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HomeMy WebLinkAbout44354-Z �a�pS�F�flI'f�p� Town of Southold 11/9/2019 P.O.Box 1179 o 53095 Main Rd '011 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40843 Date: 11/12/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 54805 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 44.-1-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/29/2019 pursuant to which Building Permit No. 44354 dated 10/29/2019 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: 200a overhead electric service. The certificate is issued to Walz,Donald&Myra of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44354 10/31/2019 PLUMBERS CERTIFICATION DATED Authorized ignature o�S ��co TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o ea 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#: 44354 Date: 10/29/2019 Permission is hereby granted to: Walz, Donald & Myra 3302 Corinna Dr Rancho Palos Verdes, CA 90275 To: 200a overhead electric service. At premises located at: 54805 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 44.-1-3 Pursuant to application dated 10/29/2019 and approved by the Building Inspector. To expire on 4/29/2021. Fees: ELECTRIC $85.00 Total: $85.00 Buildi Inspector so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 a� sean.devlin(c-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Donald Walz Address- 54805 CR 48 city Greenport st. NY zip: 11944 Building Permit* 44354 Section 44 Block 1 Lot 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: RJ Corazzini License No: 33419-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling 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 11 Combo SD/CO 11 Other Equipment. 42 Circuit Panel - 13 Used, Meterpan, Coldwater Ground, Groundrod Notes Inspector Signature: Date: October 31, 2019 S Devlin-Cert Electrical Compliance Form As oFSo�,yo� �� � S- �i�v = # TOWN OF SOUQ BUILDING "DEPT: " �ycourmN�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ .] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE.& CHIMNEY" - [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ _ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE l INSPECTOR li'^- ��o�OS�ffO[,�cOG� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD oy • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 ,l �.a Telephone(631) 765-1802-FAX(631)765-9502 Temporary Certificate # d Date ; / 2019 Customer Name W� Electrician NamePJ . Address a r qA Phone e-mail e G� Phone (, 31 7 ©2 License# Size_�_ A Phase Overhead Underground #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 cond . spection of the service equipment. This verification is valid t 90 days tr th a e Authorized by -------•--------------------------------------- r _ PQM } 7gF{I,( BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD ' Town Hall Annex - 54375 Main Road - PO Box 1179 Q . Southold, New York 11971=0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrCa,,southoldtownny.gov seandCc�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 16-Z 2 — q a Company Name: Name: --- --_-- - - - - - - - -- --- - t License No.: email: 1�'YC 726—D? �L/P"e s Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: ---Pb n a W A -Z Address: - S - bQ g A&Id tO 110 Cross Street: Phone No.. _ 3 Bldg.Permit#: _ email: Tax Map District:, 1000 Section: = Block: BRIEF DESCRIPTION OF WORK (Please Print Clearly) ho F �'<��f'c� i Circle All That Apply: Is job ready for inspection?:. RE / NO Rough In Fina Do you need a Temp Certificate?: NO Issued On 3 Temp Information: (All information required) _ Service SizeoPh 3 Ph Size: Old Meter# New Service - Fire Reconnect- Flood Reconnect Service Reconnected- Underground - verhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information:, PAYMENT DUE-WITH APPLICATION Request for Inspection Formals