HomeMy WebLinkAbout45381-Z Town of Southold 11/24/2020
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41632 Date: 11/24/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1055 Akerly Pond Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 69.-5-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/27/2020 pursuant to which Building Permit No. 45381 dated 10/27/2020
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 Cacioppo Living Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45381 10/30/2020
PLUMBERS CERTIFICATION DATED
Authorize Signature
o��g1IFFQi�co
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C* 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#: 45381 Date: 10/27/2020
Permission is hereby granted to:
Cacioppo Living Trust
PO BOX 249
New Suffolk, NY 11956
To: Electric service upgrade.
At premises located at:
1055 Akerly Pond Ln., Southold
SCTM #473889
Sec/Block/Lot# 69.-5-9
Pursuant to application dated 10/27/2020 and approved by the Building Inspector.
To expire on 4/28/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
o� soUjy®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q sean.devlinCcD-town.southold.n us
Southold,NY 11971-0959 y'
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Cacioppo Living Trust
Address: 1055 Akerly Pond Ln city Southold st: NY zip: 11971
Building Permit#. 45381 Section 69 Block 5 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Corazinni Electric License No: 33419ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 42 Circuit Panel
Notes: Upgrade to 200A Service
Inspector Signature: _5 .,,,, Date: October 30, 2020
S.Devhn-Cert Electrical Compliance Form As
OF 50(/TyO6 9 -5 -,?It f I
* # TOWN OF SOUTHOLD BUILDING DEOT.
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 [ ] PRE C/O
REMARKS:
DATE INSPECTOR
D
.. -� 2024 BUILDING DEPARTMENT-Electrical Inspector
� Y �� �j2
' ,d TOWN OF SOUTHOLD
t _• Civ Hall Annex- 54375 Main Road - PO Box 1179
fq�y` •(y}q0�' Southold, New York 11971-0959
N Telephone (631) 765-1802 - FAX (631) 765-9502
---g rr @southoldtownny.gov
seand(c�southoldtownny.gov.
APPLICATION FOR ELECTRICAL INSPECTION,
ELECTRICIAN VINFORMATION (All Information Required) Date: 10-23-2020 a
Company Name: Corazzini_Electric_ ,
Name: Bob Corazzini
License No.: email: ric72 o tonline.net
- - - - ---- -- -
Address: Cutchogue, NY
Phone No.: 631-734-2662
JOB SITE INFORMATION (All Information Required)
Name:_. Nancy Dwyer_ - - - -- —
Address: 1055 Ackerly Pond Lane, Southold
Cross Street: Main Road
Phone No.: 631-739-4617 Y
Bldg.Permit#:- L�rj`�� email: dwyerdesigns.inc@yahoo.com
Tax Map_District:_ -_-1000_ Section:.69� Block- -5 - Lot:�9_
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Upgrade electrical service
in existing, older residence
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final/
Do you need a Temp Certificate?: YES NO 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 a
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:-.
.PAYMENT_DUEWTH APPLICATION,
Request for Inspection Forrn,xis �
BUILDING DEPARTMENT-Electrical inspector
TOWN OF SOUTHOLD
1)VYT%_)V Hall Annex- 54375 Main Road- PO Box 1179
Southold, New York 11971-0959
-.1—;...... Telephone (631) 765-1802 - FAX (631) 765-9502
,-rogerrO-southoldtown%. -m-seand&sou 1paldLownny.gov,
-
FOR ELECTRICAL INSPECTII
ELECTRICIAN INFORMATION (All Information Required) DatG4 10-23-2020
Company Name: C - -----
Name: —Bob &azzini
License No.: email:
rjc72a-o9to n line.net
Address: Cutchog NY
Phone No.: 631-734-2662
-41
JOB SITE INFORMATION (All information Required)
Name:-,- Nqpj�qy Dwyer
Address: [hold
Cross Street: Main Road
Phone Na.: 631-739-4617
BIdg.Permit#:
email: derdesigns.iL�@yahoo.com ff
__TaxMe Districts 10QA Section:_-
Block:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) Upqrade electrical service
in existing, older residence
Circle All That Apply:
Is job ready for inspection?: NO Rough In Finalv
A
Do you need a Temp Certificate?: YES Issued On,
Temp Infoematlow. (All informatio'n,-required)
Service Size I Ph 3 Ph Size:
#M6t6rs---- -----. .Old Mdter#,
I'New Service- Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead
L! Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Ifi f 0r m_6t 16-
�YM E IS�[ :A PP-L LW I IJU N,
Request for Inspection FormAs
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"Ji
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW_ Service 6!�)Q
A--
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special: ( l
V(re 04
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