HomeMy WebLinkAbout45235-Z , f L71
�S�FFOLK Town of Southold 7/14/2022
a , P.O.Box 1179
53 m 53095 Main Rd
oy oar Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43249 Date: 7/14/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3595 Beebe Dr., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-9-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/22/2020 pursuant to which Building Permit No. 45235 dated 9/22/2020
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 Stevens,Jane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45235 6/14/2022
PLUMBERS CERTIFICATION DATED
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Authorized Signature
�o�suFfot,��o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
gal �
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#: 45235 Date: 9/22/2020
Permission is hereby granted to:
Stevens, Jane
3595 Beebe Dr
Cutchogue, NY 11935
To: Up grade electric service to underground 200A.
At premises located at:
3595 Beebe Dr., Cutchogue
SCTM #473889
Sec/Block/Lot# 103.-9-10
Pursuant to application dated 9/22/2020 and approved by the Building Inspector.
To expire on 3/24/2022.
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 roger.richert(D-town.south old.ny.us
Southold,NY 11971-0959
�yCOUNM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stevens (Cohen)
Address: 3595 Beebe Dr City: Cutchogue St: New York Zip: 11935
Building Permit#: 45235 Section: 103 Block: 9 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Modern Electric East License No: 55647-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Service upgrade, underground, 200a
Notes:
Inspector Signature: 4oDate: June 14 2022
10,
81-Cert Electrical Compliance Form.xls
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BUILDING DEPARTMENT-Electrical Inspector
c yTOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
'j4 "f9s Telephone(631)765-1802-FAX(631)765-9502
Temporary Certificate #
Date 2020
Customer Name1AAM WM Electrician Name M(46gA tledrle_
Address Ol e. Phone
e-mail e-mail Ca U f'e1 / Yc— Lct) o,7w/
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Phone q `'!j /&0 H License# &5_6&Y Mfl-
Size 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 for9 y the date a ve.
Authorized by
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, 5 BUILDING DEPARTMENT-Electri a spector
2 1 2020 E
TOWN OF SOUTHOLD
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Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11 971-0959BUE, '
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Telephone(631) 765-1802 - FAX (631)'��i5�=9502s
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aPf?LfATf; N FOR:ELECTRICAL INSPECTIQIt R
ELECTRICIAN INFORMATION (All Information Required) Dated z
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' JOB SITE INFORMATION (All Information Regared). '
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BRIEF DESCRIPTIONI OF WORK(Please:Print:Clearly): .
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Circle.All That Apply:
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Is job ready for inspection?: YES/.NO Rough In Final
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Do you need a Temp Certificate?: NO Issued On,....._ � _ n'l !_....�.,
Temp Information: (All information required)
Service Size Ph 3 Ph Size:-77.g .:A #Meters _......., Old Meter#,6g$.. .b.. _6.Z I_
N w Se Ice- Fire Reconnect- Flood Reconnect-Service Reconnected- I nde r} -Overhead
Underground Laterals 1 H FrameWork done on Service. N
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Additional Information;;
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PAYMENT...Q:UE=.WITIi._APPLLCATIQN_
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