HomeMy WebLinkAbout47638-Z TOWN OF SOUTHOLD
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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#: 47638 Date: 4/1/2022
Permission is hereby granted to:
North Rd Hotel LLC
43 Appleton PI
Dobbs Ferry, NY 10522
To: 400A underground electric service.
At premises located at:
62005 CR 48, Greenport kermoVe-d s-t, ✓I a 'Poly/ bL�,f din
SCTM #473889 'e r _'k A n Lt-A)n q,y -SAD 6AA
Sec/Block/Lot# 40.-1 A
Pursuant to application dated 4/1/2022 and approved by the Building Inspector.
To expire on 10/1/2023.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlin(D_town.southold.ny.us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: North Rd Hotel LLC
Address: 62005 CR 48 city:Greenport st: NY zip: 11944
Building Permit;Y a"� ��^. —--Section: 40 Block: 1 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wildwood Electric License No: 4836ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service X
Commerical X Outdoor X 1st Floor Pool
New 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
Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: Removed Service From The Building
Inspector Signature: Date: April 4, 2022
S.Devlin-Cert Electrical Compliance Form
BUILDING DEPARTMENT-Electrical Inspector
C, = TOWN OF SOUTHOLD
Gy r Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802 I,�
Temporary Certificate # 1 3 Date �/ 13/ 2023
Customer Name oY Rc&-t 14,kl LI-C Electrician Name \M',�r(V36bd EtC
Address Ip a Phone (e S
e-mail e-mail ' ( WSckw6o&e-�eci%ic,. Cows
Phone License L ,viA c
Size qDO A Phase�_ Overhead Underground #of Meters I
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done,on Service /N Flood Reconnect
Old Meter#1 Service Reconnected
Application for electrical service equipment is on file with the to of Southold.On the applicant's notification that this installation is
complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for 90 days from the date above.
Authorized by ��
®�VEEQ1 iLDING DEPARTMENT- Electrical Inspector
A Z0�� TOWN OF SOUTHOLD
c a 6Tow all Annex- 54375 Main Road - PO Box 1179
BUILDING DEPT Southold, New York 11971-0959
OWN OPSOUTNOL
L'telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aD-southoldtownny.gov -- seand(@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3/23/22
Company Name: Wildwood Electric Inc.
Electrician's Name: Wildwood Electric Inc.
License No.: 4836-ME Elec. email:ralphjr@wildwoodelectric.com
Elec. Phone No: 631-236-2211 ❑I request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 373, Rocky Point NY. 11778
JOB SITE INFORMATION (All Information Required)
Name: Sunset Motel ( Lobby )
Address: 62005 RT. 48 Greenport
Cross Street:
Phone No.: 914-582-7861
Bldg.Permit#: "lit email:danielpennessi@gmail.com
Tax Map District: 1000 Section: Block: j Lot: I
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Removal of the overhead Electric I S rvice from th uildin
0
Square Foo age:
Circle All That Apply:
Is job ready for inspection?, 0 YES ❑ NO ❑RoLlgh*In ❑ Final
Do you need a Temp Certificate?: ❑ YES �NO Issued 6n
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 F2 D H Frame 0 Pole Work done on Service? El Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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