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HomeMy WebLinkAbout47819-Z o�OgHfFOlKcol. Town of Southold 8/24/2022 a y . P.O.Box 1179 "' 53095 Main Rd Southold,New York 11971, CERTIFICATE OF OCCUPANCY No: 43368 Date: 8/24/2022' THIS CERTIFIES that the building ELECTRICAL Location of Property: 4545 Route 25, Greenport SCTM#: 473889 Sec/Block/Lot: 35.-2-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/2022 pursuant to which Building Permit No. 47819 dated, 5/17/2022 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 4545 Main Rd Enterprs Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47819 8/16/2022 PLUMBERS CERTIFICATION DATED Authorized Signature f �o�sUFFe TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 12 o • SOUTHOLD, NY w 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#: 47819 Date: 5/17/2022 Permission is hereby granted to: 4545 Main Rd Enterprs Inc PO BOX 13 East Marion, NY 11939 To: 200A overhead electric service. At premises located at: 4545 Route 25, Greenport SCTM # 473889 Sec/Block/Lot# 35.-2-8 Pursuant to application dated 5/17/2022 and approved by the Building Inspector. To expire on 11/16/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SO(/r�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviin(a)_town.southold.ny.us Southold,NY 11971-0959 Q Iy�DUiVT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 4545 Main Rd Enterprises Inc Address: 4545 Route 25 city:Greenport st: NY zip: 11944 Building Permit#: 47$19 Section: 35 Block: 2 Lot: $ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1 st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 14 Ceiling Fixtures 3 Bath Exhaust Fan Service 3 ph Hot Water 20A GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors 3 Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors 1 Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks Disconnect Switches 11J 4'LED Exit Fixtures 11 Pump Other Equipment: 200A panel 42 Circuit/ 12 Used Notes: " AS BUILT NO VISUAL DEFECTS " Whole House Rewired & New Service • August 16, 2022 Inspector Signature: Date: S.Devlin-Cert Electrical Compliance Form pF SOUIyO� ,� fq Ll 5 � S I V G r I4 t�j # * TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 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:S ow 10/ //)Ft E radoarl. f/j f 64 /P Acr Lo) Rif. r U Y- 6 C4 C � Jg!nUle"e q? 6�1 r&IL L'4/ m,dv,o o zi b'vI r /A-di a n 370 v DATE12, /2,q INSPECTOR pF SOUIHo//__ f # TOWN OF SOUTHOLD BUILDING. DEPT. �ycoum, 631-765-1802 -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: �l hc� n ✓�� �C,(�`VI/`�� DATE INSPECTOR VpgUfFo(,�U^ OG BUILDING DEPARTMENT-Electrical Inspector o y� TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-095.9 �io'A �a0� Telephone (631) 765-1802 Temporary Certificate # Date /7 2022 Customer Name �0 p` Electrician Name 471 Address (,(S �. Phone 64J L4_/7 t4-7 2 e-mail e-mail Phone License# r Size`Z)'_A Phase Overhead_ Underground #of Meters Remarks TT #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 for 9 da s from the date ve. Authorized by BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD _ Town Hall Annex- 54375 Main Road - PO Box 1179 '= 1 Southold, New York 11971-0959 -4p� . Telephone (631) 765-1802 - FAX (631) 765-9502 rog rrasoutholdtownny.gov– seand(a)-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: May 11, 2022 Company Name: Double-Pole Electric, Inc Name: Susan DePaola License No.: 3913-ME email: Phone No: (631)477-047201 1 request an email copy of Certificate of Compliance — Address.: 4545 North Road Greenport NY 11944-House JOB SITE INFORMATION (All Information Required) Name: Susan DePaola Address: 4545 North Road Greenport NY 11944-House Cross Street: Wiggins Phone No.: (631)477-0472 Bldg.Permit#: 14g Cl email: Tax Map District: 1000 Section: 35 Block: 2 Lot: 8 BRIEF DESCRIPTION OF WORK (Please Print Clearly) 200 amp overhead service 200 amp overhead service 200 amp overhead service Check All That Apply: Is job ready for inspection?: [Z]YES ❑NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: ❑✓ YES ❑NO Issued Onnna„ 2-2 Temp Information: (All information required) Service Size 01 Ph ❑3 Ph Size: 200 A #Meters One Old Meter# 54 New Service ❑ Service Reconnect ❑ Underground Z✓ Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑✓ Y ❑N Additional Information: 04 PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020. SX f q c a ��SvFFQI�,Cd BUILDING DEPARTMENT-Electrical Inspector. TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 11179 a , Southold, New York 11971-0959 ; �,��• �p Telephone (631) 765-1802 - FAX (631) 765-9502.., rogerrasoutholdtownny.gov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: May 11, 2022 Company Name: Double-Pole Electric, Inc Name: Susan DePaola License No.: 3913-ME email: Phone No: (63„477-0472 01 request an email copy of Certificate of Compliance Address.: 4545 North Road Greenport NY 11944 - House JOB SITE INFORMATION (All Information Required) Name: Susan DePaola Address: 4545 North Road Greenport NY 11944- House Cross Street: Wiggins Phone No.: (631)477-0472 Bldg.Permit#: H email: Tax Map District: 1000 Section: 35 Block: 2 Lot: 8 BRIEF DESCRIPTION OF WORK (Please Print Clearly) 200 amp overhead service 200 amp overhead service 200 amp overhead service Check All That Apply: Is job ready for inspection?: [Z]YES F-1 NO ❑Rough In OFinal Do you need a Temp Certificate?: ✓❑YES ❑NO Issued On "a` �2 -Cma Temp Information: (All information required) Service Size 01 Ph ❑3 Ph Size: 200 A # Meters One Old Meter# ❑✓ New Service ❑ Service Reconnect ❑ Underground Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole + Work done on Service? ❑✓ Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.x1sx 3 PERMIT# Address: Switches Outlet;A, ; _ -t GFI's \� I 1 Surface � 'I Sconces I 1 H H's UC Lts Fans Fridge HW Exhaust Oven e)� Dryer4o,'� Smokes I I DW Service Carbon I Micro Generator Combo Cook-,top Transfer AC AH Mini Special: Comments: