HomeMy WebLinkAbout42664-Z �SUFF �q
Town of Southold 10/31/2019
P.O.Box 1179
• 53095 Main Rd
'yfj01 �pp� �' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40822 Date: 10/31/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2720 King St, Orient
SCTM#: 473889 Sec/Block/Lot: 26.-3-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/9/2018 ' pursuant to which Building Permit No. 42664 dated 5/9/2018
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 ELECTRIC SERVICE
The certificate is issued to Narrow King LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42664 10-25-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
����SOFFnt�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . 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#: 42664 Date: 5/9/2018
Permission is hereby granted to:
Narrow King LLC
2720 King St
Orient, NY 11957
To: Electric Service
At premises located at:
2720 King St, Orient
SCTM # 473889
Sec/Block/Lot# 26.-3-7
Pursuant to application dated 5/9/2018 and approved by the Building Inspector.
To expire on 11/8/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
bz-
Bullin nspector
pF SOUry®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q sean.devlin(.D_town.southold.ny.us
Southold,NY 11971-0959
®lyCOUNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Narrow King LLC
Address: 2720 King St city,Orient st. NY zip: 11957
Building Permit#. 42664 section- 26 Block. 3 Lot 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Glens Electric License No: 4770-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
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 Combo SD/CO
Other Equipment Meterpan, 54 Circuit Panel, Groundrod and Coldwater Ground
Notes
Inspector Signature: Date: October 25, 2019
S.Devlin-Cert Electrical Compliance Form As
SOW/(
OGy BUILDING DEPARTMENT-Electrical Inspector
o= TOWN OF SOUTHOLD
o • f" Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate # Date A4W /d 2018
Customer Name rQr�R�r�S�6 ,llGl�/l � �(e 8ectrician Name / g (� ��
Address Phone
e-mail e-mail
Phone License# 4710 -
Size 100 A Phase l Overhead Underground Y__� #of Meters
Remarks
#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 verification is valid for?A days from the date above.
Authorized by
OF SOUK,°�
tllq 2.A4p Z07 2,0
* # TOWN OF SOUTHOLD-BUILDING DEPT.'
°`ycou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.-
[ ] FOUNDATION 2ND [ _ ] INSULATION/CAULKING , -
[ ] FRAMING /STRAPPING [ ] FINAL
[ ]--FIREPLACE & CHIMNEY [ ], FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION
[ ] ELECTRICALt(ROUGH)
�&LECTRICAL
(FINAL) UlCODE VIOLATION [ ] PRE C/O
REMARKS:
jlq
AA, All,
DATE l INSPECTOR
DC 0 [
Suffatl( ING DEPARTMENT- Electrical Inspector
�O MAY _ 8 2018 TOWN OF SOUTHOLD,
Town Hall Annex - 54375 Main Road - PO Box 1179
o • BUPia::nt�G�;yRE�=T. Southold, New York 11971-0959
OWN OF SO hone-(631) 765-1802 - FAX (631) 765-9502
roger.riche rtP-town.south old.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: - �( - �j Date:
Company Name:
Name:
License No.: _ F email: on
Address: ON
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Fax 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 Informatio (All information required)
Service Size 1 Ph 3 Ph Size:30 A # Meters. Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnecte - Underground - verhead
# Underground Laterals 1 2 H Frame Pole Work done on Service. Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
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