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Home My WebLink About45623-Z O115 E (p'c Town of Southold 1/23/2021 g .{ P.O.Box 1179 co o _ F 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41766 Date: 1/23/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 3215 W Creek Ave., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/29/2020 pursuant to which Building Permit No. 45623 dated 12/29/2020 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: 150a overhead electric service. The certificate is issued to Dickson,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45623 1/7/2021 PLUMBERS CERTIFICATION DATED Authorized Signature SUFFoc�.� TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE "oy • SOUTHOLD, NY dol � Sao s 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#: 45623 Date: 12/29/2020 Permission is hereby granted to: Dickson, Michael 226-26 Union Tpke 5D Oakland Gardens, NY 11354 To: 150A overhead electric service. At premises located at: 3215 W Creek Ave., Cutchogue SCTM #473889 Sec/Block/Lot# 110.-5-10 Pursuant to application dated 12/29/2020 and approved by the Building Inspector. To expire on 6/30/2022. Fees: ELECTRIC $85.00 Total: $85.00 0 ! - Building Inspector oF so vey®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlinCc� own.sou tthold.n us Southold,NY 11971-0959 Y ®l�COWN BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Dickson Address: 3215 W Creek Ave city Cutchogue st: NY zip: 11935 Building Permit#: 45623 Section: 110 Block: 5 Lot 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: KV Electric License No: 55844ME 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 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 150A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: Notes. New Service Inspector Signature: Ste`- Date: January 7, 2021 S Devlin-Cert Electrical Compliance Form As AILiiiiAMiiiiAINiiiiedM X- A— ------®------------®®— ?_� BUILDING DEPARTMENT-Electrical Inspector C= x TOWN OF SOUTHOLD 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 # OV? Date / 2020 Customer Name Mlfie& 5?.�N Electrician Name 141 r z AddressPhone r e-mail Phone — License# S& , Size 1,57 A Phase Overhead >4 Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Polel 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 valid for 90 days trom the date above. Authorized by �.�� ho�alaf SOUTyo6 2-1 # # TOWN OF SOUTHOLD BUILDING DEPT. `�coutm N�' 765-1802 -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: DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector Z 9 2020 TOWN OF SOUTHOLD d Town Hall Annex - 54375 Main Road - PO Box 1179 �� Southold, New York 11971-0959 �Olfelephone (631) 765-1802 - FAX (631) 765-9502 rogerr�southoldtownny. ov- seandCc southoldtownny.ctov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: f 2 - 2-a—z o Company Name: 14 U C-LZ-�C'Ti21 C T-jA C Name: jo, �-?Ii License No.: ,�5,�`� �( email: (U66CT/Zl C 1/l C rOo, Address: ✓e' - kkm)r+ 6 Phone No.: JOB SITE INFORMATION (All Information Required) Name: ;,<r L?; dt) Address: J Z l,' Wedf- C,1 ce%i /4 C/o!!�- Cross Street: '� V F,S-� E ----bl(.l() o)rT a-Ao Phone No.: t(- - ig � 3 7/ Bldg.Permit#: email: Tax Map District: 1000 Section: Ito Block: Lot: / BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for ins ection?: S ! NO Rough In Final Do you need Temp Certificate?: YES NO Issued On eia)Lwi Temp Information: (All information required) Service Size1 Ph 3 Ph Size: ,L) 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 FormAs CV