HomeMy WebLinkAbout44351-Z �O�OSUF� COG Town of Southold 1/15/2020
P.O.Box 1179
y 53095 Main Rd
Q4 O�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41004 Date: 1/15/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 5240 Narrow River Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 27.-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/29/2019 pursuant to which Building Permit No. 44351 dated 10/29/2019
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"electric for accessory cottage.
The certificate is issued to Dacimo,Fred&Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44351
PLUMBERS CERTIFICATION DATED 1 /
uthorized Signature
I -
Su ol�c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
�Ql � Sao
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#: 44351 Date: 10/29/2019
Permission is hereby granted to:
Dacimo, Fred & Maureen
5520 Narrow River Rd
Orient, NY 11957
To: as built" electric for cottage.
At premises located at:
5240 Narrow River Rd, Orient
SCTM # 473889
Sec/Block/Lot# 27.-2-4
Pursuant to application dated 10/29/2019 and approved by the Building Inspector.
To expire on 4/29/2021.
Fees:
ELECTRIC $250.00
Total: $250.00
Inspector
®�*OF SOUr�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �. • CoQ sean.devlin(a-)-town.southold.ny.us
COMM
,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Fred Dacimo
Address: 5240 Narrow River Rd city-Orient st. NY zip: 11957
44351 27 2 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
DBA: AS BUILT
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey 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 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 Exit Fixtures Combo SD/CO
28 Circuit Panel, Fridge, Oven
" AS BUILT " " NO VISUAL DEFECTS " Cottage
C
Y�J'Inspector Signature: 6,4— Date: October 31, 2019
S.Devlin-Cert Electrical Compliance Form.xls
OF so L4 Q) ��/ "O✓��al�
Ulyo6
TOWN OF SOUTHOLD BUILDING DEPT.Rt'""r
�ycourm,��' 765-1802 ��c►
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) NAIELECTRICAL (FINAL)
[ ] CODE VIOLATION ] CAULKING
REMARKS:
apt 10
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A , r
DATE C9 INSPECTOR
o�aOF SOOIyO S5-2f) API\O W
* # TOWN OF SOUTHOLD BUILDING DEPT. l Vcr
ycou765-1802
INSPECTION '.-
I
FOUNDATION 1ST [ ] ROUGH PLBG.
' [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
-[" ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION '
[ =] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION-
i. [ ] ELECTRICAL"(ROUGH) ELECTRICAL (FINAL) Co r
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
i lea'/-i /Aj_rP4C-e---r-f6 Al
DATE A&AY INSPECTOR
�o�QSufFOl,t-�o BUILDING DEPARTMENT- Electrical Inspector
Gy TOWN OF SOUTHOLD
C= Town Hall Annex - 54375 Main Road - PO Box 1179
co' Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
1 " rogerr -southoldtownny.gov – seand(c_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) D te,
Company Name: ' .
Name: cu"
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: v
Address: —2O
Cross Street:
Phone No.:
Bldg.Permit#: 4q email:
Tax Map District: 1000 Section: 2-7 Block: Lot:
13RIEE:::D.ESCRIPTI0,N-OF WORK (Please Print Clearly)
�crs, re, ce
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO- Issued On
(All information required)
I Temp Information: ( q )
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:
"leaf
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals
SCO