HomeMy WebLinkAbout45411-Z Fl , �p Town of Southold 12/8/2020
P.O.Box 1179
�' 53095 Main Rd
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�4A Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41662 Date: 12/8/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 375 Green Hill Ln., Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-2-47
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/4/2020 pursuant to which Building Permit No. 45411 dated 11/6/2020
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:
electric upgrade for existing swimming pool.
The certificate is issued to Modem Age Blders LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45411 11/6/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
ay 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#: 45411 Date: 11/6/2020
Permission is hereby granted to:
Modern Age Blders LLC
330 E 38th St#56G
New York, NY 10016
To: Upgrade electric to existing pool
-At premises located at:
375 Green Hill Ln., Greenport
SCTM #473889
Sec/Block/Lot# 33.-2-47
Pursuant to application dated 11/4/2020 and approved by the Building Inspector.
To expire on 5/8/2022.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Sean.devlinatown.Southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Modern Age Builders LLC
Address: 375 Green Hill Ln city Greenport st: NY zip: 11944
Budding Permit#: 45411 Section: 33 Block 2 Lot 47
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- Puccio Electric License No. 4806ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel 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 1
Disconnect Switches 4'LED Exit Fixtures Pump 1
Other Equipment. Pump on 220GFCI Breaker, Salt Generator, Fence is Bonded, Intermatic Panel
Notes " AS BUILT NO VISUAL DEFECTS " Pool
Inspector Signature: Date: November 6, 2020
p g
S.Devlin-Cert Electrical Compliance Form As
aJ ` 4ILDING ®ENAR'TMENT- Electrical Inspector
TOWN OF SOUTHOLD
22town
-
Hall Annex - 54375 Vain Road - PO Sox 1179
Southold, New York 11971-0959
7''e1 one (631) 765-1802 - FAX (631) 765-9502
outholdtownny aov w seandC southoldtownnv.gov
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name llg,�q® �.
Name: ��
License No.: email: Lag
Address:
Phone No.:
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BLOB SITE INFORMATION (All Information Required)
Name: �. 'V
Address: 15 ,� �•
Cross'Street:
Phone No.: M— 14%tob
t
Bldg.Permit#: remail: �®
Tax Map District: 1000 Section: _Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) �®
Circle All That Apply:
Is job ready for inspection?: E NO Rough In Final
Do you need a Temp Certificate?: YES ,0O Issued On
Temp, Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters _ Old deter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
#E Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
�1 �U NO
Request for Inspection porrinAs ��