HomeMy WebLinkAbout51975-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#: 51975 Date: 06/06/2025
Permission is hereby granted to:
Jason Salgado
10 Barclay St Apt 51B
New York, NY 10007
To:
install generator as applied for.
Premises Located at:
1055 Skunk Ln, Cutchogue, NY 11935
SCTM# 97.-4-7.4
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
(A
�ding Inspector ���
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 htt)s://www.southoldtowWi
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
y�
PERMIT NO. ✓� Building Inspector:
,P , 3 0 205
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an ®4a�Re�� ��ry4q wtt
Owner's Authorization form(Page 2)shall be completed. of ,Ou,�,'pcpld
Date
OWNER(S)OF PROPERTY:
Name:Susan Saldago SCTM#1000-97-04-7.4
Project Address:1055 Skunk Ln Cutchogue, NY 11935
Phone#:917-922-6007 Email:919srs@gmail.com
Mailing Address:1055 Skunk Ln CutChogue, NY 11935
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
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone#:631-375-2737 IHII-:Jgaffga@jtechss.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
1i10ther32KW Standby Generator $25000.
Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes BNo
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 ❑No IF YES, PROVIDE A COPY.
❑ Check Born 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 210.45.of the New York State Penal law.
Application Submitted By(pr"nt name):Jesse Gaffga IRAuthorized Agent ❑Owner
Signature of Applicant: Date: "�'��aS
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 C1 VA, T .20S)5-- " I
Notary Public
VICKI t BERRY
Nll,;;; Ulw°°1RIII "("'' ( Notary Public- State of Ne `Y'ork
PROPERTY � No. 01 BE6070081
(Where the applicant is not the owner) Qualified in Suffo k Co t
S:�I-(rA�
Commission Ex )res �)
I, Susan Sakb9a residing at 1055 Skunk Ln
Cutchogue, NY 11935 Jesse Gaff
do hereby authorize Jesse to apply on
my b half to the To n guthold Building Department for approval as described herein.
II
Owner's Signature Date
Susan §�!�
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
� MWn
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
4 Telephone (631) 765-1802 - FAX (631) 765-9502
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Platinum Electric
Electrician's Name: Keith VonEiff
License No.: Elec. email:platinumeast1 @yahoo.com
-Bec. Phone No: 631-765-9424 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 47070 NY25 Southold NY 11971
JOB SITE INFORMATION (All Information Required)
Name: Susan Saldago
Address: 1055 Skunk Ln NY 11935
Cross Street:
Phone No.: 631-375-2737
Bldg.Permit#: 151 email:919srs@gmail.com
Tax Map District: 1000 Section:97 Block: 04 Lot:7.4
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 32KW Standby Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: El YES NO E]Rough In Final
Do you need a Temp Certificate?: El YES NO Issued On
Temp Information: (All information required)
Service Size Ell 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 N
Additional Information:
PAYMENT DUE WITH APPLICATION
SURVEY OF PROPERTY
S17VATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.TN(Na.1000-97-04-7.4
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