HomeMy WebLinkAbout46279-Z 0-227L�,
�o�ogllEFOt,� Town of Southold 6/6/2021
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P.O.Box 1179
53095 Main Rd
4 ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42072 Date: 6/6/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1070 Boisseau Ave, Southold
SCTM#: 473889 See/Block/Lot: 63.-3-1.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/20/2021 pursuant to which Building Permit No. 46279 dated 5/20/2021
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:
200a underground electric service.
The certificate is issued to 1070 Boisseau Ave LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46279 5/28/2021
PLUMBERS CERTIFICATION DATED
Authorize ignature
BUILDING DEPARTMENT
C, TOWN CLERK'S OFFICE
y • SOUTHOLD, NY
dol � dao
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#: 46279 Date: 5/20/2021
Permission is hereby granted to:
1070 Boisseau Ave LLC
2412 National Dr
Brooklyn, NY 11234
To: 200A underground electric service.
At premises located at:
1070 Boisseau Ave., Southold
SCTM #473889
Sec/Block/Lot# 63.-3-1.1
Pursuant to application dated 5/20/2021 and approved by the Building Inspector.
To expire on 11/19/2022.
Fees:
ELECTRIC $125.00
Total: $125.00
it rng Inspector
SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(a)-town.southold.ny.us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 1070 Boisseau Ave LLC
Address: 1070 Boisseau Ave city:Southold st: NY zip: 11971
Building Permit#: 46279 section: 63 Block: 3 Lot: 1.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: James Dougherty Electric License No: 33397ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 2 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Well Pump 1
Other Equipment, 30 Circuit Panel- 4 Used
Notes. New Outdoor 200A Service
Inspector Signature: Date: May 28, 2021
S Devlin-Cert Electrical Compliance Form.xls
pf SOUTyO
# TOWN OF SOUTHOLD BUILDING DEPT.
°�yro„Mv� 765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
['
-]- FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING-/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]
FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION _[ ] PRE C/O
,REMARKS: �/�
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DATE INSPECTOR
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Gy�c BUILDING DEPARTMENT-Electrical Inspector
C, x TOWN OF SOUTHOLD
• Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
oy�o! a 'dap! Telephone (631) 765-1802-FAX(631)765-9502
Temporary Certificate # g 2 Date 0 a 2021
Customer Name ` M16 6kgm Electrician Name 14 a o /nL
Address UAye �"/cL Phone. C W t$ 1,5_3
e-mail e-mail S _.,V*60
Phone License# q
Size ' G' ` A Phase 1 Overhead Underground _ #of Meters
Remarks
#of Underground Laterals 1 2 New z,
"H" Frame or Pole HFire 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 from the da above.
Authorized by
FEp( " ,f BUILDING DEPARTMENT-Electrical Inspector
O G
2021 TOWN OF SOUTHOLD
��. yam► pY - 6
' ti z Town Hall Annex- 54375 Main Road - PO Box 1179
Southold New York 11971-0959
_Telephone (631) 765-1802 - FAX (631) 765-9502
rogerra—southoldtownny.gov — seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION -
ELECTRICIAN INFORMATION (Ali information Required) , Date. 4/9/2021
Company Name: James Dougherty Electric Inc. 4/7/2021
Name:
License No.: 33397-ME email: ekougentakis@gmaii.com
Phone'No: 917,418 7953 ❑✓ I request an email copy of Certificate of Compliance"
Address.: Se` r I'^ 47 6 '\)y H
JOB SITE INFORMATION (All Information Required)
Name: -q-V-\
Address: b U
Cross Street:
Phone No.: 917 418 7953
,L Bldg.Permit#: q(Pa-7 q email: ekougentakis@gmail.com
Tax Map District: 1000 Section: 63 Block: 03 Lot: 141
BRIEF DESCRIPTION OF WORK (Please Print Clearly) °1amp unde��o����omoW�e�s�Pp�ea�eo�h�P�ope��oP�e�
200 amp underground from owner supplied pole on his property to panel.
200 amp underground from owner supplied pole on his property to panel.
Check All ThatApply:
Is iob ready for inspection?: r;�YES E]NO ❑Rough In, ❑Final
Do you need a Temp Certificate?: ❑✓ YES ❑NO Issued On 4/9/2021
Temp Information: (All information required)
Service Size Z 1 Ph ❑3,Ph Size: 200 A # Meters 1 Old Meter#
Z New Service ❑ Service Reconnect ❑✓ Underground []Overhead
# Underground Laterals Z1 ❑2 ❑H;,Frame❑✓ Pole Work done on Service? ❑Y ❑✓ N
Additional Information: < 200 amp bio farm electrical service
200 amp bio farm electrical service
200 amp bio farm electrical service
PAYMENT DUE WITH APPLICATION AZ rTo
1,0
b CXJ
Electrical Inspection Form 2020.xlsx
t`-� 1
Stiff O-" I B -Electrical Inspector
BUILDING DEPARTMENT
Gy1 Y - 6 2021 TOWN OF SOUTHOLD
o - Town Hall Annex- 54375 Main Road - PO Box 1179
t/!
Southold, New York 11971-0959
Telephone (63.1) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.Qov — seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/9/2021
Company Name: James Dougherty Electric Inc. 4/7/2021
Name: �1�M�5 A-W-
License No., 3339717ME _email:.ekougentakis@gmail.co_m _ _ -
Phone No: 917 418 7953 ❑✓ I request an email copy of Certificate,&Compliance
Address.: Se I. �Jy
JOB SITE INFORMATION (All Information Required) r
Name: 4
Address: U e.
Cross Street:
Phone No.: 917 418 7953
Bldg.Permi. .-email: ekougentakis@gmall.com
Tax Map District: 1000 Section: 63 Block: 03 Lot: 14'
200 amp underground from owner supptle0 pole on his property to panel
BRIEF DESCRIPTION OF WORK (Please Print Clearly
200 amp underground from owner supplied pole on his property to panel.
200 amp underground from owner supplied poI6 on his-property to panel.
Check All That Apply:
Is job ready for inspection?: r✓AYES ENO -[:]Rough In ❑Final
Do you need a Temp Certificate?: EYES [:]NO Issued On 4/9/2021
Temp Information: (All information required)
Service Size ✓❑1 Ph F-13 Ph Size: 200 A #Meters 1 Old Meter#
❑
✓ New Service 1:1 Service Reconnect ❑✓ Underground ❑Overhead
# Underground Laterals El 02 ❑H Frame E✓ Pole Work done on Service? ❑Y EN
Additional Information: - 200 amp bio farm electrical service
200 amp bio farm electrical service
200 amp bio farm electrical service
PAYMENT DUE WITH APPLICATION X21,
Electrical Inspection Form 2020.xlsx ,(Cc, �1