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Home My WebLink About45527-Z �O�QguFFBI��OG Town of Southold 4/17/2021 a y� P.O.Box 1179 0 W q 53095 Main Rd oy�a! �ao�rf Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41958 Date: 4/17/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 580 Birch Rd., Southold SCTM#: 473889 Sec/Block/Lot: 54.-9-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/2/2020 pursuant to which Building Permit No. 45527 dated 12/2/2020 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: 200a overhead electric service. The certificate is issued to Kearney,Gerard&Marie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45527 4/5/2021 PLUMBERS CERTIFICATION DATED Authorize ignature o�SaFFol�co TOWN OF SOUTHOLD aye BUILDING DEPARTMENT y 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#: 45527 Date: 12/2/2020 Permission is hereby granted to: Kearney, Gerard 655 Birch Rd Southold, NY 11971 To: 200A overhead electric service. At premises located at: 580 Birch Rd., Southold SCTM #473889 Sec/Block/Lot# 54.-9-15 Pursuant to application dated 12/2/2020 and approved by the Building Inspector. To expire on 6/3/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector ®��oF soUr�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlin(cD-town.southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Gerard Kearney Address: 580 Birch Rd city Southold st: Ny zip: 11971 Building Permit#: 45527 section- 54 Block: 9 Lot 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Peterson Electric Corp License No: 4102ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling 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 Pump Other Equipment: 32 Circuit Panel - 14 Used Notes: New 200A Service Inspector Signature: Date: April 5, 2021 S.Devlin-Cert Electrical Compliance Form As pf SOOTyo --- -----— - 131 ie�4� # # TOWN OF SOUTHOLD BUILDING DEPT. `�courm '' 765-1802 INSPECTION : [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: _ VZ C' r DATE - 9iP INSPECTOR i SuFFOcA- II ebArd BUILDING DEPARTMENT-Electrical Inspector 0 TOWN OF SOUTHOLD CA Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 �'y�jol �•�Ol� Telephone (631) 765-1802-FAX(631)765-9502 Temporary Certificate # y(o Date 2021 Customer Name Electrician NameTviva5ciAi TvuG Address T8.) _81geH g17 SCUTNOLj) Phone O e-mail e-mail rPone License# Size A Phase Overhead _Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire 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 fro a date above. Authorized by BUILDING DEPARTMENT-Ellectirlicall:1-ntpector TOWN OF SOUTHOLD Ul\-) MAF,' 2 3 2021 C= Town Hall Annex -54375 Main Road - PO Box 1179 Southold, New York 11971-0959 • Telephone (631) 765-1802 - FAX (631),,76 rogerr@southoldtownny.gov - seand southbldtow' nnv.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFO"ATION (All information Required) Date: Company Name: v) e_e-�r'l c, Co Name: _<O-eo License No.: q/0 email: 13/ec-e-ricido , llpi e- Phone No:�,3/- 37_5- -16 &0 [XI request an email copy of Certificate of Compliance Address.: 11q JOB SITE INFORMATION (All Information Required) Name: _T20-,v ke-,a rn!�V Address: -5-6-0 13,,'ee-A Cross Street: 90 a )n d Vietd Phone No.: 7 B Idg.P erm it#: -icletf- �5�� 7 email: Tax Map District: 1000 Section: 6 Lf Block: 9 Lot.- BRIEF DESCRIPTION OF WORK (Please Print Clearly) 0200,4m z2 e- C?, Check All That Apply: Is job ready for inspection?: OYES ❑N 0 []Rough In E]Final Do you need a Temp Certificate?: 5gYEs FINO Issued On Temp Information: (All information required) Service Size %1 Ph r--13 Ph Size: 200 A # Meters Old Meter# Ae-U,/ F]New Service ❑ service Reconnect [] underground ®.Overhead L# Underground Laterals 01 02 ❑H Frame []Pole Work done on Service? [—]Y E]N Additional Information: PAYMENT DUE WITH APPLICATION d Electrical Inspection Form 2020.xlsx