HomeMy WebLinkAbout44029-Z �o�QSUIFDL � Town of Southold 4/10/2023
aj P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40587 Date: 8/5/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2235 S Harbor Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 75.-4-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/12/2019 pursuant to which Building Permit No. , 44029 dated 7/12/2019
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 for basement basement washer/dryer and romex wiring.
The certificate is issued to Faro Patricia Baker Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44029 8/5/2019
PLUMBERS CERTIFICATION DATED
Authoriz Signature
TOWN OF SOUTHOLD
�� Sufoa�coG� BUILDING DEPARTMENT
+ a TOWN CLERIC'S OFFICE
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#: 44029 Date: 7/12/2019
Permission is hereby granted to:
Faro Patricia Baker Trust
90 Walton Park
Melrose, MA 02176
To: Electrical inspection of basement washer/dryer and romex wiring.
At premises located at:
2235 S Harbor Rd., Southold
SCTM #473889
Sec/Block/Lot# 75.4-23
Pursuant to application dated 7/12/2019 and approved by the Building Inspector.
To expire on 1/31/2021.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® sean.devlin(a)-town.southold.ny.us
Southold,NY 11971-0959 �` a
®lyC®U
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To, Faro Patricia Baker Trust
Address: 2235 S. Harbor Rd City Southold st: NY zip: 11971
Building Permit#: 44029 Section: 75 Block: 4 Lot: 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey IX Attic Garage
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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment. Washer and dryer outlet in basement and new Homeruns.
Notes: "Visually Inspected. No Visual Defects"
Inspector Signature: Date: August 5, 2019
S Devlin-Cert Electrical Compliance Form As
spector
BUILDING DEPARTMENT-Electrical In
TOWN OF SOUTHOLD
• 2 2 Town Hall Annex - 54375 Main-Road - PO Box 1179
p19
Southold, New York 11971=0959
DV% �Wlephone (631) 765-1802 - FAX(631) 765-9502
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1,001
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,APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Homeowners Date:.
Company Name: L?
Name: ( i
License-No.: email:
Address: i
Phone No.. ,
JOB SITE INFORMATION: (All Information Required) '.
Name: r Patricia Baker Faro
Address: , 2235 South Harbor Rd Southold NY 11971
Cross Street: Ba _ Water Ave
Phone No.: 781 .956.0092 _...local-POC: 631 .513.2156
Bidg.f'ermit#: _� 6_�� emap:t7trishfaro@ ahoo.com
Tax Ma District: 1000 Section: 75 Block: 4 L.ot: 23
:BRIEF'DESCRIPTION OF WORK(Please Print Clearly) electric permit & certificate
for Town of Southold required for, washor/dryerand of er romex wiring
ITEM No. 3 on Pre G of 0 Inspection Report.
Circle All That Apply:
:Is job ready, for inspection?: YES / NO Rough In Final
bo-you need a Temp Certificate?: YES LNO Issued On
7 emp 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 lnformatlon
i
PAYMENT DUE WITH APPLIGATION
• • J
-2- CP
82-Request for Inspecdon'Forrn'.x(s