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HomeMy WebLinkAbout43973-Z gilFFQ1� Town of Southold 10/2/2019 P.O.Box 1179 53095 Main Rd oy,�o� ap� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40742 Date: 10/2/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2970 Eugenes Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-7-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/16/2019 pursuant to which Building Permit No. 43973 dated 7/16/2019 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 OVERHEAD ELECTRIC SERVICE TO BARN The certificate is issued to Silver Fox Properties Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43973 09-18-2019 PLUMBERS CERTIFICATION DATED thorize ignat ure Sg OL TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE "p • 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#: 43973 Date: 7/16/2019 Permission is hereby granted to: Silver Fox Properties Corp - PO BOX 960 Cutchogue, NY 11935 To: 200a overhead.electrical service to barn. At premises located at: 2970 Eugenes Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 97.-7-27 Pursuant to application dated 7/16/2019 and approved by the Building Inspector. To expire on 1/14/2021. Fees: ELECTRIC $85.00 Total: $85.00 Bui pector OF SO(/j�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® sean.devlin(a'D-town.southold.ny.us Southold,NY 11971-0959 COW N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To- Silver Fox Properties Corp Address: 2970 Eugenes Rd city Cutchogue st: NY zip- 11935 Budding Permit# 43973 section: 97 Block. 7 Lot- 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: CJM Star- Light Electric License No: 3766-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 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- 2- Ground Rods Notes: Inspector Signature: Date: September 18, 2019 S Devlin-Cert Electrical Compliance Form As L4 cf pF SOUTyOIo TOWN OF SOUTHOLD BUILDING DEPT. courm, 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) 13A-p Al [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE I/IS)p lot INSPECTOR � �gpfFOL t BUILDING DEPARTMENT-Electrical Inspector c� TOWN OF SOUTHOLD CO2 w Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 y'Jlp� �•DO`' Telephone (631) 765-1802-FAX(631) 9502 Temporary Certificate # Gdy Date_ 2 jY I6 2019 Customer Name L f Electrician Namee /ale Address Z 7 '�� , Phone t/ t. ` e-mail k aC� e-mail C,,� ►Phone License# : f? lilt Size _A Phase Overhead _Underground #of Meters ,OF Remarks p � 1 #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.on the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This ver' ' n is valid for 90 da from the e, Authorized by ------ BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o ` Southold, New York 11971-0959 l �ap1c- Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richertp_town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION Date: - REQUESTED-BY: Company Name: Name: t,) License No.: email: - Address: '� Phone No.: (Og,1 - - S-5 2 Lf 2�l JOB SITE INFORMATION: (All Information Required) Name: 4G'% I^D Address: `4 Cross Street: Phone No.: 41 lr• G BIdg.Permit#: 9 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) �,�c� Circle All That Apply: Is job ready for inspection?: YES /0 Rough In Final Do you need a Temp Certificate?: NO Issued On Temp Information: (All information required) Service Size Ph 3 Ph Size:Zt& A # Meters Old Meter# I N Sery - Fire Reconnect- Flood Reconnect'- Service Reconnected - Underground -�ve # Underground Laterals 1 2 H Frame -Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Formals ��