HomeMy WebLinkAbout43808-Z al,feaGy Town of Southold 9/5/2019
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P.O.Box 1179
co T 53095 Main Rd
oy p� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40675 Date: 9/5/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 545 Ryder Farm Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 15.4-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/29/2019 pursuant to which Building Permit No. 43808 dated 5/29/2019
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:
200a underground electrical service.
The certificate is issued to Pugh,David&Silvestri,Tina
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43808 9/5/2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
�S�FFo��,co TOWN OF SOUTHOLD
��o.. BUILDING 'DEPARTMENT
y _ TOWN CLERK'S OFFICE
V. • o� 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#: 43808 Date: 5/29/2019
Permission is hereby granted to:
Pugh, David & Silvestri, Tina
345 E 81st St Unit 10L
New York, NY 10028
To: 200a underground electrical service.
At premises located at:
545 Ryder Farm Ln, Orient
SCTM # 473889
Sec/Block/Lot# 15.4-9
Pursuant to application dated 5/29/2019 and approved by the Building Inspector.
To expire on 11/27/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Buildi g Inspector
OF SO(/r�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • CoQ sean.devlin(a)-town.southold.ny.us
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: David Pugh
Address: 545 Ryder Farm Ln city Orient st: NY zip: 11957
Building Permit#: 43808 section: 15 Block 4 Lot 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJCorazzini Electric License No- 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 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 Combo SD/CO
Other Equipment 42 Circuit Panel with 32 Circuits Used, 2 Ground Rods and a Panel GFI
Notes
Inspector Signature: Date: September 5, 2019
S.Devlin-Cert Electrical Compliance Form As
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souTyo6
* # TOWN OF SOUTHOLD BUILDING DEPT.
^ourm��'' 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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE S- INSPECTOR
i I nn�
�1FFdL,YC
BUILDING DEPARTMENT- Electrical Inspector
o� CA TOWN OF SOUTHOLD
x Town Hall Annex - 54375 Main Road - PO Box 117
I Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richertp_town.southold.n .us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: CO3 r A
Name: 3 , ! email: a G ~doh '.� s ✓t��
License No.: —
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�� � � C'Qh t L e
Address: 3�c�
Phone No.: f
JOB SITE (NFORMAT[ON• (Al( Information Required)
Name: c V
Address: �`�� r M r
Cross Street:
Phone No.: email: •
BIdg.Permit#: Block: Lot:
Tax Map District: 1000 Section:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) p j4^p. ImArlicoc-1.4
,5e!(/J C
Circle All That Apply'. Final
Is job ready for inspection -
-? YES ! NO Rough In
'
DoY ou need a Temp Certificate?: NO Issued On
Temp Information:
(All information required)
1 Ph 3 Ph Size:_JQ0 A # Meters eter#
Service Size ---�
'
New Service- Fire Reconnect- Flood Reconnect- Service Reconnecte - Undergroun Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Foan.xls ^� \`-,c
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