HomeMy WebLinkAbout46296-Z �o�SufFUiklpGy Town of Southold 8/19/2021
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` P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42254 Date: 8/19/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2695 Little Neck Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.40-2.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/24/2021 pursuant to which Building Permit No. 46296 dated 5/24/2021
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:
200A overhead electric service.
The certificate is issued to Buckel,Charles&Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46296 7/13/2021
PLUMBERS CERTIFICATION DATED
Aut orized Si e
zr TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 46296 Date: 5/24/2021
Permission is hereby granted to:
Buckel, Charles
2695 Little Neck Rd
Cutchogue, NY 11935
To: 200A overhead electric service.
At premises located at:
2695 Little Neck Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 103.-10-2.1
Pursuant to application dated 5/24/2021 and approved by the Building Inspector.
To expire on 11/23/2022.
Fees:
ELECTRIC $85.00
Total: $85.00 `
Building Inspector
OF SO�P�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 • �� sean.devlin(a--)town.southold.ny.us
Southold,NY 11971-0959 tee`
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Charles Buckel
Address: 2695 Little Neck Rd city.Cutchogue st: NY zip: 11935
Building Permit#. 46296 Section- 103 Block: 10 Lot: 2.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Brooks Electric License No: 3613ME
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 Ceiling 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: 200A 42 Circuit Panel- 22 Used
Notes* New Service
Inspector Signature: vt, a Date: July 13, 2021
S.Devlin-Cert Electrical Compliance Form.xls
V4 VFG11r
ell BUILDING DEPARTMENT-Electrical Inspector
H x TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
X01 �a® Telephone (631) 765-1802-FAX(631) 765-9502
Temporary Certificate # Date 2021
Customer Name �/dA-a �e-ts.44, Electrician Name
Address q Phone
e-mail e-mail r -s-9►ve LOA/!
AC
Phone License# J 6 /
Size 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
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 n ��
-BUILDING DEPARTMENT- Electrical Inspector
San.(�
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 _southoldtownny gov— seandca'��southoldtownny.gov
APPLI-CATION FOR ELECTRICAL INSPECTION;
ELECTRICIAN INFORMATION (All Information Required) Date
Company Name: _�reo _
Name:--- - `, -----
License No.: �_ - email: -- 00 - -
Address:- --tool-
Phone
Phone No.: - 3a.
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JOB SITE INFORMATION (All Information Required) i
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Name:
Address: - - - L.- _ --- - - --- -- - - ---- -- - - ---= --- - _- _ --