The URL can be used to link to this page

Home My WebLink About52492-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52492 Date: 11/25/2025 Permission is hereby granted to: Rodney Herrlin 320 Mt Beulah Ave Southold, NY 11971 To: install generator as applied for.. Premises Located at: 320 Mt Beulah Ave, Southold, NY 11971 SCTM#51.-3-2.5 Pursuant to application dated 10/14/2025 and approved by the Building Inspector. To expire on 11/25/2027. Contractors: Required Inspections: Fees: GENERATOR $125.00 CO-RESIDENTIAL $100.00 Total $225.00 Builiing Inspector ., TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 r r� Telephone (631) 765-1802 Fax(631) 765-9502 litti)s-.//w,ww.sotitholcltownnv.gov r Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. � Building Inspectors._J_ i Applications and forms must be filled out in their entirety.Incomplete 0 CT P 1 2025 applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Bulkling Department Town o-O southol Date: OWNER(S)OF PROPERTY: Name:Rodney Herrlin SCTM#1000-051.00-03.00-002 Project Address:320 MT Beulah Ave Southold, NY 11971 Phone#:631-793-1281 Email:rherlin326@gmail.com631- Mailing Address:320 MT Beulah Ave Southold, NY 11971 CONTACT PERSON: Name:Jesse Gaffga Mailing Address:3350 Grand Ave Mattituck, NY 11952 Phone#:631-375-2737 IHII:j:gaffga@jtechss.com DESIGN PROFESSIONAL INFORMATION: - Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Jesse Gaffga 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: 0 other NKW Stand-By Generator $10000.00 Will the lot be re-graded? Dyes ®No Will excess fill be removed from premises? Dyes ®No 1 PROPERTY INFORMATION Existing use of property: 1 Intended use of property„ {1p \ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ?qNo IF YES, PROVIDE A COPY. water issues as provided b f in and torte ate h Box After'Readln The wn r c ntractor desi n professional is responsible for drainage e s Check oe o e o p❑ Y g / / g P p g 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 220.45 of the New York State Penal Law. Application Submitted By(print ame): �5S_C ` F�S9 PAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS:. COUNTY OF 5e SSA' G r-t,F�7'g9 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)he is the C'®N\fo►"- o r (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 L I- 4t�day of O data?, , 20,25— AWL" aaVA Oftotary Public TR ACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01 DW6306900 applicant IS not the owner 01)!'LIFIED IN SUFFOL COUNTY Where the a pp ) COMkMSMN EXPI' EB JUNE 30,2j-2(P I, Rd C� t`l e.� residing at J t�0 ftIT N/rr_ do hereby authorize a 2cS- NF to apply on my behalf to the of So Building Department for approval as described herein. . t�llwi z� O er's Signature Date Print Own r"s Name 2 yyd' N STK N 88"04'50"E LOT 3 197.9 1 A'E FD .56'l CHAIN LINK F�'.'Nc CI•RABN. ..* 1.85&IW�Y FEPkC6 it a I 1 O T9 x ' N CONC : DRIVraWAY P4UV B � W SHE rr1.B^np a� z 68.97' 2T X ,X. GAR m rci CONO x CONC 'I"i PATIO Q WALK 10.3' SA, ", I _ a LOT 2 m Q 58.62' M O 6o 20.7' 2.01 PATIO', 'rye LL 57.62' m 2 STY z co FR RES:#320 Z 58.61' 20wo � � � ��, O EC ° p& C DECK a'0 5 MH st G OIL as FILL x err Lu CHAININ�K P'�C O a LO 3"2W u� 8.2'M o 0 ut o (n G NO POSS. S 88"04'50"W 192.64' o LOT 1 rn a,l OL4 LOT 2 ON "SUBDIVISION MAP OF MOUNT BEULAH ACRES" SITUATE AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY,NEW YORK FILED: MAY 29, 1981, FILE No.6984 CERTIFIED TO:THOMAS ABRAHAM KARRO-GASSNER AND MELANY CAMILLE HUGHES FIRST AMERICAN TITLE INSURANCE COMPANY BANK OF AMERICA,N.A. 000P"Y1UUHT,aF".77 WARD BROOKS.ALL RIGHTS RESERVED.DUPLICATION OF THIS DOCUMENT IS A VIOLATION OF FEDERAL COPYRIGHT LAVV. THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WRH THE CODE OF PRACTICE ADOPTED BY THE NEW YORJ(S ATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEfLSANWOR ASSIGNS- CERTIFICATIONS ARE HOT TRANSFERABLE- SCALEI =4V THE EXISTENCE OF RIGHTS OF WAY,AND,DR EASEMENTS OF RECORD.IF ANY NOT SHOYM ARE NOT GUARANTEED. SCTM 1000-051.00-03-0"02.005 ANY ALTERATION ORADDITION TO THIS SURVEY ISAVIOLATION OFSECT1ON7209-20FTHENFWYORKSTATEE13UCATONLAW. SURVEYED:APRIL 14,2022 OO NOT SCALE FENCES.OFFSETS SUPERCEDE _.. LAND SURVEY LONG ISLAND.COM 77 WARD BROOKS LAND SURVEYOR 11 OCEAN AVENUE ,v BLUE POINT, NY. 11715 31 576-7734 631 363-3179 WARD B ROOKSO@GMAIL.COM FILE f�112T6