HomeMy WebLinkAbout46654-Z O��SI1FFOl,fco� Town of Southold 9/20/2021
G� P.O.Box 1179
o - 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42365 Date: 9/20/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 275 Soundview Ave Ext., Southold
SCTM#: 473889 Sec/Block/Lot: 50.-2-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/4/2021 pursuant to which Building Permit No. 46654 dated 8/4/2021
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:
200 amp underground service 100 amp house sub 100 amp garage sub and 60 amp pool sub
The certificate is issued to Haber, Seth&Chiu,Angela
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46654 8/10/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
c x TOWN CLERK'S OFFICE
Way • 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#: 46654 Date: 8/4/2021
Permission is hereby granted to:
Haber, Seth
22 Warren St
New York, NY 10007
To: Underground 200A electric service and shed Sub-panel.
At premises located at:
275 Soundview Ave Ext., Southold
SCTM # 473889
Sec/Block/Lot# 50.-2-5
Pursuant to application dated 8/4/2021 and approved by the Building Inspector.
To expire on 2/3/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
o� sov��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® sean.devlinCcD-town.southold.ny.us
Southold,NY 11971-0959
®lyCUM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Seth Haber
Address: 275 Soundview Ave Ext city,Southold st: NY zip: 11971
Building Permit#: 46654 section: 50 Block: 2 Lot- 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electrical Contr. License No: 3897ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
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 3 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 Main Panel- 30 Circuit, 100A House Sub, 100A Garage Sub, 60A Pool Sub
Notes: Service
Inspector Signature: r Date: August 10, 2021
S Devlin-Cert Electrical Compliance Form
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hip Gym BUILDING DEPARTMENT-Electrical Inspector
c < TOWN OF SOUTHOLD
W "I Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�'1.fj�� Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate #_1_0_4 Date C� 2021
Customer Name Electrician Name "L_R
Address 27 S v i ivw V f Phone 31 �3&S L j-7
e-mail ou�Kc�� e-mailj� sJr
Phone I License# Z�Sq AA
Size_ 2,aC) A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals1 2 New
"H" Frame or Pole P Fire Reconnect
Was work done on Servick—TA7 Flood Reconnect
Old Meter#F77 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 da s from the date above.
Authorized by 4�� n
SO
TOWN -OF SOUTHOLD BUILDING DEPT.
°`ycourm e�' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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: S6�U( e'o5:-
DATE , INSPECTOR
i
� 1 E
' of �;,,' ' SUJf ING DEPARTMENT- Electrical Inspector
tia �y� AUG - 3 2021 TOWN OF SOUTHOLD
o Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
ro_qerr casoutholdtownny.gov-�_seandl7southoldtownny.gov
,APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 813121
Company Name: Paul Burns Electrical Contractors Inc
Name: Bob Burns
License No.: 3897-ME email: PburnsJr oPtonline.net
.a
Address: PO Box 1661 Southold, NY 11971 ry `
Phone-No.: 631-365-4735 !
JOB SITE INFORMATION (All Information Required)
Name: Haber
Address: Y275_S6undvew'AveExt
Cross Street: Lighthouse Road -
Phone No.:
BIdg.Permi ' (p(o �-_ - email:
Tax,M_a Distr[cf�., 1000,. _ _.Skw_,_ .ctioBlock: .
_..,__..,_,_p.�__,_.-. ___._., _ _. 6._.. _
. ,
BRIEF DESCRIPTION OF WORK (Please-Print Clearly) {
Install underground service upgrade,shed sUb-panel
Circle All That'Apply: ='
Is job ready for inspection?: Y NO Rou Final
c'f
Do you need-a Temp Certificate?: ES NO Issued On, .- =
Temp Information: (AII information required) =`
Service Size 1 Ph 3 Ph Size:..200 A #Meters 1 Id Meter#'..
New Service - Fire Reconnect-Flo=Reect-Service Reconnected- Und rgroun - Overhead#Underground Lateral 12 . Pole Work done on Service? N
ec3
Additional Information:
,PAYMENT DUE-WITH APPLICATION
Request for Inspection FormAs ��
bVl�
PERMIT# Address:
Switches
Outlets'—
GFI's `
Surface
Sconces
•kI H's
UC Lis
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
• J
Special:
Comments.
U C9
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