HomeMy WebLinkAbout48089-Z �0�FF�t cGy Town of Southold 9/24/2022
P.O.Box 1179
co o ,l 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43440 Date: 9/24/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 51750 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 63.-6-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/19/2022 pursuant to which Building Permit No. 48089 dated 7/19/2022
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:
electric conversion to 1 meter with 400 amp CT cabinet.
The certificate is issued to Umana,Jose
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48089 8/31/2022
PLUMBERS CERTIFICATION DATED
Authorize Signature
�o�suFFni TOWN OF SOUTHOLD
oy 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#: 48089 Date: 7/19/2022
Permission is hereby granted to:
Umana, Jose
51750 Route 25
Southold, NY 11971
To: convert 3 meters to 1 meter.
At premises located at:
51750 Route 25, Southold
SCTM #473889
Sec/Block/Lot# 63.-6-4
Pursuant to application dated 7/19/2022 and approved by the Building Inspector.
To expire on 1/18/2024.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SOUjyo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(cL-)town.southold.ny.us
Southold,NY 11971-0959
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jose Urnana
Address: 51750 Route 25 City:Southold St: NY zip: 11971
Building Permit#: 48089 Section: 63 Block: 6 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Peconic Bay Electric Corp License No: 46360ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 400A CT Cabinet
Notes: New Meterpan
Inspector Signature: Date: August 31, 2022
S. Devlin-Cert Electrical Compliance Form
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCa)_southoldtownny.gov— seandtccDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 7/4/22
Company Name: Peconic Bay Electric Corp
Electrician's Name: Jose M. Umana
License No.: ME-46360 Elec. email:pecbayelec@gmaii.com
Elec. Phone No: 631-987-4406 01 request an email copy of Certificate of Compliance
Elec. Address.: 218 Oak Ave, Flanders, NY 11901
JOB SITE INFORMATION (All Information Required)
Name: Jose L. Umana
Address: 51750 Main Rd, Southold, NY 11971
Cross Street: Tuckers Ln
Phone No.: 631-830-1484
Bldg.Permit#: 1-/ i�p 9 email:joseumana06@gmaii.com
Tax Map District: 1000 Section:63 Block: 6 Lot:4
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Conversion from multi gang meter enclosure to a single 400A CT cabinet
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: 0 YES❑NO Issued On
Temp Information: (All information required)
Service Size-1 Ph❑3 Ph Size: 400 A #Meters 1 Old Meter# 98357875
❑New Service❑Fire Reconnect❑Flood Reconnect❑✓Service Reconnect❑Underground❑✓Overhead
# Underground Laterals 1 2 D H Frame 0 Pole Work done on Service? F1 Y
Additional Information:Customer has 3 meters in a multi gang meter enclosure and is changing to a 1 meter
single account.Meter 2#is 80657804 and meter 3#is 80657803
4, S5 PAYMENT DUE WITH APPLICATION
'7-1g '-a-a'
S%Sff BUILDING DEPARTMENT- Electrical Inspector
TOWN OFSOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 7/4/22
Company Name: Peconic Bay Electric Corp
Electrician's Name: Jose M. Umana
License No.: ME-46360 Elec. email:pecbayelec@gmail.com
Elec. Phone No: 631-987-4406 El I request an email copy of Certificate of Compliance
Elec. Address.: 218 Oak Ave, Flanders, NY 11901
JOB SITE INFORMATION (All Information Required)
Name: Jose L. Umana
Address: 51750 Main Rd, Southold, NY 11971
Cross Street: Tuckers Ln
Phone No.: 631-830-1484
Bldg.Permit#: LTO email:joseumana06@gmail.com
Tax Map District: 1000 Section:63 Block: 6 Lot:4
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Conversion from multi gang meter enclosure to a single 400A CT cabinet
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES 2]NO ❑Rough In Final
Do you need a Temp Certificate?: YES ❑NO Issued On
Temp Information: (All information required)
Service SizeFV11 Ph r-13 Ph Size: 400 A #Meters 1 Old Meter# 98357875
®New Service®Fire Reconnect®Flood Reconnect 21service Reconnect®Underground 210verhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y
Additional Information:Customer has 3 meters in a multi gang meter enclosure and is changing to a 1 meter
single account. Meter 2#is 80657804 and meter 3#is 80657803
PAYMENT DUE WITH APPLICATION
PERMIT # Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
q00 �- ��
Comments
OF SObly�� Lt 7a ;b M
f # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou631-765.1802
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 [ ] PR [ ] RENTAL
A4 :4010,
REMARKS:
DATE INSPECTOR