HomeMy WebLinkAbout44634-Z Town of Southold 2/19/2020
s y P.O.Box 1179
53095 Main Rd
p4' • O�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41092 Date: 2/19/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4100 Youngs Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-2-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/29/2020 pursuant to which Building Permit No. 44634 dated 1/29/2020
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 Deutsche Bank Nad Tr Co
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44634 02-04-2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�S �cO TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 44634 Date: 1/29/2020
Permission is hereby granted to:
Burstein, Sally & Kaufman, Agnes
1 Eastwood Dr
North Babylon, NY 11703
To: new 200a overhead electric service
At premises located at:
4100 Youngs Ave, Southold
SCTM # 473889
Sec/Block/Lot# 55.-2-14
Pursuant to application dated 1/29/2020 and approved by the Building Inspector.
To expire on 7/30/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Bu i ng Inspector
of sov��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richerta-town.Southold.n us
Southold,NY 11971-0959 .�` • �® y'
c®UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Burstein/Kaufman (Treiber)
Address: 4100 Youngs Ave City: Southold St: New York Zip: 11971
Building Permit#: 44634 Section: 55 Block 2 Lot 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor. DBA: Pumillo Electric License No: 2300-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Fixture Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Service up grade to 200a overhead
Notes.
Inspector Signature: Date: February 4 2020
81-Cert Electrical Compliance Form As
�O�aOF SOUTyO�
# TOWN OF SOUTHOLD BUILDING DEPT:
i'ourm 785-1802
=
INSPECTION ,4 ��y. 4
[ ] FOUNDATION IST [ ] ROUGH PLRG. 4
[ ] 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:
t1z I/C
DATE - INSPECTOR
h CcUres� Tan jkwbo ' (-6A
SUFFU(,i- BUILDING DEPARTMENT- Electricdl Inspector, i
TOWN OF SOUTHOLD�
Town Hall Annex - 54375 Main RoatlP 9 AP V V 7220cm '
o - Southold, New York 11971-0959
d p� Telephone (631) 765-1802 - FAX (631);.765._950,2
a
Ol �' rogerr(aDsoutholdtownny.gov -r sea nd@southoldtownny.gov<< -t
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFO TION (All Information Required)r_ Date: o
Company Name: ru In �-
Name: k-17b D V qtr
License No.: a?oCs YU email:
Address: ��-' r
Phone No.: L7 70-G 1
JOB SITE INFORMATION (All Information Required)
Name: T R -78,-DEI R
Address () U/\J ✓ 1\JC4:7
Cross Street: r"CR
Phone No.: b L 4 C�
BIdg.Permit#: 44&3q email:
Tax Map District: 1000 Section: Block: a; ot:
BRIEF DESCRIPTION OF WORKPle peprint Clearly)
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G/110
Circle All That Apply:
Is job ready for inspection?: NO Rough In LF i
Do you need a Temp Certificate?: el NO Issued On
Temp Information: (All information required)
Service Siz 1 Ph 3 Ph Size: _A # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground verhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? , Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Fo m.xls I C7`q—\