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HomeMy WebLinkAbout53263-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#: 53263 Date: 09/11/2026 Permission is hereby granted to: John P Cool 1105 Greenway W Orient, NY 11957 To: install a generator as applied for. Must maintain minimum 10'side and rear yard setbacks. Premises Located at: 1105 Greenway W, Orient, NY 11957 SCTM# 1S.1-26 Pursuant to application dated 08/21/2026 and approved by the Building Inspector. To expire on 09/10/2028. Contractors: Required Inspections: Fees: GENERATOR $125.00 CO-RESIDENTIAL $100.00 Total $225.00 r 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 I)t(VL,/",�"Ntw.so,utlioldtownn y aoN, Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. .3-1-11 `� Building Inspector: „ Applications and forms must be filled out in their entirety.Incomplete Tov4rl of applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:8/10/2026 OWNER(S)OF PROPERTY: Name:John Cool SCTM#1000-15 - 1 - 26 Project Address: 1105 Greenway W Orient NY 11957 Phone#:631-461-5206 Email:john@johncool.com Mailing Address: 1105 Greenway W Orient NY 11957 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#: =Em 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: Other New 22KW Generac Generator $15000.00 Will the lot be re-graded? ❑Yes igNo Will excess fill be removed from premises? ❑Yes iRNo 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 1ANo IF YES, PROVIDE A COPY. IN 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(pr" t name):Jesse Gaffga WAuthorized Agent ❑Owner Signature of Applicant: Date: i)} C)l- 2,6 STATE OF NEW YORK) SS: COUNTY OF SWTQ19, _) 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 day of ,D± \Ijotary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306�90 PROPERTY OWNER AUT ) TI O{JAi_IFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,20W John Cool residing at 1105 Greenway Orient NY 11957 do hereby authorize Jesse Gaffga to apply on my behalf he Town of Southol ing Department for approval as described herein. O ner's ignature Date John Cool Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 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: John Cool Address: 1105 Greenway W Orient NY 11957 Cross Street: N Sea Dr Phone No.: 631-461-5206 Bldg.Permit#: email:John@johncool.com Tax Map District: 1000 Section: 15 Block: 1 Lot: 26 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 22KW Generac Generator Square Footage: Circle All That Apply: Is job ready for inspection?: W YES E] NO [:]Rough In Final Do you need a Temp Certificate?: 0 YES l NO Issued On Temp Information: (All information required) Service Size1 Ph FJ3 Ph Size: A # Meters Old Meter# ❑New Service[]Fire Reconnect ClFlood Reconnect❑Service Reconnect❑Underground QOverhead # Underground Laterals 1 R2 H Frame 0 Pole Work done on Service? Y nN Additional Information: PAYMENT DUE WITH, APPLICATION NORTH SEA DRIVE b LOT W N 80.36'00"E 167.46' t aaw OF EVWGAEEN GEK aLGoo cry FE:&n WOOD FE.cars Q4'E tV 0 of 01 w W r 3"OWER XT 71.41' GAR m oa GRAVEL OR WE MAs APAM HT } 2 STY ee,or Q w FR RES #1105 LOT15 W W 13.r' Is wax $ � F Vr l DE d( '_ 4 u.Q - Tx w.se' 3 r oqw o � c m O tl G.G.T. '. Z RL��n V O WEEL co HTA HEAD WDOD FENCE O.TH FE tyre D,lTE 180.94' I S 8o-�a'oa-W LOT 14 +N )T 15 ON LAP OF GREEN ACRES AT ORIENT" TUATE AT ORIENT 1°"`'""MqO'"WELL WN OF SOUTHOLD JFFOLK COUNTY,NEW YORK LED:APRIL 13. 1962, FILE N0. 3540 ERTIFIED TO:JOHN COOL LISA COOL CITIZENS BANK. FIDELITY NATIONAL'..TITLE INSURANCE COMPANY g,rry%C;„t y, ale�wrNaw�swaMa SCALE 1"a Yr EMV4CAT0ft 1 SCTM 1000-015.06-Oi.0602d.000 ,u� &WA 0 8OF W a#0a�nrc rr�ac a .w war l�r�mc r�r SURVMr).NMST 9 2020 MYJYi.TEfMXNW!1DNk#YgDMwmroW�6AVOW"OF 0DIEP PMWV W 07MOT0c'm AffAmI —AND SURVEY GONG ISLAND.COM c; NARD BROOKS LAND SURVEYOR ��l+ 11 OCEAN AVENUE 3LUE POINT, NY. 11715 '631) 576-7794 (631) 363-3179 w r%rlhA ry