HomeMy WebLinkAbout48902-Z r`OSI1FFOt,fc rt Town of Southold 2/13/2023
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43848 Date: 2/13/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 150 Goose Creek Lane Ext, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-8-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/13/2023 pursuant to which Building Permit No. 48902 dated 2/13/2023
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:
electric for accessory barn.
The certificate is issued to Kendall,Beverly
I
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48902 12/14/2022
PLUMBERS CERTIFICATION DATED
uthorized S' nature
TOWN OF SOUTHOLD
��o�sufFot,t BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
15y�o ao� fi' 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 #: 48902 Date: 2/13/2023
Permission is hereby granted to: ,
Kendall, Beverly
PO BOX 1715
Southold, NY 11971
To: electric for accessory barn.
At premises located at:
150 Goose Creek.Lane Ext, Southold
SCTM #473889
Sec/Block/Lot# 78.-8-10
Pursuant to application dated 2/13/2023 and approved by the Building Inspector.
To expire on 8/14/2024.
Fees:
ELECTRIC $185.00
Total: $185.00
Building Inspector
SO�r�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviinCcD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Beverly Kendall
Address: 150 Goose Creek Ln Ext city:Southold st: NY zip: 11971
Building Permit#: -T 8 9®D. Section: 78 Block: 8 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Tom McCarthy License No:
SITE DETAILS
Office Use Only
Residential X Indoor X 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 3 Ceiling Fixtures 10 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 3 Smoke Detectors
Main Panel 100A 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 2 4'LED Exit Fixtures Sump Pump
Other Equipment: 100A Sub 20 Circuit/ 8 Used
Notes: Barn
Inspector Signature: Date: December 14, 2022
S.Devlin-Cert Electrical Compliance Form
SOUIyo 1 l `Oo 'J�'O /? p- y.� M
f # TOWN OF SOUTHOLD BUILDING DEPT.
`ycnuun,��' 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 I INSPECTOR
Vt5p
OS�FFp��.C' BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
C, Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
oy p�� Telephone (631) 765-1802 - FAX (631) 765-9502
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Lqgerr(@.southoldtownny.gov - sea nd(a)_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 11/22/2022
Company Name: 150 GCL, LLC
Electricians Name: Thomas McCarthv, member
License No.: n/a Elec. email: tmccarthv.tmccarthv(a)_gmail.Com
Elec. Phone No: 516-779-6386 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 46520 Countv Road 48, Southold, NY 11971
JOB SITE INFORMATION (All Information Required)
Name: 150 GCL, LLC
Address: 150 Goose Creek Lane, Southold, NY 11971
Cross Street: HighWOOd
Phone No.: 516-779-6386
Bldg.Permit#: _ $ gD email: tmccarthv.tmccarthv6a qr
Tax Map District: 1000 Section: 78 Block: 8 Lot: 10
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
connect 100 amp panel, install liqhts and outlets
baA/VL-- r—Square Foota e�
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO F-]Rough In � Final
Do you need a Temp Certificate?: ❑ YES F&_/1 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-n 1 n2 n H Frame 0 Pole Work done on Service? 0 Y N
Additional Information:
PAYMENT DUE WITH APPLICATION Irl 2Z ��
fie--c4 0`3 1 tv
pit 0-40
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BUILDING DEPARTMENT- Electrical Inspector , 2-)
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cr�southoldtownny.gov seandp_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date: 11/22/2022
Company Name: 150 GCL, LLC
Electrician's Name: Thomas McCarthy, member
License No.: n/a Elec. email: tmccarthV.tmccarthV(a-)-gmail.com
Elec. Phone No: 516-779-6386 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: 46520 County Road 48, Southold, NY 11971
JOB SITE INFORMATION (All Information Required)
Name: 150 GCL, LLC
Address: 150 Goose Creek Lane, Southold, NY 11971
Cross Street: HighWood
Phone No.: 516-779-6386
Bldg.Permit#: _ f-/20/C email: tmccarthv.tmccarthv(a).gr
Tax Map District: 1000 Section: 78 Block: 8 Lot: 10
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
connect 100 amp "panel, install liqhts and outlets
l✓1i1`� Q��`��� ����� Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑✓ Final
Do you need a Temp Certificate?: ❑ YES 0 NO Issued On
Temp Information: (All information required)
Service Size 1-11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire R—econnect❑Flood Reconnect❑Service Reconnect : underground❑Overhead
a 1 1...,1.�.............1 1 4...-..1..1 1�1 M 1 1 U C.-.+..+ 1 1 0-1- XAI- L 4-no nn Coniir-G7 1 1 V 11M
tF u11ue lg.1 uul d Lae all 1 1 '2 1 1 1 1 al l le 1 vlc r v v�r�uwl lc v11 via v l
Additional Information:
PAYMENT DUE WITH APPLICATION
dpi ®-40
i as
PERMIT# Address:
Switches I�
L `1\Outlets
GFI's I I
Surface
Sconces I�
H H's
UC Lts
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
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