HomeMy WebLinkAbout45658-Z Town of Southold 1/31/2021
P.O.Box 1179
�- 53095 Main Rd
S S%N- Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41808 Date: 1/31/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50 Goose Creek Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 71.4-41
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/6/2021 pursuant to which Building Permit No. 45658 dated 1/8/2021
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:
"as built"electric to an existing accessoryag rage•
The certificate is issued to 50 GCLPP LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45658 1/ 9/2021
PLUMBERS CERTIFICATION DATED I M N
th riz d ignature
S
Off at TOWN OF SOUTHOLD
wi �aa� cony, BUILDING DEPARTMENT
'rl TOWN CLERK'S OFFICE
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#: 45658 Date: 1/8/2021
Permission is hereby granted to:
50 GCLPP LLC
C/O Dean Burke
1910 Plymouth Rd
Wantagh, NY 11793
To: as bit" electric in an existing accessory garage.
At premises located at:
50 Goose Creek Ln,-Southold
SCTM # 473889
Sec/Block/Lot# 71.-1-41
Pursuant to application dated 1/6/2021 and approved by the Building Inspector.
To expire on 7/10/2022.
Fees:
ELECTRIC $180.00
Total: $180.00
�D
uilding Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Sean.devlinCcD-town.Southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 50 GCLPP LLC
Address: 50 Goose Creek Ln city:Southold st: NY zip: 11971
Budding Permit#: 45658 section: 71 Block 1 Lot. 41
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceding Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel 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 3 4'LED Exit Fixtures Pump
Other Equipment:
Notes " AS BUILT NO VISUAL DEFECTS " Garage
Inspector Signature: Date: January 29, 2021
S Devlin-Cert Electrical Compliance Form As
✓ o��OF SOUThp �56 9 6 S-0
# # TOWN OF SOUTHOLD-BUILDING DEPT.
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) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: _p( r C�o ri�9'
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DATE //" 112.4INSPECTOR `�'
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� BUILDING DEPARTMENT- Electrical Inspector"'";=
F TOWN OF SOUTHOLD,
Town Hall Annex - 54375 Main Road- PO Box 1179
Southold, New York 11971=0959 JAN - S 2021
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerra-southoldtownny.gov - sea nd(aD-southoldtownriy.aouJ
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:Christian E. Burke Jr/ 50 GCLPP LLC
License No.: email: burke7195@aol.com
Phone No: 845-527-6539 ❑I request an email copy of Certificate of Compliance
Address.: 50 Goose Creek Lane
JOB SITE INFORMATION (All Information Required)
Name: Christian E. Burke Jr/ 50 GCLPP LLC
Address: 50 Goose Creek Lane
Cross Street: North Bayview Road
Phone No.: 845-527-6539
Bldg.Permit#: °5(g7 ati email: burke7195@aol.com
Tax Map District: 1000 Section: Block: Lot:
BRIEFDESCRIPTION OF WORK (Please Print Clearly) 6egn al lnspemano pre enstmg deaJed garageazregees ed Ey6 ldmg mspeam John Ja sa
Electrical Inspection of pre existing detached garage as requested by building inspector John Jarski
Electrical Inspection of pre existing detached garage as requested by building inspector John Jarski
Check All That Apply:
Is job ready for inspection?: ❑✓ YES ONO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑✓ YES [:]NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A #Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground []Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
PERMIT# Address:
Switches
Outlets
G FI'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
Special:
Comments
ri 1
BUILDING DEPARTMENT- Electri-callnsp�gctor
TOWN OF SOUTHOLD ��',�'
.
Town Hall Annex- 54375 Main Road. PO Box 1179 '
Southold, New York 11911-0959 ,IAN. _ 6 2021 ~T
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a)southoldtownny.gov - sea n d @south oldtown ny, LciV9 r S
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) , Date:
Company Name:
Name:Christian E. Burke Jr/ 50 GCLPP LLC
License No.: email: burke7195@aol.com
Phone No: 845-527-6539 01 request an email copy of Certificate of Compliance
Address.: 50 Goose Creek Lane -
JOB SITE INFORMATION (All Information Required)
Name: Christian .E. Burke Jr/ 50 GCLPP LLC
Address: 50 Goose Creek Lane
Cross Street: North Bayview Road
Phone No.: 845-527-6539
BIdg.Permit#: email: burke7195@aol.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) E'—"°°Pe hptl.1 pre°•.,° �9-9..5reg—°hy G°°ding-p—John JamM
Electrical Inspection of pre existing detached garage as requested by building inspector John Jarski
Electrical Inspection of pre existing detached garage as requested by building inspector John Jarski
Check All That Apply:
Is job ready for inspection?: EYES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: DYES ❑NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground []Overhead
# Underground Laterals ❑1 ❑2 ❑H,Frame,❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.x1sx
1
f
January 4, 2021
Town of Southold Building Department
54375 Route 25
Southold, NY 11971
Dear Building Department:
Please find the paperwork for a building permit for windows that were put in as well as electrical
inspection for pre-existing garage and pre-existing home at 50 Goose Creek Lane. I have attached the
receipt from the work that was completed by Unified Windows.
I have included a check for$810.00 broken down as follows:
$180 for electrical inspection for garage.
$180 for electrical inspection for house.
$400 for window permit.
$50 for CO.
Also please note I spoke with Connie and she was most helpful in helping guide me through this process.
Please let me know if I need to do anything else in order to proceed with the inspections and work
towards the CO.
Rega
rds,
Burke,Jr. 3 Raymond Lane
845-527-65'39 r New Paltz, NY 12561
Burke7195@aol.com
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