HomeMy WebLinkAbout43510-Z FFO4Ne' Town of Southold 7/29/2019
P.O.Box 1179
0
a' 53095 Main Rd
oy p� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40563 Date: 7/29/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 62005 CR 48, Greenport
SCTM#: 473889 Sec/Block/Lot: 40.4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/27/2019 pursuant to which Building Permit No. 43510 dated 2/27/2019
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 REPAIR TO 4 MOTEL ROOMS
The certificate is issued to Jerad Motel Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43510 07-10-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
oTOWN OF SOUTHOLD
�s�FFnt�cv
�a l: BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
o SOUTHOLD, NY
y�ipl
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#: 43510 Date: 2/27/2019
Permission is hereby granted to:
Jerad Motel Corp
21695 Soundview Ave
Southold, NY 11971
To: re-wire 4 water damaged motel rooms, repair wiring to undamaged rooms.
At premises located at:
62005 CR 48, Greenport
SCTM # 473889
Sec/Block/Lot# 40.-1-1
Pursuant to application dated 2/27/2019 and approved by the Building Inspector.
To expire on 8/28/2020.
Fees:
ELECTRIC $125.00
Total: $125.00
i
Buil 'ng nspector
OF SOUPS®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.rich erta-town.south old.n us
Southold,NY 11971-0959 y'
Mum
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Jerad Matel Corp
Address: 62005 North Rd (RT-48) City: Greenport St: New York Zip: 11944
Building Permit#. 43510 Section: 40 Block. 1 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electric License No: 3897-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service Only
Commerical X Outdoor 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 24 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 4 Smoke Detectors
Main Panel A/C Condenser Single Recpt 4 Recessed Fixtures 20 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 24 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: Rewire 4 water damaged motel rooms. Listed count is total for all four identicle
units, rooms number 3-4-7 and 8.
Notes: includes,4-electric ranges,4-combination smoke/co detectors,4-under cabinet lighrs,4-bath fans,4-electric wall heaters,
4-ARC fault circuit breakers
Inspector Signature: Date: July 10 2019
81-Cert Electrical Compliance Form.xls
souryolo
# * TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. f
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
low
[ ]. FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
17'5
DATE / INSPECTOR � '�
OF SOUIyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
couff", 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G. �
[ ] FOUNDATION 2ND7�
[ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) EM ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 10 INSPECTOR Q
" 1FlrBLico'` BUILDING DEPARTMENT-Electrical Inspector" _.
TOWN OF SOUTH L® 1 _ Lc�,
f
Town Hall Annex- 54375 Main R - PO Box 1179
Southold, New York 11 1-09%g-3592
°�' ��.�,-=• " - 2Q19
Telephone (631) 765=1802 - FAX (631
roger:ri6her6(aiown:soiithold.iiy us
T.
APPLICATION FOR.ELECTRI-CAL INSPECTION "_"'
REQUESTED BY: Bob Burns Date:. 2/27/2019
Company Name: Paul Burns Electrical Contractors Inc.
Name: Paul R Burns Jr
License No.:' 3897-ME , email: pburnsjr@optonline.net _
Address: PO Box 1061 Southold,NY 11971 -
Phone No:; 631-365-4735
JOB SITE INFORMATION: (Ail Information Required)
Name: Jerad Motel Corp DBA Sunset Motel
Address: 62005 North Rd. Greenport NY 11944 -
Cross Street: ChapelLane -
Phone No.: 631-477-1776 {
Bldg.Permit#: l O__ email: -
Tax Map District:, 1000 Section: " (D Block: . Lot:. -.
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Re-wire 4 water damaged motel rooms,repair wiring to,undamaged rooms
Circle All That Apply:
Is job ready for inspection?: YES /6�0 ) Rough In Final
Do you need a Temp Certificate?: YES/'NO Issued On
Temp Information: P (AII 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
82-Request for Inspection FormAs