HomeMy WebLinkAbout47436-Z T own of Southold 2/20/2022
P.O.Box 1179
53095 Main Rd
4,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42811 Date: 2/20/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 44030 Route 25,Peconic
SCTM#: 473889 Sec/Block/Lot: 75.-6-6.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/9/2022 pursuant to which Building Permit No. 47436 dated 2/9/2022
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 underground electric service and electric for gate.
The certificate is issued to Singer, Samuel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47436 2/11/2022
PLUMBERS CERTIFICATION DATED
Al thorized-<gnature
�o�suFFot,��o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
C', TOWN CLERK'S OFFICE
Woy • SOUTHOLD, NY
�ri •r' 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#: 47436 Date: 2/9/2022
Permission is hereby granted to:
Singer, Samuel
44030 Route 25
Southold, NY 11971
To: 200A underground electric service.
At premises located at:
44030 Route 25, Peconic
SCTM # 473889
Sec/Block/Lot# 75.-6-6.1
Pursuant to application dated 2/9/2022 and approved by the Building Inspector.
To expire on 8/11/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil g Inspector
so�ryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviin(M-town.southold.ny.us
Southold,NY 11971-0959 OIyCQUIV Vs��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Samuel Singer
Address: 44030 Route 25 city:Peconic st: NY zip: 11958
Building Permit#: 47436 section: 75 Block: 6 Lot: 6.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wlldwood Electric License No: 4836ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st 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 2 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 80A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel 40 Circuit/ 3 Used, 80A Sub 12 Circuit/2 Used
Notes: New Service and Sub Panel for Gate Wiring
C1 February 11, 2022
Inspector Signature: Date:
S.Devlin-Cert Electrical Compliance Form
�FSOUIyOIo LI -7�
# TOWN-OF SOUTHOLD BUILDING-DEPT.
coorm ' 765-1802
IN-SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ :] FOUNDATION 2ND - -[ ].INSULATION/CAULKING
[ ] FRAMING-/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY` = [ - r FIRE SAFETY'INSPECTION
[ ] FIRE RESISTANT=CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: f �1l`�`�a
DATE I INSPECTOR p
�o�s11FE0(,��DD
y BUILDING DEPARTMENT-Electrical Inspector
C* = TOWN OF SOUTHOLD
Gy Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate #—A-0 Date 211 2022
Customer Name g Electrician Name
Address f.� C Phone
e-mail e-mail t
Phone License#
Size 2�A Phase / Overhead Underground _ #of Meters
Remarks TT
#of Underground Laterals1 2 New
"H" Frame or Pole HP Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter#1 Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification'that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is v ' -abov��te
Authorized by
p
U
BUILDING DEPARTMENT- Electrical for
TOWN OF SOUTHOLD FEB d-B 2027
Town Hall Annex- 54375 Main Road - PO Bk�9ac DEpT
Southold, New York 11971-0959 �i gaUTH66
•,,,
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cr�southoldtownny.gov - seand(c�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: February 8,2022
Company Name: Wildwood Electric Inc.
Electrician's Name: Ralph Passantino Jr.
License No.: 4836-ME Elec. email:ralphjr@wildwoodelectric.com
Elec. Phone No: 631-236-2211 01 request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 373, Rocky Point NY. 11778
JOB SITE INFORMATION (All Information Required)
Name: Samuel Singer
Address: 44030 Rt. 25 Peconic, NY. 11971
Cross Street: Wells Road
Phone No.: 646-330-8658
Bldg.Permit#: { -712)(a email:singers@mskcc.org
Tax Map District: 1000 Section:75 Block: 06 Lot:6.1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
200.amp. Underground Electrical Service to provide power for the driveway Gate.
Square Footage:
Circle All That Apply: .
Is job ready for inspection?: YES 0 NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑1 YES ❑ NO Issued On
Temp Information: (All information required)
Service SizeFv—l1 PhF-13 Ph Size: 200 A # Meters 1 Old Meter#
❑✓ New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead
# Underground Laterals ✓ 1 F2 ✓ H Frame Pole Work done on Service? ✓ Y FIN
Additional Information: This Service also involes the installation of a PSEG Pad Mount Transformer.
r_
PAYMENT DUE WITH APPLICATION
FEB - g 2022 '4�1 G,
_ rp
PERMIT# Address:
Switches
Outlets
GFI's
N�
Surface
Sconces
H H's . . .._ ... ,..
UC Lfs .:
Fans . .:..
ri ge
HW-
Exha6st Oven W/p . . .. _ .. . ...
Smokes DW
Mini.
:Carbon :.`. .:. ..._........_,_.. ..._. ...,_ . ..._...._. IVlicro.. _........... . Gene:rato'r;: ;:..
Combo.. ..-. ....:.. :......_ C66kt6p —.Transfer
AC . AH Hood Service
P
s
. 'Amp Hate se
-. Ud
Comments:
i
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�� ��� ¢���� ,,• ���o sliding gate 295 ft
����� � • QJO�\G a 6�• ANG PPLO from main road
<11
Qp (Op
14
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KEY MAP
SCALE 1 "=200'
00
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�6s �•oa8° power to Z,o
�16,3�" E AL creek side of VI
" o6g5'4a. � gate
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er°P sfiainggale Mft SURVEY OF PROPERTY
—gin road SITUATE
et 01 Newelec c PECONIC
L 6. '}"20 eervice about 267 ft
0 e� mdn gate near Me TOWN OF SOUTHOLD
• '+ of planned weter SUFFOLK COUNTY, NEW YORK
% wen S.C. TAX No. 1000-75-06-6.1
SCALE 1"=30'
FEBRUARY 1,2015
—1,.to
v Ror.
qd power
creek ride of 0C1p uued�s
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1 ¢c[ fir,mie imo�aw°xi �"ux no,e
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`t s�%• ,\ TOTAL WEA Rf252.7R3 RR.ft.
�\ CFRT/F/CEL T0:
• SAMUEL SINGCR
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Nathan Taft Corwin iii
Land Surveyor
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