HomeMy WebLinkAbout52080-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#: 52080 Date: 07/09/2025
Permission is hereby granted to:
Todd Hamilton
190 Great Pond Way
Southold, NY 11971
To:
install generator as applied for.
Premises Located at:
190 Great Pond Way, Southold, NY 11971
SCTM# 59.-9-10.2
Pursuant to application dated 04/30/2025 and approved by the Building Inspector.
To expire on 07/09/2027.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
ELECTRIC -Residential $100.00
CO- RESIDENTIAL $100.00
An Total 9325.00
Building Inspector ��
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
11,4
� F Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt s:Hw,wwr.sout oldlowiin .go
Date Received
APPLICATION FOR BUILDING PERMIT
I .i 4��✓' 1. I 4h.M1" I t
For Office Use Only
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PERMIT N0. � Building Inspector: J r
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,any
Owner's Authorization form(Page 2)shall be completed. i• o :„;,
Date:4/8/2025
OWNER(S)OF PROPERTY:
Name:Todd Hamilton SCTM#1000-59-09-10.2
Project Address:190 Great Pond Way Southold NY 11971
Phone#:516-409-4461 Email:cooptodd12@gmail.com
Mailing Address:190 Great Pond Way
CONTACT PERSON:
Name:Jesse Gaffga
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone#:631-375-2737 Tm;',,--jgaffga@jtechss.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address.
Phone#: Email:
CONTRACTOR INFORMATION:
Name:J-TeCh
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone#:631-375-2737 Email:jgaffga@jtechss.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
DOtherStand By Generator S12000.
Will the lot be re-graded? ❑Yes igNo Will excess fill be removed from premises? ❑Yes BNo
1
PROPERTY INFORMATION`
Existing use of property:Single family Intended use of property:$Ingle family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes ONo 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 210.45 of the New York State Penal Law.
Application Submitted By(prim name):Jesse Gaffga 45Authorized Agent El Owner
Signature of Applicant: Date: —�g ' 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
rC11-
day of 0( 2010 Lcx�& L.XA-�
Notary Public
VICKI'L` BERRY
I
Notary Public- State of Ne. York
PROP R NE I°r IRIZATI N No. 01 BE6070081
,... _ ,,.,.. .��........-.................���.... _.... Qualified in Suffolk Cu y
(Where the applicant is not the owner) Commission Exp(res a
Todd Hamilton residing at 190 Great Pond Way
I,
Southold, NY 11971 Jesse Gaffga
y to apply on
do hereby authorize,
my behalf` the Tow of Southold Building Department for approval as described herein.
aS
Owner's Signs ure Date
Print Owner's Name
BUILDING DElectrical Inspector
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
smash southoldtownn . ov seand southoldtownn v
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/8/2025
Company Name: G&S Electrical Contractor
Electrician's Name: Rob Guarriello
License No.: 31568-ME Elec. email: jgaffga@jtechss.com
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: Todd Hamilton
Address: 190 Great Pond Way Southold, NY 11971
Cross Street: Soundview Ave
Phone No.: 516-409-4461
Bldg.Permit#: ;k 0 email:cooptodd12@Gmail.com
Tax Map District: 1000 Section:59 Block: 09 Lot: 10.2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install a Stand BY Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: F YES �✓ NO ]Rough In El Final
Do you need a Temp Certificate?: R YES NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph"3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame n Pole Work done on Service? MY N
Additional Information.
PAYMENT DUE WITH APPLICATION
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