HomeMy WebLinkAbout46825-Z ��o�S�Ffot�-coGy� Town of Southold 9/29/2021
P.O.Box 1179
0
W 53095 Main Rd
oy oar Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 03 507 Date: 9/29/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4345 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 35.-2-9.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/15/2021 pursuant to which Building Permit No. 46825 dated 9/15/2021
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:
"as built" 100 amp electric service and wiring for existing accessoryag_rage.
The certificate is issued to Stein,Craig&Vivian
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46825 9/21/2021
PLUMBERS CERTIFICATION DATED 117
Authorized Signature
�o�suFfO��Co TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
CA 2 TOWN CLERK'S OFFICE
o _ SOUTHOLD, IVY
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#:, 46625 Date: 9/15/2021
Permission is hereby granted to:
Stein, Craig
4345 North Rd
Greenport, NY 11944
To: As built electric wiring (goes with Pre CO)
At premises located at:
4345 Route 25, Greenport
SCTIVI #473669
Sec/Block/Lot# 35.-2-9.2
Pursuant to application dated 9/15/2021 and approved by the Building Inspector.
To expire on 3/1712023.
Fees:
ELECTRIC $170.00
Total: $170.00
Building Inspector
OF SOVr�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.deviinCcr�town.southold.n us
Southold,NY 11971-0959 y'
®I�COUN N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Craig Stein
Address: 4345 Route 25 city:Greenport st: Ny zip- 11944
Building Permit#. 46825 Section. 35 Block. 2 Lot 9.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures 4 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 4'LED Exit Fixtures Pump
Other Equipment:
Notes, " AS BUILT NO VISUAL DEFECTS " Garage Electric
Inspector Signature: IE2A- Date: September 21, 2021
S.Devlin-Cert Electrical Compliance Form
r '
✓ at -----
oF souryolo Lf (a� ��
# # TOWN OF SOUTHOLD BUILDING DEPIT.'?;�'
cou765-1802
ANSPECTION
[ ] 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:
DATE Z 2/ INSPECTOR °
rot/( iiJILDING DEPARTMENT-Electrical Inspector
COGy SEP 1 5 2.021 �77_ TOWN OF SOUTHOLD
o Town Hall Annex- 54375 Main Road - PO Box 1179
e • BUT€.T ING Df,'I'. Southold, New York 11971-0959
"Y"I"Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cDsoutholdtownny.gov - seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali informatiori Required) Date: 142IZ7:�::4
Company Name:
Name:
License No.: email:
Phone No: ❑I request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: YJ yr A-Al A)
Address: �w
Cross Street: ,Z
Phone No.: 3 7 0-v
Bldg.Permit#f: (9 SQ-S- email:
Tax Map District: 1000 Section: Block: Lot: Oj.t
BRIEF DESCRIPT,IO-N OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: SES ❑NO ❑Rough In. ❑Final
Do you need a Temp Certificate?: ❑YES ffIN"Oo Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: T A #Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑1 2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
e
Electrical Inspection Form 2020.xlsx ! `�
PERMIT# 0J �� ��,� Address:
Switches
Outlets
G F I's f
Surface
Sconces 1 �,
H H's`
Yt Us
Fans`y�`., - -Y.- , --• F"rid"ge HW
Exhaust Oven ., :W/D,
Smokes DW... Mini
Carbon'- - .. .,.,_._ --Micro " _ `G;erietatora
Combo,.__,., _•`�Co`oktop_ . . _,.` -- - ----~ - -J-` •= ..* . Transfer`' ` • ., , -. ,.
_ _ _ -
AC -AH�., .._a,. . . .._ .- . .,. 'Hood. -:,Service
_ Amps Have "Used
Special: ._
Comments
CEOICJ i1
LBILDING DEPARTMENT- Electrical Inspector,
SPP 1 5 2.021 TOWN OF SOUTHOLD
® Town Hall Annex- 54375 Main Road - PO Box 1179
CIO
BUTU3WG DCfo Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerro_southoldtownny.gov - seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name:
Name:
License No.: email:
Phone No: ❑I request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: V I/I k A/ Er-F-(A)
Address: k 4 14 ILl
Cross Street: PI/ 6-G 1VT
Phone No.: .
Bldg.Permit#: Cp �� email:
Tax Map Districf: 1000 Section: Block: 9C Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: ETJ�ES ❑NO []Rough In ❑Final
Do you need a Temp Certificate?: ❑YES FDIC Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A #Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
#Underground Laterals ❑1 02 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
e
Electrical Inspection Form 2020.xlsx
1