HomeMy WebLinkAbout47571-Z agUEFUI,� oG. Town of Southold 4/9/2022
4ao y� P.O.Box 1179
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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
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179G Q
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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
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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. �-