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
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LED:APRIL 13. 1962, FILE N0. 3540
ERTIFIED TO:JOHN COOL
LISA COOL
CITIZENS BANK.
FIDELITY NATIONAL'..TITLE INSURANCE COMPANY
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—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
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