HomeMy WebLinkAbout46540-Z Town of Southold 8/25/2021
P.O.Box 1179
0
C
_ �# 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42278 Date: 8/25/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1000 Village Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 25.-1-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/7/2021 pursuant to which Building Permit No. 46540 dated 7/7/2021
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 for kitchen equipment and freezers.
The certificate is issued to JOTAS Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46540 7/14/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SFFo o TOWN OF SOUTHOLD
,� Gy BUILDING DEPARTMENT
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#: 46540 Date: 7/7/2021
Permission is hereby granted to:
JOTAS Corp
25500 Main Rd
Orient, NY 11957
To: Electric for kitchen equipment and freezers.
At premises located at:
1000 Village Ln., Orient
SCTM # 473889
Sec/Block/Lot# 25.-1-18
Pursuant to application dated 7/7/2021 and approved by the Building Inspector.
To expire on 1/612023.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
SOUr�,®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(a�town.southold.n .us
Y
Southold,N11971-0959 ® �® y
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To JOTAS Corp
Address: 1000 Village Ln city,Orient st: NY zip: 11957
Building Permit# 46540 Section: 25 Block: 1 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Promaster Electric License No: 59226ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment. (3) Freezers, (3) GFI Breakers
Notes, Wired Three Freezers
Inspector Signature: Date: July 14, 2021
S.Devlin-Cert Electrical Compliance Form
OE SOUTgOIo Li bes 14 o a cd 11 lfq l
* # TOWN OF SOUTHOLD BUILDING DE')m
courm e�` 765-1802
iNSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] -.INSULATIOWCAULKING
[' ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE &,CHIMNEY [ ]-' FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
rA
DATE INSPECTOR -
1 r
gUffOtc BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
41 Telephone 631 765-1802-FAX 631 765-9502
rogerr(a?_southoldtownny.gov^- seandO-southoldtownnygov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
I Company Name: &, ,
'as r n re,
Name:
License No.: S.?,p 2 6 ,.fir email:
Phone No: YeK2D request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: BD9 ��s 9' �1:f✓G�l.'c t TmaS
Address: o0 0
Cross Street:
Phone No.:
Bldg.Permit#. 4 ( IS Lf0 email:
Tax Map District 1000 Section: 5(5 Block: i Lor /g
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: QVES RNO []Rough)n [Final
Do you need a Temp Certificate?: E]YES [-]NO Issued On
Temp Information: (All information required)
'Service Size 09 Ph 03 Ph .Size: A #Meters Old Meter# ;
❑New Service ❑Service Reconnect n Underground F1 Overhead
#Underground Laterals ❑9 02 QH Frame QPole Work done on Service? 01( ON
Additional Information.
PAYMENT DUE WITH APPLICATION
t IIE
Electrical Inspection Form 2020.xlsx
4
�2 JUN 2 9 2021
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PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
-- - - ---------------- - - - ---- -- --- - ---------- - -- - --- --- - ----- -- --- -- -
Combo Cooktop Transfer
AC AH Mini
Special:
Comments
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