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Home My WebLink About53226-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#: 53226 Date: 08/24/2026 Permission is hereby granted to: Michael P Shanahan PO BOX 857 Mattituck, NY 11952 To: install a generator as applied for. Premises Located at: 2910 Park Ave, Mattituck, NY 11952 SCTM# 123.-8-15 Pursuant to application dated 08/11/2026 and approved by the Building Inspector. To expire on 08/23/2028. Contractors: Required Inspections: Fees: CO-RESIDENTIAL $100.00 GENERATOR $125.00 Total $225.00 Building Inspector� ��s ara: t 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 hqlLs //www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT E C U tiJ For Office Use Only 3o s PERMIT NO. 15+ 1 Building Inspector:. I a Applications and forms must be filled out in their entirety.Incomplete arf e�yf applications will not be accepted. Where the Applicant is not the owner,an @a.WI'oA l Owner's Authorization form(Page 2)shall be completed. owwloufi�:o� Date:8/10/2026 OWNER(S)OF PROPERTY: Name:Mike Shanahan ] SCTM#1000-123 - 8 - 15 Project Address:2910 Park Ave Mattituck NY 11952 Phone#:631-804-8019 Email:mshanahan702@gmaii.com Mailing Address:2910 Park Ave 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 INFORMATION: Name:J-Tech Surface Solutions 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: OOther New 10KW Generac Generator 12000.0 Will the lot be re-graded? ❑Yes W No Will excess fill be removed from premises? ❑Yes Fil No 1 PROPERTY INFORMATION Existing use of property:Single Family Intended use of property:Single Family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? DYes *No IF YES,PROVIDE A COPY. IQ 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 210AS of the New York State Penal Law. Application Submitted By(arint name):Jesse Gaffga IRAuthorized Agent ElOwner Signature of Applicant: Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01 BU 6185050 SS: Qualified In Suffolk County COUNTY OF Commission Expires AprH 14, 2m,�) 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 44� day of 2(Y) Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Mike Shanahan residing at 2910 Park Ave Mattituck NY 11952 do hereby authorize Jesse Gaffga to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Mike Shanahan Print Owner's Name 2 � ffw BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 w Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 8/10/2026 Company Name: G &S Electrical Contractor Electrician's Name: Rob Guarriello License No.: ME-31568 Elec. email:jgaffga@jtechss.com Elec. Phone No: 631-375-2737 ❑I request an email copy of Certificate of Compliance Elec. Address.: 250 Budd Ponds Southold NY 11971 JOB SITE INFORMATION (All Information Required) Name: Mike Shanahan Address: 2910 Park Ave Mattituck NY 11952 Cross Street: Bungalow Ln Phone No.: 631-804-8019 Bldg.Permit#: email: mshanahan702@gmaii.com Tax Map District: 1000 Section: 123 Block: 8 Lot: 15 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 10KW Generac Generator Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO [:]Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size❑1 Ph 03 Ph Size: A #Meters Old Meter# ❑New Service0 Fire ReconnectnFlood Reconnect Oservice Reconnect❑Underground DOverhead # Underground Laterals 1 2 H Frame Pale Work done on Service? MY FIN Additional Information: PAYMENT DUE WITH APPLICATION PARK AVENUE f4 AUG 2 1987 -z vo ! �i j yt 7< �"f I �J rrrt l PP �yy u tq � t O > ONE sr[Rr ,p. 6 v-Wii FRAME �� MAP OF HOUSE DESCRIBED PROPERTY S/TUAT£D AT n� 71 1M a MATTI TUB"` TOWN OF SOUTHOL D R SUFFOL K CO., N.Y. o ...✓� 6y 1�1° �� a Mtt} 378°J.5r OO"r w F . ,^,!/FLY HANt()A,' LG1NG ISLAND n¢!>FrM'W C,HICAGO TfiXLw't„t,''t,irA v:e:::G FfJR MI,:HA& SHANAHAN r^ Sea and surveying I 1 engineering pc. fi477) west main street 14WCAGO TITLE INSURANCE CU+wt'KRY iN�4 ' rlverhead, new y0rk 1190- 1 (516) >2?.4a,55 (516)369-1717 / April 21,1986 Job IJ° 86-1236 ,,°1S�/ AGi✓5.' 1000-123-08-15 Scale 1"=20'