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HomeMy WebLinkAbout47756-Z SUFFoi� Town of Southold 7/9/2022 o P.O.Box 1179 o • � 53095 Main Rd ` dol dao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43232 Date: 7/9/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1250 Smith Rd.,Peconic SCTM#: 473889 Sec/Block/Lot: 98.-3-26 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. 47756 dated 4/28/2022 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: Tesla car charger. The certificate is issued to Smith,Thomas&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47756 7/6/2022 PLUMBERS CERTIFICATION DATED Authorized ignature TOWN OF SOUTHOLD ��o SUFFoc BUILDING DEPARTMENT co 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#: 47756 Date: 4/28/2022 Permission is hereby granted to: Smith, Thomas 1210 Smith Rd Peconic, NY 11958 To: Tesla car charge plug. At premises located at: 1250 Smith Rd., Peconic SCTM # 473889 Sec/Block/Lot# 98.-3-26 Pursuant to application dated 4/28/2022 and approved by the Building Inspector. To expire on 10/28/2023. Fees: ELECTRIC $90.00 Total: $90.00 Building Inspector SUfFO[ IC 1 DING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD APR 21 2027 ow' II Annex- 54375 Main Road - PO Box 1179 - BUILDING Of i. Southold, New York 11971-0959 y�• ao�. TOWN OF SOUTHOLelephone (631) 765-1802 - FAX (631) 765-9502 rogerre-southoldtownny.gov- seanda-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION P/ ELECTRICIAN INFORMATION (Ali information Required) Date: ZZ Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: / 2 S7 Srn , nw /; CrossStreet: Phone No.: 3 i - ro V- ZVVf Bldg.Permit#:r� '7 5 email: Tax Map District: 1000 Section: 96 Block: ] Lot: a, BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: 14�ES f NO ❑Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION rLbra P-c e, w i� �'•�,�-L Jr-S,o_ ©/L � �s'o Gl4-2. P4�-J cz Rehr—� ,41 OF SOUTyO6 # TOWN OF SOUTHOLD BUILDING DEPT. °`y�ourm 631-765-1802 INSPECTION [ l FOUNDATION 1ST [ ] ROUGH PLRG. [ ] 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: 1a DATE 7 A INSPECTOR � 4 TPN:1457768-02-G 0 TSN:B7S21233J07738 - MAC:98:E D:5C:93:E 6:57 SSID:TeslaWallConnector_93E657 '❑., WPA2:NLYPAWZMPJJL GEM Wall Connector ill ! _ _ II I 111 ii0 I c e ' • s resL Fi x4 Fr ON 4 0 1 http://192.168.92.1 "SII Quicks tart Guide 77� 7 _ _ Guia ra ida - 4 http.//192.168.92.1 ® pp --- --- Guide rapid e • 60A�50A`d0A '30A 20A� 1$AI �® l� 2.4 GHz TOP ENTRY BOTTOM ENTRY REAR LEFT ENTRY REAR RIGHT ENTRY - - IA: N > M) .� o o. •� r i � i. r�, 'mr•-- C�'� li -rs+--� L'J cit--� iJ lig' ,-_.•� - �--, - - - o o • • • in s 1 0 � a J _ . .. a 9 ilk a o ,Q4. .4,7rc�i) F tt ix x, • Aloft Wall Connector I 48A I1 r: • r -,0''oa�0 yO�rpr��ii � i^�.14�..r�.,. Onof0 - �a�� X51 - --- xl• _' - . --- •Single- Phase