HomeMy WebLinkAbout49192-Z ��O�g11FFOlK y Town of Southold 6/17/2023
P.O.Box 1179
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o _ 53095 Main Rd
y�o ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44194 Date: 6/10/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 630 Clearview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-9-62
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/2/2023 pursuant to which Building Permit No. 49192 dated 5/2/2023
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:
tesla car charger.
6/17/2023 Corrected for Certificate of Occupancy number only.
The certificate is issued to Gentry,Joseph&Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49192 5/15/2023
PLUMBERS CERTIFICATION DATED
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yam, P.O.Box 1179
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co r ti53095 Main Rd
o r" Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44153 Date: 6/10/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 630 Clearview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-9-62
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/2/2023 pursuant to which Building Permit No. 49192 dated 5/2/2023
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:
tesla car charger.
The certificate is issued to Gentry,Joseph&Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
1
ELECTRICAL CERTIFICATE NO. 49192 5/15/2023
PLUMBERS CERTIFICATION DATED
Authorized Signat6e
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
oy • 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#: 49192 Date: 5/2/2023
Permission is hereby granted to:
Gentry, Joseph
26 Fishermans Dr
Port Washington, NY 11050
To: Tesla Car Charger Electrical
At premises located at:
630 Clearview Ave, Southold
SCTM # 473889
t
Sec/Block/Lot# 70.-9-62
Pursuant to application dated 5/2/2023 and approved by the Building Inspector.
To expire on 10/31/2024.
Fees:
ELECTRIC $90.00
Total: $90.00
A-----�
Building Inspector
\\pE SOUT�,oI
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 s �Q sean.devlinA-town.southold.ny.us
Southold,NY 11971-0959 Q�yCOiJNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Gentry
Address: 630 Clearview Ave city:Southold st: NY zip: 11971
Building Permit#: 49192 Section: 70 Block: 9 Lot: 62
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Power Pro Electric License No: 5051 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New X 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 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: Tesla Car Charger-1
Notes: Car Charger
Inspector Signature: Z�— ate: May 15, 2023
S.Devlin-Cert Electrical Compliance Form
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# TOW O SOUTHO D BUILDING DEPT.
�ycourm, 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 INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
�► C�r!y. TOWN OF SOUTHOLD
* Town Hall Annex - 54375 Main Road - PO Box 1179
New York 11971-0959 Southold,
app Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a_southoldtownny.gov seand(cDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/21/23
Company Name: Power Pro Electric
Electrician's Name: Russ Galati
License No.: 5051 ME Elec. email: Powerproruss@optonline.net
Elec. Phone No: 631 8482607 1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Elizabeth and Joseph Gentry
Address: 630 Clearview Av Southhold NY 11971
Cross Street: Bennetts Ln
Phone No.: 631 848 2607 —'Rue's
Bldg.Permit#: 46?1/V2- email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Tesla Car Charger, outside, left of garage doors
Panel In basment via the Garage �� ,�- �
IV
C lcl5C Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑I YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑V NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
EJ New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION