HomeMy WebLinkAbout47576-Z :�SUFFOL��•
opo c�G. Town of Southold 6/11/2022
y� P.O.Box 1179
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CERTIFICATE OF OCCUPANCY
No: 43144 Date: 6/11/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4510 Rocky Point Rd., East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-3-26.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/22/2022 pursuant to which Building Permit No. 47576 dated 3/22/2022
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 Gans,Allison&Wolfe,Erin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47576 6/1/2022
PLUMBERS CERTIFICATION DATED
uthorized Sinature
gtlFfDi,� TOWN OF SOUTHOLD
�oo� c�ay BUILDING DEPARTMENT
N x TOWN CLERK'S OFFICE
o • 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#: 47576 Date: 3/22/2022
Permission is hereby granted to:
Gans, Allison
584 Pacific St#2
Brooklyn, NY 11217
To: 200A overhead electric service.
At premises located at:
4510 Rocky Point Rd., East Marion
SCTM #473889
Sec/Block/Lot# 21.-3-26.1
Pursuant to application dated 3/22/2022 and approved by the Building Inspector.
To expire on 9/21/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building I spector
OF SO(/l�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 iQ sean.deviina-town.southold.nv.us
Southold,NY 11971-0959 OIyC�U S��v
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Allison Gans
Address: Rocky Point Rd city:East Marion st: NY zip: 11939
Building Permit* 47576 Section: 21 Block: 3 Lot: 26.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: DAK Electric License No: 5120ME
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 Attic Garage
INVENTORY
Service 1 ph 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:
Notes: New Service and Meter
Inspector Signature: Date: June 1, 2022
S.Devlin-Cert Electrical Compliance Form
o��SUfFat/(cD
� Gy BUILDING DEPARTMENT-Electrical Inspector
CD TOWN OF SOUTHOLD
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_ Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802
Temporary Certificate # Date 2022
Customer NameWalge Electrician Name �r�G
AddressaAT HO Phone 6
e-mail e-mail �' SCONN
Phone License#
7_0 AA
Size_200 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 valid for 9 ays from the date above.
Authorized by
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Of SOOIyo� s' O y _OAOF�
TOWN OF OUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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
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REMARKS. 4,zz -
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DATE Z INSPECTOR
L�
l7 li` BdJI ` NG DEPARTMENT- Electrical Inspector
��R TOWN OF SOUTHOLD
j iOn Unnex- 54375 Main Road - PO Box 1179
ev�io„vvSouthold, New York 11971-0959
TOWN OFSOOThT=
r� 4ephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.gov - seand(a�southoldtownny gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3/18/2022
Company Name: DAK Electric
Electrician's Name: Dave King
License No.: 5120 Elec. email:jgaffga@jtechss.com
Elec. Phone No: 631-375-2737 211 request an email copy of Certificate of Compliance
Elec. Address.: PO # 1250 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Erin Wolfe
Address: 4510 Rocky Point Rd East Marion NY 11939
Cross Street: ;Southern Blvd
Phone No.: 631-375-2737
Bldg.Permit#: q -7,5-71p email:jgaffga@jtechss.com
Tax Map District: 1000 Section:21 Block: 3 Lot:26.1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
relocate meter from basement to outside home. replace service entry
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑1 YES ❑ NO F-]Rough In ❑ Final
Do you need a Temp Certificate?: YES ❑NO Issued On 3
Temp Information: (All information required)
Service Size-11 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter# 1
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground QOverhead
# Underground Laterals M 1 R2 H Frame Pole Work done on Service? ✓ Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address.-
Switches
ddress:Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
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