HomeMy WebLinkAbout47863-Z f SUFEo'��
�O co Town of Southold 6/11/2022
ao Gam', P.O.Box 1179
o 53095 Main Rd
y o�,fi Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43155 Date: 6/11/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 185 Inlet Ln, Greenport
SCTM#: 473889 Sec/Block/Lot: 43.-4-37
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/28/2022 pursuant to which Building Permit No. 47863 dated 5/27/2022
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 Platt,Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47863 6/8/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
z ' 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#: 47863 Date: 5/27/2022
Permission is hereby granted to:
Platt, Thomas
185 Inlet Ln
Greenport, NY 11944
To: 200 amp overhead electric service.
At premises located at:
185 Inlet Ln, Greenport
SCTM # 473889
Sec/Block/Lot# 43.-4-37
Pursuant to application dated 4/28/2022 and approved by the Building Inspector.
To expire on 11/26/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q sean.deviina-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Platt
Address: 185 Inlet Ln city:Greenport state NY zip: 11944
Building Permit#: 47863 Section: 43 Block: 4 Lot: 37
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Dougherty Electric License No: 33397ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
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 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 Fixture Time Clocks
Disconnect LEI Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel 40 Circuit/23 Used
Notes: Service
Inspector Signature: Date:
June 8, 2022
S.Devlin-Cert Electrical Compliance Form
S�FFOI�
�p� COGy BUILDING DEPARTMENT-Electrical Inspector
c TOWN OF SOUTHOLD
e • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802 I
Temporary Certificate #A1_5_'5_ Date J�"'1 2-7 2022
Customer Name Thomc = -&V-77 Electrician Name Jo�y�,S paV �,Y--�—
Address ST r n ll+ Phone
e-mail a-mail J =.tamtsd a kez-Fr('cw%
Phone License#
Size_IM A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect I
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 v r� from the d bove.
Authorized by
o��OF SOUTyo t-t 7b&-5 1 Y /
# # TOWN OF SOUTHOLD BUILDING DEPT.
`�coutme�' 631-765-1802
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 [ ] RENTAL
REMARKS: C�(I
DATE INSPECTOR _ .
BUILDING DEPARTMENT- Electrical Inspector
,5U:" ;„ ,
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrV)southoldtownnN/,gov - seand asoutholdtownnN/.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3/26/22
Company Name: James Dougherty Electric inc
Electrician's Name: James Dougherty
License No.: ME-33397 Elec. email:James@jamesdelectric.com
Elec. Phone No: 631 728 3452 ®1 request an email copy of Certificate of Compliance
Elec. Address.: 17 Rosebriar Lane, East Quogue, NY 11942
JOB SITE INFORMATION (All Information Required)
Name: Platt
Address: 185 Inlet Road , Greenport , NY
Cross Street: Manhanset road
Phone No.:
Bldg.Permit#: L email:
_46 .
Tax Map District: 1060 Section-43 $ Block: 4 Lot:37
BRIEF-DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES F,/] NO ❑Rough In F] Final
Do you need a Temp Certificate?: ® YES 0 NO Issued On
Temp Information: (All information required)
Service Size1 PhF-]3 Ph Size: 200 A Meters 1 Old Meter# 3373
®New Service®Fire Reconnect®Flood Reconnect®Service Reconnect[]Underground ZOverhead
# Underground Laterals 12 H Frame Pole Work done on Service? Y N
Additional Information-Need to meet inspector as we have location issues
PAYMENT ®UE WITH APPLICATION
PERMIT # Address:
Switches
Outlets
GFI'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:
v
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