HomeMy WebLinkAbout47513-Z, 47514-Z, 47515-Z i
i
ela Town of Southold 5/28/2022
P.O.Box 1179
0
.' x 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43106 Date: 5/28/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1145 Moores Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/2/2022 pursuant to which Building Permit No. 47513 dated 3/2/2022
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:
"as built"electric for accessory garage.
The certificate is issued to Evans,William
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47513 3/2/2022
PLUMBERS CERTIFICATION DATED
Authori d Signature
I
T �oS�EFUlk�oa. Town of Southold 5/28/2022
y� P.O.Box 1179
0
.� 53095 Main Rd
yo ao�`f Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43107 Date: 5/28/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1145 Moores Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/2/2022 pursuant to which Building Permit No. 47514 dated 3/2/2022
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:
"as built"electric for accesso y barn.
The certificate is issued to Evans,William
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47514 3/2/2022
PLUMBERS CERTIFICATION DATED
c
Authorized Signature
i
�o�oS11fF01 oy Town of Southold 5/28/2022
a P.O.Box 1179
y z 53095 Main Rd
o , Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43108 Date: 5/28/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1145 Moores Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
j 3/2/2022 pursuant to which Building Permit No. 47515 dated 3/2/2022
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:
"as built" electric for existing singley dwelling.
The certificate is issued to Evans,William
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47515 5/27/2022
PLUMBERS CERTIFICATION DATED
Authori Signature
TOWN OF SOUTHOLD
o�°Suff�1K�o�y� 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#: 47513 Date: 3/2/2022
Permission is hereby granted to:
Evans, William
1145 Moores Ln
Cutchogue, NY 11935
To: as built" electric for accessory garage.
At premises located at:
1145 Moores Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.4-2 -
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 9/1/2023.
Fees:
ELECTRIC $190.00
Total: $190.00
Buil ing Inspector
TOWN OF SOUTHOLD
o�os�Ffotp�oy BUILDING DEPARTMENT
TOWN CLERKS 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 #: 47514 Date: 3/2/2022
Permission is hereby granted to:
Evans, William
1145 Moores Ln
Cutchogue, NY 11935
To: as built" electric for accessory barn.
At premises located at:
1145 Moores Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-4-2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 9/1/2023.
Fees:
ELECTRIC $180.00
Total: $180.00
Building Inspector
'u x TOWN OF SOUTHOLD
oma°�FFQ�K y BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
co
SOUTHOLD, NY
�y,�101 � �apuir�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#: 47515 Date: 3/2/2022
Permission is hereby granted to:
Evans, William
1145 Moores Ln
Cutchogue, NY 11935
To: as built" electrical for existing single family dwelling.
At premises located at:
1145 Moores Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.4-2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 9/1/2023.
Fees:
ELECTRIC $270.00
Total: $270.00
Building Inspector
oF so�ryQl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 'Qly
UNNi
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Williams Evans
Address: 1145 Moores Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 47513 Section: 109 Block: 4 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
,Residential X Indoor Basement Service
i
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt 5 Ceiling Fixtures 4 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 1 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 4'LED 2 Exit Fixtures Pump
Other Equipment: 6 Circuit Sub /6 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Garage
Inspector Signature: ��`�" Date: March 2, 2022
S. Devlin-Cert Electrical Compliance Form
SO!/T�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 ao sean.devlina-town.southold.nv.us
Southold,NY 11971-0959 Q
�ycoum,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: William Evans
Address: 1145 Moores Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 47514 section: 109 Block: 4 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
i
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
i
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Barn X
New Renovation 2nd Floor X Hot Tub
i
Addition Surrey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures 3 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 1 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: Sub Panel 8 Circuit/6 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Barn
Inspector Signature: �1/U r Date: March 2, 2022
S.Devlin-Cert Electrical Compliance Form
pF SQ(/r�,ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(,U-)town.southold.ny.us
Southold,NY 11971-0959 co �^
Um,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: William Evans
Address: 1145 Moores Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 47515 Section: 109 Block: 4 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT^ License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
i Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic X Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 37 Ceiling Fixtures 6 Bath Exhaust Fan 2
Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 18 Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 18 CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt 50A Ceiling Fan 4 Combo Smoke/CO 10
Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect 1 Switches 32 4'LED 1 Exit Fixtures Pump
Other Equipment: Fridge, Oven, DW, Micro, Hood, W/D
Notes: AS BUILT NO VISUAL DEFECTS " Pre- CO and Kitchen Renovation
Inspector Signature: f Date: May 27, 2022
S.Devlin-Cert Electrical Compliance Form
0ES0UThp! I 75 ` "3*
1 � > ' e r /
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# TOWN OF'SOUTHOLD BUILDING DEPT.
�YUOUR(I,N 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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: 4A-M A-C 9--
0 K
i0K
DATE Z ZZ INSPECTOR
,,p
OE SOUIyo 4-7 5- 1
TOWN OF SOUTHOLD BUILDING DEPT.
`ycou�m ' 765-1802
INSPECTION '.
[ ] FOUNDATION IST [ ] 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 Z INSPECTOR �-,
c
OF 50blyo 5 A4
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION '
[ ] FOUNDATION 1ST [ ] 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:
rs e-�e re4
DATE Z INSPECTOR �'�c�—
S v 1E � 'g S
ING DEPARTMENT- Electrical Inspector
2022 TOWN OF SOUTHOLD
co wn Hall Annex- 54375 Main Road - PO Box 1179
TOWN
OF OUT�LD
Southold, New York 11971-0959
�y�jOl �ao� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerra-southoldtownny.gov- seand(D_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: 01 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: William E. Evans
Address: 1145 Moores Lane, Cutchogue NY 11935
Cross Street:
Phone No.: 617-281-3541
Bldg.Permit M pre-CO S( � email:pcmoore@niooreattys.com
Tax Map District: 1,000 Section:109 Block:.4 Lot:2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Pre-CO to be issued, electricalpermit required:for
ff__� ,
As fJui4
Square Footage:
Circle All That Apply
Is job ready for inspection?: ❑ YES 0 NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES FV_1 NO issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3.Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#Underground Laterals 1 FJ2 0 H Frame Pole Work done on Service? MY ON
Additional Information: for issuance of Pre-co
PAYMENT DUE WITH APPLICATION
PERMIT# Address:-
Switches
ddress:Switches
Outlets
GFI's I
Surface �I f
Sconces
H H's
UC Lts
' .. .. .: ... .... ..�.. :.... ,.. .�. ,. F'rid'ge ,,...:..... .� : .. .. _ ._ ... _,.... ..H.W.,,:..-,:.., �;. :. -_...... . ... -
Fans `...... .
Exhaust Oven W/D
Smokes DV1/
Mini.
Carbon fVlicro.. ._ .. .. - . : ':;Gene.rator. ,
Combo Cooktop .Trahsfer1'
AC. AH Hood Service
Amps Have Used `
� ...: .�
Special:
Comments:
t
� a -
, S % ,qS
1 2422
S�FFO �E� 1 BUILDING DEPARTMENT- Electrical Inspector
B� �F o10L� TOWN OF SOUTHOLD
o
$ 10"N
pow Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cD-southoldtownny.gov-• seand(a)southoldtownny.Qov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: William E. Evans
Address: 1145 Moores Lane, Cutchogue NY 11935
Cross Street:
Phone No.: 617-281-3541
Bldg.Permit#: pre-CO 1,1—j 5-( Lf email:pcmoore@mooreattys.com
Tax Map District: 1000 Section:109 Block: 4 Lot:2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Pre-CO to be issued, electrical permit required for V1i1
G1 S DU Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES FV-1 NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame n Pole Work done on Service? MY N
Additional Information: for issuance of Pre-co
PAYMENT DUE WITH APPLICATION
ICP
.
CV
PERMIT # Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts . . ..
:.. :... . ...... .... .. _ .
Fans . _ . . .. . ._,..,.. .• .
Fridge
Exhaust Oven W/p'
Smokes DW Mini..
..C2rbori. . 1VI7cro_. ...;. - . Gene-gator:
Combo _. .._- do top _... Transfer"
AC AH. Hood Service . .
;Have. Used
Special:
Comments:
S C �E % ,q S li" � "
/l
SEB
oNuuoF S�Z �DING DEPARTMENT-EI`ectrical Inspector
�SuFFO�,��o
TOWN OF SOUTHOLD
cm y = Town Hall Annex- 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerra-so_utholdtownny.gov— seandt D_southoldt6wn0y.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: William E. Evans
Address: 1145 Moores Lane, Cutchogue NY 11935
Cross Street:
Phone No.: 617-281-3541
Bldg.Permit#: pre-CO L. "7S f S email:pcmoore@mooreattys.com
Tax Map District: 1000 Section:109 Block: 4 Lot:2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Pre-CO to be-issued, electrical permit required forte
Square Footage: p
Circle All That Apply:
Is job ready for inspection?: ❑ YES❑✓ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES FV�- NO Issued On
Temp Information: (Ali information required)
Service Size❑'I Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service[]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 E12 H Frame Pole Work done on Service? Y FIN
Additional Information: for issuance of Pre-co
PAYMENT DUE WITH APPLICATION
'� 0.(-P
PERMIT # dd ss:
Switches
Outlets b �
GFI's G
D
Surface b
Sconces
1 �II/
Fills I ��... . . . . .. . . ' . .. .' .
UC Lts
Fans I ........ _ _. HV1/ w... .... ... .,
1 Fridge
1
Exhaust ,v Oven W/D
C Srt
Smokes ` DW , Mmi =;
Carbon.. IVlicro . :.� Generator
Combo �� 6ook6p _ Transfer''
AC AH Flood. Service _ _
Am
f Ps
f Have Used
Special:
fn
Comments: � � �.D t� � 1� � rL,;�