Loading...
HomeMy WebLinkAbout47240-Z ��oS11EF0(k�p�y Town of Southold 1/8/2022 P.O.Box 1179 o ` 53095 Main Rd y��! �: Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42665 Date: 1/8/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 36980 CR 48,Peconic SCTM#: 473889 Sec/Block/Lot: 69.-4-8.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/17/2021 pursuant to which Building Permit No. 47240 dated 12/17/2021 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 Ciaglo Jr,Chester of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47240 12/28/2021 PLUMBERS CERTIFICATION DATED Authorized S' ure o�su�ena�co TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE Wow • o� � 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#: 47240 Date: 12/17/2021 Permission is hereby granted to: Ciaglo Jr, Chester 36980 CR 48 Peconic, NY 11958 To: 200A overhead electric service. At premises located at: 36980 CR 48, Peconic SCTM # 473889 Sec/Block/Lot# 69.4-8.5 Pursuant to application dated 12/17/2021 and approved by the Building Inspector. To expire on 6/18/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector 0�,t,0f S0�/r�,®l Town Hall Annex ~ O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.deviinCa-)town.southold.ny.us Southold,NY 11971-0959 olyCoU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Chester Ciaglo Jr Address: 36980 CR 48 city:Peconic st: NY zip: 11958 Building Permit#: 47240 Section: 69 Block: 4 Lot: 8.5 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 X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 50A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 4'LED Exit Fixtures Pump Other Equipment: 200A Panel 42 Circuit/ 9 Used, 50A Sub 16 Circuit/ 12 Used Notes: Service Inspector Signature: Date: December 28, 2021 S.Devlin-Cert Electrical Compliance Form 'pf SO Ll * # TOWN OF SOUTHOLD BUILDING DEPT. �ycou765-1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ -:] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE'SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ . ] ELECTRICAL (ROUGH) KA ELECTRICAL (FINAL) [ ] CODE VIOLATION ]] PRE C/O REMARKS: &4;;5 DATE Z t INSPECTOR r � of SOUIyo Zai a e o &f 416 7 # Tr"OWN SO THOLD BUILDING DEPT. caurm `' 765-1802 INSPECTI-ON [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY-, [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: : V J DATE - 42J -2,7 INSPECTOR �� v AFFOLA,.0, y� BUILDING DEPARTMENT-Electrical Inspector y z TOWN OF SOUTHOLD fn t_5 • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 y��4 �� Telephone (631) 765-1802-FAX (631) 765-9502 Temporary Certificate #__1LGa#__1Date 1 2021 Customer Name Electrician Name*K3 C® ' Address 10 L4 / Phone e-mail e-mail zf , Phone License## Size 6) A Phase�_Overhead�Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Polel 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 � � OS�¢Fat�t' BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o • �, Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roqerrO southoldtownny.gov seandCa)_southoldtownnv.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (AII Information Required) Date: 11Z-61—;?-1 Company Name: Electrician's Name: /7a License No.: 1 7—11,yJ Elec. email: Elec. Phone No: 6 '3 3 S-751612- 21"request an email copy of tertificate of Compliance Elec. Address.: 3;ia � 4n r ti,R JOB SITE INFORMATION (All Information Required) Name: Chesf-rr- C f"g910 Address: 36V0 (wo Rag I8 Pe cops,C ivy I Cross Street: Phone No.: 6 3 l " �� °j 6°J j email: Bldg.Permit#: 4�aP,'tie vctrs I mdtScA� � a d�ccs -A1n Tax Map District: 1000 Section: Block: Lot: 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?: CYES NO Issued On Temp Information: (All information required) Service Size1 Ph❑3 Ph Size: �LVy A #Meters ✓ Old Meter# ❑ New--Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Und - nd verhead # Underground Laterals M1 2 H Frame El Pole Work done on Service. r IN Additional Information.: PAYMENT DUE WITH APP (CATION �� C5-