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HomeMy WebLinkAbout45450-Z 4R/r& Town of Southold 12/8/2020 0 P.O.Box 1179 53095 Main Rd a4,1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41672 Date: 12/8/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2670 Stillwater Ave., Cutchogue SCTM#: 473889 Sec/Block/Lot: 136.-2-17.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/16/2020 pursuant to which Building Permit No. 45450 dated 11/16/2020 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 meter pan. The certificate is issued to Shearin,Jon of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45450 12/4/2020 PLUMBERS CERTIFICATION DATED th riz d ignature �Suffot,��oTOWN OF SOUTHOLD ��o aye BUILDING DEPARTMENT 5 x TOWN CLERK'S OFFICE o • � � 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#: 45450 Date: 11/16/2020 Permission is hereby granted to: Shearin, Jon 300 Holden Avenue Ext Cutchogue, NY 11935 To: Electric meter pan. At premises located at: 2670 Stillwater Ave., Cutchogue SCTM # 473889 Sec/Block/Lot# 136.-2-17.1 Pursuant to application dated 11/16/2020 and approved by the Building Inspector. To expire on 5/18/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector oF sovjy®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® sean.devlin@town.southold.ny.us Southold,NY 11971-0959 c®U01 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Jon Shearin Address: 2670 Stillwater Ave city Cutchogue st: NY zip: 11935 Building Permit#. 45450 section: 136 Block 2 Lot- 17.1 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 X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures 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 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 " Meterpan Inspector Signature:. Date: December 4, 2020 S.Devlin-Cert Electrical Compliance Form As -70 �o��OF SOGIyo� 1-1 5 l S�O 2,A� TOWN OF SOUTHOLD BUILDING DEPT. �`ycournv '' 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] 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 '� 14- IBUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 1 3 2020 Town Hall Annex - 54375 Main Road - PO Box 1179 ov r,ft N, - Southold, New York 11971-0959 ,Telephone (631) 765-1802 - FAX (631) 765-9502 ro0err(cD -southoldtownny.gov - seandP-southoldtownnV.qo APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: 1 Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: aorJ G . SP614P11V Address: 617o ;�Stuv-t-E-A "(5 e-Log4oG uc7 14 1 Cross Street: TRU9 &VC- Phone No.: 631- qq L-?!5 3 F Bldg.Permit#: 4 5146© email: 1 Tax Map District: 1000 Section: Block: L Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) +W!5--r&�oN OF � &Vjcr_' M6T-?_--yL- Lflnj Circle All That Apply: Is job ready for inspection?* 01 NO Rough In Final Do you need a Temp Certificate?: YES /(9 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 J# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: �O&J TNZsKt PEREVAIV 80 A 9Lvf-0(1N)G iNfPcMplO 'FOK FR(E-ews7-6c, C of-0 ftV cS EO -r Ndo 6;be= nfu_ VS26-c-D M/ O'c-, PAYMENT DUE WITH APPLICATION AV� CP '4bA Request for Inspection Formals