HomeMy WebLinkAbout45222-Z ��o� COGS, Town of Southold 9/23/2020
P.O.Box 1179
a
,{ 53095 Main Rd
'✓ o� fY Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41461 Date: 9/23/2020
THIS CERTIFIES that the building ELECTRICAL
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Location of Property: 700 Terry Ln, Southold
SCTM#: 473'889 Sec/Block/Lot: 65.4-12
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Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/17/2020 pursuant to which Building Permit No. 45222 dated 9/17/2020
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 for fish pond.
The certificate is issued to Manning,Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45222 9/18/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
��a coat' BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
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#: 45222 Date: 9/17/2020
Permission is hereby granted to:
Manning, Mary
700 Terry Ln
Southold, NY 11971
To: ..As built" electric for fish pond
At premises located at:
700 Terry Ln, Southold
SCTM # 473889
Sec/Block/Lot# 65.-1-12
Pursuant to application dated 9/17/2020 and approved by the Building Inspector.
To expire on 3/19/2022.
Fees:
ELECTRIC $180.00
Total: $180.00
Building Inspector
OF 30(/j�®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • iQ sean.devlin()-town.southold.ny.us
lyCOW,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mary Manning
Address: 700 Terry Ln city:Southold st: NY zip: 11971
Building Permit# 45222 Section: 65 Block: 1 Lot. 12
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 Basement Service
Commerical Outdoor X 1 st Floor Pond X
New 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 2 Wall Fixtures Smoke Detectors
Main Panel 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,
Notes* " AS BUILT, NO VISUAL DEFECTS " Fish Pond
Inspector Signature: CSI Date: September 18, 2020
S.Devlin-Cert Electrical Compliance Form.xls
-
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* # TOWN OF SOUTHOLD BUILDINGEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING-
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION
f ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O fjC-k'pool\d,
REMARKS:
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DATE INSPECTOR
".:.::.:.r,
ty;'ag�EFQC�- BUILDING-DEPARTMENT-Electrical Inspector
TOWN OFSOUTHOLD
C, Town Hall Arin6x=54375 Main Road---PO Box-1179 -- - -
�:'. Southold, New York 11971-0959
Y:
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.gov-seand@southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date; 31- Z a
Company Name:
Name:
"License No.: Z,3,- email: Ill-l cL rjg y, ( < <
Address: P . o rA 31 � ✓�lr• /7r'
Phone No.: 3 j - ! f-- 2.-,if-4 Z?
JdB SITE INFORMATION (All Information Required)
Name: Mary Manning
Address: 700 Terry Lane, Southold, New York 11971.
Cross Street: gqQ�tz 4�ve_tu-e
Phone No.: (6-31) "219"-9643
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email: - -- -—--- - - =- --
.Tax Map District: 40G.0 Secfion: tis- Block: 1 ' Lot: 1F,
BRIEF I�ESCR1PTt0(�.0 W_ E�RK- Rte se Print Clearly) rr
+ - Yr
Circle.All That Apply:
Is job ready#or inspection?, YES NO- Rough In Fih�t
Do you need a Temp Certificate?: YES NO Issued On
Temp lnfo tion: (AJI I ,(mation required)
Se ice Size 1 Ph 3 P/F01
.Size: A Meters Old a#er#
New Se ce - Fire Reconnect- Reconnect-Servic Reconnected- Undergro d - Overhead
#Un d ground Laterals 1 H Frame. Poi Work dyne on Servi Y N
Ad `conal Information:
--— -PAYMENT-DUE-WITH-APPLICATION----
A
Request for Inspection Formals \
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
;x PIP,
Southold, New York 11971-0959
y4� Teiephone (631) 765-1802 - FAX (631) 765-9502
rogerr i)-southoldtownny gov- seand( southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: La
Company Name: �� >'c� �--f Gw► �-k
Name: ,
License No.: ,7 -yv� email: Ifi (cL dC414
Address: P . o -31
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Phone No;: -3 j - l f• Z-�G y ���/: l_ Z'?6 -6Z�i
JOB SITE INFORMATION (Au Information Required)
Name: Mary Manning {
Address: 700 Terry Lane, Southold, New York 11971.
Cross Street: Hobart Avenue
Phone No.: (631) 219-9643
Bldg.Permit#. ---- -— ------- ; email:
Tax Map District: ~ 1000 Section: 65, Block: 1 Lot: 12'
BRIEF DESCRIPTION OF WORK(Please Print Clearly) '
CirclwAtt That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp7ce
ion: (All i , rmation required)
Size 1 Ph 3 Ph Size: require/
Meters Old eter#
New Se Reconnect- lood Reconnect-Servic- Reconnected- Undergro d - Overhead
# Undaterals 1 2 H Frame Pol Work done on Servic Y N
Add' conal Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
1