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Home My WebLink About45317-Z �O UFFOI, c®G Town of Southold 12/14/2020 3 y� P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41685 Date: 12/14/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 140 Mechanic St, Southold SCTM#: 473889 Sec/Block/Lot: 61.4-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/9/2020 pursuant to which Building Permit No. 45317 dated 10/9/2020 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 survey for PSEG to reconnect service. The certificate is issued to Evans,Olive of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45317 12/14/2020 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y x 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#: 45317 Date: 10/9/2020 Permission is hereby granted to: Evans, Olive 2 Tudor City PI New York, NY 10017 To: Electric survey for PSEG to reconnect service At premises located at: 140 Mechanic St, Southold SCTM # 473889 Sec/Block/Lot# 61.-4-34 Pursuant to application dated 10/9/2020 and approved by the Building Inspector. To expire on 4/10/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector ®��OF SOV��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Sean.devlin(a)-town.Southold.ny.us Southold,NY 11971-0959 Cow BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Olive Evans Address: 140 Mechanics St city Southold st: NY zip: 11971 Building Permit#: 45317 Section. 61 Block 4 Lot: 34 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA- Goodale Electric License No: 783ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Surrey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment. Notes- AS BUILT NO VISUAL DEFECTS " Good To Reenergize Service Inspector Signature: Date: December 14, 2020 S.Devlin-Cert Electrical Compliance Form.xls \ t Y , ,•j • ... 5 _ „ �_, i F �.*T,r x i�$ of A k 1 1 i 3;r ...ek4;'IC;'G12tr>-Zt:♦ .'N x -rA`ti.^F'v a•jt'.y+;�„, - G BUILDING DEPARTMENT-Electrical Inspector Ce TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 X41 `A'�4 Telephone(631)765-1802-FAX(631)765-9502 Temporary Certificate# Date 2020 Customer Name Electrician-Name Address Phone e-mail e-mail Phone 4,0 License# Size_,LO-o A Phase Overhead =Underground #of Meters Remarks #of Underground Laterals 1 2 New "H” Frame or Pole Hf P Fire Reconnect Was work done on Service? Y/N I Flood Reconnect Old Meter#F Service Reconnected Application for electrical service equipment is on file with the town of Southold:On the applicant's notification that this in tallation is complete,the town will conduct a premises inspection of the service equipment. This verificationis va' 0 days tronnth .date above. Authorized by V pF SOUIyOlo ✓ 1 ® Al # TOWN OF OUTHOLD BUILDgG DEPT. co � 765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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 �' 0 INSPECTOR LL Sow - 9 irk BUILDING DEPARTMENT-Electrical Inspe 2020 TOWN OF SOUTHOLD T-4 ' T Town Hall Annex- 54375 Main Road - PO B6x T D-T 17 Southold, New York 11971-099 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(5�southoldtownny-goy- sea nd cZD-southoldtownny.q APPLICATION FOR ELECTRICAL INSPECTION FORMATION (All information Required) ELECTRICIAN IN Date.. 1p-IF- � Company e-IF- Company Name: (�W&0ZCCZ42—�l 22 , Name: License No. email: tf A, -.--2E3/ E Address: P0Alw- Phone No.: -o JOB SITE INFORMATION (All Information Required) Name: 4y—/; Address: ST Cross Street: Phone No.. Bldg.Permit#: email: I—Tax-Map District:._ 10 0 Sectiow, Block: Lot,-- BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: ?. f /V-A"f Ife-ebel" A—� 7 i Is job ready for inspection. . YES / NO Rough In Final Do you need a Temp Certificate?: E / NO Issued On Temp Information: (All information required) Service Siz�P11P��h)3 Ph Size: -J�A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect i� �,Wconnectee Underground - erhead a X)e -# Underground Laterals 1 2 H Framd'9 0 Pole Work Zork Zone on Service? Y Additional Informatiort' b4�At ,PAYMENT DUE WITH APPLICATION Request for Inspection Formals