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HomeMy WebLinkAbout46557-Z aaT" ��o�OStlFfal Town of Southold 8/28/2021 a P.O.Box 1179 0 CIA _ 53095 Main Rd pl � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42303 Date: 8/28/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1650 Horton Ln, Southold SCTM#: 473889 Sec/Block/Lot: 63.4-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/13/2021 pursuant to which Building Permit No. 46557 dated 7/13/2021 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 Buchness,James&Dana of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46557 8/17/2021 PLUMBERS CERTIFICATION DATED Authorized Signature ��o�aSUF QF t TOWN OF SOUTHOLD ay BUILDING DEPARTMENT x 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#: 46557 Date: 7/13/2021 Permission is hereby granted to: Buchness, James 780 Greenwich St Apt 3N New York, NY 10014 To: new 200a overhead electric service. At premises located at: 1650 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot# 63.-1-14 Pursuant to application dated 7/13/2021 and approved by the Building Inspector. To expire on 1/12/2023. Fees: ELECTRIC $85.00 Total: $85.00 13&' ector OF S®(/��®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 COW, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: James Buchness Address: 1650 Horton Ln City Southold St: NY zip: 11971 Building Permit* 46557 Section: 63 Block: 1 Lot- 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only r 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 100A 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 Panel 42 Circuit/4 Used, 100A Panel 24 Circuit/ 15 Used Notes: Service Inspector Signature: 1 Date: August 17, 2021 S.Devlin-Cert Electrical Compliance Form ROE SOUIyo , 1650 & T_ -c, # # TOWN O SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1 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 l7 �� INSPECTOR J ` pE SOOT ho�� Hoo 5�5 7 5, 0 f # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ '] FOUNDATION 1ST [ .] ROUGH PLBG. [ ], FOUNDATION 2ND [ ] INSULATIOWCAULKING t - [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE 4 CHIMNEY [ ] FIRE SAFETY INSPECTION °] FIRE RESISTANT CONSTRUCTION [ ]. FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION n [, ] PRE C/O REMARKS: r - DATE 15 INSPECTOR BUILDING DEPARTMENT- Electrical I sve��� -_ TOWN OF SOUTHOLD { Town Hall Annex - 54375 Main Ro,'ad PO Box 1179 r =� Southold, New York 11971= 95gUL 1 2021 Telephone (631) 765-1802 - FAX (631) 765-9502 _rogerr(cDsoutholdtownny.gov - seand a(D.souUio#dt 4,pgoo7 TO APPLICATION FOR ELECTRICAL INSPECTION 2'An ELECTRICIAN INFORMATION (All Information Required) Date: 7/13/2021 Company Name: Name: License No.: 3g gc;�, _ email: CIS o Phone No: '31 — c}_ [ I request an email copy of Certificate of Compliance Address.: q JOB SITE INFORMATION (All Information Required) Name: s Address: Sp ' 11 R`7 I Cross Street:VA, { Phone No.:CLAIMQOiciLo Bldg.Permit#: t� (p�� email:brca .b�ch Tax Map District:` 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) - C—Ia ut rie- Sao i+" r-@M rtarv,.p bu»rhrnood &r,)I CQ Check All That Apply: Is job ready for inspection?: 2YES ❑NO ❑Rough In KFinal Do you need a Temp Certificate?: ®YES [:]NO Issued On 7/13/2021 Temp Information: (All information required) Service Size [�1 Ph 03 Ph Size: _c2Qc>—A # Meters Old Meter# ❑New Service Service Reconnect ❑ Underground Ztoverhead # Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION >�� 9 V Electrical Inspection Form 2020.xlsx "� PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon ,Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: d Comments 0 G