HomeMy WebLinkAbout44142-Z �p�SUFFOI,t�A.
, Town of Southold 10/8/2019
P.O.Box 1179
d' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40756 Date: 10/8/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 24380 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.-3-2.41
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/9/2019 pursuant to which Building Permit No. 44142 dated 9/9/2019
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:
200 AMP UNDERGROUND ELECTRIC SERVICE,METER PAN AND PANEL
The certificate is issued to Johnson,Thomas&Angela
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44142 09-27-2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
" TOWN OF SOUTHOLD
�
l° c� BUILDING DEPARTMENT�
TOWN CLERK'S OFFICE
oy • ?h 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#: 44142 Date: 9/9/2019
Permission is hereby granted to:
Johnson, Thomas
3486 Lufberry Ave
Wantagh, NY 11793
To: Installation of new 200A underground service. Replace meter pan and panel.
At premises located at:
24380 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-3-2.41
Pursuant to application dated 9/9/2019 and approved by the Building Inspector.
To expire on 3/10/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil pector
OF S0�/p�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �� sean.deviin(a)-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Johnson
Address: 24380 Route 25 City,Cutchogue St. NY zip: 11935
Building Permit#: 44142 Section. Block Lot
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA. Custom Lighting of Suffolk License No: 38893- ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
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: Meterpan, 2- Groundrods, Coldwater Ground, 200A Main Panel 42 Circuit (24 Used)
Notes
Inspector Signature: Date: September 27, 2019
S.Devlin-Cert Electrical Compliance Form As
oF sooryo� L4 Q--
TOWN OF SOUTHOLD BUILDING DEPT.
`ycouMv N 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:
y .
DATE Z INSPECTOR
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
6 2419 Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
roger.richert@town,southold.ny,.us
APPOUTION FOR ELECTRICAL INSPECTION
REQUESTED BY: I Date:_q 13 1
Company Name:
Name:
License No.: email- ei
Address: -Y)
Phone No.:
JOB SITE INFORMATION: (All information Required)
Name: V-\
I L)
Address: '�L)
Cross Street:
Phone No.: 4
Bldg.Permit email:
Tax Map District: 1000 Section: Block: Lot:
&. _LC)9-
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
— 1`11
ao- A
PAO
Circle All That Apply: <� Final
NO Rough In
Is job ready for inspection?: ) I (@
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size:5a0_0A #Meters Old Meterft
New Service - Fire FZ6connect- Flood Reconnec(-Service Reconnected ndergroun Overhead
# Underground Laterals(r;1\) 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT I DUE WITH APPLICATION
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82-Request for Inspection Formals /*