HomeMy WebLinkAbout53131-Z Of so 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#: 53131 Date: 07/15/2026
Permission is hereby granted to:
Raymond N Mitchel
1875 Hiawathas Path
Southold, NY 11971
To:
Install a generator accessory to an existing single-family dwelling as applied for per manufacturers
specifications.
Premises Located at:
1875 Hiawathas Path, Southold, NY 11971
SCTM#78.-3-60
Pursuant to application dated 06/25/2026 and approved by the Building Inspector.
To expire on 07/14/2028.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
CO Accessory $100.00
Total $225.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov_
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PE C E
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PERMIT NO. Building Inspector: JA
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Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed. Town of Southold
Date:
OWNER(S)OF PROPERTY:
Name:Ray Mitchel SCTM#1000-78.-3-60
Project Address: 1875 Hiawathas Path, Southold, NY 11971
Phone#:631-765-1463 I Email: 1 ray@optonline.net
Mailing Address: 1875 Hiawathas Path, Southold, NY 11971
CONTACT PERSON:
Name:Ed Reiff/ Gen Ready
Mailing Address: 128 Pulaski Road, Kings Park, NY 11754
Phone#:631-544-0400 Email:office@getgenready.com
DESIGN PROFESSIONAL INFORMATION:
Name:N/A
Mailing Address:N/A
Phone#:N/A Email:N/A
CONTRACTOR INFORMATION:
Name: Ed Reiff/ Gen Ready
Mailing Address: 128 Pulaski Road, Kings Park, NY 11754
Phone#: 631-544-0400 1Email:office@getgenready.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
bother Install a 24kw liquid propane generator. $21,271.63
Will the lot be re-graded? ❑Yes 00No Will excess fill be removed from premises? ❑Yes No
1
PROPERTY INFORMATION
Existing use of property:Residence Intended use of property: Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? Eyes *No 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(print name): Ed Reiff / Gen Ready BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
Ed Reiff / Gen Ready being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Contractor/Agent
(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 thi
day of L , 20 'Z
Nofary Public
ROSEMARY FAIELLA
NOTARY PUBLIC,STATE OF NEW YOfdK
Registration No.01FAAW"19-ftC PERTY OWNERU £ _ _ _
Qualified in Suffolk Curs
Commission xpires 07-2�-20
I, residing at here the applicant is not the owner)
Ray Mitchel 1875 Hiawathas Path
Southold, NY 11971 do hereby authorize Ed Reiff / Gen Ready to apply on
my bRfmlf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Ray Mitchel
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
4 Town Hall Annex - 54375 Main Road - PO Box 1179
rM
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
_ Lqg � outholdtownny. ov —seand@southoldtownny.gov
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: GenReady Inc.
Electrician's Name: Ed Reiff
License No.: ME-2740 Elec. email: office@getgenready.com
Elec. Phone No: 631-544-0400 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 128 Pulaski Road, Kings Park, NY 11754
JOB SITE INFORMATION (All Information Required)
Name: Ray Mitchel
Address: 1875 Hiawathas Path, Southold, NY 11971
Cross Street: Nokomis Road
Phone No.: 631-765-1463
Bldg.Permit#: 5 �5] 3 1 email: lray@optonline.net
Tax Map District: 1000 Section: 78 Block: 3 Lot: 60
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install a 24kw liquid propane generator.
L pm 11 oAs4�V, -)kt
Square Footage:
q
Circle All That Apply:
Is job ready for inspection?: F1 YES 0 NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: YES 0 NO Issued On
Temp Information: (All information required)
Service Size1 Ph E:]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals M 1 FJ2 0 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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