HomeMy WebLinkAbout43734-Z XI:Zti:.�
O�oSufFotKcoG. Town of Southold 1/6/2020
y� P.O.Box 1179
53095 Main Rd
4,� off' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40976 Date: 12/30/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 63875 CR 48, Greenport
SCTM#: 473889 Sec/Block/Lot: 40.-1-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/13/2019 pursuant to which Building Permit No. 43734 dated 5/13/2019
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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to 63875 Route 48 LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43734 09-09-2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
yam' TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
oy . 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#: 43734 Date: 5/13/2019
Permission is hereby granted to:
63875 Route 48 LLC
209 W 97th St Apt 7B
New York, NY 10025
To: Electric Service
At premises located at:
63875 CR 48, Greenport
SCTM # 473889
Sec/Block/Lot# 40.-1-21
Pursuant to application dated 5/13/2019 and approved by the Building Inspector.
To expire on 11/11/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
BuiIdin ctor
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® Q roger.riche rt(Q-town.south old.nV.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: 63875 Route 48 LLC (Barnes)
Address: 63875 CR 48 City: Greenport St: New York Zip. 11944
Budding Permit# 43734 Section: 40 Block: 1 Lot- 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electric License No. 3897-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 20a Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph 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 Fixtures Time Clocks
Disconnect 6Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a underground service
Notes.
Inspector Signatur Date: September 9 2019
81-Cert Electrical Compliance Form.xls
�O�r,UEf01 �� BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD rr
Town Hall Annex - 54375 Main Roa ox 17
y
DDSouthold, New York 11971 9
Telephone (631) 765-1802 - FAX( 3 7660502 3 2019
roger.richertOtown.so uthold.nv.us
APPLICATION FOR ELECTRICAL-INSPECTION,TOWN OFSOWRIG
REQUESTED BY: Bob Burns _ Date: 5/13/19
Company Name: Paul Burns Electrical Contractors Inc
Name: Paul'R Burns Jr
License No.: 3897ME email: pburnsjropoptonline.nef
Address: PO BOx 1061 Southold, NY 11971
Phone No:: 631-365-4735
JOB SITE INFORMATION: (All Informs' n Required)
Name: Lucinda Barnes 3 �s ILL-C
Address: r (3rei9n_p_0_ff
Cross Street:
Phone No.:
Bldg.Permit#: l - ;- email:
Tax Map District: 1000 Section: Block:_ _...,1 Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Underground service for pool,pool house
Circle All That Apply:
Is job ready for inspection?: YES / 10 Rough In -Final
Do you need a Temp Certificate?: YE / NO Issued On
Temp Information- (All information required)
Service Size IP 3 Ph Size: 200 A #Meters_ Old Meter#
New Service- Fire Reconnect-Flood Reconnect-Service Reconnected -Underground-Overhead
Underground Lateral, . 2 H Frame Pole Work done,on.Service?, , Y ,, N
Additional Information:
PAYMENT-DUE WITH APPLICATION.
82-Request for Inspection FormAs '