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HomeMy WebLinkAbout46279-Z 0-227L�, �o�ogllEFOt,� Town of Southold 6/6/2021 0 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: �/� l VA-tl Vi(/"l-P-f CA- ' OI SP R-C-77 iar/) ox DATE INSPECTOR �• •� A � 3a' w S. I�3�.' ::� � � , �L �^ , "�'@q'J �•� -"err '+�• '` • .i;rs � 1, .+. � pry, *' c •�� �.'c ��'} �r 4: .��k y.. �� �•i,,sa't`es, �^ .. `�� r'"; \�����3� 1� �q �•�' y:�'. / �T i�� :� .: a. ' t._.. ,�k�"�," �` y�@ �f N�. c`��„i• may,'.' ``�'t' �'vl�. _ s .:1 :q tools"--' 1 low Eli J .�g �A �.�.`• .�~. - .dam`" 'a",%�"- ~-r<- �. 'Y'�r9�-...,��- .(., �„ X•� ' Xf No ---�� ) ����•'�� �^ � ..rte -. 7:r D .�� �.N. ,'\.J• y ,,.`._ T � �,. ; -L' �.��'�'�\� 'l3A�t� � y .�� ••ms's. r) .•-. .� �-.l A y1 fes�' �-��.•. .1 ��• L�• i �'"l''�y�,�\ � � �4� P.. 'f t ..�'�w�r� .� ' "� �}{� ��•1 �'+,�^rte �:�`,c� 1�.. �- ''y ��� /- -pro:'—w• 1 / '•s'1 ,,,,+�. '�.' t. i sr, . I��� ✓� r• ����' ��� .� .r r LLQ' v: 6. %SUFF014,10o 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