HomeMy WebLinkAbout48515-Z �T
p�Os�FP01�1pG. Town of Southold 1/14/2023
a y� P.O.Box 1179
0
W 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43767 Date: 1/14/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 189 Old Harbor Rd,New Suffolk New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-3-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/21/2022 pursuant to which Building Permit No. 48515 dated 11/21/2022
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 underground electric service.
The certificate is issued to Wickham Bressler,Gail
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48515 12/7/2022
PLUMBERS CERTIFICATION DATED
Authorized ignature
�o�SUFFo�,��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
o . 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#: 48515 Date: 11/21/2022
Permission is hereby granted to:
Wickham Bressler, Gail
PO BOX 1424
Mattituck, NY 11952
To: New Service
At premises located at:
189 Old Harbor Rd, New Suffolk
SCTM #473889
Sec/Block/Lot# 117.-3-3.1
Pursuant to application dated 11/21/2022 and approved by the Building Inspector.
To expire on 5/22/2024.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
ho��pF SO�ryOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviinCcDtown.southold.ny.us
Southold,NY 11971-0959
QI�COU�'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Gail Bressler Wickham
Address: 189 Old Harbor Rd city:New Suffolk st: NY zip: 11956
Building Permit#: 48515 Section: 117 Block: 3 Lot: 3.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: East County Electric License No: 64604ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X 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 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: New Service & Meterpan
Inspector Signature: c Date: December 7, 2022
�G
S.Devlin-Cert Electrical Compliance Form
ho�aOE SOUIyo� s s r�9 o Id
# # TOWN OF SOUTHOLD BUILDING DEPT.
1y000N1V 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:
DATE INSPECTOR ��.ti
4��Of SOUryo 1
Town Hall Annex Telephone(631)765-1802 is
54375 Main Road cn ax(631}76585 I
P.O.Box 1179 G Q roger.richert own.SOUt1101tl nV US
Southold,NY 11971-0959
Comm,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION '
REQUESTED BY-
&-Uc-E .5 0 Date: -017 d- aa6LG-
Company Name: bSA37 C ®-v v%T E �e_c_ �..
Name:
License No.: h
f.
Address:
Phone No.:
45-31 7667- .86237
JOBSITE INFORMATION: (Indicates required information)
*Name: ► l� 'W�C.k Y�P�M
*Address: 89 Old P#Qr ar eLj S ®1(q, t
*Cross Street: iV w S u F0 t ri pfl
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
KC,�(,,C-C d'00 At-4 �E-f.0 iC6 �1 a i
i
(Please Circle All That Apply) J
Is job ready for inspection: ES NO. Rough In Final
*Do-you need a Temp Certificate:
N•
Temp Information(!f needed)
i
*Service Size: 1,1 Phase 3Phase 100 150 200 300 350 . 400 Other I .
*New Service: Re-connect nder roan Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION0�
030
.82=Request for Inspection Form
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Town Hall Annex
64375 Main Road Telephone(631)765-1802
(631)76595Q l
P.O.Box 1179 G Q roeendchertta' ta`wn soutrtol nv us
Southold,NY 11971-0959 ��l yQ
BUILDING DEPARTMENT j
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
i'
4 _
1 (-
REQUESTED BY: i eUc-E Date: J-o? J- o?oat,a
Company Name: 4fl Y7 C 6,j v,. �' �e.L
Name:
License No.:
Address:
Phone No.:
4,3 j 7&7- .86237
i
JOBSITE INFORMATION: ('Indicates required information)
*Name: C.J► 1 a vK 'W�t�k h A.M
*Address:
/89 (j�d �r'bar ; ')Jews SyFFon N !
*Cross Street: S u t'F01let
*Phone No.:
Permit No.: i
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
i
Aaa Ar i, t Ei V t
(Please Circle All That Apply)
*Is job ready for inspection:
�YESY NO. Rough in Final
*Do-you need a Temp Certificate: NO i I
Temp Information(if needed)
i .
*Service Size: Qge 3Phase 100 950 200 300 350 400 Other
*New Service: Re-connect nder roan Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
0513
.82-Request for inspection Form
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f
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
o ^4 Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
��jp! , Telephone (631) 765-1802
� `� Temporary Certificate # 1 351 Date I ( 2l 2022
Customer NameW Itt` "A r Electrician Name
0
\c.- LCR Yv1
Address'(�C ®�a •0 bud CtItC 'V,Vr gjxf ti III- Phone b 3
e-mail e-mail
Phone & —7 License#
Size A Phase Overhead Underground #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 froi a da above.
Authorized by