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HomeMy WebLinkAbout48596-Z p% Town of Southold 1/28/2023 o P.O.Box 1179 53095 Main Rd X4,1 ao�A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43804 Date: 1/28/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2410 Grandview Dr, Orient Orient SCTM#: 473889 Sec/Block/Lot: 14.-2-3.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/13/2022 pursuant to which Building Permit No. 48596 dated 12/14/2022 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: "as built"electric for pergola The certificate is issued to Grandview Drive Realty LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5 Authorized Signature TOWN OF SOUTHOLD k�nkl BUILDING DEPARTMENT TOWN CLERK'S OFFICE t I# SOUTHOLD, NY ��ol -,t I# ~ 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#: 48596 Date: 12/14/2022 Permission is hereby granted to: Grandview Drive Realty LLC 245 Fall Ct Elwood, NY 11731 To: as built" electric for pergola At premises located at: 2410 Grandview Dr, Orient SCTM # 473889 Sec/Block/Lot# 14.-2-3.9 Pursuant to application dated 12/13/2022 and approved by the Building Inspector. To expire on 6/14/2024. Fees: ELECTRIC $180.00 Total: $180.00 Building nspector OF SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 • sean.devlina-town.southold.ny.us Southold,NY 11971-0959 Q �yCOUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Grandview Realty LLC Address: 2410 Grandview Dr city:Orient st: NY zip: 11957 Building Permit#: 48596 Section: 14 Block: 2 Lot: 3.9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Charles Hoyler Electrical License No: 54011 ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: Pergola Inspector Signature: - Date: January 6, 2023 S.Devlin-Cert Electrical Compliance Form -- # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o `yComm, 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: A, At1 ��-trzr�, - a1 DATE INSPECTOR - ID BUILDING DEPARTMENT- Electricaect �� ) 3 2022 TOWN OF SOUTHOLD _ o Town Hall Annex - 54375 Main Road - PO Bo*69MDEPT Southold, New York 11971-0959 YOtAlN(3FS OUYNOLD ®�,0® �pp`� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrgsoutholdtownny.gov - seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12- .s. 1-67-2- Company Name: c r-rqrzze s ,t f-w,4t cn- Eke c rfc-a-C- GoAuT&1f-e-4,01? iAIc . . Electrician's Name: i4-Wi'C -HC14t f,K License No.: ,P-yo��- I,fg� Elec. email:_ ,a w►i c�J N t r,�n a z c'r Elec. Phone No: 631 6 z61oi 01request an email copy of Certificate of Compliance Elec. Address.: 631 *(L-ta - q 8 12z a,�. ,uwt/,,v s'7ae-e-t D,*gy",V .Ny JOB SITE INFORMATION ('All Information Required) Name: &g,4A1taV1lEpV Die PZFAt-T 1-1,e- Address: -LGAddress: 2y/l) &g 4.,Vb v« j2. 0g1t-Ajt /if 7- Cross Street: ot-D VV,+w R d. Phone No.: r1b) 10- - 17384 VINN PA1VETr-tEiel Bldg.Permit#: �-4 sq( ,0 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): A/eW VN0Er1&QL1,Vb £! LTYLIL CD2 I�£(lb-�e�� . (rPG1 t'2a{ECT�� + FAN. .- (TP c � 12£G�PTALIiC. Square Footage: 72- a s' 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 PhF-]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect[:]Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame D Pole Work done on Service? MY N Additional Information: pc ffR SIS C,4`1, j-,+m le Holt t eg (63 1) RK 3 -y9 7- 4c-&F-55 4c-&F-5S -�a t3 a-ck Y,a►2d . PAYMENT DUE WITH APPLICATION c ( 0� a�� 4i59 �o o�SFpjkcoG BUILDING DEPARTMENT- ElectricsR ct&C 1 3 2022 TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road- PO BoxiOd WDEP'I: • Southold, New York 11971-0959 TOWN0FS01lTHOLD '1'.1j�1a0� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(@-southoldtownny.gov - seandc@-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 12- .5 . 1- Company Name: e- s f Ha%4, CTrelC.+' Electrician's Name: a-W!"e tEn License No.: ryp�1, pq6 Elec. email: �,w►i t c�J Nit vE�s z�C-r •cca,� Elec. Phone No: 631 66q 2_61� l request an email copy of Certificate of Compliance Elec. Address.: GS k 4Lt3 - q e ZZ 12.z . iv. iu,-1 v S72ee7- 0,*9y"1V N y JOB SITE INFORMATION (All Information Required) Name: &9.4A, lepV .die pEAt_Ty bLG Address: ;zyia &g41Vbv1EW big. 02ct fi /if 67:7- Cross Street: .0" VV1+1A/ e 6. Phone No.: (r1b) 98*- - '7384 -- ViNNY PAAle-trtEgi Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): (1,v0er16-aaVND £rptC(LlL t"otz Pra"&,A . f PAN. t - G-F c I PYCfe-rACLAt. Square Footage: `2 75- Circle SCircle All That Apply: Is job ready for inspection?: YES❑ NO ❑Rough In ©-Final Do you need a Temp Certificate?: ❑ YES x❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 R2 H Frame Pole Work done on Service? DY FIN Additional Information: P,_,A sjr C,4` No41,ca (6 3 r) qK 3-yg i -4 Foe 4CZ1F_55 4_6 PAYMENT DUE WITH APPLICATION LP � f� 4cK 5-9 �