:631-298-4238 1
Email:jgaffga@jtechss.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
E0ther14KW Generator $14000.
Will the lot be re-graded? ❑Yes 10No Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY INFORMATION
Existing use of property:Single FafT11Iy Intended use of property:Single Family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ®No IF YES, PROVIDE A COPY.
8 Check 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 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 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 210.4S of the New York State Penal Law.
Application Submitted By(print name):Jesse Gaffga IgAuthorized Agent ❑Owner
Signature of Applicant: Date: ("/^a
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(5)heisthe 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
ro.
day of QA 20
Notary Public
VICKI RRY
Notary Public- State of Ne ` York
PROPER1Y NI V TI1 RIZATI N No. 01BE6070081
� ... ...-........-_.
(Where the applicant is not the owner) Qualified in Suffolk Cou.
Commission Expires _(
Dan Finch residing at 739 Old Wood Path
thoid, NY 11971 Jesse Gaffga
do eby authorize to apply on
tmy hall'to th 7Kb,f utho BuilAg D artment for approval as described herein.
wnee Signature Date
�nF i n h
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Taws-Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
amesh 'southoldtownn . ov sea hd southoldtownn . ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: G&S Electrical
Electrician's Name: Rob Guarriello
License No.: 31568 ME Elec. email:jgaffga@jtechss.com
Elea. Phone No: 631-375-2737 El request an email copy of Certificate of Compliance
Elec. Address.: 250 Budds Pond Southold NY 11971
JOB SITE INFORMATION (All Information Required)
Name: Dan Finch
Address: 790 Old Wood Path Southold NY 11971
Cross Street: S Harbor Rd Southold NY 11971
Phone No.: 631-375-2737
Bldg.Permit#: email:danfinch@eefinch.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 14KW Standby Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: El YES �✓ NO Rough In r Final
Do you need a Temp Certificate?: YES ✓ NO Issued On
Temp Information: (All information required)
Service Size Ell PhF]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground[—]Overhead
# Underground Laterals 0 1 FJ2 H Frame Pole Work done on Service? Y EIN
Additional Information:
PAYMENT DUE WITH APPLICATION
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