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Home My WebLink About44773-Z Town of Southold 7/14/2020 a P.O.Box 1179 o - o 53095 Main Rd ,, �a r� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41251 Date: 7/14/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2565 Vanston Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/5/2020 pursuant to which Building Permit No. 44773 dated 3/5/2020 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: 200amp overhead electric service. The certificate is issued to Benjamin,David&Erica of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44773 6/30/2020 PLUMBERS CERTIFICATION DATED Authorized Signature �5 ecoTOWN OF SOUTHOLD yy� BUILDING DEPARTMENT TOWN CLERK'S OFFICE v� 4� 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#: 44773 Date: 3/5/2020 Permission is hereby granted to: Benjamin, David & Erica 18 Adelphi Dr Greenlawn, NY 11740 To: 200a electric service upgrade At premises located at: 2565 Vanston Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-6-7 Pursuant to application dated 3/5/2020 and approved by the Building Inspector. To expire on 9/4/2021. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector ,*®f So 631 Telephone Tele 765-1802 Town Hall Annexa ; P ( ) _, e..s, 54375 Main Road • 'y _ '. Fax(631)765-9502 P.O.Box 1179 sea Southold,NY 11971-0959 n.devlinCa�town.Southold.ny.us `" ' �® ou BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. David Benjamin Address: 2565 Vanston Rd city Cutchogue st NY zip. 11935 Budding Permit#. 44773 Section: 1 1 1 Block 6 Lot 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Hartig Electric License No: 4084ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service 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 Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 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. 40 Circuit Panel Notes- Service t ' Inspector Signature: Date: June 30, 2020 S Devlin-Cert Electrical Compliance Form As S0UTy°� 7 , (05 V kMSr6tQ ARID * # TOWN OF SOUTHOLD BUILDING DEPT. °`yrou►m�� u�j`L7� 765-1802 y INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. ] 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: S uJ DATE INSPECTOR APP' ++� INOW- • 11L ' i dO` a � t� �7� ,-pepoil,Ccl [vol,� J/71�- //� 141 LN-713 f01Ar`,� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD I Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 �� p� Telephone (631)765-1802-FAX(631) 765-9502 Temporary Certificate # Date (� 'Z� 2020 Customer Name AU F_N AA M i&I Electrician Name .n Address �S d etJTG f Phone 6 2 EAHH e-mail a-mail bav)/ G S 4 Phone Sl �+ ( S License# q 6 Size ,C1 A Phase�_Overhead Underground #.of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# I 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 veritication i . a:1dt r s trom the d e above. Authorized by �-�. --- ------ ------ �'► ncsPe, I�� _JA 2 CP BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road -,PO B6�1793 2020 - �r - Southold, New York 11971-0959 F Telephone;(631) 765-1802 - FAX (631) 765-9502 qq _ , r�=" rogerr(�southoldtownny:gov seand@south61dtown0:-qov, - APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATIO (Ail information Required) Date: Company Name: Name- license No_- ZlovlmE email: eaAAlf b' S 1J7or Address: Phone Pio.: yJOB SITE INFORMATION (All Information Required) Name- l USD e f� �/ _� �� Address: S— Cross Street Phone tv'o." Q Bldg.Permit 7 ! - email:4i Ta,( trap nlstrrcf: 1000 Sectiof'1': l;'/ � Block- �- f- � !ot: DD BRIEF DESCRIPTION OF WORK (Please Print Clearly) -//%Ge- Circle fill `:'i atApply: Is job ready for inspection?" YES / Rough In Final Do you need a Temp Certificate?" YES / NO Issued On Temp Inaerniarion: (All information required) Ser,�c� SIZe 1 Ph 3 Ph Size A Wieters" Old N�leter?`>` Ne\,v Senlice - Fire Reconnect - Flood Reconnect - Service Reconnected - Underground - Overhead x -fade cSttnd Laternifs `r 2 H, Franne Bole VV-ork One on Service? Y NI � Additional Information: PAYMENT DISE VVITH-APPLICATION ��f Request for Inspection Form.xls BVILDING DEPARTMENT-Electrical Inspec or TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road v BVAA1793 2020 q - MY r1# Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@s�outholdtownny.gov -�,seand@s6uthgldtdWnq'.1crdV�'- APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION.(Ali Information Required), Date: Company Name: J q 06C Name:- License-No.. Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: 4od �rAytf,�i Address: Cross.Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section, Block:. 49cle , Lot- !10 7 BRIEF DESCRIPTION-OF WORK (Please Print Clearly) 1AD 9AW Circle All That Apply: Is job ready for Inspection!: YES Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size I Ph 3 Ph Size: A # Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead 1#-UndIMmund Laterals 1 2 H frame Pole Wb*-done on Service? Y N Additional Information: PAYMENT,DUE WITH APPLICATION 7_6 is Request for Inspection Form,xis