HomeMy WebLinkAbout44332-Z �OgOFFOLKCpGy Town of Southold 9/13/2021
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P.O.Box 1179
o - 53095 Main Rd
4; �ao��,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42328 Date: 12/20/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 510 Oyster Ponds Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 24.4-4.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed-in this office dated
10/23/2019 pursuant to which Building Permit No. 44332 dated 10/23/2019
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.
Replaces CO Z-42328 which was a duplicate CO number.
The certificate is issued to 460 Oyster Pnds Ln LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44332 11/25/2019
PLUMBERS CERTIFICATION DATED
S11
v
Authorized Signature
�O�OgHFF�LkcpG Town of Southold 12/20/2019
y P.O.Box 1179
0
a • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40948 Date: 12/20/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 510 Oyster Ponds Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 24.-1-4.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/23/2019 pursuant to which Building Permit No. 44332 dated 10/23/2019
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 460 Oyster Pnds Ln LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44332 11/25/2019
PLUMBERS CERTIFICATION DATED
Authorize Signature -
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N 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#: 44332 Date: 10/23/2019
Permission is hereby granted to:
460 Oyster Pnds Ln LLC
PO BOX 568
Orient, NY 11957
To: "As built" electric
At premises located at:
510 Oyster Ponds Ln, Orient
SCTIVI # 473889
Sec/Block/Lot# 24.-l-4.1
Pursuant to application dated 10/23/2019 and approved by the Building Inspector.
To expire on 4/23/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building nspector
oF sovly®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • sean.deviinCcD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. 460 Oyster Ponds Ln LLC
Address: 510 Oyster Ponds Ln city,Orient st: NY zip: 11957
Building Permit#. 44332 Section 24 Block 1 Lot: 4.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA Home Owner License No
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey X Attic Garage X
INVENTORY
Service 1 ph X Heat Oil Duplec Recpt 20 Ceiling Fixtures 15 HID Fixtures
Service 3 ph Hot Water Oil GFCI Recpt 6 Wall Fixtures 1 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 30A Emergency Fixture Time Clocks
Disconnect Switches 17 Twist Lock Exit Fixtures Combo SD/CO Ed
Other Equipment Sub Panel- 8 Circuit/ 5 Circuits Used, Manual Generator Transfer Switch for-
Generator Plug,
Notes* " AS BUILT " " NO VISUAL DEFECTS " Pre- CO
Inspector Signature: 1 Date:
November 25, 2019
S.Devlin-Cert Electrical Compliance Form.xls
OF SOUTyp� 14 1 3 3 2 s l v
=# , TOWN OF SOUTHOLD-BUILDING DEPT.
coum, 765-1802
INSPECTION
[ ] FOUNDATION IST [ ' ] ROUGH PLBG.
[ ]
FOUNDATION-2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ].,FIREPLACE & CHIMNEY [' ]--,FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] 'ELECTRICAL (ROUGH) L ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE S INSPECTOR
-D L
- i i C\�
til
OCT 2 3 2019 BUIL DEPARTMENT-Electrical Inspector
Ire,
TOWN OF SOUTHOLD
311
n
if-'�'MHall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
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APPLI.QATION FOR ELECTRICAL INSPECTION"
ELECTRICIAN INFORMATION (All Information Required) Date
Company Name: p WyLa,�
Name: '-Uob -o C- pa,-4 LAVVVt A&V -d-
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information'Required)
Name: q %/-7S 41- -Poo (nv�A- C- (A--kov�6
Address:
Cross Street: L�L+v,.r-t u� Mcuj 1fid acAd
Phone No.:
Bldg.Permit#: email: 0,L�o o-ftme- COQ
I_ Tax Map District: 1000 Sections Block:
Lot: LP
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?. Q1 NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size I Ph 3 Ph Size: A #Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect-Service Reconnected- Underground -Overhead
1# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information':'
;PAYMENT DUE WITH-APPLICATION
Request for Inspection FormAs