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Home My WebLink About45077-Z �g�FF01,�o Town of Southold 9/27/2020 O G P.O.Box 1179 C3 . 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41473 Date: 9/27/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 875 S Harbor Rd, Southold SCTM#: 473889 Sec/Block/Lot: 75.4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/6/2020 pursuant to which Building Permit No. 45077 dated 8/6/2020 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: "as built"electric in existing accessorygarage. The certificate is issued to Lehr,Beverly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45077 9/15/2020 PLUMBERS CERTIFICATION DATED Authorized Signature COGTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . oma , 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#: 45077 Date: 8/6/2020 Permission is hereby granted to: Lehr, Beverly PO BOX 851 Southold, NY 11971 To: Existing electric in garage At premises located at: 875 S Harbor Rd, Southold SCTM # 473889 Sec/Block/Lot# 75.-4-5 Pursuant to application dated 8/6/2020 and approved by the Building Inspector. To expire on 2/5/2022. Fees: ELECTRIC $180.00 Total: $180.00 Buildi g Inspector mr- SO Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® y� sean.devlinttown.southold.ny.us c®U ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Beverly Lehr Address: 875 S Harbor Rd City Southold st. NY zip: 11971 Building Permit#: 45077 Section. 75 Block. 4 Lot- 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 4 Ceding Fixtures 4 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 2 4'LED Exit Fixtures Pump Other Equipment Notes: "AS BUILT, NO VISUAL DEFECTS" Sub Panel and Wiring of Garage Inspector Signature: Date: September 15, 2020 S.Devlin-Cert Electrical Compliance Form.xls OF SOUIyO� 6 7 L S s OUTHOLD BUILDING DEPT. °`y�ouxn ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. - [ ] FOUNDATION 2ND [` " ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY f ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) tA_ ELECTRICAL (FINAL) [ ] CODE VIOLATION RE C/O REMARKS: S .e o s- G r- S� ,, �Z7 DATE Z INSPECTOR w ll } TOWN-OF SOUTHOLD BUILDING DEPT.- couto, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ - ] IN LATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] -ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: rw W&Aic, DATE 0 INSPECTOR Af'Ca�¢�p�{�=Z�� 'I - � 1'� ��,'r',�'BUILDING DEPARTMENT Electrical Inspector Lj 00 �?' TOWN OF SOUTHOLD JUL 2 7Tygn H,all,'Annex - 54375 Main Road - PO Box 1179 o ^ Southold, New York 11971-0959 y11,D Telephone (631) 765-1802 - FAX (631) 765-9502 Osoutholdtownnygov sea ndCcDisoutholdtownny.gov •...:is - i 1 � t; APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: —7i1Z�3` ,�,, Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION (All.lnformation Required) Name: s r Address: —lam ��-1-, o Zo. rb- Q�� Cross Street: Phone No.: Bldg.Permit#: 0 email: Tax Map District: 1000 Section: -75 Block: Lot: S BRIEF DESCRIPTION OF WORK Please Print Clearly) 6 ,oUl cnr�cul� �a ch.� re�k^i F�rc� +:)r pr , a Circle All That Apply: - - - -=-= Is job ready for inspection?: YES / NO Rough In Final--- Do you need a Temp Certificate?: YES / NO Issued On 5 a 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 +' Request for Inspection Form.xls �D-1� (_ OL(4 � -- ,�j;',i%r BUILDING DEPARTMENT- Electr(cal Inspector `^' TOWN OF SOUTHOLD v' JUL 2 7 T2pIn HaVAnnex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 r' ��r ,� iC' Telephone (631) 765-1802 - FAX (631) 765-9502 O�"�: � c gyro d southoldtownny.aov — sea ndCc�southoldtownny.gov :z7:• ani s. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: __-47166b Company Name: Name: y License No.: email: Address: Phone No.: JOB SITE INFORMATION (All.information Required) Name: , Address: Cross Street: Phone No.: 1 ` Bidg.Permit#: tf 6D-71, email: - s Tax Map District: 1000 Sectiob: `7 Block: Lot:. S - BRIEF DESCRIPTION OF WORK Please Print Clearly) _moi, G�nrv.u�c 'a ,c�f�d' cMt ARIn. WA, (�� i F\tcjl for 1RC'Q,^ QQ c S F Circle All That Apply: Is job ready for inspection?: YES / NO' Rough In , Ftriab-- - Do you need a Temp Certificate?: YES / NO, Issued On -4 Temp Information: (All Information required) Service Size 1 Ph 3 Ph Size: TA # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect - Service Reconnected - Underground - Overhead , #Ude ground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: - PAYMENT DUE WITH APPLICATION Request for Inspection FormAs PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon , Micro Generator Combo Cooktop Transfer AC AH Mini Special: Comments IA- �� .