HomeMy WebLinkAbout40254-Z SgfFOLir G , Town of Southold 1/7/2021
P.O.Box 1179
o ' 53095 Main Rd
4,o o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41729 Date: 1/7/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3245 Beebe Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-9-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/10/2015 pursuant to which Building Permit No. 40254 dated 11/10/2015
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 electrical service.
The certificate is issued to Charters,Brittany&Ruthinoski,Carl
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40254 12/22/2020
PLUMBERS CERTIFICATION DATED
1'
Authorized 1-6ature
SSUTOWN OF SOUTHOLD
�cqn
n BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy • 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#: 40254 Date: 11/10/2015
Permission is hereby granted to:
Charters, Brittany
3245 Beebe Dr
Cutchogue, NY 11935
To: 200a underground electrical service.
At premises located at:
3245 Beebe Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-9-4
Pursuant to application dated 11/10/2015 and approved by the Building Inspector.
To expire on 5/11/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
AV so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road sp Fax(631)765-9502
P.O.Box 1179
sean.deviina-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Brittany Charters
Address: 3245 Beebe Dr city:Cutchogue st: NY zip: 11935
Building Permit* 40254 Section: 103 Block 9 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Modern Electric East License No: 4253ME
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 Ceiling 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 100A A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transfer Switch X UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment.
Notes, " AS BUILT NO VISUAL DEFECTS " Service
Inspector Signature: Date: December 22, 2020
S.Devlin-Cert Electrical Compliance Form As
OE SOUTyOlo
# # TOWN OF SOUTHOLD BUILDING DEPT.
co765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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: y V-A V
f I1f&L J�,L L&-O !Com:--1) SAcna A/ " O
DATE INSPECTOR ,
Town Hail Annex , , Telephone(6311))7865-11802
54375 Main Road rm ,�,_ax(631)7uin [G
P.O.Box 1179 er riche oWn.so 0nv us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD �
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: -C K o to Scc t Date:
Company Name: o v C c .
Name: ( —i t<o Ltr:s ff=L '
License No.: LI-pS 3 — f=
Address: 3o x 01 9
Phone No.: 17
JOBSITE INFORMATION: (*Indicates required information)
*Name:
�.. �(Ek f'N a s K-r �- e) ,�5
"'Address:
*Cross Street: t A.) 1 S 0 04
*Phone No.: _ &1( - 90 3 ^ / 3 6
Permit No.. -
Tax-Map District: 1000 Section: t] Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle Ail That Apply)
*Is job ready for inspection: NO Rough In Final
*Do-you need a Temp Certificate: � NO
Ternp Information(If.needed)
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other
*New Service: Re-connect 411jderground Number of Meters Change of Service Overhead
Additional Information:/ PAYMENT DUE WITH APPLICATION
c, L! s
B24Requed for lnsp