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Home My WebLink About46288-Z xrn�`"xR , 'S�FFOt�-co Town of Southold 8/26/2021 O G P.O.Box 1179 o - o 53095 Main Rd byfj01 �ao��'� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42292 Date: 8/26/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1825 Carroll Ave,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-3-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2021 pursuant to which Building Permit No. 46288 dated 5/20/2021 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: existing electric service to be re-energized. I The certificate is issued to Parker,Diane&Ors of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46288 5/25/2021 PLUMBERS CERTIFICATION DATED Authorized Signature �SufFni� TOWN OF SOUTHOLD �o y� BUILDING DEPARTMENT y 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#: 46288 Date: 5/20/2021 Permission is hereby granted to: Parker, Diane PO BOX 307 Peconic, NY 11958 To: electric service reconnect. At premises located at: 1825 Carroll Ave, Peconic SCTM #473889 Sec/Block/Lot# 74.-3-10 Pursuant to application dated 5/20/2021 and approved by the Building Inspector. To expire on 11/19/2022. Fees: ELECTRIC $85.00 Total: $85.00 uildi ector ®��OF SO(/��®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlina-town.southold.n us Southold,NY 11971-0959 ® �® y' c®UNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Diane Parker Address: 1825 Carroll Ave city.Peconic st: NY zip: 11958 Building Permit#. 46288 Section: 74 Block: 3 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA. Hildebrandt Electric License No: 38496ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X 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 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Notes- AS BUILT NO VISUAL DEFECTS " Inspected Service to be Re- Energized Inspector Signature: Date: May 25, 2021 S.Devlin-Cert Electrical Compliance Form As # # TOWN OF SOUTHOLD BUILDING DEPT. ��,►m � 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: DATE INSPECTOR �®SUF�Otp^co O Gyp BUILDING DEPARTMENT-Electrical Inspector CD im TOWN OF SOUTHOLD 2 • AV Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone(631) 765-1802-FAX(631)765-9502 Temporary Certificate # T -IY Date 5- 2021 Customer Name A.Njc jor�tW_" Electrician Name Address 1925 kGUt 'Pg.4o,N i a Phone / e-mail e-mail A ij j ele aoffco 0 f an//,I e Phone License# - Size /GC) A Phase Overhead Underground #of Meters Remarks 0-LZ SLC_U 16 0-- -to o E"a G Z t #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 dat bove. Authorized by ®�®SUFFpI�� BUILDING DEPARTMENT-Electrical Inspector MAY 2 0 2021 TOWN OF SOUTHOLD ® Town Hall Annex- 54375 Main Road - PO Box 1179 � x ^ T11 .r Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov - seandl-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: ; o , ALst-1-mc, Lt-c- Name: t # 6 fl_A License No.: �►�- 3 SrM email c,•_cTzc Phone No: x'31 6 -. q 6 q 91 request an email copy of Certificate of Compliance Address.: ,D.8-15 15;4 v.rw 20 ,r oil ►`L4� JOB SITE INFORMATION (All Information Required) Name: 'D; A,✓A PA 21t"F it- Address: Address: I g• 0-a-o L Pir-cv `,c ► t`I 15'Ir Cross Street: 2,-� Phone No.: Bldg.Permit#: 4 �� email: Tax Map District: 1000 Section: �jq Block: Lot: j(' BRIEF DESCRIPTION OF WORK (Please Print Clearly) "'Jf o Ps e. fio rtV W$J2 G-C le-- -n> Check All That Apply: Is job ready for inspection?: dYES F-1 NO ❑Rough In ❑Final Do you need a Temp Certificate?: 121YES, ❑NO Issued On Temp Information: (All information required) Service Size [�1 Ph ❑3 Ph Size: 1®O A #Meters ( Old Meter# ❑New Service 9service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame[Pole Work done on Service? ❑Y [✓ N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx D// 11