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HomeMy WebLinkAbout47215-Z �o�OSUFfa4t Town of Southold 2/6/2022 P.O.Box 1179 W • 53095 Main Rd •y�o� ��o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42733 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. 47215 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 golf course bathrooms. (Building 48) The certificate is issued to King,William&Turner,David of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47215 12/9/2021 PLUMBERS CERTIFICATION DATED Authorized Signature °�S�Ffoj TOWN OF SOUTHOLD BUILDING DEPARTMENT yg TOWN CLERK'S OFFICE �,, • ��fi 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 #: 47215 Date: 12/9/2021 Permission is hereby granted to: King, William 33 First St Webster, MA 01570 To: Electric for Course Restrooms, Building # 8. 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 $125.00 Total: $125.00 Building Inspector OF SQ(/l�,ol 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 OUNT`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: William King Address: 5025 Route 25 Course Bathrooms Bldg f city:Greenport st: NY zip: 11944 Building Permit#: 47215 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 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 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 2pA 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: 12 Circuit Sub Panel 5 Used Notes: " AS BUILT NO VISUAL DEFECTS " Course Bathrooms Inspector Signature: ,�� Date: December 9, 2021 S.Devlin-Cert Electrical Compliance Form o�aoF souryo �" �l—�, �d`�/'o,cTM� # # TOWN. OF SOUTHOLD BUILDING DEPT. `ycourm ' 765-1802 INSPECTION [ ] 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: r� c-v �f 1 DATE INSPECTOR .� OF SOUT/Yp �` J v 2 5 � 6 # # q4- TOWN, OF SOUTHOLD BUILDING DEPT-m- 765-1,802 EPT.765-1802 ANSPECTION '. [ '] FOUNDATION 1ST [ ] ROUGH.PLBG. [ ] 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: DATE Zot �� INSPECTOR �- 12? BUILDING DEPARTMENT-Electrical Inspector ACEI IN, 1= Fn TOWN OF SOUTHOLD 202Town Hall Annex- 54375 Main Road - PO Box 1179 DEC o 3 LL-1 a' Southold, New York 11971-0959 BUILDING DEPT. Telephone (631) 765-1802 - FAX (631) 765-9502 TOWN OF sOUTHOLD 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: r� I 1.,2 { Address: �ve 0Z Cross Street: Phone No.: — q 7 7— Bldg.Permit#: rj email: Tax Map District: 1000 Section: Block: 6,2 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?: El YES�10 Issued On Temp Information: (All information required) Service Size91 PhF-]3 Ph Size: A # Meters Old Meter# ENw Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑overhead #Underground LateralsEL FJ2 n H Frame R Pole Work done on Service? Fly Additional Information: Bu -% jct-� %P:54 v-'O 0 0-- > PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector I_� TOWN OF SOUTHOLD Fri Town Hall Annex- 54375 Main Road - PO Box 1179 YS DECm U Southold, New York 11971-0959 BUILDING DEPT Telephone (631) 765-1802 - FAX (631) 765-9502 TOWN OF SOUTHOLD 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: �- �{ . Address: Z-2 , Cross Street: Phone No.: �3 BIdg.Permit#: email: Tax Map District: 1000 Section: Block: 62— Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: El YES❑NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES�1O Issued On Temp Information: (All information required) Service Size9i Ph®3 Ph Size: A # Meters Old Meter# Eal"Service❑Fire Reconnect❑Flood Reconnect Oservice Reconnect❑Underground❑overhead #Underground LateralsR1 H Frame Pole Work done on Service? F1 Y Additional Information: /a %?754 :4cs i 1�� r� arca o tftu-> PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's l Surface Sconces H H's UC Lts . Fans ... s :Fridge HW . .F. Exha ust Oven W/D SmokesDW Mini. . Carbon ......:... .._. ..;...,._ . .-..m_;: :.: IVlrcro... Generator..,.:.. .. Combo.- Cooktop Transfer .^ Ac AH Hood Service Amps ..., ..Have:.,,, Used Special: _ Comments: ;::.