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 �
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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 ��