HomeMy WebLinkAbout45157-Z Q�vat FOI,f-o� Town of Southold 12/2/2020
P.O.Box 1179
a 53095 Main Rd
�.�►ol �yO� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41648 Date: 12/2/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 55 Crown Land Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.-2-12.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/3/2020 pursuant to which Building Permit No. 45157 dated 9/3/2020
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:
200a electric service.
The certificate is issued to Gatewood,Kay
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45157 11/20/2020
PLUMBERS CERTIFICATION DATED
Authorized ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 45157 Date: 9/3/2020
Permission is hereby granted to:
Gatewood, Kay
c/o Charles Gilliland III
2043 Quail Creek Cv
Memphis, TN 38119
To: Electric service upgrade to 200A.
At premises located at:
55 Crown Land Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 109.-2-12.1
Pursuant to application dated 9/3/2020 and approved by the Building Inspector.
To expire on 3/5/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
s
Building Inspector
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Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sean.devlinCcD-town.southold.ny.us
Southold,NY 11971-0959
C®U
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Kay Gatewood
Address: 55 Crown Land Ln city-Cutchogue st: NY zip: 11935
Building Permit#: 45157 Section- 109 Block 2 Lot- 12.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: T Best Electric License No: 49446ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation X 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 Pump
Other Equipment 42 Circuit Panel - 24 Used
Notes New 200A Service
Inspector Signature: Date: November 20, 2020
- S.Devlin-Cert Electrical Compliance Form.xls
coG
y� BUILDING DEPARTMENT-Electrical Inspector
y s TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631) 765-1802-FAX(631)765-9502
Temporary Certificate # 15 Date0q- — 2020
Customer Name (_ j Electrician Name G
Address6 ('_u+r_hrAjP Phone
e-mail Cl r e-mail + iG
Phone — a_ License# £— (Q
Size 00 A Phase Overhead_XUnderground #of Meters
Remarks
#of Underground Lateralsi 1 2 New X
"H" Frame or Pole L
H P Fire Reconnect
Was work done on ServiceFlood 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 veriticat' is va id tra:ys from a date above.
Authorized by
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- DING DEPARTMENT-Electrical Inspector
Le�N,� AUS; 3 1 2020 TONIN OFSOUTHOLD
i ;;,�, s;My"�° t Town Hall Annex- 54375 Main Road - PO Box 1179
Southold,
New York 11971-0959M V3Ump G DE� r -1802 - FAX (631) 7
65-9502j l9p
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•�: t r - roclerr(c�southoldtownny.gov seandCa7southoldtownny.gov-
APPLICATION FOR ELECTRICAL INSPECTION `
ELECTRICIAN INFORMATION (All Information Required) Date: 08/26/2020
Company Name: T Best Electric Inc.
Name: Tom Best
License No.: ME-49446 email: tbestelectricinc@yahoo.com
Address:- 39 Newins Street Center Moriches, NY 11934
Phone No.: 631-833-1339
JOB SITE INFORMATION (All Information Required)
Name:_ AnthonyPortillo !
Address: 55 Crown Land_Lane Cutcho ue NY
Cross Street: Main Road
Phone No.:,--716.572.4741
Bldg.Permit'#: j email: aportillo@amparchitect.com
Tax Map_Distdct:._ 1000 Section: _ _ 109_ _ Block:-___-_ ___ 2 Lot: 12.1
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Upgrade existing service
Circle All That Apply:
Is job ready for inspection?: NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On -rr.M17_c7ffyd�2,d 2-0
t
Temp Information: (All information required)
Service Siz 1 Ph Ph Size: __ 200 _A #Meters 1 Old Meter#_ 1
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- UndergroundOverhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
-PAYMENT DUE-WITH APPLICATION
Request for Inspection Formals