HomeMy WebLinkAbout48282-Z Town of Southold 1/23/2023
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43777 Date: 1/23/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 220 Bailey Ave, Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-2-5
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. 48282 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:
200 amp overhead electric service.
The certificate is issued to Angevine III,Joseph&Ors.
l
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48282 12/14/2022
PLUMBERS CERTIFICATION DATED
Authorized Sig ture
�SUFfo4'`l TOWN OF SOUTHOLD
BUILDING DEPARTMENT
0
TOWN CLERK'S OFFICE
�y • oma ' 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#: 48282 Date: 9/12/2022
Permission is hereby granted to:
Angevine, Dolores
619 Bailey Ave
Greenport, NY 11944
To: electric service upgrade.
At premises located at:
220 Bailey Ave, Greenport
SCTM #473889
Sec/Block/Lot# 34.-2-5
Pursuant to application dated 9/12/2022 and approved by the Building Inspector.
To expire on 3/13/2024.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO(/T�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 a� sean.devlinCaD-town.southold.ny.us
Southold,NY 11971-0959 C0UN1`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Angevine III
Address: 220 Bailey Ave aka 619 city:Greenport st: NY zip: 11944
Building Permit#: 4$2$2 Section: 34 Block: 2 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Jim Sage Electric License No: 3635ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey 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 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: 200A Panel 42 Circuits / 6 Used
Notes: Service
Inspector Signature: Date: December 14, 2022
S. Devlin-Cert Electrical Compliance Form
oFso�y°� �t 2�ti
# # TOWN OF SOUTHOLD BUILDIN DEPT.
22.o
oourm N�'' 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:
At d ccc
,�7,// ZA
DATE .12- 1111 INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
iF o Town Hall Annex - 54375 Main Road - PO Box 1179
cn
Southold, New York 11971-0959
Telephone 631 765-1802 - FAX (631) 765-9502
rogerr @_southoldtownny.gov - seand(oD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: OEM ieyi >C k",--
Electrician's Name: `1
License No.: Elec. email: fw ;
Elec. Phone No: r%�/�j�� � L� request an emaif copy of Certificate of Compliance
Elec. Address.: &W l/tet'
JOB SITE INFORMATION (All Information Required)
Name: 2- *S 0�a0
Address: ��,� /L1,
Cross Street: ,-
Phone No.: r f til
Bldg.Permit #: 4 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
i
Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: nl*,y ❑ NO isued On
Temp Information: (All information required)
Service Size 1 PhF-]3 Ph Size: 3069 A # Meters Old Meter#
❑New Service❑Fire Reconnect[-]Flood Reconnect❑Service Reconnect❑Underground verhead
# Underground Laterals 2 F1 H Frame Pole Work done on Service? F1 Y
d
11DIL&E3 MTO) . --
SEP 1 2 2022 PAYMENT DUE WITH APPLICATION
TQ1 OF SOUTf ?.�?
Z� o./L � G Z / 6 `^`��
� �
i
so'
Of knell BUILDING DEPARTMENT- Electrical Inspector
� f O
�O Gy TOWN OF SOUTHOLD
0 1 t Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
O� b Telephone (631) 765-1802 - FAX (631) 765-9502
; ' ��` rogerr_,southoldtownny.gov— sea nd(oD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: jar) /YE f. IC X�
Electrician's Name: 7—
License No.: 0 Elec. email:
Elec. Phone No: �/ �� L/L LRI request an emaif copy of Certificate of Compliance
Elec. Address.: ty fQv , ,IJ, //IF
JOB SITE INFORMATION (All Information Required)
Name: N12 e /'s Lakq aao
Address: fJo �, 7q e-1
CrossStreet:
Phone No.: /
Bldg.Permit#: 4 a g email:
Tax Map District: 1000 Section: *� Block: Lot: rj
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES �O ❑Rough In ❑ Final
Do you need a Temp Certificate?: nl*,y ❑ NO issued On
Temp Information: (All information required)
Service Size 1 Ph❑3 Ph Size: 50C) A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground Overhead
# Underground Laterals 1 2 H Frame M Pole Work done on Service? DY
d�1 m
SEP 1 2 2022 no PAYMENT DUE WITH APPLICATION
BUILDING DTT r T.
TOWN OF SOUTI$.OT,