HomeMy WebLinkAbout44751-Z ' u a Town of Southold
�4� ooy a 5/26/2020
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P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41156 Date: 5/26/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2515 Hobart Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 64.4-12.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/2/2020 pursuant to which Building Permit No. 44751 dated 3/2/2020
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:
UPGRADE OF ELECTRIC SERVICE TO 200 AMP
The certificate is issued to Cunneen,Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44751 03-05-2020
PLUMBERS CERTIFICATION DATED
Authorized gnature
��o��gUFFQ� 1 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N 2
TOWN CLERK'S OFFICE
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 #: 44751 Date: 3/2/2020
Permission is hereby granted to:
Cunneen, Thomas
2515 Hobart Rd
Southold, NY 11971
To: Upgrade exisisting electric service to a 200 amp underground electric service.
At premises located at:
2515 Hobart Rd., Southold
SCTM # 473889
Sec/Block/Lot# 64.-4-12.1
Pursuant to application dated 3/2/2020 and approved by the Building Inspector.
To expire on 9/1/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
1
Building Inspector
OF SO!/r�ol
Town Hall Annex ~ O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �o sean.devlinCc_town.Southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Cunneen
Address: 2515 Hobart Rd city Southold st: NY zip: 11971
Budding Permit# 44751 Section: 64 Block. 4 Lot- 12.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Roslak Electric Inc License No: 3677-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel 200A 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. New Meterpan, Panel and Service
Inspector Signature: i—, - Date: March 5, 2020
S Devlin-Cert Electrical Compliance Form.xls
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# # -TOWN OF SOUTHOLD BUILD[ RIP)T.'
°`ycouHn��' 765-1802
INSPECTION -
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING , -
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ " ] ` FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
DATE INSPECTOR ' �`�
Town Hall Annex 0 O
54375�9a"oadg Telephone(631)765-1802
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P.O.Box 1179 r0 erdchertOwn3so6u5fg5oQ
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Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
i
REQUESTED BY: 7o 6 Ll _ Date:
®�t�
Company Name: L.A k ECSC—WIC
Name: ROl
ocLD
License No.: 3
Address: ,p, G 01
Phone No.: 63 73
JOBSITE INFORMATION: (*Indicates required information)
*Name: 7_e� /J r1/ Al
*Address:
*Cross Street: O n
*Phone No.: 3V Z
Permit No.: -
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: YES NO Rough In Final
*Do-you need a Temp Certificate: YES NO
Temp Information (if needed) f
*Service Size: 1 Phas 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Undergroun Number of Met rsi Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form N\4
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