HomeMy WebLinkAbout46858-Z o��uFFOI�-coG' Town of Southold 10/1/2021
y� P.O.Box 1179
0
53095 Main Rd
�4¢jp1 ol Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42375 Date: 10/1/2021
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
9/21/2021 pursuant to which Building Permit No. 46858 dated 9/21/2021
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 in existing accessojy barn.
The certificate is issued to Stein,Craig
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46858 9/21/2021
PLUMBERS CERTIFICATION DATED
uthorized Signature
SOFFo�q.� TOWN OF SOUTHOLD
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#: 46858 Date: 9/21/2021
Permission is hereby granted to:
Stein, Craig
4345 North Rd
Greenport, NY 11944
To: as built" electric wiring in barn
At premises located at:
4345 Route 25, Greenport
SCTM #473889
Sec/Block/Lot# 35.-2-9.2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 3/23/2023.
Fees:
ELECTRIC $170.00
Total: $170.00
Building Inspector
pF SOU��®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlinlaa�-town.southold.n us
Southold,NY 11971-0959 y'
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# 46858 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 Barn 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 14 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceding Fan 1 Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 4'LED g Exit Fixtures Pump
Other Equipment. 100A Sub 20 Circuit/ 10 Used
Notes, " AS BUILT NO VISUAL DEFECTS " Barn
Inspector Signature: Date: September 21, 2021
S. Devlin-Cert Electrical Compliance Form
; C SUV I
i6jltDING DEPARTMENT-Electrical Inspector
SEP 1 5 2.021 TOWN OF SOUTHOLD
o Town Hall Annex- 54,375 Main Road - PO Box 1179
o • BUr[MING DF-J"T• Southold, New York 11971-0959
p if E Teldphone (631) 765-1802'= FAX (631) 765-9502
rogerr(a)southoldtownny.gov - seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL'INSPECTION -
ELECTRICIAN INFORMATION (All Informatiori Required) Date:
Company Name:
Name:
License No.: email:
` Phone No: 01 request an email copy of Certificate of Compliance-
Address.:
JOB SITE INFORMATION (All Information Required)
Name: VVIkAJ SM�
Address: w14
Cross Street:
-Phone No.. ? -0 1.
BIdg.Permit#jj: ;email:
Tax Map District: 1000 Section: Block: Lot: ,
• J
BRIEF DESCRIPTJON:OF 1NaRK (Please Print Clearly) ''Ivs-eti Up-
Check All That Apply:
Is job ready for inspection?: �S DNO Rough In ❑Final
Do you need a Temp Certificate?: ]YES ffIN-6 Issued On
Temp Information: (All information required)
Service Size []1.Ph -03 Ph Size: A #Meters Old'Meter# -
0 New Service 0 Service Reconnect n Underground Overhead
# Underground Laterals 01 2 DH Frame DPole Work done on Service? DY 0 N
Additional Information:,
PAYMENT DUE WITH APPLICATION
--= Electrical Inspection Form.2020.x1sx � ` -I \�
1
PERMIT# O� @� .� Address:
Switches I
Outlets i
11 Ot
,
4
GFI'sl,
Surface
Sconces-
HH _
FansY
EA4 st Oven
Smokes rt ..,,DW_.._ ._.__.._�.-Mini
Garbo
�i� `Geiiei`atorr _ ,
Combd:, Cookto _.__...R r.,.__ P.., vans€e V
AC AHHood Service
Special;__-_. ._.�..__.,�.___�, - - .,... .. ...... ... ._. ,_ _ . . _ ,- ,• -- _ . .. _ -
Comments