HomeMy WebLinkAbout47862-Z oOSufFUtK G Town of Southold 9/17/2022
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P.O.Box 1179
y m , 53095 Main Rd
��y Ochi Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43146 Date: 6/11/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 320 Wicks Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 110.-8-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/26/2022 pursuant to which Building Permit No. 47862 dated 5/26/2022
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:
"as built"electrical survey of dwelling_
Corrected 9/17/2022 for Certificate of Occupancy number only.
The certificate is issued to Majewski,Lillian
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47862 6/2/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
Town of Southold 6/11/2022
P.O.Box 1179
53095 Main Rd
ti4,, �o� ii' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43145 Date: 6/11/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 320 Wicks Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 110.-8-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/26/2022 pursuant to which Building Permit No. 47862 dated 5/26/2022
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:
"as built"electrical survey of dwelling
The certificate is issued to Majewski,Lillian
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47862 6/2/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o�SUFFot,��o TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
co
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#: 47862 Date: 5/26/2022
Permission is hereby granted to:
Majewski, Lillian
Attn: Linda Saeli
827 N Bayview Rd
Southold, NY 11971
To: as built" electric meter pan, panel and electrical wiring in existing garage.
At premises located at:
320 Wicks Rd, New Suffolk
SCTM #473889
Sec/Block/Lot# 110.-8-18
Pursuant to application dated 5/26/2022 and approved by the Building Inspector.
To expire on 11/25/2023.
Fees:
ELECTRIC $180.00
Total: $180.00
Buil n/-Inspector
pF SO(/r�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviin(-town.southold.ny.us
Southold,NY 11971-0959
olgOOU ,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Lillian Majewski
Address: 320 Wicks Rd City:New Suffolk st: NY zip: 11956
Building Permit#: 47$62 Section: 110 Block: $ Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1 st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer LIC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect 100A Switches 4'LED Exit Fixtures Pump
Other Equipment: 100A Meter main Disconnect, 100A Panel 24 Circuit/ 17 Used
Notes: AS BUILT NO VISUAL DEFECTS " Survey of House and Garage, New Service
Feed to Garage was Removed
Inspector Signature: Date: June 2, 2022
S.Devlin-Cert Electrical Compliance Form
-- DE SOUIHp ! tv 1 c-h 5— Jti�e
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycou631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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: 1! LeiqA��,,r
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DATEINSPECTOR .
BUILDING DEPARTMENT-Ellectricall In'!S0! 6!Ct0r----
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - P6 BoMyl 79 5 2022
• Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765=9502'1,*-V.,
rogerrCcD t or - -�)`i� -"'
sou h Idtownny.gov- sea nd,CcD-south'bFdtbwn 6'V,'
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: See Owner Info below
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: El I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Linda Saeli (Majewski)
Address: 320 Wicks Road, New Suffolk, NY 11956
Cross Street: Main Road
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section:110 Block: 8 Lot:18
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New meter pan, panel &wiring in garage per pre CO inspection.
Square Footage: 11 000
Circle All That Apply: /1-1
Is job ready for inspection?: YES �VO F-]Rough In Final
Do you need a Temp Certificate?: ❑ YES[-0 NO issued On
Temp Information: (All information required)
Service Size[-11 PhF-]3 Ph Size: A #Meters Old Meter#
F-1 New Servicel-j Fire ReconnectE]Flood ReconnectElService ReconnectE]UndergroundE]Overhead
#Underground Laterals R2 F-1 H Frame [-] Pole Work done on Service? E]Y F]N
Additional Information:
PAYMENT DUE WITH,APPLICATION
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WCARTHY MANAGEMENT, INC. LETTER OF TRANSMITTAL
' 46520 COUNTY ROAD 48
SOUTHOLDI NY 11971
,_t -, • v (•1,3 - D E `r•IJOB N0. -f
) 765-58115 FAX (631) 765.5816. r'.' ATTENTION
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WE.ARE SENDING YOU ❑ Attached ❑, Under separate cover via the following items:
3' ;' • ❑ Shop,'drawings ❑. Prints _ ❑ Plans ❑• Samples.-,- E ❑ Specifications
j ❑;Copy 6iJetter ❑ Change order . ❑ `
••A DATE NO. DESCRIPTION
S
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution .
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS / e�
;?D (031- 02
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COPY TO _______
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fo•., n..T '� '• =i? SIGNED:
if enclosures are not as noted,kindly notify us at once.