The URL can be used to link to this page

Home My WebLink About47188-Z ao�gtlFFOtK�oGy Town of Southold 12/18/2021 P.O.Box 1179 H = 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42624 Date: 12/17/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2700 Route 25. Laurel SCTM#: 473889 Sec/Block/Lot: 125.-34.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/7/2021 pursuant to which Building Permit No. 47188 dated 12/7/2021 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: 150 amp electric service with meter pan. (Main house#1). The certificate is issued to Sawicki EB Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47188 12/13/2021 PLUMBERS CERTIFICATION DATED Authorize tgnature �o�gpfFO(�-�o 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#: 47188 Date: 12/7/2021 Permission is hereby granted to: Sawicki EB Irry Trust PO BOX 411 Mattituck, NY 11952 To: New Electric meter pan - Main Househ✓I�M�-f l At premises located at: 2700 Route 25. Laurel SCTM #473889 Sec/Block/Lot# 125.-3-4.4 Pursuant to application dated 12/7/2021 and approved by the Building Inspector. To expire on 6/8/2023. Fees: ELECTRIC $170.00 Total: $170.00 Building Inspector hO�aOF SOUTyy6 `V� I V V 12--1010 A10-tm TOWN OF SOUTHOLD BUILDING DEPT. �o • io `�rourm 765.1802 INSPECTION [ ] FOUNDATION LIST [ ] ROUGH PLEIG. [ •I FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ r] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] -.FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: -* VY I11J ,57 �✓ /C.e— 1 �Vr4-L - Gc 770u DATE / ?/ INSPECTOR �� SOIoUIyO Town Hall Annex yy Telephone(631)765-1802 54375 Main Road T Fax(631)765-9502 P.O.Box 1179 CAa Bean.devlin(ciltown.southold.nv.us Southold,NY 11971-0959 COU01 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sawicki EB Irry Trust Address: 2700 Route 25 city:Laurel st: NY zip: 11948 Building Permit#: 47188 section: 125 Block: 3 Lot: 4.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X IndoorX Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixtureE Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 150A Panel 32 Circuit / 21 Used Notes: " AS BUILT NO VISUAL DEFECTS " Service Inspector Signature: r Date: December 13, 2021 S.Devlin-Cert Electrical Compliance Form '1�$t,FFOL � ING DEPARTMENT- Electrical Inspector DEC 7 2021 TOWN OF SOUTHOLD o Towns H Annex- 54375 Main Road - PO Box 1179 .z BUILDING DtP T. Southold, New York 11971-0959 TOWN OF SOUTHO Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aDsoutholdtownnv.aov -• seand(cD.southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: Company Name: e v/ Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (Ail information Required) Name: G� s i C (eyt/��,r/ - /_I/ Tr`J,s Address: a 1'h Cross Street: G Llkot n e— Phone No.: u 4f.Pi✓ Bldg.Permit#: email: jqhfh i'h •h Tax Map District: 100 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INC UDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: TYS ❑ NO F-1RoughIn ❑ Final Do you need a Temp Certificate?: ❑ YES ff NO Issued On Temp Information: (Ail information required) Service Size F1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 R2 H Frame Pole Work done on Service? R Y N Additional Information: PAYMENT DUE WITH APPLICATION DO U i' ,2,) ��u DING DEPARTMENT- Electrical Inspector' DEC 7 2021 f TOWN OF SOUTHOLD Towns_ If Annex- 54375 Main Road - PO Box 1179 BU1LDin1G°t r. Southold, New York 11971-0959 TOWN� OF SOUTHO Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov — seand(nDsoutholdtownnygov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: /oZ 'f oZoa Company Name: h e� Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: S 1-C Address: a i'h IVV Cross Street: G�j G Phone No.: Pdi3 u �f BIdg.Permit#: email: 01rPh I .h 4m Tax Map District: 1006 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INC UDE SQUARE FOOTAGE (Please Print Clearly): � & 17 /SUS e- .Cwh � F Square Footage: Circle All That Apply: Is job ready for inspection?: YES❑ NO F]Rough In Final Do you need a Temp Certificate?: ❑ YES ONO Issued On Temp Information: (AII information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals F1 1 R2 R H Frame Pole Work done on Service? R Y FIN Additional Information: PAYMENT DUE WITH APPLICATION DO t��a ,� u PERMIT# Address: Switches Outlets 6 F I's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps `_Have Used / Special: 16 Comments: �'/