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HomeMy WebLinkAbout45192-Z ell, Town of Southold 12/21/2020 P.O.Box 1179 a W 53095 Main Rd toyo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41706 Date: 12/21/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 966 Youngs Rd., Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/11/2020 pursuant to which Building Permit No. 45192 dated 9/11/2020 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 underground electric service. The certificate is issued to Caufield,Christopher&Parowczenko,Christ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45192 12/3/2020 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD 0 Milt BUILDING DEPARTMENT y� TOWN CLERK'S OFFICE y $ ' SOUTHOLD, NY .rp • o�� 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#: 45192 Date: 9/11/2020 Permission is hereby granted to: Caufield, Christopher 24260 Main Rd Orient, NY 11957 To: Electric 200A underground service At premises located at: 966 Youngs Rd., Orient SCTM #473889 Sec/Block/Lot# 18.-2-15 Pursuant to application dated 9/11/2020 and approved by the Building Inspector. To expire on 3/13/2022. Fees: ELECTRIC $120.00 Total: $120.00 1 Building spector pF SO(/py®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179Q sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 r'S ® �® BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Christopher Caufield Address: 966 Youngs Rd city,Orient st: NY zip: 11957 Building Permit#: 45192 Section: 18 Block 2 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BJ Electric License No: 2670ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 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 El Other Equipment* 200A Whole House Transfer Switch and New Meterpan Notes, Service Inspector Signature: Date: December 3, 2020 S.Devlin-Cert Electrical Compliance Form.xls ho�apF SOUTyOlo L4-919 E--- TOWN TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ '] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ "] INSULATIOWCAULKING [ ] 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 At Fat OGy� BUILDING DEPARTMENT-Electrical Inspector o 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 # 8 1 Date l 2020 Customer Name ' a Ulte/ Electrician Name Address q66 ya,uN Phone _1b 665 ,066n e-mail e-mail Lo Phone License# Size��A Phase Overhead Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood 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 verification is v for trom a date above. Authorized by �FOl BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOL ~ ex - 54375 Main Ro - ox �9 Town Hall Ann D Southold, New York 11971 59 1 O Telephone (631) 765-1802 - FAX (6 1) AP9 .1 2 20 1 ' roger.rich ert(a-)-town.southoId.ny.us wrLDING DEPT. APPLICATION FOR ELECTRICAL INSPECTION v ` REQUESTED-BY: -- Date: - Company Name: ( /L!G -3t Name: zfrt/ License No.: �`lP 70 fyI E' email: /Zv Address: Phone No.: JOB. SITE INFORMATION: (All Information Required) Name: rr�F�`�L� 1�2� ©1�J - -.Address: - - -- � _ Cross Street: /L� a,5 � L Phone. No.: 1-M ONS �o BIdg.Permit�#: email: Tax Map District: 1000 Section: BRIEF DESCRIPTION OF WORK (Please Print Clearly) 2619 Circle All That Apply: Is job ready for inspection?: gES SPNO Rough In Final Do you need a Temp Certificate?: Issued On ema;l,Q. 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 # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION v\ ' Request for Inspection Formals �} PERMIT# Address: Switches Outlets GFI's Surface Sconces HH's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW _ . Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: Comments L9 j6A FFatBUILDING DEPARTMENT- Electrical Inspector �q K� TOWN OF SOUTHOR159 (�-� 3 V[E ti Town Hall Annex - 54375 Main Ro ox� 9 DD `D X Southold, New York 119 � Telephone (631) 765-1802 - FAX (631) 75� P95�09 2020 1 roger.richert(a)-town.southold.ny.us BUTL'InnaG DFPT. APPLICATION FOR ELECTRICAL INSPECTIOI`P 7T' ' � �'c.Tr�� C�.D REQUESTED BY: - Date: = �p Company Name: Name: License No.: email: W, Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: Address: Cross Street: ;2:-r a 00z- _,_2 Phone No.: 7' Alamo 7" Bldg.Permit#: email: lo# 30g) ( Tax Map District: 1000 Section: oLG BRIEF DESCRIPTION OF WORK (Please Print Clearly) "7"—b lie Circle All That Apply: Is job ready for inspection?: YES O Rough In Final Do you need a Temp Certificate?: ES / NO Issued On �- 010 Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: 00 A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.As "\ 1011