HomeMy WebLinkAbout46902-Z ��0�0�11FFO1�coG Town of Southold 1/8/2022
a y� P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42669 Date: 1/8/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 130 Watersedge Way, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-5-53
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/30/2021 pursuant to which Building Permit No. 46902 dated 9/30/2021
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 Corbin,Peter&Annette
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46902 12/27/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
���oSFFQ�c TOWN OF SOUTHOLD
Ory BUILDING DEPARTMENT
y g TOWN CLERKS OFFICE
Wo . 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 #: 46902 Date: 9/30/2021
Permission is hereby granted to:
Corbin, Peter
59 Hickory St
Englewood Cliffs, NJ 07632
To:- 200A overhead electric service.
At premises located at:
130 Watersedge Way, Southold
SCTM # 473889
Sec/Block/Lot# 88.-5-53
Pursuant to application dated 9/30/2021 and approved by the Building Inspector.
To expire on 4/1/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Build g Inspector
OF SOUryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlinCaD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peter Corbin
Address: 130 Watersedge Way city:Southold st: NY zip: 11971
Building Permit#: 46902 Section: 8$ Block: 5 Lot: 53
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Promaster Electric License No: 59226ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X 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 200A 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 Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: New Service
Inspector Signature: Date: December 27, 2021
S.Devlin-Cert Electrical Compliance Form
S�FFO(�
BUILDING DEPARTMENT-Electrical Inspector
c < TOWN OF SOUTHOLD
C4
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631) 765-1802-FAX(631)765-95P2
Temporary Certificate # _69 R' Date 2 2021
Customer Name a, er Cer Ain Electrician Name G
Address -T—� � AlAy Phone 3 Z
e-mail 'SQV? o� e-mail .M pj�`�e7- 047Phone License �� 7iZS
Size 0 A Phase Overhead Underground #of Meters _
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for 90 days from the date above.
Authorized by
I
SOGIle72 0 W - I'll, - � t �- (/k,J
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# TOWN- OF SOUTHOLD BUILDING DEPT.
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��ycourrr, '' 765-1602
.. _ 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 YPRE C/O
REMARKS:
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DATE INSPECTOR
®gtiFFC2 n� 2 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
® SEP 2 9 2021TO II Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
BUILDING DEPT. Telephone (631) 765-1802 - FAX (631) 765-9502
y ®� TOWN Ol OF SOUTHOLD a rogerr(absoutholdtownny.gov — sea nd(r)-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: _2
Company Name: v Tt4 �.zrer2.re
Electrician's Name: �� Q
License No.: S�2 2 S�� Elec. email: Ve rA,re
Elec. Phone No: ZPffI request an email copy of Certificate of Compliance
Elec. Address.: ;z 6 K .4✓ p,` oax- ,� !r 9'/
JOB SITE INFORMATION (All Information Required)
Name: f' 2
Address:
Cross Street:
Phone No.: p S v z
BIdg.Permit#: tog O email: Tg2
Tax Map District: 1000 Section: Block: Lot: 5�
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: "® YES ❑ NO —]Rough In ❑ Final
Do you need a Temp Certificate?: YES ❑ NO Issued On
Temp Information: (All information required) �-r
Service Size®1 PhF]3 Ph Sizer 2-P D A # Meters�_ Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground Overhead
# Underground Laterals 1 n2 H Frame Pole Work done on Service? D Y / N
Additional Information:
PAYMENT DUE WITH APPLICATION
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