HomeMy WebLinkAbout47214-Z �oSufFU( Town of Southold 2/6/2022
aA P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42734 Date: 2/2/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 5025 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 35.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/9/2021 pursuant to which Building Permit No. 47214 dated 12/9/2021
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:
electric for barn with car lift. (Building#6)
The certificate is issued to King,William&Turner,David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47214 12/10/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
SaffGIk TOWN OF SOUTHOLD
c°oy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 47214 Date: 12/9/2021
Permission is hereby granted to:
King, William
33 First St
Webster, MA 01570
To: Electric for Barn 1, building #6 .
At premises located at:
5025 Route 25, Greenport
SCTM #473889
Sec/Block/Lot# 35.-2-11
Pursuant to application dated 12/9/2021 and approved by the Building Inspector.
To expire on 6/10/2023.
Fees:
ELECTRIC $270.00
Total: $270.00
Building Inspector
O��OF 50(/Tyol
Town Hall Annex ~ O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q sean.devlin(c�town.south old.n us
Southold,NY 11971-0959 y'
olyMUM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: William King
Address: 5025 Route 25 Barn 1 Bldg 6 city:Greenport st: NY zip: 11944
Building Permit#: 47214 section: 35 Block: 2 Lot: 11
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 Indoor X Basement Service X
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt 20 Ceiling Fixtures 10 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 7 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights 8'LED 3 Emergency Fixture Time Clocks
Disconnect Switches 15 4'LED 1 Q Exit Fixtures Pump
Other Equipment: 100A Sub 24 Circuit/All Used , Car Lift
Notes: " AS BUILT NO VISUAL DEFECTS " Barn 1
Inspector Signature: <, Date: December 10, 2021
S.Devlin-Cert Electrical Compliance Form
o��OF SOUIyo K-ip� av— \
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm,��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
j ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[' ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) � ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
6- F cx-Y .0 1^
DATE 161 INSPECTOR � �-
-7 OF SOUIyO!
# TOWN OF SOUTHOL`D BUILDING DEPT.
'COD . 765-1802
INSPECTION '
- }
[ .]. FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND ° [ ] INSULATIOWCAULKING
[ ]
FRAMING /STRAPPING [ ] FINAL
`` [ ] FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]
FIRE°RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: . .-
17, /
DATE � INSPECTOR .
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n iBUILDING DEPARTMENT- Electrical Inspector
C TOWN OF SOUTHOLD
DEC - 2 2021 Hall Annex - 54375 Main Road - PO Box 1179
BUILDING DEPTSouthold, New York 11971-0959
-rows,of sou-naoLo Telephone (631) 765-1802 - FAX (631) 765-9502
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: ' 4', .
Address: Z — — n \
Cross Street:
Phone No.: (� ( — r 6 /
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: p Lot: G
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage: ?6o o
Circle All That Apply:
Is job ready for inspection?: EF YES❑NO E]Rough In ❑ Final
Do you need a Temp Certificate?: El YES VIVO Issued On
Temp Information: (All information required)
Service Sizel1 PhF_13 Ph Size: A # Meters Old Meter#
[]New Service❑Fire Reconnect❑Flood Reconnect[3service Reconnect❑Underground❑Overhead
# Underground Laterals 1 H Frame Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION
`Y1 'L
rr ,.BUILDING DEPARTMENT- Electrical Inspector
L`� Ly] L� LI ��
TOWN OF SOUTHOLD
DEC d 3 2021 pw Hall Annex - 54375 Main Road - PO Box 1179
BUILDING DEPTSouthold, New York 11971-0959
TOWN or SOUMow Telephone (631) 765-1802 - FAX (631) 765-9502
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information'Required) Date:
Company Name:
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: a/
Address: 2 „ \0(
Cross Street:
Phone No.: (:3 k — p ' /
Bldg.Permit#: 14 email:
Tax Map District: 1000 Section: Block: Q Lot: (�
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage: 6o o
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)
Service Size�1
Ph Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect E]Jnderground❑Overhead
#Underground Laterals 1 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
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