HomeMy WebLinkAbout48668-Z gigFFOtCpGy Town of Southold 4/8/2023
P.O.Box 1179
y �.., 53095 Main Rd
Gy?jo� �oo� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43999 Date: 4/8/2023
THIS CERTIFIES that the building ELECTRICAL
Location'of Property: 2050 Youngs Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 18.-2-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/29/2022 pursuant to which Building Permit No. 48668 dated 12/29/2022
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:
electrical survey for"as built"electric to existing cottage. (water side)
The certificate is issued to Clingen Properties
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48668 2/2/2023
PLUMBERS CERTIFICATION DATED
uthorize i ture
Zu"� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
• dol �
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 #: 48668 Date: 12/29/2022
Permission is hereby granted to:
Clingen Properties
Attn: Terry Clingen
298 Waterburg Rd
Trumansburg, NY 14886
To: as blt - Electrical Service GREY Cabin
At premises located at:
2050 Youngs Rd, Orient
SCTM #473889
Sec/Block/Lot# 18.-2-2
Pursuant to application dated 12/29/2022 and approved by the Building Inspector.
To expire on 6/29/2024.
Fees:
ELECTRIC $250.00
Total: $250.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviina-town.southold.ny.us
Southold,NY 11971-0959 �Iy'rDUNTy,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Clingen Properties
Address: 2050 Youngs Rd Back House city,Orient st: NY zip: 11957
Building Permit#: 4$66$ Section: 1$ Block: 2 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 1 Ceiling Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 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 1 Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 100A Panel
Notes: " AS BUILT NO VISUAL DEFECTS " Service, Kitchen Outlets & Bath Outlets
Inspector Signature: Date: February 2, 2023
S.Devlin-Cert Electrical Compliance Form
2023
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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) NO ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O [ ] RENTAL
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SURVEY OF PROPERTY
V 1 SITUATE
�O s ORIENT
TOWN OF SOUTHOLD
2� SUFFOLK COUNTY, NEW YORK
-0, S.C. TAX No. 1000-18-02-02
SCALE I"=20'
DECEMBER 5, 2022
��`' AREA = 27,419 sq. ft.
�j 0.630 ac.
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JVOTE.
y LOT NUMBERS SHOWN THUS:LOT 0 AND RIGHT OF WAY
REFER TO SUBDIVISION OF A SECTI N OF PROPERTY
OF CHARLES L YOUNG SITUATE AT ORIENT, LONG ISLAND AS
\ SURVEYED OCTOBER 1913 BY HALSEY AND VAN TUYL,
ENGINEERS AND SURVEYORS.
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.�O rJrroiim. x lmEp,m+Eai• PHONE(631)727-209D F-(631)727-1727
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BUILDING DEPARTMENT- Electrical Ins t
f>� TOWN OF SOUTHOLD �yy yU�ILDINGOW.
- Town Hall Annex- 54375 Main Road - PO Box 1175 �F�� �
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.aov — seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: December 23 2022
Company Name:
Electrician's Name:
License No.: E!ec. email:
Elec. Phone No: I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Clingen Properties (Terry Clingen)
Address: 2050 Youngs Road, Orient, NY 11957
Cross Street: Between Main Road (Route 25)and Long Island Sound
Phone No.: (607)280-3006 or(212)228-3831(Gillian,contact person)
Bldg.Permit#: 4 Z(P teK email: gillianfra@aol.com
Tax Map District: 1000 Section: 01800.0200 Block: Lot: L 3
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Gray Cabin (waterfront cabin)-as built electrical panel:
Square Footage: T7ooquare feet
Circle All That Apply:
Is job ready for insNectian?: YES n NO F—]Rough In ❑ Final
..*
Do you need a Temp Certificate?: ❑ YES ❑ 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 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 12 Zq 27-- -c�
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