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HomeMy WebLinkAbout44379-Z �o`O�� S�FF©j'�C Town of Southold 11/25/2019 P.O.Box 1179 0 u' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40890 Date: 11/25/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 74730 Route 25, Greenport SCTM#: 473889 Sec/Block/Lot: 46.4-2.2 Subdivision: Filed Map No.- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/4/2019 pursuant to which Building Permit No. 44379 dated 11/4/2019 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: COFFEE AND OVEN ELECTRIC OUTLETS The certificate is issued to 413 Jerusalem Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorize ignature �SUFFo TOWN OF SOUTHOLD BUILDING DEPARTMENT z TOWN CLERK'S OFFICE o e 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#: 44379 Date: 11/4/2019 Permission is hereby granted to: 413 Jerusalem Corp Attn: Southland Corp PO BOX 711 Dallas, TX 752219867 To: electric for 7-11 At premises located at: 74730 Route 25, Greenport SCTM # 473889 Sec/Block/Lot# 46.-1-2.2 Pursuant to application dated 11/4/2019 and approved by the Building Inspector. To expire on 5/5/2021. Fees: ELECTRIC $125.00 Total: $125.00 B 'BWd i ector ®��OF SO�r�,®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® �Q sean.devlinC-town.southold.ny.us lyC®UN�,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Jerusalem Corp Address: 74730 Route 25 city-Greenport St. NY zip: 11944 Building Permit# 44379 Section: 46 Block 1 Lot: 2.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. Cooper Power& Lighting Corp License No: 35491-ME SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceding Fixtures HID Fixtures Service 3 ph X Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock 4 Exit Fixtures Combo SD/Co Other Equipment 3- 30A Twist Lock Receptacle, 1- 50A Receptacle, 2- 20A Receptacles Notes* Oven Outlet and Coffee Outlets Added Inspector Signature: Date: November 7, 2019 S Devlin-Cert Electrical Compliance Form.xls qt SOGIyy Ll Lf 77 7 -IM4 i * # TOWN OF SOUTHoLb BUILDING DEPT. �yco 765-1802 s. INSPECTION, [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [_ ] 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: flAlAto- — Oit DATE I INSPECTOR CIOODP ,�w Power & Lighting, Corp . 39 Central Avenue ^ Farmingdale, New York 11735 Tel: 631-755-6655 ° Fax: 631-755-6654 TRANSMITTAL LETTER To: Town of Southold Date: October 29, 2019 Building Department—Electrical Inspector Re: 7-11#20093 54375 Main Rd., PO Box 1179 CPL: #19040.6 Greenport Southold NY 11971-0959 We are transmitting herewith via the following: Mail Messenger Email X Othe COPIES ITEM SUBMITTED BY REMARKS (1) Original a. Application for an Electrical Robert Lanzone For processing each Inspection (Final) b. Check in the amount of$125 Note: Attached please find an Application for Electrical Inspection regarding the above project. Job is completed and ready to be inspected; please contact us at your earliest convenience to schedule an inspection. If you have any questions, please do not hesitate to give us a call. Very Truly Yours, C per Power& Light' Corp. 06 �.' Robert I anzone, Vice Pres'de UPS ; ..• ' '-- ' "' � W _ .._ ,,f ENC RL/bs Nov - 4 209 uf¢0t BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 �2Z - Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrasoutholdtownny.gov - seand(C,southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATIO (All information Required) n Date: Company Name: acc Duier el- Ll hr - 1..b! Name: OYe*T LCun zon License No.: 0 - 35yfq I email: Lan we, e(1 I' (IbM Address: .39 Cen Ol 1 0 A)e, Y-M fMda le- n 1173 � Phone No.: 0 SY&-79 r l9 B JOB SITE INFORMATION (All Information Required) /t Name: 9-/1 �' 009-3 See etn ( oma - Address: M'/ -;?c)- bj-a Rond ilree6o(-b /)q /I (-I Cross Street: we5-r 04 mcore-5 k,r)e- Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: f Lot: as BRIEF DESCRIPTION OF WORK (Please Print Clearly) Fg"(121UeAl 30Al G6 - IrwigLock 44A deo I? 0x65F Aec,,a % hd d 3) 1-14-3o Rewt. dJ N Wi �M 1dXV".beh OAT w f.0 rvl: 1� 3 P -50 A Dee c wl 15-5o A eca, b rbc, eConA aJ D Li e5 - eaung Circle All That Apply: Art® Is job ready for inspection?: ES 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 Old 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: PIeaSe ez-noib La nwoe., y14-g90-1979 hoc Tns f ed c)n . a ` r PAYMENT_ DUE WITH APPLICATION NON - 42019 Request for Inspection Formals 7 v 1