HomeMy WebLinkAbout44716-Z UFFQ4cp�y Town of Southold 3/7/2020
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P.O.Box 1179
o i g 53095 Main Rd
Southold,New York 11971
CERTIFI.CATE OF OCCUPANCY
No: 41122 Date: 3/9/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 22355 CR 48, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.4-26.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/19/2020 pursuant to which Building Permit No. 44716 dated 2/19/2020
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:
Elecrical Inspection for PSEG Unit 15
The certificate is issued to 372 Jericho Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44716 342020
PLUMBERS CERTIFICATION DATED
r
uthorized Signature
��o�goFFn�,r�,sTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy • 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#: 44716 Date: 2/19/2020
Permission is hereby granted to:
372 Jericho Corp
C/O Lewis & Murphy Realty
47 Hillside Ave
Manhasset, NY 11030
To: Elecrical Inspection for PSEG Unit 15
At premises located at:
22355 CR 48, Cutchogue
SCTM # 473889
Sec/Block/Lot# 84.-1-26.3
Pursuant to application dated 2/19/2020 and approved by the Building Inspector.
To expire on 8/20/2021.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
SOUry®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® Q sean.devlintown.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To 372 Jericho Corp
Address' 22355 CR 48 City Cutchogue St. NY zip: 11935
Budding Permit# 44716 section 84 Block 1 Lot 26.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Modern Electric East Inc License No: 34283-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph X Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment
Notes- Survey for PSEG to Reconnect Service
Inspector Signature: = Date:
March 4, 2020
S.Devlin-Cert Electrical Compliance Form As
OESobJyolo 7t CIZ46 V (V-t l'
# #
Towli OF SOUTHOLD BUILDING -DEPT. S
`yco 765-1802
INSPECTION-.
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY _ [ ] FIRE SAFETY INSPECTION
[ ° ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) WELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
h�0 Gy2 FEB 1 9 2020 TOWN OFSOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
N try - Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cr southoldtownny.gov — sea nd a southoldtownny.gov-
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 9--
Company Name: N e(` — G
Name:
License No.: ��- � email:
Address: (,1 C
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Phone No.:
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JOB SITE INFORMATION (All Information Requi d X ell G
Name: A00ei O
Address: G' L` -4 C.,kp
Cross Street: j
Phone No.:
Bldg.Permit#: �f l ' (a email:
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Tax Map District: 1000 Section: Block: U Lot:-
BRIEF
ot:BRIEF DESCRIPTION OF WORK (Please Print Clearly)r
eI/eC 1 'er Pd N W 1
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need'a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
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: S 4o 4ur&�
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals ,