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HomeMy WebLinkAbout43944-Z g11FFit Town of Southold 8/20/2019 P.O.Box 1179 T , 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40637 Date: 8/20/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 180 Beverly Rd., Southold SCTM#: 473889 See/Block/Lot: 52.-2-38 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/8/2019 pursuant to which Building Permit No. 43944 dated 7/8/2019 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: METER PAN REPLACEMENT The certificate is issued to 180 Beverly LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43944 07-31-2019 PLUMBERS CERTIFICATION DATED Authorized Signature o�osaEo TOWN OF SOUTHOLD i�A BUILDING DEPARTMENT ` TOWN CLERK'S OFFICE oy 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#: 43944 Date: 7/8/2019 Permission is hereby granted to: 180 Beverly LLC 73-14 21st Ave Jackson Heights, NY 11370 To: 200 Amp. meter replacement. At premises located at: 180 Beverly Rd., Southold SCTM #473889 Sec/Block/Lot# 52.-2-38 Pursuant to application dated 7/8/2019 and approved,by the Building Inspector. To expire on 1/8/2021. Fees: ELECTRIC $85.00 Total: $85.00 Buil g nspector ®c SO�r�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • roger.riche rta-town.south old.ny.us Southold,NY 11971-0959 ®�yAn UNV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: 180 Beverly LLC (Santis) Address: 180 Beverly Rd City: Southold St: New York Zip. 11971 Building Permit#: 43944 Section: 52 Block- 2 Lot: 38 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Peconic Bay Electric License No: 46360-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey 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: Install new meter pan on existing 200a Service Notes, Inspector Signature: Date: July 312019 81-Cert Electrical Compliance Form As oF so�lyolo # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION � [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] 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: DATE ? INSPECTORf, {mac 1M BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD : ?QN9 Town Hall Annex - 54375 Main Road - PO Box 1179 30. Southold, New York 11971-0959 Y -V �e_,ephone (631) 765-1802 - FAX (631) 765-9502 �� � 5•� 001i roger:richer0.town.southold.ny.us APPLICAT'IO_ N FOR ELECTRICAL INSPECTION REQUESTED BY: Date: 07/09/2- Company 7/08 2Company Name: i2coy�c C—1 dC COY12 Name: License No.: 1\-A F -LIC, 3 CoQ email: Address: -e- Phone ePhone No.: © �o JOB SITE INFORMATION: (All Information Required) Name: �� (� ���r L C ( - Address: t -- Cross Street: o Phone No.: 7 - ! 2--7 - --- — -- Bldg.Permit#: Mw Qwl" a email: i 5 Tax Main District: 1000 Section: Block: BRIEF DESCRIPTION OF WORK(Please Print Clearly) _0'e-P c. r� Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: O O A #Meters 'Old Meter# New Service- Fire Reconnect- Flood Reconnecervice econnecte Undergrou�t� #-Underground Laterals 1 2 H Frame Pole Work done on Service? . Additional Information: S i.S u�d a tie, tJ ct n! D �f'O o-t41101 N�° -71 -PAYMENT-D -E WITH APPLICATION 82-Request for Inspection Forrnads .