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)
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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