HomeMy WebLinkAbout44603-Z Town of Southold 2/19/2020
a P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41090 Date: 2/19/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 695 Kerwin Blvd., Greenport
SCTM#: 473889 Sec/Block/Lot: 53.-3-17.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/21/2020 pursuant to which Building Permit No. 44603 dated 1/21/2020
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 OVERHEAD ELECTRIC SERVICE
The certificate is issued to 695 Kerwin Blvd LLC
of the aforesaid building.
L
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44603 02-12-2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
o��gpfFOl,�co TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y x 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#: 44603 Date: 1/21/2020
Permission is hereby granted to:
695 Kerwin Blvd LLC
c/o Christoph Mueller
500 Sagg Main St
Sagaponack, NY 11962
To: 200A overhead electric service.
At premises located at:
695 Kerwin Blvd., Greenport
SCTM #473889
Sec/Block/Lot# 53.-3-17.3
Pursuant to application dated 1/21/2020 and approved by the Building Inspector.
To expire on 7/22/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
OF SO!/r-®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G @ roger.richert(a-town.southold.ny.us
Southold,NY 11971-0959 i0
®I�CUUNTY,N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To* 695 Kerwin Blvd LLC
Address: 695 Kerwin Blvd City. Greenport St: New York Zip. 11944
Budding Permit# 44603 Section 53 Block. 3 Lot 173
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: REP Electric License No 46288-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 200a Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a 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 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Service change, 200a overhead
Notes.
Inspector Signature: Date: February 12 2020
81-Cert Electrical Compliance Form As
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* * TOWN OF SOUTHOLD- BUILDING DEPT.
`ycourm,��' 765-1802
�IN- PECTION ��
S �
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION o
[ ] FIRE RESISTANT CONSTRUCTION [ ] TIRE RESISTANT PENETRATION
: [ ] ELECTRICAL (ROUGH) KELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
O�OS�fFO1,f-CO BUILDING DEPARTMENT- Electrical Inspector
Gym TOWN OF SOUTHOLD
2� Town Hall Annex - 54375 Main Road - PO Box 1179
o P� - Southold, New York 11971-0959
4,- p! •Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - sea nd(D-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFTMATION (All Information Required) Date: ZZZ22
Company Name: L— r c— L L �f— Z
Name: Eoe-lz- Gz T- Q A 1
License No.: L(, Z?5-/,l e- email: 7�� C Az�lZ
Address: IFO 43ox ('ovvt,-
Phone No.: 7(7 603
JOB SITE INFORMATION (All Information Required)
Name: 9,0 CO J .Z� *CA �I 12 -�- bull ),/ pv-' Po Nf4
Address: wi 1�,
Cross Street: ,ti
Phone No.: �3 y 7
Bldg.Permit #: ej email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: GNO Rough In Final
Do you need a Tem Certificate?: E 1 NO
Y p Issued On ���
Temp Information: (All information required)
Service Si 1 Ph 3 Ph Size: 2w A # Meters OldMete
New Service - Fire Reconnect - Flood Reconnect - Service Reconnected - Undergroun - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
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PAYMENT DUE WITH APPLICATION
Request for Inspection Form As /r1�� '` CP
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