HomeMy WebLinkAbout46113-Z s F�otk��
ora co�� Town of Southold 3/22/2023
a P.O.Box 1179
x 53095 Main Rd
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42290 Date: 8/26/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 310 Orchard St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-7-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/22/2021 pursuant to which Building Permit No. 46113 dated 4/22/2021
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 inspection of an existing electrical service for re-energizing.
The certificate is issued to Ray Jr,James&Ors.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46113 8/22/2021
PLUMBERS CERTIFICATION DATED
1
Authorized ignature
o�suFFoc, o TOWN OF SOUTHOLD
�c
, BUILDING DEPARTMENT
y 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#: 46113 Date: 4/22/2021
Permission is hereby granted to:
Ray Jr, James
10 Huron Ave #3N
Jersey City, NJ 07306
To: electric inspection of an existing electrical service.
At premises located at:
310 Orchard St, New Suffolk
SCTM #473889
Sec/Block/Lot# 117.-7-5
Pursuant to application dated 4/22/2021 and approved by the Building Inspector.
To expire on 10/22/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
1
i
Building Ins ctor
OF SOU��®!
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
OWN
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: James Ray Jr
Address: 310 Orchard St city,New Suffolk st: NY zip: 11956
Building Permit#: 461 13 section: 117 Block 7 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Home Owner License No:
SITE DETAILS
Office Use Only
Residential Indoor Basement Service X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes. " AS BUILT NO VISUAL DEFECTS " Inspection of Service for Re-Energizing
Inspector Signature: Date: April 22, 2021
S.Devlin-Cert Electrical Compliance Form.xls
a souryo�
# TOWN OF SOUTHOLD BUILDING DEPT.
°ycourm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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: - �
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e
DATE Z`2114 INSPECTOR r _
g�FFO BUILDING DEPARTMENT- Electrical,]nspector
�� co APA ? --,,
TOWN OF SOUTHOLD ) 2021
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
o�'�j0 add Telephone (631) 765-1802 - FAX (631) 765-9 50 2,
1 ' ' rogerr(oD-southoldtownny.gov - seandIa southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: nW Q\(- email: ivx, wlati .coven
Phone No: b3( - t?q- �Dqj
I request an ail copy of Certificate of Compliance
Address.: 4Pr 0-8 b x �3 �u '�'� ( '�( 5 C
JOB SITE INFORMATION (All Information Required)
Name: -e-
Address: 1 c�av- S�. W �u,� NN I I q 5 6
Cross Street:
Phone No.: t2 6 0 4 3
Bldg.Permit#: 4 (Q 113 email: v�na�� a a kAnj l ,G()VI
Tax Map District: 1000 Section: 117 Block: 7 '-Lot: s
BRIEF DESCRIPTION OF WORK (Please Pint Clearly)
V zGavf�— \ ot- V'£q,Lf-- IV%SlDe- 0 V� b C7c IS ��►U
Check All That Apply:-
Is job ready for inspection?: [ YES ❑NO 0 Rough In ❑Final
Do you need a Temp Certificate?: ❑YES [2NO Issued On
Temp Information: (All information required) o,1$v29y 35�
Service Size 1 Ph ❑3 Ph Size: A # Meters 1 Old Meter#
❑New Service ❑ Service Reconnect [] Underground ❑Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information: 11
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1. S e- 5ev,V�C-P-' r P QCs *Lk -1-X 6 V\ -
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx