HomeMy WebLinkAbout45435-Z OUEFOI,�-cpG Town of Southold 12/21/2020
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41704 Date: 12/21/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 645 Wampum Way, Southold
SCTM#: 473889 Sec/Block/Lot: 87.-242.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/12/2020 pursuant to which Building Permit No. 45435 dated 11/12/2020
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:
100a electric underground service.
The certificate is issued to Nunnakoma Waters Assn Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45435 12/14/2020
PLUMBERS CERTIFICATION DATED
Auffterized Signa re
v;,,c�c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x ' TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
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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 #: 45435 Date: 11/12/2020
Permission is hereby granted to:
Nunnakoma Waters Assn Inc
c/o Michael Flood
222 Fernwood Ter
Stewart Manor, NY 11530
To: 100A electric underground service
At premises located at:
645 Wampum Way, Southold
SCTM #473889
Sec/Block/Lot# 87.-2-42.3
Pursuant to application dated 11/12/2020 and approved by the Building Inspector.
To expire on 5/14/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin((D-town.southold.ny.us
Southold,NY 11971-0959
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Nunnakoma Waters Assn Inc
Address: 645 Wampum Way city:Southold st: NY zip: 11971
Building Permit#: 45435 Section- 87 Block: 2 Lot. 42.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Owl Electric License No: 60853ME
SITE DETAILS
Office Use Only
Residential Indoor Basement 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 Dupled 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 Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: Outdoor Service
Inspector Signature: �v~ Date: December 14, 2020
S.Devlin-Cert Electrical Compliance Form.xls
L4
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-
# TOWN OF SOUTHOLD BUILDING PT.
co 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) YELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE �l INSPECTOR
gVfFBI&
® c®G� BUILDING DEPARTMENT-Electrical Inspector
® =� TOWN OF SOUTHOLD
o Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
4,j ®� Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate # Date II ` l 02 2020
Customer Name NU -�� Electrician Name
Address �4tJ Q b�d go 3- 450
e-mail e-mail �L+J l ,C6
Phone License# G Q U5 j
Size IDD _A Phase Overhead Underground Xr #of Meters .1.
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N 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 veri ' tion is valid t0 day trom the date above.
Authorized by �ic—
VD,
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BUILDING DEPARTMENT-Electrical Inspector
�V CIS NOV - 9 2020
.�°`� TOWN OF SOUTHOLD
Hall Annex- 54375 Main Road - PO Box 1179
j' W„90,
Southold New York 11971-0959
.C", Telephone 631 765-1802 - FAX 631 765-9502
} rooerr ED-southoldtownny.00v- seandc@,southoldtownny.gov
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: j q
Company Name:
Name: l r�--
License No.: Kip email: ` �-(,�c-
Address: c
to -
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name:
Address: ( 4 5 Wampum Wow
Cross Street: 0- CU" �p � l
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: `� Block: �L Lot: Ci
BRIEF DESCRIPTION OF WORK (Please Print Clearly) �
Circle All That Apply:
Is job ready for inspection?: YES /0 Rough In Final
Do you needa Temp Certificate?: NO
Issued On CyYtaLw
Temp Information: (AI information required)
/Service Size 0 3 Ph Size: VD-C) A #Meters �— Old Meter#
ew Sery ce - Fire Reconnect- Flood Reconnect- Service Reconnected - ndergrou -Overhead
#Underground Laterals 2 Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals ya r
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