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HomeMy WebLinkAbout43957-Z ,y�S�FFO( r Town of Southold 4/10/2023 4'0 y a P.O.Box 1179 N z 53095 Main Rd ns,i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40567 Date: 7/30/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 75 Cedar Dr, Southold SCTM#: 473889 Sec/Block/Lot: 78.-7-45.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/11/2019 pursuant to which Building Permit No. 43957 dated 7/11/2019 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: ELECTRIC SERVICE UPGRADE The certificate is issued to Leavay,Terence&Dale of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43957 07-15-2019 PLUMBERS CERTIFICATION DATED Authorized nature = � TOWN OF SOUTHOLD �SUFFo��� BUILDING DEPARTMENT �o In TOWN CLERK'S OFFICE wo . SOUTHOLD NY j 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#: 43957 Date: 7/11/2019 Permission is hereby granted to: Leavay, Terence 75 Cedar Dr Southold, NY 11971 To: Electric Service At premises located at: 75 Cedar Dr, Southold SCTM # 473889 Sec/Block/Lot# 78.-7-45.1 Pursuant to application dated 7/11/2019 and approved by the Building Inspector. To expire on 1/9/2021. Fees: ELECTRIC $85.00 Total: $85.00 di -ctor pE SOVIy®1 Town Hall Annex ~ O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • sean.deviina-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Terence Leavay Address: 75 Cedar Dr city.Southold st: NY zip: 11971 Building Permit#: 43957 Section. 78 Block. 7 Lot: 45.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Nicholas Kerzner Electrical License No: 42972-ME SITE DETAILS Office Use Only Residential X Indoor Basement X Service Only X Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel X A/C Condenser Single Recpt - Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment Meter pan, ground rods, 200amp main panel Notes: Old service was burnt and replaced. Upgraded Panel and service Inspector Signature: _ice`-�- Date: July 15, 2019 S.Devlin-Cert Electrical Compliance Form J SOUTyO 3 7 5- 7 do �o # TOWN OF SOUTHOLD BUILDING DEPT. e'ourm N�' 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: !V/cU I C411�14tj EL �}- � ; � �Al DATE INSPECTOR tofFat 4, BUILDING DEPARTMENT-Electrical Inspector G c y� TOWN OF SOUTHOLD N Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631)765-1802-FAX(631)765-9502 Temporary Certificate # 8 Date 2019 Customer Name vmaL 0A A- Electrician Name IAC q Q Address ' sCar Phone G F,06 012 e-mail e-mail C eC-4,r,'C Phone 70-8 7 iLicense# q 2 q ! �- -M Size ©Q A Phase Overhead >40 _Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is v r 90 a e ve. Authorized by y I G DEPARTMENT- Electrical Inspector EFOL �, rr � _� TOWN OF SOUTHOLD p b _ 1 1 20"ly Har�nnex - 54375 Main Road PO Box 1179 o • JUL ly Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a-),town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: - - Date: I Company Name: Q ( L Name: License No.: 44 �S l a"Af email: (� Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: D4P LEAN Address: Cross Street: Phone No.: Bldg.Permit#: G email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) hcowp VI/00. P MaT 5nma Circle All That Apply: Is job ready for inspection?: NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Iq Temp Information: (All information required) nService � 3 Ph Size: �v A # Meters Old Meter# Ire Reconne - Flood Reconnect - Service Reconnected - Underground - Overhead d La era s 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PA C P i Request for Inspection FormAs 1 I