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45810-Z
tea;,. �o�g�FFOL Town of Southold 5/1/2021 y� P.O.Box 1179 0 ca 53095 Main Rd W �^j Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42001 Date: 5/1/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 740 Brown St, Greenport SCTM#: 473889 Sec/Block/Lot: 48.-3-44 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/11/2021 pursuant to which Building Permit No. 45810 dated 2/12/2021 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: "as built"electric in kitchen and electric panel. The certificate is issued to O'Connell,Kevin&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45810 3/11/2021 PLUMBERS CERTIFICATION DATED Authorized Signature �o�SUFFot�.� TOWN OF SOUTHOLD �y BUILDING DEPARTMENT a TOWN CLERK'S OFFICE • SOUTHOLD, NY yea 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#: 45810 Date: 2/12/2021 Permission is hereby granted to: O'Connell, Kevin 7844 Marywood Dr Newburgh, IN 47630 To: New electric panel and wiring At premises located at: 740 Brown St, Greenport SCTM # 473889 Sec/Block/Lot# 48.-3-44 Pursuant to application dated 2/11/2021 and approved by the Building Inspector. To expire on 8/1412022. Fees: ELECTRIC $250.00 Total: $250.00 Build OF SOU��®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® Q sean.deviinCcD-town.southold.ny.us Southold,NY 11971-0959 R` COW, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To- Kevin O'Connell Address. 740 Brown St city.Greenport st. NY zip 11944 Building Permit#: 45810 Section: 48 Block: 3 Lot- 44 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA- AS BUILT License No- SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 4 Ceding Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt 50A Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 4'LED Exit Fixtures Pump Other Equipment: Fridge, Elec Oven, DW, Micro/ Hood Notes- " AS BUILT NO VISUAL DEFECTS " Kitchen and New Panel Inspector Signature: Date: March 11, 2021 S Devlin-Cert Electrical Compliance Form.xls . _ FEB 1 12021 i $ FL# BUILDING DEPARTMENT- Electrical Inspector d'' � l'' L TOWN OF SOUTHOLD as.,Fx :':,Y3' r, Town Hall,Annex- 54375 Main Road - PCT-O �l 17,9-"Cr Southold; New.York.11,971-0959 Telephone (631.) 765. 1802,-FAX (631) 765-9502 rogerr.(�southoldtownny.gov.- seand(a�southoldtownny:gov APPLICATION FOR ELECTRI,CAL I'NSP'ECTION ELECTRICIAN INFO ATION (Ali Information Required) Date: CIV Company Name: Name: D License No.: email- Phone No: 7 Q �- ❑I request an email.-copy of Certificate of Compliance Address.: 649 Brwn e2 JOB SITE INFORMATIONS (All Information Required) Name: D1 Address: r�l S rye Cross Street: Phone No.: 7Q- 'C<- -BIdg.Permit#: email ' I 3 @,&&'1 m � Secton: Bloc k Lot: Tax Map District. 44' ` BRIEF DESCRIPTION OF WORK (Please Print Clearly) i� hS19JA VaA La n Check All That Apply: pp Y: III Is job ready for inspection?: ES ❑NO Rough IIn �inal _ . . . . Do you need a Temp Certificate?: ❑YE ❑NO Issued On Temp Information: (All information required) Service Size ❑l Ph F-13 Ph Size: A # Meters. Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground []overhead #Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: G PAYMENT DUE WITH-APPLICATION Electrical Inspection Form 2020.xlsx LOA OE SOUIy, H 0 -7LIv * # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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: ' c ss �L��� f� i WGJ�IU` OAXt 72W_ v �r Pr�, �/: DATE INSPECTOR 6 * #laf so T WN-OF SOUTHOLD BUILDING DEPT. cou765-1802 -1 NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] -INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ f FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE-VIOLATION ] PRE C/O REMARKS:, &29vt LT ff 4: At C&Z T-f/v A r-A I C4 /v 1pg-er--�r-, /J DATE INSPECTOR � � FEB 1 1 2021 F Ot BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 3-1 r P- Town Hall Annex- 54375 Main Road - PT,gbx-'l Pry. Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(asoutholdtownny.gov - seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFOI ATION (All Information Required) Date: Company Name: n(A M PJ V- Name: M'1r,hQe1 !7iV))2-')D License No.: email: Phone NO: 7T-ff'5-5- Q 01 request an email copy of Certificate of Compliance Address.: Gf� Browo -S' treeT rt /y/y JOB SITE INFORMATION (All Information Required) Name: Address: (19 rOWh Cross Street: 2r-f e_�_ Phone No.: Bldg.Permit# 5:Fri,0 email: M A ni 3 1 Tax Map District: 1000 'Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) W(Al Y2 L,44M�A- � IAIVI rL 3-mrl) � Check All That Apply:, k rs'srwo (T— Is job ready for inspection?: /Y/E S ONO DRough In Final Do you need a Temp Certificate?: DYES DNO Issued On Temp Information: (All information required) Service Size 71 Ph F—]3 Ph Size: A # Meters Old Meter# E]New Service ElService Reconnect F-] undergroundE]overhead 1# Underground Laterals 01 02 DH Frame Opole Work done on Service? Ely ON] Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx •}J{ FEB 1 1 2021 q91 ' BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD _?;-� ' Town Hall Annex - 54375 Main Road - PUTflx 1.7=9` Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 e F rogerr(E)southoldtownny.gov- seand(a_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION .ELECTRICIAN INFO ATION (AII Information Required) Date: EA L-2— Company Name: Name: j D License No.: email: Phone No: 776-F-55- 01 request an email copy of Certificate of Compliance Address.: G19 ,Q mwo rt Ally JOB SITE INFORMATION (All Information Required) Name: 0 I Address: %WS re-e (' Cross Street: 2.ems Phone No.: Bldg.Permit#: :0 email: �IG�gej Diy11z J i y►'� Tax Map District: ,1,©0� Rte" Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) tr-- Check All That Apply: �G'�7�-� Is job ready for inspection?: ES ❑NO ❑Rough In �inal Do you need a Temp Certificate?: ❑YES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals 01 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020 xlsx V