HomeMy WebLinkAbout47166-Z �o�aS�FFDI -�oG� Town of Southold 12/18/2021
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P.O.Box 1179
co 53095 Main Rd
41 o ` Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 42630 Date: 12/18/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 44335 Route 25, Southold
SCTM#: 473889 Sec/BlocklLot: 75.-2-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/1/2021 pursuant to which Building Permit No. 47166 dated 12/1/2021
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 overhead electric service.
The certificate is issued to Meenan,Margaret
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47116 12/15/2021
PLUMBERS CERTIFICATION DATED
4?4;0� &jz��v
Authorized Signature
�Su FF nt TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
"o s r SOUTHOLD, IVY
SWLUNG 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 #: 47166 Date: 12/1/2021
Permission is hereby granted to:
Meenain, Margaret
5 Ledgewsood Cmn
MAliwrood, NY 10546
To: 200A overhead electric service.
At premises located at:
44335 Route 25, Southold
SCTM # 473899
Sec/Block/Lot# 76.-2-1
Pursuant to application dated 12/1/2021 and approved by the Building Inspector.
To expire on 6/2/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
'—'Building Inspector
pF SOUj�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.richert(cD-town.southold.ny.us
Southold,NY 11971-0959 i0
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Margaret Meehan
Address: 44335 Route 25 City: Southold St: New York Zip: 11971
Building Permit#: 4710 Section: 75 Block: 2 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: homeowner DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 200a overhead service, 200a main panel with 15 GFCI circuit breakers.
Notes:
Inspector Signature: Date: December 15 2021
81-Cert Electrical Compliance Form.xls
SO//Tho� .
# TOWN OF SOUTHOLD BUILDING -DEPT.
`,rourm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
] °FIREPLACE"& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANTCONSTRUCTION [ ] FIRE RESISTANT PENETRATION-
[ ] ELECTRICAL (ROUGH)' , ] ELECTRICAL (FINAL)
[
] ' CODE VIOLATION [ ] PRE C/O
REMARKS:
.DATE f �S Z� INSPECTOR�f
o�Og�FF17th G BUILDING DEPARTMENT- Electrical Inspector
�� y.► TOWN OF SOUTHOLD <�
C* =` Town Hall Annex- 54375 Main Road - PO Box 1179
O • Southold, New York 11971-0959
'yjj� a0� Telephone (631) 765-1802 - FAX (631) 765-9502
1 ' rogerr(b-southoldtownny.gov - seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: flit Zoz
Company Name:_ Q M/1 �1 alr-
Name: Z 1 e-C-0 0-411
License No.: email: 2 s 4y! ee-4,1 rrc�i f
Phone No: - 2(v2- z#2 ❑(request an email copy of Certificate of Compliance
Address.: , L14335 114e4i m 0a,e,( �-tklo - NY 1197
JOB SITE INFORMATION- (All Information Required)
Name: atm'q ow'ti- 2-i i av-v
Address: 4q 3 E- ILI U i g D a � wt�6
Cross Street: W&COVA" - (-"e
Phone No.: //LI - 7&2-- q2 y Z
Bldg.Permit#: - _ q - 1 (p�p email: Q o ee� , (���iai/•
Tax Map District: 1000 Section: 75-.OD Block: ,,�I. OQ Lot: o Od()
BRIEF DESCRIPTION OF WORK (Please Print Clearly) AhW zlJD 6cn�� �(?�,Vj,e.,
Check All That Apply:
Is job ready for inspection?: EErYEO ❑NO 0I1ough In []Final
Do you need a Temp Certificate?: [-]YES ❑NO Issued On
Temp Information: (All information required)- ! ,?3 S 7 8q9
Service Size +71 Ph ❑3 Ph Size: 2 00 A # Meters 1 Old Meter#
2New Service ❑ Service Reconnect ❑ Underground Ea6verhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx Y \�
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