HomeMy WebLinkAbout47183-Z Q�Og�FFU[kc4G: Town of Southold 2/15/2022
a $ P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42800 Date: 2/15/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2450 Cedar Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 77.-2-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/1/1900 pursuant to which Building Permit No. 47183 dated 12/6/2021
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 underground electric service.
The certificate is issued to Conway,Robert&Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47183 2/10/2022
PLUMBERS CERTIFICATION DATED
)nxffiio�'r-ized i ature
�s�FFo TOWN OF SOUTHOLD
ao- cGy BUILDING DEPARTMENT
C, 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#: 47183 Date: 12/6/2021
Permission is hereby granted to:
Conway, Robert
2454 4th Ave
East Meadow, NY 11554
To: 200 Amp underground service
At premises located at:
2450 Cedar Dr, Southold
SCTM # 473889
Sec/Block/Lot# 77.-2-15
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 6/7/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pV SOl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 • �Q sean.devlin(a-town.southold.ny.us
Southold,NY 11971-0959 ®�yC®M'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Robert Conway
Address: 2450 Cedar Dr " city:Southold st: NT zip: 11971
Building Permit#: 471$3 Section: 77 Block: 2 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: North Fork Electrical Contr. License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1 st 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 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 42 Circuit Panel / 19 Used
Notes: Service
Inspector Signature: Date: February 10, 2022
S.Devlin-Cert Electrical Compliance Form
�aoF souryo 4 �V. !/ l J IVR
# # TOWN OF SOUTHOLD.BUILDING DEPT.
°Tyco, ` 765-1802
INSPECTION
j ] FOUNDATION IST [ ] ROUGH PLBG.
[
:] -FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ]° FIREPLACE & CHIMNEY [ ]- FIRE"SAFETY INSPECTION
[ A- FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS: -
DATE INSPECTOR
I—
LAT�
-TOWN OF SOUTHOLD-- ----�-----
CD Town Hall Annex - 54375 Main Road - PO Box 1179
CI' - Southold, New York 11971-0959
4,o ��� Telephone (631) 765-1802 - FAX ) r 6 9
ro err southoldtownn ov - seand h161X t.&E
APPLICATION FOR ELECTRICAL INSPEC10
NOV 2 s 1011
ELECTRICIAN INFORMATION (All Information Required) Date: TOWNOFsourHOLD
Company Name: � .., Q tI rte. -VQrV OCD ,
Name:
License No.: email.-
Address:
mail:Address: 1lei'1
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: . ,•���
Address:_ �ysv -7
Cross Street: Q�-
Phone No.: 3 1 0-1
B1dg.Permit#: Z7'� 7 /n email:
Tax Map District: 1000 Section: Block: Lot: S
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES1 O Rough In Final
a51
Do you need a Tem Certificate?: SNO Issued On -
(fel cis
Temp Information: (All information required)
Service Size(5 3 Ph Size: � A # Meters 1 Old Meter#
New Service-Fire Reconnect-Flood Reconnect- Service Reconnecteergrou - verhead
# Underground Lateralsin 2 H Frameole Work done on Service? M N
Additional Information: � r�-, �
PrJi
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
AC
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