HomeMy WebLinkAbout46839-Z S�FfQ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 46839 Date: 9/17/2021
Permission is hereby granted to:
Frausto, Mary
175 1 st St
Laurel, NY 11948
To: Temporary 200A underground electric service.
At premises located at:
1425 Bay Ave., East Marion
SCTM #473889 XIM,4)--�
Sec/Block/Lot# 31.-9-7.3
Pursuant to application dated 9/17/2021 and approved by the Building Inspector.
To expire on 3/19/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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# # TOWN OF SOUTHOLD BUILDING DEPT.
`cco 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
REMARKS:
DATE '46 1-4 INSPECTOR
o�aOF SO!/l�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q sean.deviin(D-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mary Frausto
Address: 1425 Bay Ave city:East Marion st: NY zip: 11939
Building Permit#: 46839 Section: 31 Block: 9 Lot: 7.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Owl Electric Inc License No: 60853ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Mary Frausto
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel 40 Circuit/ 3 Used
Notes: Temp Service
Inspector Signature:
.� Date: November 30, 2021
S.Devlin-Cert Electrical Compliance Form
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DEPARTMENT- Electrical Inspec&P 1 5 2021
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APPLICATION FOR,ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: ,
Company Name: Owl Electric Inc.
Name:Dr. Jeffery Williams Jr.
License No.: ME-60853 email: owlelectricinc@gmail.com
Phone No: 631-903-4502 R]l request an email copy of Certificate of Compliance
Address.: 1445 Bay Ave, East.Marion, NY
JOB SITE INFORMATION (All Information Rpflldrinri.l ..
F7
Name:-LJ1 WhIiarTiTir 0_
AddressF may Ave,-East Marion, NY
Cross Steeiet:,,-
Phone No.;-631=91087002
Bldg.Permit#: . Lf email: owlelecteicinc@gmaii.com
Tax Map District: 1000: Section: Block: Lot:-7- t 3
BRIEF DESCRIPTION OF WORK (Please-Print Clearly). Temporary 200A underground'service
Temporary.200A underground service
Temporary 200A underground service
Check All That Apply:
Is job ready for inspection?- E]YES [E]NO ORough In DFinal
Do you need a Temp Certificate?: [E]YES
]NO Issued On /57-
Temp Ififormation: (All information required)
Service Size FvJ1 Ph F-13 Ph Size: 200 A # Meters 1 Old Meter#
❑New Service ElService Reconnect R] Underground []Overhead
1# Underground Laterals ZI E]2 ZH FrarneElPole Work done on Service? [:]y Fv
Additional Information:
PAYMENT DUE WITH APPLICATION
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Electrical Inspection Form 2020.x1sx
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PERMIT# Address:
Switches
Outlets
G F I's �(
Surface.
Sconces .
H H's
U C U-8
Fans ............ .....:.. ...,:.,..,:,.;..::.: .;Frr`dge .. . .. .. :.. ._...... . .... ..
Exhaust Oven :. WD..,,: .. .
Smokes DW Mini 3
Carbon . :. .. :_� ._... . __..._.. _._ : IVlicro....... ... GeneFator, `
Com1,O:.:.. ..:.....,,...;_.._
i4C. AH __ Hood _Service
.. .. _ .,
. Amps ` - �'fiave `Used `
Special;...: . :_. ...._..�.�..._...�_...:....:_. ...:_...:: ....::.:: ..._. ... �.. ._. ,.,_,. ...... .. ......... ..� _.. ..� . :_,. . :_.. ...,.. �� . . �f;,r..:.._......'._.
Comments:
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ( 21
Company Name: Owl Electric Inc.
Name: Dr. Jeffery Williams Jr.
License No.: ME-60853 email: owlelectricinc@gmail.com
Phone No: 631-903-4502 ❑✓ I request an email copy of Certificate of Compliance
Address.: 1445 Bay Ave, East Marion, NY
JOB SITE INFORMATION (All Information Rp—hart
Name: rG(JuS
Address, "ay Ave, East Marion, NY
Cross Street:
Phone No.: 631-903-4502
Bldg.Permit#: Lf L-q email: owlelectricinc@gmail.com
Tax Map District: 1000 Section: `aj Block: Lot:
BRIEF
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Temporary 200A underground service
Temporary 200A underground service
Temporary 200A underground service
Check 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: 200 A # Meters 1 Old Meter#
❑New Service ❑ Service Reconnect ❑✓ Underground ❑Overhead
# Underground Laterals [D1 ❑2 ❑✓ H Frame ❑Pole Work done on Service? ❑Y QN
Additional Information:
PAYMENT DUE WITH APPLICATION
.CP
Electrical Inspection Form 2020.x1sx /��