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HomeMy WebLinkAbout47571-Z agUEFUI,� oG. Town of Southold 4/9/2022 4ao y� P.O.Box 1179 o - o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42987 Date: 4/9/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2600 Sigsbee Rd,Laurel SCTM#: 473889 Sec/Block/Lot: 144.-1-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/14/2022 pursuant to which Building Permit No. 47571 dated 3/20/2022 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 overhead electric service. The certificate is issued to Polino,Joseph&Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47571 4/6/2022 PLUMBERS CERTIFICATION DATED ho ize Si nature o S fF Q TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 #: 47571 Date: 3/20/2022 Permission is hereby granted to: Polino, Joseph 2 High Meadow Rd Hadley, MA 01035 To: 200 amp overhead electric service upgrade. At premises located at: 2600 Sigsbee Rd, Laurel SCTM # 473889 Sec/Block/Lot# 144.-1-23 Pursuant to application dated 3/14/2022 and approved by the Building Inspector. To expire on 9/19/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pF SOUTyo � to Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179G Q -�. � �o sear.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 Ql�c®wn�� . BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Joseph Polino Address: 2600 Sigsbee Rd city:Laurel st: NY zip: 11948 Building Permit#: 47571 section: 144 Block: 1 Lot: 23 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Warren Hubbs Electric License No: 4155ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New X 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 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 Service 42 Circuit/ 19 Used Notes: Service Inspector Signature: � Date: April 6, 2022 S.Devlin-Cert Electrical Compliance Form . suFlac,�c BUILDING DEPARTMENT-Electrical Inspector \� o TOWN OF SOUTHOLD oy •, Town Hall Annex-54375-Main Road-PO Box 1179-Southold, NY 11971-0959_ Telephone (631) 765-1802 Temporary Certificate #__L2?_LS Date 2022 Customer Name 100 Electrician Name frel) S' f/C Address 2600 [ A 22 Leto re I Phone . G 27 e-mail e-mail C 2, " COM [Mone' License# Size A Phase Overhead _Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# 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 vali 0 the date ve. • Authorized by r ho�aOF SOUIyo� � —75-71 # TOWN OF SOUTHOLD BUILDIN DEPT. �ycoulm, 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: V DATE L41611, ANSPECTOR �, ' pFS00lyo6 + 7 5� I Z G 00 51�?b ee # # TOWN OF`SOUTHOLD BUILDING DEPT. `ycourm ' 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] ''FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) A ELECTRICAL (FINAL) [ ] CODE VIOLATION PRE C/O REMARKS: ✓l�i I Li ac J ,00 oe DATE 7 67 ' -2,lNSPECTOR ` BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD ? Town Hall Annex- 54375 Main Road - PO Box 1179 ® Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov.— seand(ci)_southoldtownn ..qov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 2-25-22 Company Name: warren hubbs electric Electrician's Name: warren hubbs License No.: 4155ME Elec. email:hubco2345@gmail.com Elec. Phone No: 631 680 2729 ❑1 request an email copy of Certificate of Compliance Elec. Address.: 55 woodacres rd east patchogue ny 11772 JOE SITE INFORMATION .(All Information Required) Name: joe polino Address: 2600 sigsbee rd Cross Street: peconic bay blvd Phone No.: 413 695 8367 Bldg.Permit#: y -7 j �2 1 email:begoodharry@yahoo.com Tax Map District: 1000 Section:144 Block: 1 Lot:23 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 200amp overhead service upgrade Square Footage: Circle All That Apply: Is job ready for inspection?: YES E] NO Rough In ❑✓ Final Do you need a Temp Certificate?: R YES❑ NO Issued On Temp Information: (All information required) Service SizeR1 PhR3 Ph Size: 200 A # Meters 1 Old Meter# New Service0 Fire Reconnect[]Flood Reconnect @Service Reconnect Underground✓Overhead #Underground Laterals 1 2 H Frame 0 Pole Work done on Service? Y N Additional Information:needs new 1/0 drop r �— �� �s PAYMENT DUE WITH APPLICATION MAR 14 2022 o�9SUFFOtK�oG BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 V? ` Southold, New York 11971-0959 o� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov - seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2-25-22 Company Name: warren hubbs electric Electrician's Name: warren hubbs License No.: 4155ME Elec. email:hubco2345@gmail.com Elec. Phone No: 631 680 2729 ❑I request an email copy of Certificate of Compliance Elec. Address.: 55 woodacres rd east patchogue ny 11772 JOB SITE INFORMATION (All Information Required) Name: joe polino Address: 2600 sigsbee rd Cross Street: peconic bay blvd Phone No.: 413 695 8367 Bldg.Permit M y -7 5-21 email:begoodharry@yahoo.com Tax Map District: 1000 Section:144 Block: 1 Lot:23 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 200amp overhead service upgrade Square Footage: Circle All That Apply:. Is job ready for inspection?: V1 YES NO F-1 Rough In ✓0 Final Do you need a Temp Certificate?: 0 YES❑NO Issued On Temp Information: (All information required) Service SizeFV11 Ph❑3 Ph Size: 200 A #Meters 1 Old Meter# ❑New service[]Fire Reconnect[:]Flood Reconnect❑Service Reconnect[-]Underground ✓❑Overhead # Underground Laterals M1 R2 M H Frame Pole Work done on Service? Y MN Additional Information:needs new 1/0 drop OVIE Ul PAYMENT DUE WITH APPLICATION MAR 1 4 202 g W,jU,DWC,DEPT. �-