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HomeMy WebLinkAbout44311-Z �4�ri1FF0(,�Cp�� Town of Southold 11/15/2019 P.O.Box 1179 o 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: ,gum! a< 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 d�G