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Home My WebLink About43788-Z i �o S�fF�t'�co Town of Southold 7/19/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40514 Date: 7/19/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 160 Rambler Rd, Southold SCTM#: 473889 Sec/Block/Lot: 88.-5-35 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/23/2019 pursuant to which Building Permit No. 43788 dated 5/23/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Tesla Wall Connector The certificate is issued to Snow,Margaret of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43788 7/19/2019 PLUMBERS CERTIFICATION DATED Authorized Signature ��sU Qty TOWN OF SOUTHOLD °may BUILDING DEPARTMENT TOWN CLERK'S OFFICE Nt 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#: 43788 Date: 5/23/2019 Permission is hereby granted to: Snow, Margaret PO BOX 1662 Southold, NY 11971 To: Tesla Wall Connector At premises located at: 160 Rambler Rd, Southold SCTM # 473889 Sec/Block/Lot# 88.-5-35 Pursuant to application dated 5/23/2019 and approved by the Building Inspector. To expire on 11/21/2020. Fees: ELECTRIC $90.00 Total: $90.00 Bt i ding Inspector �®'*pF SOU��®l Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 ® • �® roger.riche rt(W-town.south old.ny.us BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Michael Burlingham (Snow) Address: 160 Rambler Rd City: Southold St: New York Zip: 11971 Building Permit* 43788 Section: $$ Block: 5 Lot: 35 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Tesla Energy Operations License No: 51331-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment 60a "TESLA" car charging station Notes. Inspector Signature: Date: June 10 2019 81-Cert Electrical Compliance Form xis OF SOUTholo # TOWN OF SOUTHOLD BUILDING-DEPT. `ycoum, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [�j ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 1p roo DATE G 10 ) INSPECTOR J4a of S -6,- id o- S f04 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 - FAX (631) 765-9502 roger.richertatown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Jason Kane Date: 5/21/19 Company Name: Tesla Energy Operations Inc. Name: Jason Kane License No.: ME-51331 email: jkane@tesia.com Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714 Phone No.: 516-306-0126 JOB SITE INFORMATION: (All Information Required) Name: Michael Burlingham Address: 160 Rambler Ct Southold NY 11971 Cross Street: Phone No.: 914-826-11 Bldg.Permit -7 email: mburlingha@aol.com Tax Map District: 1000 Section: 85 Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Install 1 Tesla Wall Connector 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 3 Ph Size: .A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected -Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION "'�` �I 82-Request for Inspection Formals r` Suffolk County Dept.of a Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE ' Name JASON KANE `. Business Name TESLA ENERGY OPERATIONS INC `;az This certifles that the bearer isduly licensed License Number ME-51331 by the County of Suffolk Jssued-. 03/1912013 Comr` ter Expires: 03!0112021 Commisi ssioner , % a • r 4} r ` t 6 t • 3 t S f Y , ` Suffolk County Dept of Labor,Licensing&Consumer Affairs HOME-IMPROVEMENT LICENSE Name WILLIAM CAMPBELL ' Business Name TESLA ENERGY OPERATIONS INC This certifies that the bearer is-duty licensed License Number HI-61305 by the County of Suffolk Issued: 11/08/2018 _ c missio Expires: 1110112020 r� A V U • r . I TESLA WALL CONNECTOR 1 r 15, (380 mm) •. T,SLn i 6.3" e-16 5° + (160 mm) (140 mm) ss(, 140mm) 7 5�� f ; A� 4I' t'I 4 I 1 Dascrjptiopecifications Voltage and Wiring 208V or 240V AC single-phase: Ll, L2, and earth Current Maximum output:80A, 72A, 64A, 56A, 48A, 40A, 36A, 32A, 28A, 24A, 20A,16A,12A Frequency 50 to 60 Hz Cable Length 8.5' (2.6 m) and 24' (7.4 m) Wall Connector Dimensions Height: 15.0" (380 mm) Width: 6.3" (160 mm) Depth: 5.5" (140 mm) Top Entry Bracket Dimensions Height: 10.8" (275 mm) Width: 5.1 " (130 mm) Depth: 2.0" (50 mm) Weight (including bracket) 20 Ib (9 kg) Operating Temperature -22°F to 122°F (-30°C to 50°C) Storage Temperature -40°F to 185°F (-40°C to 85°C) Enclosure Rating Type 3R Agency Approvals cULus listed for United States and Canada under file number E354307, FCC Part 15. Ventilation Not Required TESLA WALL CONNECTOR (380 mm) SMC c r1 6.3�- e-15 5" " (160 mm) (140 mm) L 4 ; 55'(140mm) 75'(190mm) is i .r V ` 4— Description' Specifications Voltage and Wiring 208V or 240V AC single-phase: Ll, L2, and earth Current Maximum output: 80A, 72A, 64A, 56A, 48A, 40A, 36A, 32A,28A, 24A,20A,16A,12A Frequency 50 to 60 Hz Cable Length 8.5' (2.6 m) and 24' (7.4 m) Wall Connector Dimensions Height: 15.0" (380 mm) Width: 6.3" (160 mm) Depth: 5.5" (140 mm) Top Entry Bracket Dimensions Height:10.8" (275 mm) Width: 5.1 " (130 mm) Depth: 2.0" (50 mm) Weight (including bracket) 20 ib (9 kg) Operating Temperature -22°F to 122°F (-30°C to 50*C) Storage Temperature -40°F to 185°F (-40°C to 85°C) Enclosure Rating Type 3R Agency Approvals cULus listed for United States and Canada under file number E354307, FCC Part 15. Ventilation Not Required TESLA WALL CONNECTOR (380 mm) N r t •. Fi rJ 63'r 55" (160 mm) (140 mm) 55'(140mm) 7 5'(1BDmm) �t„a• G Description Specifications Voltage and Wiring 208V or 240V AC single-phase: Ll, L2, and earth Current Maximum output: 80A, 72A, 64A, 56A, 48A,40A, 36A, 32A, 28A,24A,20A,16A,12A Frequency 50 to 60 Hz Cable Length 8.5' (2.6 m) and 24' (7.4 m) Wall Connector Dimensions Height: 15.0" (380 mm) Width: 6.3" (160 mm) Depth: 5.5" (140 mm) Top Entry Bracket Dimensions Height:10.8" (275 mm) Width: 5.1 " (130 mm) Depth: 2.0" (50 mm) Weight(including bracket) 20 Ib (9 kg) Operating Temperature -22°F to 122°F (-300C to 50°C) Storage Temperature -40°F to 185°F (-40°C to 85°C) Enclosure Rating Type 3R Agency Approvals cULus listed for United States and Canada under file number E354307, FCC Part 15. Ventilation Not Required TESLA WALL CONNECTOR 9 A:5 �`t �• 15 (380 mm) '.5 L C� 6 3" ti 5 6 ' (160 mm) (140 mm) +.;tc 55'(740mm) 76'(190mm)� s, Description Voltage and Wiring 208V or 240V AC single-phase: Ll, L2, and earth Current Maximum output: 80A, 72A, 64A, 56A, 48A,40A, 36A, 32A, 28A, 24A,20A,16A,12A Frequency 50 to 60 Hz Cable Length 8.5' (2.6 m) and 24' (7.4 m) Wall Connector Dimensions Height: 15.0" (380 mm) Width: 6.3" (160 mm) Depth: 5.5" (140 mm) Top Entry Bracket Dimensions Height: 10.8" (275 mm) Width: 5.1 " (130 mm) Depth: 2.0" (50 mm) Weight (including bracket) 20 Ib (9 kg) Operating Temperature -22°F to 122°F (-30°C to 50°C) Storage Temperature -40°F to 185°F (-40°C to 85°C) Enclosure Rating Type 3R Agency Approvals cULus listed for United States and Canada under file number E354307, FCC Part 15. Ventilation Not Required