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HomeMy WebLinkAbout52667-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#: 52667 Date: 02/11/2026 Permission is hereby granted to Larry I Herman 675 Westview► Dr Mattituck, NY 11952 To: Install a generator accessory to an existing single-family dwelling as applied for per manufacturers specifications. Premises Located at: 675 Westview Dr, Mattituck, NY 11952 SCTM# 139.4-20.2 Pursuant to application dated 12/23/2025 and approved by the Building inspector. To expire on 02/11/2028. Contractors: Required Inspections: Fees: GENERATOR $125.00 CO Accessory $100.00 Total $225.00 Building Inspector f `" J` ��. To' [IiTTH( LTA► BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 ". t Telephone yt o Teleph+ ne631 765-1 02 Fax(631) 75-952 � b 0,01 . `4 Date Received APPLICATION FOR BUILDING PERMIT -. UI.L. e For Office Use Only r - 5 NP PERMIT Na, C7�► Building linsple �t A E 2 .A ........... .........------- ........ ..... Applications and farms must be Filled out in their entirety.Incomplete kk) °� `,y y� �,.;m4 applications will not be accepted. Where the Applicant is not the owner,an ownees Authorization farm(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:Larry Herman SCTM#1CC-139 -1 - 29.2 Project Address:675 Westview Dr Mattituck, NY 11952 FPhone#:609-.472-6985 Email: Mailing Address:675 We tview Dr Mattituck, NY 11952 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 R INFORMATION. Name:,J-Tech Marling Address:3359 Grand Ave Mattituck NY 11952 Email:jgaffga@jtechss.com Phone#:631-375-2737 DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure DAddition QAlteration ❑Repair ❑Dernolition Estimated Cost of Project: OOther 26 KW Uenerac Generator $12000.00 Will the lot be re-graded? OYes Na Will excess fill be removed from premises? ❑Yes RNo 1 I P'ROP15R 1 V IN FOIWAT ION Existing use of property:sin le family Intended use of property: i�� � gIe family Zane or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes __No IF YES, PROVIDE A COPY. 7'"R7777 „Check Box After Rea ding '; The owner/con rattcar/d+eslgn professional It rees,ponslb►le fdt all+drainage and°torm water Issues a provide,d by Chapter 236 of,he Town CoikPOUCAIMON IS HEREBY MADE to the Building department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold,Suffralhc,'County,New York and other applicable laws ordinances or B Ply egy"ns,for the construction of buildings, additions,alterations or for removal or demolitlon' he,r In described.The;ipp,licalt agrees to comply with all apOl icable laws,ordinance*building code housing code,and and to admit,authoriz6d inspectors on premises gird In buildin s for necessary Inspections.Fels:statements made herein are P punishable as a Class A rn sderneanor pursuant to Section 210.45 of the Ne*/,,,Ybrk State P"+enal awe Application Submitted BY ri t name}:Jesse Gaffg,a . Autharlaed Agent ❑owner Signature of Applicant: Date: I All D.BUNCH Notary public,$tote of New York STATE OF NEW YORK) No,01 SU6185060 SS: Qualified in Suffolk County � . COUNTY OF Commission Expires April 14,Z 6 I 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 authorised 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 efore me this J day of � � 2 - Lin ®. ,� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Larry Herman residing at 675 Westiview Dr Mattituck i, NY 11952 'o hereby authorize Jesse Gaffga to apply on i my behalf to the Tow, S oild Building Department for approval as described herein. n O y gnature Date Larry Herman Print Owner's Name 2 " BUILDING DEPARTMENT i� - Electrical Inspector jr' TOWN OF SOUTHOLD m t° Town Hall Annex- 54375 Main Road - PO Box 1179 Not Southold, New York 11971-0959 t Telephone (631)hone765-1802 a m APPLICATION FOR ELECTRICAL INSPECTION .......... ...................................................... ............................................................. ELECTRICIAN INFORMATION (All information Required) Date. Company Name: platinum East Electric INC Electrician's Name: Keith VonEiff License No.: 1111E-34091 Elec. email: info@platinumeastelectric.com Elec. Phone No: 631-765-9424 E31 request an email copy of Certificate of Compliance Elec. Address.: 47070 Main Rd Southold NY 11971 .SOB SITE INFORMATION (All Information Required) Name: Larry Herman Address: 675 Westview Dr Mattituck NY 11952 Cross Street: grower Rd Phone No., 6094726985 Bldg.Permit#: to tp email: njauto98@aol.com Tax Map District: 1000 Section: 139 Block: Lot: 20.2 BRIEF DESCRIPTION, OF WORK, INCLUDE SQUARE FOOTAGE (Please Print ,Clearly): Install 26KW Generac Stand-by Generator square Foot=e., Circle All That Apply: Is jab ready for inspection?: YES Zl NO Rough In Final Do you need a Temp Certificate?: YES R' NO Issued On Temp Information: (All information required) Service SizeI I E:1 1 Ph 3 Ph Size: A #Meters Old Meter# New Service Fire ReconnectEl Flood Reconnect r'lservice Reconnect Ounderground Doverhead # Underground Laterals 1 [J2 H Frame Pale Wor............................k done on Service? Y N d i ions Information: PAYMENT DUE WITH APPLICATION