HomeMy WebLinkAbout47362-Z Town of Southold 1/31/2022
a y� P.O.Box 1179
y x 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42720 Date: 1/31/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 395 Track Ave., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 137.-1-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/18/2022 pursuant to which Building Permit No. 47362 dated 1/20/2022
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 electric service.
The certificate is issued to Kinsey,Andrew&Susan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47362 1/20/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
�oSF 1 0 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 47362 Date: 1/20/2022
Permission is hereby granted to:
Kinsey, Andrew
395 Track Ave
Cutchogue, NY 11935
To: 200A electric service upgrade.
At premises located at:
395 Track Ave., Cutchogue
SCTM # 473889
Sec/Block/Lot# 137.-1-19
Pursuant to application dated 1/18/2022 and approved by the Building Inspector.
To expire on 7/22/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Of SO(/jyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q sean.devlin(a)-town.southold.ny.us
Southold,NY 11971-0959
COUNVI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Andrew Kinsey
Address: 395 Track Ave city:Cutchogue st: NY zip: 11935
Building Permit#: 47362 section: 137 Block: 1 Lot: 19
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 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 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 Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel
Notes: " AS BUILT NO VISUAL DEFECTS " New Service Upgrade
Inspector Signature: Date: January 20, 2022
S.Devlin-Cert Electrical Compliance Form
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S ILDING DEPARTMENT- Electrical Inspector
o�A SAN g 202 TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road- PO Box 1179
G Deg C.
• �O OrS BOLD Southold, New York 11971-0959
•Ij�; Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrsoutholdtownny.gov - sea nd(cb-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 1.12.22
Company Name: Element Energy
Electrician's Name: Jamie Minnick
License No.: 52689-ME Elec. email: permits@e2sys.com
Elec. Phone No: 6317797993 1 request an email copy of Certificate of Compliance
Elec. Address.: 7470 Sound Ave Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Susan Kinsey
Address: 395 Track Ave
Cross.Street:
Phone No-.,. .631807891,3
BIdg:Pernit# + �} �},`�j(n; email permits@e2sys,com
Tax Ma
p District 1000 Section 13700 _ Block 0100 Lot 019000
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please.Print Clearly);:
Electrical,Service Upgrade.100-200amp:.
Square Footage:'
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO 0 Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service SizeFv-11 Ph❑3 Ph Size: A #Meters Old Meter#.
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect LUnderground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:��IS✓L�`l�iy! GI� ��� e
PAYMENT DUE WITH APPLICATION
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