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HomeMy WebLinkAbout45434-Z ��� �UEht►t�� Town of Southold 12/21/2020 Feea P.O.Box 1179 co � 53095 Main Rd p¢ 04 Southold,New York 11971 w 1 $ CERTIFICATE OF OCCUPANCY No: 41705 Date: 12/21/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 745 Golf View Ct., East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-132 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. 45434 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: 200a underground electric service. The certificate is issued to Benson,Dulcinea&DeCarlo,Frank of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45434 12/3/2020 PLUMBERS CERTIFICATION DATED A �-X�u—thorize6 ignature I z TOWN OF SOUTHOLD �gUffQlG , BUILDING DEPARTMENT C. a TOWN CLERK'S OFFICE "�� • � v' 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#: 45434 Date: 1-1/12/2020 Permission is hereby granted to: Benson, Dulcinea PO BOX 2022 Shelter Island, NY 11964 To: 200A electric underground service At premises located at: 745 Golf View Ct., East Marion { SCTM #473889 Sec/Block/Lot# 30.-2-132 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 4 Building Inspector ''{ Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 sean.devlin(a)-town.Southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Dulcinea Benson Address: 745 Golf View Ct city,East Marion st. NY zip 11939 Building Permit# 45434 Section 30 Block 2 Lot. 132 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 Service X Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Seance 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 Other Equipment: Notes New Service and Meterpan Inspector Signature: :1Date: December 3, 2020 S.Devlin-Cert Electrical Compliance Form.xls so Li 9 _7 V19AAI <�� # # TOWN OF SOUTHOLD BUILDING DEPT.' °�ycourm e�' 765-1802 -I NSPECTION- [ ] FOUNDATION 1 ST [ ] 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 �o�s�ft:otK�o BUILDING DEPARTMENT-Electrical Inspector CD x TOWN OF SOUTHOLD W_ o �► �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone(631)765-1802-FAX(631)765-9502 Temporary Certificate # g Date 11 — 191 -- 2020 Customer Name bu I ClYlea. Electrician Name WT. iG Address $ vim j0 y Phone !j1 5 ()Ipkb e-mail e-mail PA4300 DO • COM Phone5 Q Q License# la1D- jv1 E Size 2100 A Phase Overhead Underground X #of Meters Remarks #of Underground Lateralsl 1 2 New X "H" Frame or Pole 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 v rt' ation is vali 0 rorh the date a ve. Authorized by �O�OS3FF01,+-CO BUILDING DEPARTMENT- Electrical Inspector Gy TOWN OF SOUTHOLD y a Town Hall Annex - 54375 Main Road - PO Box 1179 o _ - Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cD_southoldtownny.gov - seand(aDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: / 2� Company Name: ,� e�41 6 Name: DcB�l License No.: q0 w-� email: Address: X( gwn-e' � Avg Phone No.: ,-1l. S8'5' OGGD JOB SITE INFORMATION (All Information Required Name: VA, C 1AJrp,- �r5vSa�J Address: 17 v G Cross Street: Phone No.: 8 Ole�O Bldg.Permit#: 14 L4 16 q 3 Tax Map District: 1000 Sec• on: J U 3 Block: Lot: f$ BRIEF DESCRIPTION OF WORK (Please Print Clearly), Circle All That Apply: Is job ready for inspection?: OYESNO Rough In Final Do you need a Temp Certificate?: Issued On �,� I1-12-010 Temp Information: (All information required) Service Size1 Ph 3 Ph Size: x+90 A # Meters�_ Old Meter# =Nev�Servic - Fire Reconnect- Flood Reconnect - Service Reconnected Underground Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: 4z 11�1 L PAYMENT DUE WITH APPLICATION NOV 1 0 2020 a "RF (yam ( ) X K V equest�, r, fnso �o n xls ,,rSuc0 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-_)southoldtownny.gov - seand(cD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: / ZD Company Name: Sr�5—' ��lG Name: prk License No.: 941-1q0 email: � 4-30&F-AlIZ29, Cp"-f- Address: 14e, C , Phone No.: fllf 98'5- dGwIO JOB SITE INFORMATION (All Information Require Name: t , C,/1t/f-P- gAt7so Address: ¢_ 5 .._- I/! � v _. Cross Street: Phone No.: Bldg.Permit Tax Map District: 1000 on: 1,03 =Block: . Lot: j$ BRIEF DESCRIPTION OF WORK (Please Print Clearly), Circle All That Apply: Is job ready for inspection?: &YE PNO Rough In Final Do you need a Temp Certificate?: Issued On kTemp Information: (All information required) Service SizeOlPh 3 Ph Size: cW A # Meters_� Old Meter# Servic Fire Reconnect- Flood Reconnect- Service ReconnectedrUnde"rgro�undOverhead derground Laterals 1 2 7HFTa7me) Pole Work done on Service? Y N Additional Information: D �+ PAYMENT DUE WITH APPLICATION N 0 V 1 0 2020 cb or -Nr DEQ _ E ? � 'xis �� PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW- Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini y Special: W t�I Comments A(Q,