HomeMy WebLinkAbout44311-Z �4�ri1FF0(,�Cp�� Town of Southold 11/15/2019
P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40859 Date: 11/15/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 22355 CR 48, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.4-26.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/18/2019 pursuant to which Building Permit No. 44311 dated 10/18/2019
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:
"AS BUILT"ELECTRICAL SURVEY
The certificate is issued to 372 Jericho Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44311 10-23-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
1
TOWN OF SOUTHOLD
guFFot,�co BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o ® 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#: 44311 Date: 10/18/2019
Permission is hereby granted to:
372 Jericho Corp
C/O Lewis & Murphy Realty
47 Hillside Ave
Manhasset, NY 11030
To: electrical survey
At premises located at:
22355 CR 48, Cutchogue
SCTM # 473889
Sec/Block/Lot# 84.-1-26.3
Pursuant to application dated 10/18/2019 and approved by the Building Inspector.
To expire on 4/18/2021.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
S®Ups
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(Q-town.south old.ny.us
Southold,NY 11971-0959 sS"
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Fowler (372 Jericho Corp)
Address: 22355 CR 48 (unit 24) City: Cutchogue St. New York Zip 11935
Budding Permit# 44311 Section 84 Block 1 Lot 263
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor, AS BUILT DBA: GJS Electric License No: 4839-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 I100aSwitches Twist Lock Exit Fixtures TVSS
Other Equipment. "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes OK to re connect existing service
Inspector Signature: Date: October 23 2019
81-Cert Electrical Compliance Form As
OF SOUIyo�
TOWN OF SOUTHOLD BUILDING DEPT.
uto, 765-1802
INSPECTION ,4, / f
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
H Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
roper.riche rtCcDtown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: LC�,f„ Date: U
Company Name: 1 le C�riZ I LL
Name:
License No.: _ 3 a) m c1 email: �&6114 45 f, , 66
Address: +`/bL ��-
Phone No.: (09
JOB SITE INFORMATION: (All Information Required)
Name: ra harne (er (aj�a �r� C�p CD
Address: 3 y 5 C f2 (fit 4 8 n a aq C.,tai-c-hlv
Cross Street:
Bldg.Permit#: 4b email:
Fax Map District: 1000 Section: Block: Lot
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
S urvc� PS8:- f 4-p -ua, a2k,,P� SGA
—Circle—AILThat_Apply —
Is job ready for inspection?: YE / 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
Addltional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form.xls
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