HomeMy WebLinkAbout46557-Z aaT"
��o�OStlFfal Town of Southold 8/28/2021
a P.O.Box 1179
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_ 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
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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
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