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HomeMy WebLinkAbout47764-Z x ea Town Town of Southold 9/24/2022 P.O:Box 1179 o - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43441 Date: 9/24/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 21070 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 17.-6-14.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/2/2022 pursuant to which Building Permit No. 47764 dated 5/2/2022 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: 200A underground electric service. The certificate is issued to South Dyer LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47764 8/29/2022 PLUMBERS CERTIFICATION DATED r A • Authorized Signature o�os FF Qi c TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 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#: 47764 Date: 5/2/2022 Permission is hereby granted to: South Dyer LLC PO BOX 86 Orient, NY 11957 To: 200A underground electric service. At premises located at: 21070 Route 25, Orient SCTM # 473889 Sec/Block/Lot# 17.-6-14.2 Pursuant to application dated 5/2/2022 and approved by the Building Inspector. To expire on 11/1/2023. Fees: ELECTRIC $125.00 Total: $125.00 Building Inspector pE SOUr,�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.deviinl-town.southold.ny.us Southold,NY 11971-0959 Q COU BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: South Dryer LLC Address: 21070 Route 25 city:Orient st: NY zip: 11957 Building Permit#: 47764 Section: 17 Block: 6 Lot: 14.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: DLT Electric License No: 4966ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 4 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 200A panel 30 circuits / 5 used, 230gfi breaker and 3- 220gfi breakers Notes: Service for barn Inspector Signature: Date: August 29, 2022 S.Devlin-Cert Electrical Compliance Form o�g11FE0�,��oG BUILDING DEPARTMENT-Electrical Inspector C* z TOWN OF SOUTHOLD o • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate # 2 y / Date Z 2022 Customer Name 71, i Electrician Name LT G Address 21076 rtelvff Phone $-( C-a � e-mail e-mail MOA-104 5552=/41 4t All 411 641Z1 Phone License# U Size Z_ �A Phase 1 Overhead Underground 101 #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for a s from the date abov . Authorized by of soaryo� Li-7 —7 S40-70 v f f # TOWN OF SOUTHOLD BUILDING DEPT. Comm 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: � �1'Ul4 d— 3 ' c ulle f DATE �/2 INSPECTOR �. \fir I DING DEPARTMENT- Electrical Inspector �o\OStJFF�( g TOWN OF SOUTHOLD APR 21 20?T own+lall Annex- 54375 Main Road - PO Box 1179 +y�' BUILDry� Southold, New York 11971-0959 �I& �ao�� TOWN OF SO��''"Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)_southoldtownny.gov - seand(cD-southoldtownny.g v APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 0 ,L .T EI e-&{n--Z-- Electrician's Name: Q0AAV T-Ift1111 License No.: t6 Elec. email: Elec. Phone No: 5'�6 0q D)Ip®I request an email copy of CertifidVate of Compliance Elec. Address.: t� 1erpy►^e-- C4yr c- 12 4 d It©I JOB SITE INFORMATION (All Information Required) Name: S ot&- a ter- LCL Address: d. A Cross Street: no h,f- Phone No.: Of 41$ - 2 a q BIdg.Permit#: email: (3r;dvLea s ��dj1.Qllrs�,ea Tax Map District: 1000 Section: t Block: g Lot: t 4.1. BRIEF DESCRIPTION OF WORK.-INCLUDE SQUARE FOOTAGE (Please Print Clearly): l� Square Footage: node- Circle All That pply- - Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final Do you need a Temp Certificate?: YES ❑ NO Issued On em dtbd_ 5-a-acr�, Temp Information: (All information required) Service SizefA1 Ph❑3 Ph Size: 200 A #Meters Old Meter# New Service❑Fire Reconnect❑Flood Reconnect❑Service ReconnectMUnderground❑Overhead # Underground Laterals M 1 FJ2 V1 H Frame Pole Work done on Service? Y N Additional Information! V PAYMENT DUE WITH APPLICATION ld X72 5-. ,6 $'BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ®� Town:-Hall Annex - 54375 Main Road - PO Box 1179 CIO � Southold, New York 11971-0959 ®N-, rowjq OF` Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(asoutholdtownny.gov — seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Z Z2, Company Name: 0 .L ( EI e-c--f n Electrician's Name: nAn ` -1-o,,1 11 License No.: 4q t 6 Elec. email: pvn 7L., /vvi�1 moi,, Elec. Phone No: 5'�& -,'opt •— 0`5 i© ®I request an email copy of Certifi d ate of Compliance Elec. Address.: f I Je4-pyv\e_ JOB SITE INFORMATION (Ail Information Required) Name: Address:_ —1010 'n r . Cross Street: A,o,&-C— Phone No.: 63i) 419 Bldg.Permit#: \--ly 4 email: 6�id',e-0yS�,. ��sl,�,.1,��s�,ea. Tax Map District: 1000 Section: ( Block: g ( Lot: tq,t, BRIEF DESCRIPTION OF WORK. INCLUDE SQUARE FOOTAGE (Please Print Clearly): r 1 A Square Footage: I nave Circle All ThatApply: Is job ready for inspection?: F-1YESNO ❑Rough In ❑ Final Do you need a Temp Certificate?: YES ❑ NO Issued On Q m ac, Temp Information: (All information required) Service Size5j(1 Ph❑3 Ph Size: Log A # Meters Old Meter# MNew Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[AUnderground❑Overhead # Underground Laterals rR 1 2 17,1 H Frame Pole Work done on Service? Y N Additional lnformation. (� j OW N PAYMENT DUE WITH APPLICATION PC) 2 5, 00 tom*X01( ti PERMIT ># Address: Swifches ,1 r r ,tlets 1 1 G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Coo kto p Transfer AC AH Hood Service Amps Have Use Special: Comments 7�6/ v -27,� r °_F7