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�o� pGy Town of Southold 7/18/2021
P.O.Box 1179
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_ 53095 Main Rd
y�jol Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42177 Date: 7/18/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2155 Long Creek Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-7-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/16/2021 pursuant to which Building Permit No. 46096 dated 4/16/2021
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:
electric wiring for kitchen renovation and subpanel.
The certificate is issued to Colbert,John&Wendy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46096 6/22/2021
PLUMBERS CERTIFICATION DATED
Authorize ignature
�g11FFQ(/-co TOWN OF SOUTHOLD
moo � BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
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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#: 46096 Date: 4/16/2021
Permission is hereby granted to:
Colbert, John
1 Lincoln Ave
Old Greenwich, CT 06870
To: Wiring for kitchen/dining room reno
At premises located at:
2155 Long Creek Dr, Southold
SCTM #473889
Sec/Block/Lot# 55.-7-7
Pursuant to application dated 4/16/2021 and approved by the Building Inspector.
To expire on 10116/2022.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
pF SOUr�®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q Sean.devlinetown.Southold.n
Southold,NY 11971-0959 i0 y'us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To- John Colbert
Address: 2155 Long Creek Dr city:Southold st: NY zip: 11971
Building Permit#: 46096 Section: 55 Block- 7 Lot. 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Current Electrical Contr. License No: 36277ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Seance
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 12 Ceiling Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 13 CO2 Detectors
Sub Panel $pA A/C Blower Range Recpt G3S Ceiling Fan Combo Smoke/CO
Transformer 24W UC Lights 4' Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 2 4'LED Exit Fixtures t] Pump
Other Equipment. Hood, Gas Oven, Fridge, DW, Micro, 20 Circuit Sub - 8 Used
Notes: Kitchen Reno and Sub Panel
Inspector Signature: ��,� Date: June 22, 2021
S Devlin-Cert Electrical Compliance Form As
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RIM,
I ItVG DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
y z APR 1 6 TMn H'a![Annex - 54375 Main Road - PO Box 1179
�- Southold, New York 11971-0959 .
PT7 Telephone (631) 765-1802 = FAX (631) 765-9502
ai rd;% utholdtownny.gov seand(a�southoldtownny.aov
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APPLICATION'FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION, .(ail Information Required) Date 4-08.-2021
Company Name: Current Electrical Contracting Corp
Name: Robert.Meant'
License No.: 36277-ME email: currentgoal@yahoo.com
Phone No: 631-538=5999 . 2 I request.an email copy of Certificate of Compliance,
Address.: :2155 Long Creek Drive, Southold, NY 11971
JOB .SITE INFORMATION -(AllInfo mation Required)
Name:.- Robert Meant'
Address:
Cross Street:`
Laurel;Ave
T.
Phone:No:; .631-538:5999..
m
Bldg:Permit W. . (aq(� eail: currentgoal@yahoo com
Tax Map:District: 100.0 Section:. 5500 Block: . 700 Lot; 7000
• BRIEF-DESCRIPTION-OF WORK (Please Print Clearly)
Renovation-of Kitchen and.'Dlnln' 6m
Renovation of.Kitchen and Dining room
Renovation-of Kitchen and:Dining room
Check All.That Apply:
Is job.ready for.inspection?: YES pNORough In []Final
Do you need a Temp Certificate?: DYES ENO; Issued On 4=08-2Q21
Temp Information: (All information required)
Service.Size Q✓ 1. Ph 03 Ph Size: 200 A # Meters 1 Old Meter#
❑New Service ❑ Service Reconnect E:] Underground &/]Overhead -
#Underground Laterals 01 02 OH Frame QPole Work done on Service? Ely nV N
Additional Information:
PAYMENT'DUE WITH APPLICATION �qj
Electrical Inspection Form 2020.xlsx
Irg SIP
# # TOWN OF SOUTHOLD BUILDING DEPT:
co 765-1802
INSPECTION
[ ] 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:
DATE INSPECTOR
SOUIyOIo L
* # TOWN OF SOUTHOLD-BUILDING DEPT.
Ulm, 765-1802
INSPECTION
[ ] FOUNDATIONA ST [ ] 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:
DATE AINSPECTOR C'
iJIINIG DEPARTMENT- Electrical Inspector
�
TOWN OF SOUTHOLD
APR 6 Ifn HaIrAnnex - 54375 Main Road - PO Box 1179
o ® Southold, New York 11971-0959
rl D vvr� Telephone (631) 765-1802 - FAX (631) 765-9502
'ro--", . ;-ioaer • outholdtownny.gov - seandO—southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4-08-2021
Company Name: Current Electrical Contracting Corp
Name: Robert Meany.
License No.: 36277-ME email: currentgoal@yahoo.com
Phone No: 631-538-5999 El request an email copy of Certificate of Compliance
Address.: 2155 Long Creek Drive, Southold, NY 11971
JOB SITE INFORMATION (All Information Required)
Name: Robert Meany
Address: ff
Cross Street: Laurel Ave
Phone No.: 631=538-5999
Bldg:Permit#:, &0email: currentgoal@yahoo.com
Tax Map District: 1000 Section: 5500 Block: 700 Lot: '7000
f4 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Renovation of Kitchen and Dining room
Renovation of Kitchen and Dining room
Renovation of Kitchen and Dining room
Check All That Apply:
Is job ready for inspection?: - []YES ENO E✓ Rough In ❑Final
Do you need a Temp Certificate?: ❑YES ENO Issued On 4-08-2021
Temp Information: (All information required)
Service Size El Ph ❑3 Ph Size: 200 A # Meters 1 Old Meter#
4 ❑New Service [:] service Reconnect [:] Underground Overhead
# Underground Laterals ❑1 2 ❑H Frame❑Pole Work done on Service? ❑Y ✓❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
PERMIT# Address:
Switches
r
Outlets 1
G FI's
Surface I
Sconces
H H's Jk
f
UC Lts I
�v
Fans Fridge HW
Exhaust Oven /"�3 Dryer
Smokes DW l Service f
Carbon Micro l Generator
Combo Cooktop Transfer,
AC AH Mini
. -Special:--
Comments'-Special:Comments'
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