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HomeMy WebLinkAbout44165-Z OFFOt,f Town of Southold 9/27/2019 P.O.Box 1179 v53095 Main Rd �p� Southold,New York 11971 1� CERTIFICATE OF OCCUPANCY No: 40727 Date: 9/27/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 8520 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 31.-7-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/16/2019 pursuant to which Building Permit No. 44165 dated 9/16/2019 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: electric for existing accessory shed. The certificate is issued to Gaipa Jr,Walter&Linell of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44165 9/23/2019 PLUMBERS CERTIFICATION DATED Authorized Signature { r� I �o�p�FF�It C Town of Southold 9/27/2019 P.O.Box 1179 a 1 d' 53095 Main Rd { Southold,New York 11971 I CERTIFICATE OF OCCUPANCY No: 40728 Date: 9/27/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 8520 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 31.-74 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/16/2019 pursuant to which Building Permit No. 44165 dated 9/16/2019 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: electric for existing accessory garage. The certificate is issued to Gaipa Jr,Walter&Linell of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44165 9/23/2019 PLUMBERS CERTIFICATION DATED uthorized ignature i i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 0 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#: 44165 Date: 9/16/2019 Permission is hereby granted to: Gaipa Jr, Walter PO BOX 247 East Marion, NY 11939 To: Electric for garage and shed At premises located at: 8520 Route 25, East Marion SCTM #473889 Sec/Block/Lot# 31.-7-4 Pursuant to application dated 9/16/2019 and approved by the Building Inspector. To expire on 3/17/2021. Fees: ELECTRIC $180.00 Total: $180.00 Bi ing Inspector ®�*OF S0�/�y®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 .�` ® �Q sean.deviin(a-)town.southold.ny.us ®l�C®UNTV,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Walter Gaipa Jr Address 8520 Route 25 City East Marion st: NY zip. 11939 Budding Permit#: 44165 Section: 31 Block- 7 Lot. 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Shed X Addition Survey X Attic Garage X INVENTORY Service 1 ph X Heat Duplec Recpt 13 Ceding Fixtures 6 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 5 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 2 Switches 3 Twist Lock Exit Fixtures Combo SD/CO Other Equipment: 2-Disconnects with 2 Fuses Notes* "AS BUILT" "NO VISUAL DEFECTS" Inspector Signature: Date: September 23, 2019 S Devlin-Cert Electrical Compliance Form.xls t �S2o M•bM� �o�aOF SOUIAM Hp� 1 I V * TOWN OF SOUTHOLD BUILDING DEPT. coom, 765-1802 INSPECTION y [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION --- - [ - ]--FRAMING--/STRAPPING -[- ] FINAL ------ - --- - -- - ---- -------- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) �4 ELECTRICAL (FINAL) reg,, [ ] CODE VIOLATION [ ] CAULKING CtA<AJ 9,t S� REMARKS: / fr A - L) IL7r_ Alb V ITU A L 4 DATE �I f INSPECTOR BUILDING DEPARTMENT- Electrical Inspector �p TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 a Southold, New York 11971-0959 �p Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(atown.so,uthold.n i APPLICATION FOR ELECTRICAL INSPECTION REQUESTED-BY: Date: - Company Name: Name: License No.: email: Address: Phone No.. JOB SITE INFORMATION: a Information Required) r Ct Name: , Address: Cross Street: Phone No.: _ Bldg.Permit#: 6 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Pleas int Clearly) egg` Z�A4 ail— Circle All That Apply: Is job ready for inspection?: E / NO Rough In Final Do you need a Temp Certificate?: YES / Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Olcl•Meter# ' New Service - Fire Reconnect- Flood Reconnect - Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form As �� sW G'� ��� S �N� � �a �� 1c r„Se� c� rscu�n<O \_ ;� S�^Q� .N'v'mnne�� �no� k' J-�sa� �1.,,� II sW I � Q� -U11� 1'Il � FFO�K BUILDING DEPARTMENT- Electrical Inspector p TOWN OF SOUTHOLD 17—Town Hall Annex - 54375 Main Roa3, 6,© °V o Southold, New York 11971 59 • p� Telephone (631) 765-1802 76 5Q? roger.richert(d town.southold.ny.us � ,I APPLICATION FOR ELECTRICAL INSPECTION F T ,r'' - REQUESTED BY: Date: - 1/ -- I Company Name: i Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: Address: 25 Eq�'T Cross Street: i Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) 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: A # Meters I Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Se ice? Y N Additional Information: i i PAYMENT DUE WITH APPLICATION I Request for Inspection FormAs i q