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HomeMy WebLinkAbout45995-Z o�S�fFOI, Town of Southold 4/20/2021 a y P.O.Box 1179 0 co z 53095 Main Rd ��'✓�j�� �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41974 Date: 4/20/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 7650 Bridge Ln,Cutchogue SCTM#: 473889 Sec/Block/Lot: 84.-2-1.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/29/2021 pursuant to which Building Permit No. 45995 dated 3/29/2021 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"200a electrical service and whole house wiring. The certificate is issued to Krupski,Cecilia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45995 4/1/2021 PLUMBERS CERTIFICATION DATED Authorized Signature �g11Ffill,��D TOWN OF SOUTHOLD moo �y BUILDING DEPARTMENT C* s 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#: 45995 Date: 3/29/2021 Permission is hereby granted to: Krupski, Cecilia 70 Fawn Ln Cutchogue, NY 11935 To: electric At premises located at: 7650 Bridge Ln, Cutchogue SCTM #473889 Sec/Block/Lot# 84.-2-1.2 Pursuant to application dated 3/29/2021 and approved by the Building Inspector. To expire on 9/28/2022. Fees: ELECTRIC $180.00 Total: $180.00 B ding Inspector ftr so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlint'c)-town.southold.n us Southold,NY 11971-0959 ® �® y' COWN BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Cecilia Krupski Address: 7650 Bridge Ln City Cutchogue st: NY zip: 11935 Building Permit#. 45995 section: 84 Block: 2 Lot. 1.2 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 X Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph X Heat Duplec Recpt 29 Ceding Fixtures 10 Bath Exhaust Fan 1 Service 3 ph Hot Water Oil GFCI Recpt 3 Wall Fixtures 5 Smoke Detectors 4 Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 3 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 22 4'LED Exit Fixtures Pump Other Equipment. Fridge, Oven, In Wall Heater Notes, " AS BUILT NO VISUAL DEFECTS " Whole House and Garage Wiring Inspector Signature: Date: April 1, 2021 S.Devlin-Cert Electrical Compliance Form As SOUIy� 4 �� p- l � � 7?� # # TOWN OF SOUTHOLD BUILDING DEPT. ��ycourme�' 765-1802 NSPECTION [ ] FOUNDATION 1ST [ ] 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: `-��'�1,; 0 C� DATE INSPECTOR r�l� OFSOUTyo� — I 5-5 615"' 7&'�;-o < 3X # TOWN OF'SOUTHOLD, BUILDING DEPT. 765-1802 PE TI 1 NS N =C O [= ] 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: , / AA11 a n' c __o �dy'9 � iq DATE 72 INSPECTOR BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 �► Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(absoutholdtownny.- — seand(&-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required). Date:_ Company Name: Name: License No.: email: Phone No: 01 request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: CO-cAJ1 Address: `1 G _TD e 6Lam�e_ Cidilt� 2A Cross Street: n Rd . Pqq one No.: �3 w '134— 2-911 Bldg.Permit#: G} email: ej4 I,lzS Tax Map District: 1000 Section: <,5q Block: L& 1, BRIEF DESCRIPTION OF WORK (Please Print Clearly) 0-6 P& I echa„ To 1Z, &4b 0 10 d ,SeZVJ + o w1minj + GIMC4 Check All That Apply: Is job ready for inspection?: [rYES ❑NO ❑Rough In ❑Final 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 LateralsEll 02 ❑H Frame❑Pole Work done on Service? ❑Y 0 Additional Information: PAYMENT DUE WITH APPLICATION MARS 1 ? 2021 ' Electrical Inspection Form 2020.)dsx PERMIT# {/\ Address: ` f Switches' Outlets GFI's Surface Sconces H H's UC Lts � --- -— -Fans HW\,0P4 -�- -------- ---- --- ---- --------Fridge-- �---- - - -- --- - -- ------ ---- - - �j -- r Exhaust Oven Dryer W � Smokes I DW Service Carbon Micro Generator `COC f\- Combo Cooktop Transfer AC AH Mini f� Special: LIP Comments cc 0 ��1'� b�611 9-c�w:s-, a ,d 2 t)