HomeMy WebLinkAbout46544-Z � �oSuFFo�k Town of Southold 3/26/2022
P.O.Box 1179
o • � 53095 Main Rd
?�jOl dao r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42952 Date: 3/26/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 5305 Narrow River Rd., Orient
SCTM#: 473889 Sec/Block/Lot: 27.-2-2.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/8/2021 pursuant to which Building Permit No. 46544 dated 7/8/2021
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:
300 amp underground electric service.
The certificate is issued to Bostic III,Henry&Ambriel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46544 3/18/2022
PLUMBERS CERTIFICATION DATED
w
Authorized Signature
s'FFoi� TOWN OF SOUTHOLD
400° cow BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
"o SOUTHOLD, NY4,1
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#: 46544 Date: 7/8/2021
Permission is hereby granted to:
Bostic III, Henry
246 Warren St
Brooklyn, NY 11201
To: 300A underground electric service.
At premises located at:
5305 Narrow River Rd., Orient
SCTM #473889
Sec/Block/Lot# 27.-2-2.3
Pursuant to application dated 7/8/2021 and approved by the Building Inspector.
To expire on 1/7/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil nspector
pf SO(/r�®l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G sean.devlin(atown.southold.ny.us
Southold,NY 11971-0959
COW,
BUILDING
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Henry Bostic III
Address: 5305 Narrow River Rd city:Orient st: NY zip: 11957
Building Permit#: 46544 Section: 27 Block: 2 Lot: 2.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Rocky Point Electric License No: 32544ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Wall Fixtures Smoke Detectors
Main Panel 150X2 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 1E Switches 4'LED Exit Fixtures Pump
Other Equipment: 2-150A Panels 30 & 40 Circuits
Notes: Service Upgrade
1^
r
Inspector Signature: Date: March 18, 2022
S. Devlin-Cert Electrical Compliance Form
-----------------------------------------------
S�FFot,��
BUILDING DEPARTMENT-Electrical Inspector
y = TOWN OF SOUTHOLD
,y • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802-FAX(631)765-9502
Temporary Certificate # OZ Date 2021
Customer Name Electrician Name p L
Address a �� Phone
e-mail e-mail ® kil joa 1& W •-r 16
Phone License# q
Size A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 2 New
"H" Frame or Polel H P 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 valid for 90 days from the dat above.
Authorized by ��
fql--f1
OF SOUTyo�o
* # TOWN OF SOUTHOLD BUILDING DEPT.
�o • �o
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: .
DATE INSPECTOR
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
co
^*x Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - seandCcisoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: !o �(o o►�
Company Name: .
Name: ty)*lu�`
License No.: 301_(04q IME email:�Oe ky ar c rz�- 9�-ra�• "�
Phone No: (035 51c sA U 59 EJI request an.email copy_ of Certificate of Compliance
Address.: (Q rz� Z-O ►�cx( T�,` . (w),-)
JOB SITE INFORMATION (All Information Required)
Name: 4VS
Address: 5S®
Cross Street:
Phone No.:
Bidg.Permit#: -
Tax Map District: 1000 Section: Block:Block: '` Lot: a
BRIEF DESCRIPTION OF WORK (Please Print Clearly,)
Check All That Apply:
Is job ready for inspection?: OYES [XNO []Rough In ❑Final
Do,you need a Temp Certificate?: ES ONO Issued On
Temp Information: (All information required)
Service Size M1 Ph M3 Ph Size: A #Meters Old Meter* _
[ New Service ❑ Service Reconnect �Underground Overhead
#((Underground Laterals 2 Frame Elpole Work done on Service? YN
Additional Information:
:. �..D, t.,
PAYMENT DUE WITH APPLICATION L`: Vf Ls
J U L 2 2021
Electrical Inspection Form 2020.x1sx " �a��
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW -Mini
''Carbon :Micro Generator
Combo Co'okto:p Trarisfe;r
AG_. AH Hood Service
Amps Have Used
Special:
l3U a
Comments: �/