HomeMy WebLinkAbout45921-Z FF04 Town of Southold 3/27/2021
a ;4 P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41911 Date: 3/27/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50 Jackson St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 116.-6-24.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/12/2021 pursuant to which Building Permit No. 45921 dated 3/12/2021
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:
charge point for electric vehicle.
The certificate is issued to Kimogenor Pt Co
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�gUFFD(,�coG BUILDING DEPARTMENT
y g 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#: 45921 Date: 3/12/2021
Permission is hereby granted to:
Kimogenor Pt Co
Attn: Nancy Akeson
PO BOX 8020
Garden City, NY 11530
To: charge point install for electric vehicle.
At premises located at:
50 Jackson St, New Suffolk
SCTM # 473889
Sec/Block/Lot# 116.-6-24.1
Pursuant to application dated 3/12/2021 and approved by the Building Inspector.
To expire on 9/11/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
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Buil g Inspector
pE SO�P�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �► • �O@ sean.devlinCa�town.southold.ny.us
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kimogenor Pt Co
Address: 50 Jackson St city,New Suffolk st: NY zip. 11956
Building Permit* 45921 Section. 116 Block: 6 Lot: 24.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Wright electric Corp License No- 43457ME
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
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 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 Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 250 Breaker, Car Charger
Notes* Car Charger
Inspector Signature: Date: March 17, 2021
S Devlin-Cert Electrical Compliance Form As
of souryO� ����� C��� l^l �l��'�//lM�'(�—�®►��1/'�
# # TOWN OF SOUTHOLD BUILDING DEPT.
°�ycon ' 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] 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:
/ylf �
DATE �i� INSPECTOR ���
BUILDING DEPARTMENT;- Electrical Inspector
TOWN OF SOUTHOLD
® .c Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9w50ov
rogerr b—southoldtownny cioy — seandCa7southoldtoyg
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:All Wright Electric Corp
Name:
License No.: 43457-ME email: sara@allwrighteelctdc.com
Phone No: 631-3533911 ❑1 request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (Al Information Required)
Name: k b6o& Arc-1-e✓
Address: is55 16 r- o f Pa,,k 126Pew & of it
Cross Street:
Phone No.: 631-3533911
Bldg.Permit#: 6'�7 email: sara@allwrighteelctric.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: ❑✓ YES ❑NO ❑Rough In ❑✓ Final
Do you need a Temp Certificate?: [DYES ❑✓ NO Issued On
Temp Information: (Alf information required)
Service Size F11 Ph F-13 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑1 02 ❑H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information: Please schedule final inspection, check sent 313. Thank you, Sara
Please schedule final inspection, check sent 3/3 Thank you, Sara
Please schedule final inspection, check sent 313. Thank you, Sara
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx