HomeMy WebLinkAbout43440-Z o�OsuF t Town of Southold 7/14/2020
a P.O.Box 1179
y z 53095 Main Rd
Way o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41249 Date: 7/14/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3075 W Creek Ave, Cutchogue
SCTM#: 473889 See/Block/Lot: 110.-5-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/4/2019 pursuant to which Building Permit No. 43440 dated 2/4/2019
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:
100amp underground electric service.
r
The certificate is issued to Eichacker,Peter&Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43440 7/1/2020
PLUMBERS CERTIFICATION DATED
Authorized 1gnature
o�gUfFolco TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 43440 Date: 2/4/2019
Permission is hereby granted to:
Eichacker, Peter
18605 Brooke Rd
Sandy Spring, MD 208601412
To: Replace electric to underground service
At premises located at:
3075 W Creek Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.-5-8
Pursuant to application dated 2/4/2019 and approved by the Building Inspector.
To expire on 8/5/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Build in pector
OF SOUr�,®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(Q)town.southold.n .us
Southold,NY 11971-0959 ® ® y
®l�C®UM9l,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peter Eichacker
Address: 3075 W Creek Ave city,Cutchogue st: NY zip: 11935
Building Permit#: 43440 Section: 110 Block: 5 Lot: $
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Roslak Electric License No: 3677ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 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 Pump
Other Equipment 24 Circuit Panel w 19 Used
Notes- Service
Inspector Signature: C Date: July 1, 2020
S.Devlin-Cert Electrical Compliance Form As
OF soUTy�lo 1
# # TOW OF SOUTHOLD--BUILDING DEPT.
`�courmN�' 765-1802
_
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
-[ ]. FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ' ] -FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[" ] FIRE RESISTANT CONSTRUCTION' [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O � �� t 15,
REMARKS:
1�t M A l/V sP9.6"Q iy-®G1
DATE 7 INSPECTOR
{
C ••• �fEOLX
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
4; OZ Telephone(631J 765-1802-FAX(631)765-9502 `,
Temporary Certificate # Date `��r
Customer Name C-� �� Lr.� Electrician Name
Address d � �� Phone (5!- 73q(- 4-;j._-70
e-mail C� � v� - e-mail L
Phone 7—license# -;,677 7 —(lKC.C-__
Size A Phase Overhead Underground #of Meters
Remarks ,rte &e, y5A4 (Jt/ , l�"+-�/ U t t)>426,P _e_t
#of Underground Laterals 1 2 New
"H" Frame or Pole Fi P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for day r m the date above.
Authorized by 77
31
-- —-- _ r --- -- —
41
i q .r: May cr_ A
BUILDING DEPARTMENT- Electrical Inspector '
o D
TOWN OF SOUTHOLD
'C 2p19 Town Hall Annex - 54375 Main Road - PO Box 1179
~ FE6 Southold, New York 11971-0959
r � bS � phone (631) 765-1802 - FAX (631) 765-9502
roger.riche rt(ai-town.southold.ny.us
AP?LIGATION FOR ELECTRICAL INSPECTION
REQUESTED BY: I- �Z �,�,�� Date:;��''k Z l
Company Name:
Name: �.�,-, J. I s K-
License No.: email:
Address: 'r�. �; lG L �Cti .�'� r 1
Phone No:: t )Y -3 L/ 0 .
JOB SITE INFORMATION: (All Information Required)
Name: C- K Ole—
Address:
eAddress: j V ' C
Cross Street: 11r-0—
Phone
1rPhone No.: 65l 7 7P
Bldg.Permit #: 'f'�4 ,C) email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: NO Rough In Final
Do you need a Temp Certificate?: JE NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: -/ _-A # Meters--f - Old Meter# 70
New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole - Work done on Service? N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form-As