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HomeMy WebLinkAbout48553-Z ��o�S�fFO(p Gam, Town of Southold 2/12/2023 $-' P.O.Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43840 Date: 2/12/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 15 Sun Ln, Southold Southold SCTM#: 473889 Sec/Block/Lot: 76.-1-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/2/2022 pursuant to which Building Permit No. 48553 dated 12/2/2022 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: dock lighting. The certificate is issued to Villa,Fernando of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48553 1/10/2023 PLUMBERS CERTIFICATION DATED Authorized gnature e TOWN OF SOUTHOLD �suFFQc,r�o� BUILDING DEPARTMENT C* 2 TOWN CLERK'S OFFICE SOUTHOLD, NY y�al "Oi1is` # 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 #: 48553 Date: 12/2/2022 Permission is hereby granted to: Villa, Fernando 2639 95th St East Elmhurst, NY 11369 To: Electric Outlet on dock At premises located at: 15 Sun Ln, Southold SCTM #473889 Sec/Block/Lot# 76.-1-1 Pursuant to application dated 12/2/2022 and approved by the Building Inspector. To expire on 6/2/2024. Fees: ELECTRIC $90.00 Total: $90.00 Buil ing Inspector pF SOUjyol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlin(atown.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Fernando Villa Address: 15 Sun Ln city:Southold st: NY zip: 11971 Building Permit* 48553 Section: 76 Block: 1 Lot: 1 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 Basement Service Commerical Outdoor X 1st Floor Pool New 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 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 Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 5 Lights on LV Transformer Notes: Dock Lighting Inspector Signature: Date: January 10, 2023 S. Devlin-Cert Electrical Compliance Form t - - -/ OFSOUIyO� 4SS53 # TOWN OF SOUTHOLD BUILDING DEPT. co 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: Ca L k DATE INSPECTOR 1 V1�Ftl ,rg. BUILDING DEPARTMENT- Electrical Inspector ©� TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 . �4� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(d).southoldtownny.gov — seand(ab-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: ra .arm Company Name: /► -t tG L Electrician's Name: License No.: Elec. email: zC�Y�i Elec. Phone No: l s- q ❑1 request an email c py of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) 1-1 Name: �,yf Address: Cross Street: Phone No.: Bldg.Permit#: 4 SS6-3 email: Tax Map District: 1000 Section: (D Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Uvl,5-/-R ll 136 ck ( Cor7 a-U-tZ i i V07-r-11 h) JJP%t- 147/1 � Square Footage: Circle All That Apply: Is job ready for inspection?: EYES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YESNO Issued On Temp Information: (All information required) Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter# F-1 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 12 ` 0 P 4 4 F(Ss3 Q� 2181 1 O��SUFFpj�CO BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 a Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502`' � rogerrCcb-southoldtownny.gov — sea nd(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: u Company Name: /7 IG Electrician's Name: License No.: Elec. email: S L Elec. Phone No: qq ❑I request an email c py of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: j1n,W La1 Address: k) 2 Cross Street: a Phone No.: Bldg.Permit 4 gs6-3 email: Tax Map District: 1000 Section: (1 Block: I Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): T/ti15� if 1?Ll> c c(l d a l Square Footage: Circle All That Apply: Is job ready for inspection?: EfYES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES�7fNO 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 # I Inderground Laterals L'i . 2 H Frame Pole Work done on Service% Y N Additional Information: PAYMENT DUE WITH APPLICATION 12 �122��a 4 go P t4 �SS3 QLD 2 l&4a