HomeMy WebLinkAbout45286-Z Ot�FFCCpGy Town of Southold 8/14/2021
P.O.Boz 1179
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o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42238 Date: 8/14/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7080 Great Peconic Bay Blvd.,Laurel
SCTM#: 473889 Sec/Block/Lot: 126.41-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/14/2020 pursuant to which Building Permit No. 45286 dated 10/6/2020
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 Knight,Eric&Brittny
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45286 7/7/2021
PLUMBERS CERTIFICATION DATED
A orized Si e
TOWN OF SOUTHOLD
Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . 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#: 45286 Date: 10/6/2020
Permission is hereby granted to:
Knight, Eric
217 Sands Point Rd
Sands Point, NY 11050
To: Electric 200A overhead service upgrade.
At premises located at:
7080 Great Peconic Bay Blvd., Laurel
SCTM # 473889
Sec/Block/Lot# 126.-11-7
Pursuant to application dated 2/14/2020 and approved by the Building Inspector.
To expire on 4/7/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Buildin Lf
pF SO(/r�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sean.devlin(a--)town.southold.ny.us
Southold,NY 11971-0959 ® �®
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Brittney Knight
Address: 7080 Peconic Bay Blvd city,Laurel st: NY zip: 11948
Building Permit#: 45286 Section. 126 Block 11 Lot. 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: J R Henn Electric Corp License No: 4266ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding 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 Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment,
Notes: New Service
Inspector Signature: Date: July 7, 2021
S.Devlin-Cert Electrical Compliance Form
��p��SufFO(�cOGy� BUILDING DEPARTMENT-Electrical Inspector
o < TOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
y�j01 �a0� Telephone (631) 765-1802-FAX(631)765-9502
Temporary Certificate # q937 Date 2S 2021
Customer Name +� Electrician Name
AddressPhone q
e-mail e-mail / �a
Phone License# Ll
Size Ea 6 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
li
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 from the date above.
Authorized by a
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'BUILDING DEPARTMENT-Electrical Inspector
'--FEB 1 4 2020 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 9179
Southold, New York 11971-0959
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Tblephone (631) 765-1802 - FAX (631) 765-9502`
• ;, i� ' rogerr(a�southoldtownny.gov seand(a�southaldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ,� _ &ZO
Company Name: TZ kfFiViJ Cup.
Name: �, ��
License No.: L[2(p -[- _ email: Jkeyv,
Address: -, Tlet _ Ji,it L 2,o SLa2dZ
Phone No.: 22 - =GL' T1 6 rZ - ltJ
JOB SITE INFORMATION (All Information Required)
Name:
Address: p 'L_ALN-e
Cross Street: L ,
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: o 0 Block: 00 Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) J'eyy I Cf- L9,TX,6221
Circle All-That Apply:
Is joky ready foY�inspection?: Y S /� Rough In Final
Do you need a Temp Certificate?: E / NO \ Issued On (',yy_( L1 5-2 6- 2.1
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: do A #Meters�_ Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - UndergroundOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals