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HomeMy WebLinkAbout42970-Z Town of Southold 8/11/2020 , P.O.Box 1179 C* xco 53095 Main Rd oy o� }+ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41343 Date: 8/11/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1120 Trumans Path,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-12-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/27/2018 pursuant to which Building Permit No. 42970 dated 8/27/2018 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: Electric installed to existing accessory storage building as applied for. The certificate is issued to Swanson, Steven&Beate of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42970 07/31/2020 PLUMBERS CERTIFICATION DATED 9 Authorized Signature `QgUFFD(,� TOWN OF SOUTHOLD BUILDING DEPARTMENT 9 co TOWN CLERIC'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#: 42970 Date: 8/27/2018 Permission is hereby granted to: Swanson, Steven & Beate 93-02 68th Ave Forest Hills, NY 11375 To: electric for existing accessory storage building. At premises located at: 1120 Trumans Path, East Marion SCTM #473889 Sec/Block/Lot# 31.-12-6 Pursuant to application dated 8/27/2018 and approved by the Building Inspector. To expire on 2/26/2020. Fees: ELECTRIC $90.00 Total: $90.00 Building nspec o tAV so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.o.Box 1179 sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Steven Swanson Address: 1120 Trumans Path city East Marion st: NY zip: 11939 Budding Permit#: 42970 Section 31 Block 12 Lot 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Home Owner License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 12 Ceiling Fixtures 3 Bath Exhaust Fan 1 Service 3 ph Hot Water Gas GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel I OOA A/C Blower Range Recpt Ceding Fan 2 Combo Smoke/CO 2 Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches $ 4'LED Exit Fixtures Pump Other Equipment, Notes, ACC. Building Inspector Signature: �-�—� Date: July 31, 2020 p g S Devlin-Cert Electrical Compliance Form.xls �S,UfF(fL, cG BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD _. Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 V • - y�01iX' Telephone (631) 765-1802 - FAX(63.1) 765-9502 'roger.richerta0,)town southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: email: STCVElj , SW Rr3Sv.j eGM . 1 L X W1 Address: C��'2s-)N1 n� �� PO 3D cA S '�s 5 A/ka' v N-1 Ll 93 `1 Phone No.: JOB SITE INFORMATION: (All Information Required) T Name: �5 Address: 11 —ow TRv M A/�S\ P414 ' ps-r M +r2u A-) Cross.Street: nr CLQ - Phone No.: Bldg.Permit#: )A`710 . email: Js,SW40-sa'J @ e•M4t, CDM Tax Map District: 1000 Section: Block: t 'a Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) \60 AMD �^> Circle All That Apply: Is job ready for inspection?: YE / Rough In Final Do you need a Temp Certificate?: YES NO O 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. 82-Request for Inspecdon Form A6 �d '� 0 V �O*OE SO(/l�°� # # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm N�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR �O��Of SOUlyo6 Li Z q 0 12 0 7rR U AAAN,S��- # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 :1 NSPECTION [ ] 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 rl PREc/o REMARKS: _rmvc r `n c c 1� 6V / ' 4 .4000000009, 2 C� E D DATE . INSPECTOR �- # TOWN OF SOUTHOLD BUILDING DEPT. � • J courm��`'� 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 j I PRE C/O GG• �r �� 1� _` J REMARKS: DATE 7/17 INSPECTOR � ff0617 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 roger.richertCa)_town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: iv11 /\J Std k) License No.: email: O Address: M N-1 l l c13 Phone No.. JOB SITE INFORMATION, ): (All Information Required) Name: a �UEIv VUiA�SOJ Address: 11 -c�,o TTZu M P,,N�` P P�-v4 `I-S-f M +r2-u0^) Cross Street: M Pr rJ CLQ Phone No.: \ - '�l - "5 BIdg.Permit#: 416i'l email:�,�����t�r $0"f C.ftiMt, CflM Tax Map District: 1000 Section: Block: 1 '� Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Ido 1AA4 I' �9 94 GV'W-rS '00T -"ts -Lti prccESs(S2-1 Circle All That Apply: Is job ready for inspection?: YE / NO Rough In Final Do you need a Temp Certificate?: YES O Issued On Temp Information: (Ail 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 sl �d 82-Request for Inspecdon Form As `�� yyffQl,� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 A roger richertMold nyws APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: ielf /`1 License No,: email: ! -T - EAJ . t> , SWA OSO Address: 1� t�T2sJ� N�SQ1}��1 PD D Q ST A/kAcAhpj1 Nj Lt 93 Phone No qlq JOB SITE INFORMATION: (All Information Required) Name: S'fG-Uet-,) 3Ur A U Som Address:. lX -d�O TRO M P PF14 ' FVST M +r4-U0-J Cross Street: M R-L 1'r CLQ Phone No.: - 1�t - ro65 BIdg.Permit#: 9 10 email: Tax Map District: 1000 Section: ` Block: t ' Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) 1Oo gnn ,P e �Z- Ll�..brTS Circle All That Apply: Is job ready for inspection?: YE / NO Rough In Final Do you need a Temp Certificate?: YES O 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 -- - - e X^ 9d 82-Request for Inspection Form As ��1/ PERMIT# Address: J-1 �.-- -.vk I-r - -a-_..-eni'-rvt�v -.e.w.r -t+.- .,.r=�.le. �.t• i -w.+--�.ry-.},_..-a> n. r .r. ,-,..c.z,r...,e.•._-• �..M-•..- - .J.-a a.rvNu - .✓ls Outlets ti ---- --- --- GFI's - Surface Sconces HH's —UC-tts Fans f Fridge HW Exhaust � Oven Dryer Smokes ow Service ( �.0A GaYbD'n -Micro i5enefatar ; Combo Cooktop Transfer AC AH Mini Special: Comments: -' l �e� ol 'tj ("A�./ C