HomeMy WebLinkAbout42970-Z Town of Southold 8/11/2020
, P.O.Box 1179
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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
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# # 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:
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2 C� E D
DATE . INSPECTOR �-
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TOWN OF SOUTHOLD BUILDING DEPT.
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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
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9d
82-Request for Inspection Form As ��1/
PERMIT# Address:
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Outlets
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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:
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