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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 $100.00 An Total 9325.00 Building Inspector �� TOWN OF SOUTHOLD—BUILDING DEPARTMENT 11,4 � F Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt s:Hw,wwr.sout oldlowiin .go Date Received APPLICATION FOR BUILDING PERMIT I .i 4��✓' 1. I 4h.M1" I t For Office Use Only �i PERMIT N0. � Building Inspector: J r Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,any Owner's Authorization form(Page 2)shall be completed. i• o :„;, Date:4/8/2025 OWNER(S)OF PROPERTY: Name:Todd Hamilton SCTM#1000-59-09-10.2 Project Address:190 Great Pond Way Southold NY 11971 Phone#:516-409-4461 Email:cooptodd12@gmail.com Mailing Address:190 Great Pond Way CONTACT PERSON: Name:Jesse Gaffga Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-375-2737 Tm;',,--jgaffga@jtechss.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address. Phone#: Email: CONTRACTOR INFORMATION: Name:J-TeCh Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-375-2737 Email:jgaffga@jtechss.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOtherStand By Generator S12000. Will the lot be re-graded? ❑Yes igNo Will excess fill be removed from premises? ❑Yes BNo 1 PROPERTY INFORMATION` Existing use of property:Single family Intended use of property:$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. 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