HomeMy WebLinkAbout42887-Z ��Q�g11FF04419,, Town of Southold 7/28/2020
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P.O.Box 1179
°' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41295 Date: 7/28/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4660 Blue Horizon Bluffs, Peconic
SCTM#: 473889 Sec/Block/Lot: 74.4-35.52
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/23/2018 pursuant to which Building Permit No. 42887 dated 7/24/2018
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:
200a electrical service.
The certificate is issued to HJHW Peconic Sound LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42887 7/27/2020
PLUMBERS CERTIFICATION DATED
uthorized Signature
o�gvFEn TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Co
TOWN CLERK'S OFFICE
SOUTHOLD, NY
X01 � dao
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#: 42887 Date: 7/24/2018
Permission is hereby granted to:
HJHW Peconic Sound LLC
11 E Broadway Ste 15F
New York, NY 10038
To: Electric Service
At premises located at:
4660 Blue Horizon Bluffs, Peconic
SCTM # 473889
Sec/Block/Lot# 74.-1-35.52
Pursuant to application dated 7/23/2018 and approved by the Building Inspector.
To expire on 1/23/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® i� 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- HJHW Peconic Sound LLC
Address: 4660 Blue Horizon Bluffs city.Peconic st: NY zip: 11958
Building Permit#: 42887 Section: 74 Block: 1 Lot 35.52
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Alan Hubbard Electrical License No: 4285ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor Pool
New X 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 Wall Fixtures Smoke Detectors
Main Panel 200A 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 11 Pump 11
Other Equipment:
Notes: Service - No House
Inspector Signature: Date: July 27, 2020
S.Devlin-Cert Electrical Compliance Form.xls
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BUILDING DEPARTMENT-Electrical Inspector
a TOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
4-A �a0� Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate # g Date 23 2018
Customer Name ��(�� ( Electrician Name ow 9k)3y3&9.a> LrUG.
Address D 2Phone
e-mail a-mail
�'Cv�SG G�Pj X495 /�6 6l�( •
Phone License#
Size 2�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# 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 verifi tion is valid 'or m e date above.
Authorized by
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# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO,Nl
[ ] 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:
W9C «
DATE INSPECTOR
�EFpj�C BUILDING DEPARTMENT- Electrical ( s� c� �LS
TOWN OF SOUTHOLD �j
Town Hall Annex- 54375 Main Road - ox 1179
Southold, New York 11971-0959 JUL 2 3 2018
Telephone (631) 765-1802 - FAX (631) 765-9502
al `�
ro-ger.rich ert(a-)-town.southo Id.ny.us BUMDiIGDEP'E
APPLICATION FOR ELECTRICAL INSPECTION
REQU-ESTED BY:'_ - - - Date:
Company Name:
Name:
License No.: LIP-g5 - E email:
Address: Pbflaw, Z-Iqt A1113/
Phone No.: (P31 (P9-7 -1 -7/S'
-JOB SITE INFORMATION: (All Information Required)
Name: A-chad '
/haoijr
Address:
Cross Street: He-nwkojn Q j9,eis -4. Pie- qZ MUI Pd .
Phone No.: E5 /to D (o S- 1 0 r 6 3 1 -7(o 5- a-
Bldg.Permit#: WSVI email:RicQ, vdc PrtYippi by die6, _
Tax Map District: 1000 Section: -7 L4 Block: C21 Lot: ,
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES/ NO Rough In Final S
Do you need a Temp Certificate?: <OES / NO Issued On
Temp Information: (All information required).
Service Size 1 P 3 Ph Size: 2-6 0 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
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Request for Inspection Fonxls
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