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HomeMy WebLinkAbout47576-Z :�SUFFOL��• opo c�G. Town of Southold 6/11/2022 y� P.O.Box 1179 o - W T.� 53095 Main Rd oy ;oma �}' Southold,New York 11971 A. 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 � o 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 co _ 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 r 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 c � REMARKS. 4,zz - -ewl r 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: Comments