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
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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/
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DATE12, /2,q INSPECTOR
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f # TOWN OF SOUTHOLD BUILDING. DEPT.
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-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
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��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: