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HomeMy WebLinkAbout47214-Z �oSufFU( Town of Southold 2/6/2022 aA P.O.Box 1179 o _ fn 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 . _ I � . • � � r. > _., . . • �:� A [7c''� +� `�. s 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: Switches I ` ' Outlets GFI'sf Surface Sconces �( 1 H H's UC Lts Fans :: _ Fudge .. .HW. Exhaust Oven ,W/D t Sm DW Mini.okes - :... . C2rbon ;IVlicro .. Generator i Combo:.•. .. . ........,,. Cooktop .. .... tr_ans€er` AC. . AH Hood Service Amps Have Used ' Special:... Comments: �Ci f'? -�/�� (1269 _ ...•. .