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HomeMy WebLinkAbout47937-Z r''SIIFFO1X�r �ro�0 cOG Town of Southold 7/17/2022 P.O. Box 1179 W m 53095 Main Rd Southold,New York 11971' CERTIFICATE OF OCCUPANCY No: 43267 Date: 7/17/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 505 Southern Cross Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/9/2022 pursuant to which Building Permit No. 47937 dated 6/9/2022 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 underground electric service. The certificate is issued to Dubon Eleanor C Fmly Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47937 7/1/2022 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD ��tlFF01q BUILDING DEPARTMENT 04 ' TOWN CLERK'S OFFICE o << SOUTHOLD, NY mol yaoF") 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#: 47937 Date: 6/9/2022 Permission is hereby granted to: Dubon Eleanor C Fmly Trt c/o Judy Sanatore 187 Glen Dr Ridge, NY 11961 To: Electric upgrade to 200A underground service. At premises located at: 505 Southern Cross Rd., Cutchogue SCTM #473889 Sec/Block/Lot# 110.-5-29 Pursuant to application dated 6/9/2022 and approved by the Building Inspector. To expire on 12/9/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector ho��pE SO!/l,�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(a-D-town.southold.ny.us Southold,NY 11971-0959 �lyCf� N� U BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Dubon Eleanor C Fmly Trt Address: 505 Southern Cross Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 47937 Section: 110 Block: 5 Lot: 29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Gerarti Electric License No: 40564ME 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 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 Fixtures Time Clocks Disconnect LEI Switches 4'LED Exit Fixtures Pump Other Equipment: 200A Panel 30 Circuit/ 30 Used Notes: Service Inspector Signature: Date: July 1, 2022 S.Devlin-Cert Electrical Compliance Form pf sou Tho� Li -7q —/ 7 O✓ SO T-A— n* # TOWN OF SOUTHOLD BUILDING DEPT. �yC0U631-765-1802 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 [ ] RENTAL REMARKS: DATE I 2Z INSPECTOR i 0 ILDING DEPARTMENT-Electrical Inspector �c. TOWN OF SOUTHOLD Goy`Qvvn Hall Annex- 54375 Main Road - PO Box 1179 s Southold, New York 11971-0959 To�N Telephone (631) 765-1802 - FAX (631) 765-9502 rope rasoutholdtownny.gov seandOlsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: Company Name: ' l C®nom c:Lt rt Electrician's Name: y,k, -t> V t e cl. License No.: M `�Og6� Elec. email: Elec. Phone No: y y Z(o I request an email copy of Certificate of Compliance Elec. Address.: 3LI8 l S i DPet R, 1l �v 9!, 2-(' JOB SITE INFORMATION (Ail information Required) Name: t-►C c Address: C, '2-© S Its- 1✓ Cross Street: ►�D Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: p Lot: 2—q BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): e.R-\; t(,e. 2.eS f- PO Ic. -ro /4V VSe Vp 2 Square Footage: Circle All That Apply: Is job ready for inspection?: YES ENO �Rough In � Final Do you need a Temp Certificate?: M YES❑ NO Issued On Temp Information: (All information required) Service Size,11 Ph®3 Ph Size: v A #Meters Old Meter# []New Service0 Fire ReconnectOFlood ReconnectElService ReconnecoUnderground ElOverheadl #Underground Laterals 0 1 2 H Frame M Pole Work done on Service? Y N Additional Information: LJ �'e5 coo a ue ,r De vLc, c,- Wee, wa y, Lj I ct (✓t k-e `41-,-o i4i PAYMENT DUE WITH APPLICATION pn ��� 4,� \ ILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD `�Pwn Hall Annex 54375 Main Road - PO Box 1179 �Ne:�n` Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 = rogerr(a�southoldtownny qov a seand(@-southoldtownnV.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: L co n`t C-� vt Electrician's Name: �,�.(L� V ac rl License No.: Elec. email: C4 Elec. Phone No: G ( y 4 Z(D I request an email copy of Certificate of Compliance Elec. Address.: SLIBV3 l g S i DPet Pa i2 t) 7, 2-1� JOB SITE INFORMATION (All Information Required) Name: .r► Address: 3 Q C f<'-O 04, L, Cross Street: Phone No.: BIdg.Permit#: email- Tax Map District: 1000 Section: f f 0 Block: (D Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): C. LA-) V-P S f- W tm P C, ( e + 2-o Ca Square Footage: Circle All That Apply: Is job ready for inspection?: YES M NO D Rough In ❑ Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service SizeV11 Ph[]3 Ph Size: v 0 A # Meters Old Meter# ❑New Service[ Fire ReconnectOFlood Reconnect FIService ReconnectUnderground®Overhead # Underground Laterals 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: , mi g 1 (�C7 c,L`G' rl�v� 1 J�i �%J rti �-�.cJ7c� WCti�� o c,, u I c L Lt k f `C'�l c'v✓( • yl C�� C t�'U�J vi-.ti PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets G FI's Surface Sconces l 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 -�A/mp�s, Have Used ) Special: G / � V Comments.