Loading...
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