HomeMy WebLinkAbout44613-Z Og�FfOl Town of Southold 3/28/2021
a P.O.Box 1179
o _ 53095 Main Rd
y,j �oo� Southold,New York 11971
s
CERTIFICATE OF OCCUPANCY
No: 41939 Date: 3/28/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 475 Youngs Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 61.4-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/22/2020 pursuant to which Building Permit No. 44613 dated 1/22/2020
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:
underground electric service.
The certificate is issued to Horton Charles House LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44613 3/22/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
FRI TOWN OF SOUTHOLD
Gym BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
"o • SOUTHOLD, NY
y�ol �
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#: 44613 Date: 1/22/2020
Permission is hereby granted to:
Horton Charles House LLC
7160 Horton's Ln
Southold, NY 11971
To: Underground electric service
At premises located at:
475 Youngs Ave, Southold
SCTM #473889
Sec/Block/Lot# 61.-4-28
Pursuant to application dated 1/22/2020 and approved by the Building Inspector.
To expire on 7/23/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
4 —
Buil Inspector
OF SOU��®�
Town Hall Annex ~ B Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ® �� roger.riche rtlu'�town.south old.ny.us
COW T`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To, Horton Charles House LLC (Nicholas Planamento)
Address: 475 Youngs Ave City: Southold St: New York Zip- 11971
Budding Permit# 44613 Section: 61 Block. 4 Lot: 28
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: East County Electric License No: 1005-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 4 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment Service change, overhead to underground only, using existing meter pans and
main panels.
Notes: 3-100a panels with disconnects, 1-200a panel with disconect
Inspector Signature: 2e4 ML Date: March 22 2021
81-Cert Electrical Compliance Form As
pF SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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:
DATE INSPECTOR ��
g11FEQL��, BUILDING DEPARTMENT Electrical Inspector
�O TOWN OF SOUTHOLD
c�
Town Hall Annex- 54375 Main Road - 0,0_Box 1179=-
o + Southold, New York 11971-0959-.
Telephone (631) 765-1802 - FAX (631 165-999p9 2 2 2020
roger.richertCa-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
EQUESTED-BY: - - -- - - - - -Date: / oXOD -
ainpany Name: ^�`Q Cou 11 l
ame: hriz-
icense No.: /aCs�i� email: �r uc- CSS �' �� v��� v C_c,,riz
ddress: 43c'`e' 6( er.Vn Ml• s6u-mc3ld �J � I'l'7-)
hone-No.: 6:)3 l 76' 7' '�I DI`T
OB SITE INFORMATION: (All I formation Required)
acne: IC-�cn`PS ,p i i� i�eMT
ddress: 41-7 5 Yp un 4 -19 VE SpuT-40 �.
:rocs Street:
hone No.:
,ldg.Permit#: email:
'ax Map District: 1000 Section: Block: Lot:
RIEF DESCRIPTION OF WORK (Please Print Clearly)
.ircle All That Apply:
job ready for inspection?: YJE
NO Rough In Final
bo you need a Temp Certificate?: NO Issued On
'emp Information: (All information required)
ervice Size 1 P 3 Ph Size:t-300 ug gr # Meters _ Old Meter#
leve 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
ac,
Request for Inspection FormAs