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)