HomeMy WebLinkAbout46778-Z �o�OS�1FRr G Town of Southold 9/19/2021
y P.O.Box 1179
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�' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42347 Date: 9/19/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 915 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 69.-2-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/3/2021 pursuant to which Building Permit No. 46778 dated 9/3/2021
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:
100 amp overhead electric service.
The certificate is issued to Doroski Fmly Lmtd Prtnrsh
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46778 9/9/2021
PLUMBERS CERTIFICATION DATED
Authorize Signature
��o�SufFnt,�� TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
o . j 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#: 46778 Date: 9/3/2021
Permission is hereby granted to:
Doroski Fmly Lmtd Prtnrsh
38400 CR 48
Southold, NY 11971
To: 100A overhead electric service.
At premises located at:
915 CR 48, Southold
SCTM #473889
Sec/Block/Lot# 69.-2-3
Pursuant to application dated 9/3/2021 and approved by the Building Inspector.
To expire on 3/5/2023.
Fees:
ELECTRIC $125.00
Total: $125.00
By ' g Inspector
®��OF SOUr�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® sean.devlirn'c�town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Doroski Family Limited Partnership
Address: 915 CR 48 City Southold st: NY zip: 11971
Building Permit* 46778 Section: 69 Block: 2 Lot- 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: First Class Electric License No: 34075ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service X
Commerical X Outdoor X 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: Inspected 100A Service for PSEG to Re-energize
Notes: " AS BUILT NO VISUAL DEFECTS " Service
Inspector Signature: Date: September 9, 2021
S Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD,BUILDING DEPT.-
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`ycnurm 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
- [ ] 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: S /Z.V
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DATE INSPECTOR r�
t BUILDING DEPARTMENT-Electrical Inspector
QTOWN OF SOUTHOLD
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Town Hall Annex-54375 Main Road - PO Box 1179
Fi�S`9 4,¢Y
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
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ro rrO-southoldtownny.aov- seandO-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION All Informatio;Z7�04c' Date:
b Z Lai
Company Name: S'`l- a—Itff .
Name: P 4u.'k
License No.: �j ® ` = MC email c-' i-e-1/w
Phone No: request an email copy of Certificate of Compliance
Address.: • °�- Cb tib &,1u49 It I,el 0
JOB SITE INFORMATION (All Information Required)
Name:
Address: ( CAI 49 510 N t�
Cross Street: `
Phone No.: .,(&3
Bldg.Permit#: V7-7 email:
Tax Map District: 1000 Section: Block: '_y � Lot:
BRIEF DESCRIPTION OF WORK (Please PrintClearly) FtfvS
Check All That Apply:
Is job ready for inspection?: ES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: YES ❑NO Issued On
Temp Information: (All information required)
Service Size FYI Ph ❑3 Ph Size: (O® A , #Meters_Old Meter#
❑New Service Service Reconnect ❑Undergroundp" lverhead
#Underground Laterals ❑1 M2 H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Eleddeal Inspection Form 2020.xlsx
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