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,