HomeMy WebLinkAbout48283-Z ��.
o�aSUFF01q�coGy Town of Southold 10/26/2022
a P.O.Box 1179
W ?� 53095 Main Rd
,o4, �a Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43536 Date: 10/26/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 43375 CR 48, Southold
SCTM#: 473889 See/Block/Lot: 59.-3-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/12/2022 pursuant to which Building Permit No. 48283 dated 9/12/2022
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:
reconnection of electric service for Unit#4.
The certificate is issued to Benali LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48283 9/30/2022
PLUMBERS CERTIFICATION DATED
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osuFFv TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
y • � ' SOUTHOLD, NY
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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#: 48283 Date: 9/12/2022
Permission is hereby granted to:
Benali LLC
11499 Bellagio Rd
Los Angeles, CA 90049
To: reconnection of electric service for Unit#4.
At premises located at:
43375 CR 48, Southold
SCTM #473889
Sec/Block/Lot# 59.-3-29
Pursuant to application dated 9/12/2022 and approved by the Building Inspector.
To expire on 3/13/2024.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 - aQ sean.devlin(c-town.southold.ny.us
Southold,NY 11971-0959 Q�yCOU�'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Benali LLC
Address: 43375 CR 48 unit 4 city,Southold St: NY zip: 11971
Building Permit#: 48283 Section: 59 Block: 3 Lot: 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Paul Burns Electric License No: 3897ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey X 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 11 Pump
Other Equipment:
Notes: Survey to Reenergize Service
Inspector Signature: Date: September 30, 2022
S.Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD BUILDING DEPT.
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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: Pwor 0/1
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DATE INSPECTOR
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# # TOWN OF SOUTHOLD BUILDING DEPT.
couto, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ "] 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'6e�` gy 'te0I2�� /Z9
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DATE �J-a 2� INSPECTOR
�OSgffO(,� �r l� �I \UI IE U WING DEPARTMENT- Electrical Inspector
�� TOWN OF SOUTHOLD
SEP 12 2d`Tow I Annex- 54375 Main Road - PO Box 1179
• BUILDING DEPT Southold, New York 11971-0959
Town OF souTN"Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cD-southoldtownny.gov — seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 9/9/2022
Company Name: Paul Burns Electrical Contractors Inc
Electrician's Name: Paul Burns Jr
License No.: 3897ME Elec. email: pburns1106@gmail.com
Elec. Phone No: 631-365-4735 01 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1061 Southold, NY 11971
JOB SITE INFORMATION (AII Information Required)
Name: Benali LLC
Address: 43375 Rt 48 Unit 4 Southold, NY
Cross Street: Hortons Lane
Phone No.: 631-765-1910
Bldg.Permit M `� a$3 email:
Tax Map District: 1000 Section: f5q Block: `a) Lot: Q
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Re-connect existing service to unit#4 in multi-occupancy building.
Square Footage: 1750
Circle All That Apply:
Is job ready for inspection?: ❑V YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: 0 YES ❑NO Issued On
Temp Information: (All information required)
Service Size[V_11 Ph❑3 Ph Size: 100 A # Meters 1 Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑✓Service Reconnect❑Underground❑✓Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y ✓ N
Additional Information:
PAYMENT DUE WITH APPLICATION
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