HomeMy WebLinkAbout49080-Z rlZ
FFOI py. Town of Southold 6/17/2023
o P.O.Box 1179
I 53095 Main Rd
y�jo ,ao�ti Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44183 Date: 6/17/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50 Lighthouse Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-1-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/3/2023 pursuant to which Building Permit No. 49080 dated 4/3/2023
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 exsiting accessory shed.
The certificate is issued to Tavani,Michael&McGinnis,Meghan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49195 5/19/2023
PLUMBERS CERTIFICATION DATED
Authorized Signa e
�SUFFotK�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
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#: 49080 Date: 4/3/2023
Permission is hereby granted to:
Tavani, Michael
2 Northside Piers Ph 1
Brooklyn, NY 11249
To: Electric on Shed**Need_to_collect$180 fee**.
At premises located at:
'50 Lighthouse Rd, Southold
SCTM # 473889
Sec/Block/Lot# 55.-1-2
Pursuant to application dated 4/3/2023 and approved by the Building Inspector.
To expire on 10/2/2024.
Fees:
ELECTRIC $180.00
Total: ~$180.00 ?
Building Inspector
*QF S�(/ryol0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 iQ sean.devlin(D-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Michael Tavani
Address: 50 Lighthouse Rd city:Southold st: NY zip: 11971
Building Permit* 49195 Section: 55 Block: 1 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 Basement Service
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 Gas GFCI Recpt 1 Wall Fixtures 1 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 StrobeHeat Detectors
Disconnect Switches 1 4'LED Exit Fixtures Sump Pump 11
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " HW Heater & Electric Outdoor Shower
Inspector Signature: _ te: May 19, 2023
S.Devlin-Cert Electrical Compliance Form
OE SOUTyo� Li 9 0eja) S� 0 1 r
# # TOWN OF SOBTHOLD BUILDING �EPi.
�ycou631-765-1802
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) LECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
rlvvoLt
DATE INSPECTOR -
o�aOF SOUlhol 4q / l C k,
TOWN O� SOUTHOLD BUILDIN2 DEPT.
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 �141PRE C/O [ ] RENTAL
REMARKS:
DATEINSPECTOR - '
UILDING DEPARTMENT- Electrical Inspector
API
TOWN OF SOUTHOLD
ybz, Hall Annex- 54375 Main Road - PO Box 1179
sbbSouthold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCa�southoldtownny ov - sea nd0-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: c c
Address: 5-0 ur 60c44 W17-71
Cross Street:
Phone No.: Cad
BIdg.Permit,#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
:Tk-P-'� C
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO F-]Rough In F] Final
Do you need a Temp Certificate?: F-� YES❑NO Issued On
Temp Information: (All information required)
Service Size❑1 PhF-13 Ph Size: A # Meters Old Meter#
❑New Service[]Fire ReconnectOFlood Reconnect[]Service Reconnect[]Underground[]Overhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION
rNUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
NIS
° r� � ! Hall Annex- 54375 Main Road - PO Box 1179
' r ;- .N �£VU Southold, New York 11971-0959
Telephone (631) 765-1302 - FAX (631) 765-9502
rogerr(a(a�southoldtownny gov -- seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
!ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: (C
Address: 6-0 L C o u-v �46C d 1 4 1 N' W7-7
Cross Street:
Phone No.: 6,-t 7�f
BIdg.Permit,#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
F 1 Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES [:] NO Rough In ❑ Final
Do you need a Temp Certificate?: 0 YES F-�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 MN
Additional Information:
PAYMENT DUE WITH APPLICATION
l
PERMIT 9 Address:
Switches
Outlets
G FI's J
Surface I
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
t
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
aC AH Hood Service
Amps Have Usec
)pecial:
:omments
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