HomeMy WebLinkAbout49271-Z gNFFDt,�c Town of Southold
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c�O� ooz6/29/2023
P
F .O.Box 1179
W T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44228 Date: 6/29/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 6485 Nassau Point Rd,Cutchogue Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-13-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/18/2023 pursuant to which Building Permit No. 49271 dated 5/18/2023
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 wiring in garage
The certificate is issued to Weiland,Jane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49271 06-02-2023
PLUMBERS CERTIFICATION DATED
Authorized Signature
,�O�gtlFFOtK o•
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
`t TOWN CLERK'S OFFICE
o • 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#: 49271 Date: 5/18/2023
Permission is hereby granted to:
Weiland, Jane
45 Litchfield Rd
Port Washington, NY 11050
To: Electric on Garage
At premises located at:
6485 Nassau Point Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-13-11
Pursuant to application dated 5/18/2023 and approved by the Building Inspector.
To expire on 11/16/2024.
Fees:
Total: $0.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin0-)town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jane Weiland
Address: 6485 Nassau Point Rd city:Cutchogue st: NY zip: 11935
Building Permit#: 49271 Section: 111 Block: 13 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Platinum East Electric License No: 34091 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures 2 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 30A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4 4'LED Exit Fixtures 11 Sump Pump
Other Equipment: 30A Sub Panel 8 Circuit/ 8 Used
Notes: Garage Wiring
Inspector Signature: Date: June 2, 2023
S.Devlin-Cert Electrical Compliance Form
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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:
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FO BUILDING DEPARTMENT- Electrical Inspector
' O G TOWN OF SOUTHOLD
o z Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
4& o� Telephone (631) 765-1802 - FAX (631) 765-9502
��� rogerr@southoldtownny.aov - seand(@southoldtownny.gov
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APPLICATION FOR:ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All 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:
Address: 1
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE, SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0' YES ❑ NO F—]Rough In ❑ Final
Do you need a Temp Certificate?: ❑ 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 D 1 2 F H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT # Address:
Switches
I
Outlets I
G FI's
Surface
Sconces i
l
H H's I
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
Comments ? ����
1
OS�FFQL�.`, BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
cm '` `' Town Hall Annex - 54375 Main Road -PO Box 1179
CA
Ze
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr _southoldtownny.gov - seand(a-southoldtownny.goy
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: ,41 �.
Electrician's Name:
Kew ar-
License No.: Elec. email: j,,, Avo 0 AMI,
I
Elec. Phone No: - ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: ,7T'ovf Cd LJ ► ,ja
Address: 5 ay.5S4V
Cross Street: 041vy4 illy /; q
Phone No.: 51- y 22®-- 4-d
Bldg.Permit#: 2-7. 1 email:
Tax Map District: 1000 Section: it/ Block: 13 Lot: I/
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
L
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑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 n2 H Frame D Pole Work done on Service? M Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 5118.(Z-3 -�PaZQA- �� S
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