HomeMy WebLinkAbout42525-Z �o�0$uFF� pGy Town of Southold 5/26/2022
P.O.Box 1179
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o _ 53095 Main Rd
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43095 Date: 5/26/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7972 Great Peconic Bay Blvd,Laurel
SCTM#: 473889 Sec/Block/Lot: 126.41-16
Subdivision: Filed Map No. Lot No,
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/4/2018 pursuant to which Building Permit No. 42525 dated 4/4/2018
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:
electric re-wiring in existing cottage as applied for.
The certificate is issued to Bajada,Joseph&Wolff,Lorraine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42525 3/28/2022
PLUMBERS CERTIFICATION DATED
Authorized ignature
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TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o, • SOUTHOLD, NY
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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#: 42525 Date: 4/4/2018
Permission is hereby granted to:
Bajada, Joseph
7972 Great Peconic Bay Blvd
Laurel, NY 11948
To: Re-wire electric in cottage
At premises located at:
7972 Great Peconic Bay Blvd, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-11-16
Pursuant to application dated 4/4/2018 and approved by the Building Inspector.
To expire on 10/4/2019.
Fees:
ELECTRIC $125.00
Total: $125.00
ui nspector
OE SOUryol
o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviin(-town.southold.ny.us
Southold,NY 11971-0959 o�yCOWN'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Bajada
Address: 7972 Great Peconic Bay Blvd city:Laurel st: NY zip: 11948
Building Permit#: 42525 section: 126 Block: 11 Lot: 16
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 Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 17 Ceiling Fixtures 1 Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 3 Smoke Detectors
Main Panel 150A A/C Condenser Single Recpt Recessed Fixtures 18 CO2 Detectors
Sub Panel A/C Blower Range Recpt Elec Ceiling Fan Combo Smoke/CO
Transformer UC Lights 6' Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 16 4'LED Exit Fixtures Pump
Other Equipment: Instant Hot, Fridge, Oven, Micro, 150A Panel 30 Circuit/24 Used
Notes: � AS BUILT NO VISUAL DEFECTS " Cottage
Inspector Signature: - Date: March 28, 2022
S.Devlin-Cert Electrical Compliance Form
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cou765-1802
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: pry
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DATE ANSPECTOR
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F BUILDING DEPARTMENT-ElectricalIns r �
TOWN OF SOUTHOLD MAR 1 5 2018
Town Hall Annex- 54375 Main Road - PO Box 1179
�.y�ro• a" Southold, New York 11971-0959:
Telephone (631) 765-1802 - FAX(631) 765 �x�T
roper.richert(aD-town.southold.ny.us "1" OFS6I7TgOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: t Date:
Company Name: ► C
Name: 3 r
y��d -(Yl
License No.: email: e ( .C
Address: L (�R Can 12 & S' n ./
Phone No.: - - q
JOB SITE INFORMATION: (Al Information Required)
Name: c AT 19�41A
Address: gqc_ 498: 1L)cj Aure mR
Cross Street: A
Phone No.: 1
Bldg.Permit#: email: SkLjl'Vne 61 L1 ® Aol . co m.
Tax Map District: 1000 Section: ) Block: 60 1 Lot: Q
BRIEF DESCRIPTION OF WORK(Please Print Clearly) Au to t('l q4
21iA V2 I U
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES/e Issued On
Temp Information- (All information required) a
Service Size 1 Ph. 3 Ph Size: -W ► #Meter Old Meter#
New Service-Fire Reconnect- Flood Reconnect-Service Reconnected -Underground-Overhead
# Underground Laterals 1 2 H Frame Pole; Work done on Service?, Y
Additional Information:
PAYMENT DUE WITH APPLICATI % �R/J�
DD :
a )65o MAR 15 2018
82-Request for Inspection Form.xis
TOWN OF SOUTHOLD
PERMIT # Address:
d
Switches J .
Outlets
G F I's�
Surface 1
Sconces ' 'r
H H's 1 .
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UC Lts
Fans Fridge I HW
Exhaust Oven W/D
Smokes DW Mini
Carbon ' Micro Generator,
Combo Cooktop Transfer
AC A Hood Service
A ;;
:��y Amps Have Used
Special:
Comments: J,J(
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