HomeMy WebLinkAbout44786-Z �g11f(k
Town of Southold 7/2/2020
• P.O.Box 1179
0
w 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41225 Date: 7/2/2020
TINS CERTIFIES that the building ELECTRICAL
Location of Property: 35995 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/13/2020 pursuant to which Building Permit No. 44786 dated 3/13/2020
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:
electric sub panel replaced in basement.
The certificate is issued to Kelly,Alane&King,Daniel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44786 6/29/2020
PLUMBERS CERTIFICATION DATED /
Au orized Signature
Ysrm TOWN OF SOUTHOLD
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� BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
N- 5 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#: 44786 Date: 3/13/2020
Permission is hereby granted to:
Kelly, Alane & King, Daniel
35995 Main Rd
Cutchogue, NY 11935
To: Sub panel replaced in basement. Replaces BP# 39361.
At premises located at:
35995 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-1-21
Pursuant to application dated 3/13/2020 and approved by the Building Inspector.
To expire on 9/12/2021.
Fees:
PERMIT RENEWAL $42.50
Total: $42.50
BO �ector���
r= TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERKS OFFICE
co
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#: 39361 Date: 11/1212014
Permission is hereby granted to:
Macnish, Elizabeth & Macnish, Mark
35995 Route 25
Cutchogue, NY 11935
To' Expired See BP# 44786
Sub panel replaced in basement
At premises located at:
35995 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-1-21
Pursuant to application dated 11/12/2014 and approved by the Building Inspector.
To expire on 5/13/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(a-town.southold.ny.us
Southold,NY 11971-0959 ® �®
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kelly Alane
Address: 35995 Route 25 City Cutchogue st: NY zip. 11935
Building Permit* 44786 Section. 97 Block: 1 Lot. 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Tucker Electric License No- 4926ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt X Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures 11 Pump
Other Equipment* 30 Circuit Panel w/22 Used on 50A Breaker
Notes: Sub Panel
Inspector Signature: Date: June 29, 2020
S Devlin-Cert Electrical Compliance Form.xls
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# # TOWN OF_SOUTHOLD BUILDING DEPT.
�`yrnurm 765-1802
INSPECTION
[ ] .FOUNDATION IST [ ] ROUGH-PLBG.
[ ] -FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FIN ) .
[ ] CODE VIOLATION [ ] PRE C/O S C
REMARKS:
-OK
DATE hl a INSPECTOR
S'aFFQL,+-`o BUILDING DEPARTMENT- Electrical Inspector
0 Gy TOWN OF SOUTHOLD
Town Hall Annex -54375 Main Road - PO. Box 1179
C11
- Southold, New York 11971-0959 `
y o� Telephone (631) 765-71'802 - FAX (631) 765-9502
rogerr(c_southoldtownny.gov seand(a�southoldtow6hy.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date.-
Company
ate:Company Name: el
Name:
License No.: Y q 12-& M email:
Address:
Phone No.: b5 ST77 Z77
JOB SITE INFORMATION (All Information Required)
Name:
Address: "j S Cv
Cross Street:
Phone No.:
Bldg.Permit#: Q 4 7 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
1�1 ty/�>.
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:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
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