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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 joy "'✓Rrky WAY• 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 'a mesh southoddtownn ov -,, seand southoldtownn v 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 e 1-.m. MY a,eau usl.aa�aaiu�ww.n. �.a awmx wuoo STMatL t ¢W'IQ5G'Aa.xmml-) w,mFe -%o u�wwm eR na:euxwxa Baum a 1xc -,AiL H'"' IOWX 0i SaaMUL ax O[CdlOt 1/.1YM Mom" ayl.ur�„ g r h — .. - : " � u P7 •n �� °' `.. a �e a Nathan Taft Corwin M Und Mrvoy aam