HomeMy WebLinkAbout48544-Z pS�fFOL � Town of Southold
1/14/2023
P.O.Box 1179
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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: 31215 CR 48,Peconic
SCTM#: 473889 Sec/Block/Lot: 74.-1-36
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/30/2022 pursuant to which Building Permit No. 48544 dated 11%30/2022
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 Breeze Hill Partners LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48544 12/16/2022
PLUMBERS CERTIFICATION DATED
Authorized S gnature
�oegUFfQ TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
SOUTHOLD, NY
=A 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#: 48544 Date: 11/30/2022
Permission is hereby granted to:
Breeze Hill'Partners LLC
85 Perry St
New York, NY 10014
To: Electric Service
At premises located at:
31215 CR 48, Peconic
SCTM #473889
Sec/Block/Lot# 74.-1-36
Pursuant to application dated 11/30/2022 and approved by the Building Inspector.
To expire on 5/31/2024.
Fees:
ELECTRIC $85.00
Total: $85.00
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ilding Inspect()r
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin0-)town.southold.ny.us
Southold,NY 11971-0959 cOUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Breeze Hill Partners LLC
Address: 31215 CR 48 city:Peconic st: NY zip: 11958
Building Permit#: 48544 Section: 74 Block: 1 Lot: 36
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Laurel Lighting License No: 4718ME
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 Surrey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 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
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 200A Panel 30 Circuits /4 Used
Notes: Service
Inspector Signature: Date: December 16, 2022
S.Devlin-Cert Electrical Compliance Form
SOUly�lo
* TOWN OF SOUTHOLD BUILDING DEPT.
CouMv631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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
DATE/ INSPECTOR J
®�®g�ffO1,Y�o BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
y % Telephone (631) 765-1802 - FAX (631) 765-9502
roQerrC�southoldtownny.gov — seand(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 11/28/2022
Company Name: Laurel Lighting Inc.
Electrician's Name: Frank Fenoy
License No.: 4718-ME Elec. email:Laurellightingjr@gmail.com
Elec. Phone No: 631-603-8889 211 request an email copy of Certificate of Compliance
Elec. Address.: 1977 Main Road Laurel NY 11948
JOB SITE INFORMATION (All Information Required)
Name: Breeze Hill Farms
Address: 31215 County Road 48 Peconic NY 11958
Cross Street:
Phone No.: BrettFarmManager 631-807-4148
Bldg.Permit#: email:Chrisp@piacap.com
Tax Map District: 1000 Section:74 Block: 1 Lot:36
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New 200 Amp Underground electrical service in rear of farm.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: R YES❑NO []Rough In ❑ Final
Do you need a Temp Certificate?: 0 YES❑ NO Issued On
Temp Information: (All information required)
Service Size 11 Ph F]3 Ph Size: 200 A # Meters 1 Old Meter#
❑✓ New Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect ✓❑Underground❑Overhead
# Underground Laterals 1 F12 ✓ H Frame M Pole Work done on Service? M Y ✓ N
Additional Information:
D E c F �I AYMENT DUE WITH APPLICATION j `g
lj
NOV 3 0 2022
BUILDING DEPT
TOM OF SOUTHOLD
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
'r Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(u_southoldtownny qov — seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 11/28/2022
Company Name: Laurel Lighting Inc.
Electrician's Name: Frank Fenoy
License No.: 4718-ME Elec. email:Laurellightingjr@gmail.com
Elec. Phone No: 631-603-8889 211 request an email copy of Certificate of Compliance
Elec. Address.: 1977 Main Road Laurel NY 11948
JOB SITE INFORMATION (All Information Required)
Name: Breeze Hill Farms
Address: 31215 County Road 48 Peconic NY 11958
Cross Street:
Phone No.: BrettFarmManager 631-807-4148
Bldg.Permit#: email:Chrisp@piacap.com
Tax Map District: 1000 Section:74 Block: 1 Lot:36
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New 200 Amp Underground electrical service in rear of farm.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: R1 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: 200 A # Meters 1 Old Meter#
Q 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:
E C AYMENT DUE WITH APPLICATION
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DNOV 3 0 2022 � 1� \�J�
BUILDING DEPT
MM OF SOUTHOLCD
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