HomeMy WebLinkAbout42057-Z ��O`OS�fFa1,��pG Town of Southold 4/10/2023
o P.O.Box 1179
N 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40657 Date: 8/23/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2826 Great Peconic Bay Blvd,Laurel
SCTM#: 473889 Sec/Block/Lot: 128.-6-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/18/2017 pursuant to which Building Permit No. 42057 dated 10/18/2017
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 DiPippo,Philip&Irene
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42057 08-19-2019
PLUMBERS CERTIFICATION DATED
-52
Authori ed Signature
o�gUFFocJ(cA TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . SOUTHOLD, NY
dol � baa �
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#: 42057 Date: 10/18/2017
Permission is hereby granted to:
DiPippo, Philip
2826 Peconic Bay Blvd
Laurel, NY 11948
To: Electric Service Upgrade
At premises located at:
2826 Great Peconic Bay Blvd, Laurel
SCTM # 473889
Sec/Block/Lot# 128.-6-21
Pursuant to application dated 10/18/2017 and approved by the Building Inspector.
To expire on 4/19/2019.
Fees:
ELEC l $85.00
To l: $85.00
Building Inspector
OE SO(/r�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �l • �O� sean.devlinCcD-town.southold.ny.us
yCOUNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Philip D'IPippo
Address: 2826 Great Peconic Bay Blvd city Laurel st: NY zip: 11948
Building Permit* 42057 Section: 128 Block. 6 Lot 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- D.A.K. License No-
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph 300A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 11 Combo SD/CO 11
Other Equipment: Meterpan, Groundrods
Notes*
Inspector Signature: Date: August 19,2019
S.Devlin-Cert Electrical Compliance Form.xls
OF 50UlyO Z-05-7
h� `o
# TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourmN�' 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) ELECTRICAL (FINAL),S' VIG�
[ ] CODE VIOLATION [/ ] CAULKING
REMARKS:
4PIP A- TZ
���2
DATE INSPECTOR
Of s0(/ly�P
o
Town Hall Annex ! X Telephone(631)765-1802
54375 Main Roadv, r� C- 1)-
P•O.Box 1179 G. Q roger-rich o .-
Southold,NY 11971-0959 QIyCDUI YO D ;- 3-
DD
` OCT 1 8 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
!_1!i ,rs`7'TGv DET-T.
APPLICATION FOR ELECTRICAL INSPECTION T()Vr1J OF SOUTHOLD I
REQUESTED BY: Date: ' 17, 1 -7
'
Company Name: , A G �
Name:
License No.: 20e
Address: TO I��� /V/
Phone-No.:
JOBSITE (NFORMATION: (*Indicates required information)
*
Name:
'`Address:
*Cross Street:
*Phone No_:
Permit No.:
Tax Map District: 4000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)—
*Is job ready for inspection: YES/ NO. Rough in Final
*Do-you need a Temp Certificate: NO
Temp Information (if needed)
*Service Size: 1 PWhase 100 150 200 30 350 400 Other
*New Service: Re-connect Undergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
I
I
iyo' BUILDING-DEPART:MENT,`.-
TOWN. O.F.SOUTHO.LD J. .
_Town Hall`Annex'••:54375 Maui Road P.O.Bdx 1;179=•Soutfi0ld;'NY 11971=0959:"`
f sr�!!►;i1'l � n TeF7502lep0ne1)`765-1602
- `:Date (6,
Number of Meters �' - = - • Temporary Gerfificater ;
Size :Phase
Orie,'rtiead' 0 Underground
'New'Service: OR Change::of Service M .Rego pe'd Existing'Se�,vice
Location -
Issued to
Installed by DA","X . ,6
Reference Cn ` �' t6 R`L�')
cal service a ei,meet is.ori,file with the Town of Southold:On;applicant's:notificationa''
Application•for electn - q.,,P .
that=this installation is complete;thegtown,wilt ebriduct,d prernises iri§pection.of 4he service+equipmeet;
:';: This verif' sly _ e above date,
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