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HomeMy WebLinkAbout46964-Z ''i— �oS�Ffoc�coGTown of Southold 6/11/2022 P.O.Box 1179 cm co ? 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43142 Date: 6/11/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 856 Narrow River Rd., Orient SCTM#: 473889 Sec/Block/Lot: 27.-4-9.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/13/2021 pursuant to which Building Permit No. 46964 dated 10/13/2021 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: 400 amp underground electric service with(2)200 amp panels-one in dwelling and one inag rage. The certificate is issued to Madigan,Richard&Scheherazade of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46964 6/1/2022 PLUMBERS CERTIFICATION DATED v Authorized Signature pf 50!/T�,QI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinl-town.southold.ny.us Southold,NY 11971-0959 COMM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Richard Madigan Address: 856 Narrow River Rd city:Orient st: NY zip: 11957 Building Permit#: 46964 Section: 27 Block: 4 Lot: 9.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GJS Electric License No: 4839ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor House X Addition Survey X Attic Acc.Garage X 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 200X2 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 Fixture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 400A Service w/ (2) 200A Panels - One in House and One in Garage Notes: Service Inspector Signature: Date: June 1, 2022 S.Devlin-Cert Electrical Compliance Form �o�sUfFOj,(co Gym BUILDING DEPARTMENT-Electrical Inspector CO TOWN OF SOUTHOLD • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone(631) 765-1802-FAX(631) 765-9502 Temporary Certificate # #oTqDate 1617 2021 Customer Name f ! q/- Electrician Name Address or Phone e-mail e-mail C� Phone License# Size 0© A Phase T Overhead Underground �!4 _ #of Meters / Remarks #of Underground Laterals 1 2 New "H" Frame or Pole 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 valid for 90 daysrom the date above. Authorized by E C E U O�Og�FFO�,t. BIL NG DEPARTMENT-Electrical Inspector OCT 0 7 2021 TOWN OF SOUTHOLD i BUILDING DEP own Annex- 54375 Main Road - PO Box 1179 o TOWN OF SOUTHOLD Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(@-southoldtownny.gov - seand(@D-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: Company Name: GJS Electric, LLC Electrician's Name: Gary Salice License No.: 4839ME Elec. email:gary@nfay.com Elec. Phone No: 631-298-4545 D I request an email copy of Certificate of Compliance Elec. Address.: 6615 Main Rd., Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: d 'G vN Address: ' Cross Street: kin S Phone No.: BIdg.Permit#: q10 4 email: (C M q 6(4 c n @ Mai l.!,o w� Tax Map District: 1000 Section: 2-1 Block: Lot: 9, (v BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): t f OD a4y)p 5wvice--ce-- v p%roxie- Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑NO ❑Rough In ❑ Final Do you need a Temp Certificate?: 1'42 YES ❑ NO Issued On Temp Information: (All information required) Service Size[41 1 Ph❑3 Ph Size: dG A #Meters Old Meter# El New,Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect eunderground❑Overhead #Underground Laterals 1 2 M H Frame Pole Work done on Service? Y Additional Information: PAYMENT DUE WITH APPLICATION /1\ �0