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HomeMy WebLinkAbout49432-Z � S�FFUIKCO, Town of Southold 8/1/2023 4a P.O.Box 1179 o - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44361 Date: 8/l/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 110 Sleepy Hollow Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.-1-10.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/1/1900 pursuant to which Building Permit No. 49432 dated 6/29/2023 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: 200 amp underground electric service. The certificate is issued to Neville Robert &Elizabeth Rev Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49432 7/5/2023 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �gUFFD(�Co 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#: 49432 Date: 6/29/2023 Permission is hereby granted to: Neville Robert F Rev Trt 110 Sleepy Hollow Ln PO BOX 995 Southold, NY 11971 To: Electric Service Replaces BP 43684 At premises located at: 110 Sleepy Hollow Ln, Southold SCTM #473889 Sec/Block/Lot# 78.-1-10.6 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 1\ 12/28/2024. Fees: PERMIT RENEWAL $42.50 Total: $42.50 Building Inspector r oSUF ii�G TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • � v SOUTHOLD, NY 0 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#: 43684 Date: 4/26/2019 Permission is hereby granted to: Neville Robert F Rev Trt 110 Sleepy Hollow Ln PO BOX 995 Southold, NY 11971 To: Electric Service At premises located at: 110 Sleepy Hollow Ln, Southold SCTM # 473889 Sec/Block/Lot# 78.-1-10.6 Pursuant to application dated 4/26/2019 and approved by the Building Inspector. To expire on 10/25/2020. Fees: ELECTRIC $85.00 Total: $85.00 Bui ding Inspector �SaFFnt��oTOWN OF SOUTHOLD moo ay BUILDING DEPARTMENT y z 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#: 43684 Date: 4/26/2019 Permission is hereby granted to: Neville Robert F Rev Trt 110 Sleepy Hollow Ln PO BOX 995 Southold, NY 11971 To: Electric Service At premises located at: 110 Sleepy Hollow Ln, Southold SCTM # 473889 Sec/Block/Lot# 78.-1-10.6 Pursuant to application dated 4/26/2019 and approved by the Building Inspector. To expire on 10/25/2020. _ Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector ho��pF SOUj�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 QlycOUNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Neville Robert F Rev Trt Address: 110 Sleepy Hollow Ln city:Southold st: NY zip: 11971 Building Permit* 49432 Section: 7$ Block: 1 Lot: 10.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Pumillo Ln License No: 2300ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X 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 Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuit/40 Used Notes: Service Inspector Signature: Date: July 5, 2023 S. Devlin-Cert Electrical Compliance Form 0ES0UlyO --- h �i' # TOWN OF SOUTHOLD BUILDING EPT. coum, 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: C �' DATE INSPECTOR OF SOUT r # # TOWN OF SOUTHOLD BUILDING DEP �ycoum, 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: M-4pel�bo A) CC o DATE INSPECTOR SFFaL�c BUILDING DEPARTMENT- Electrical Inspector �o D TOWN OF SOUTHOLD o own Hall Annex - 54375 Main Road - PO Box 1179 . Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richertp_town.southold.ny.us IC:ATION FOR ELECTRICAL INSPECTION REQUESTED BY: J vLA L� Date: t c Company Name: � I LLc� L Name: _ License No.: p2�jOc� M �, email: Address: U/ C - LA ��—Z < Phone No.: cq4 �' ' q(D 6 JOB SITE INFORMATION: (All Information Required) Name: CD Address: Cross Street: Phone No.: email: BIdg.Permit#: Tax Map District: 1000 Section: Block: Lot: f6, . 4 BRIEF PE7q3RIPTION OF WORK (Please Print Clearly) 24 }ti r ct1 C_ l r2c�- ► 1/Z Circle All That Apply: Final Is job ready for ins e ction?: YES NO Rough In Do you need Temp�ertificate?: YES NO Issued On Tempe Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: # Meters / Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnectednderground 7 Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �"11 °��� 82-Request for Inspection Form.xfs BUILDING DEPARTMENT- Electrical Inspector �o O TOWN OF SOUTHOLD own Hall Annex - 54375 Main Road - PO Box 1179 as 26 2Q�9 Southold, New York 11971-0959 1 pQ� Telephone (631) 765-1802 - FAX (631) 765-9502 ro_ger richertgtown.southold.ny.us 401TATION FOR ELECTRICAL INSPECTION REQUESTED BY: Com( VVl L Lo Date: Company Name: (/1,A I L_C_C:3 Name: d _ k-4 Vvt License No.: a�Oc7 (`'l �r email: D CO, 0vt'L-00Lt-, 5 0-v'_t U/ Address: C , QOX, 3c; — � 4\1-y, -_ I F�� Phone No.: q9a C'©6 JOB SITE INFORMATION: (AI( Information Required) Name: Address: Cross Street: �^ �c Phone No.: IA41 S BIdg.Permit#: --- email: Fax Map District: 1000 Section: Block: Lot: =L' BRIEF DE RIPTION OF WORK (Please Print Clear r Circle All That Apply: Is job readyfor'ins ection.. YES NO Rough In Final Do you need Temp rtificate?: YES NO Issued On T'C Q Temp Information: (All information required) .Service Size 1 Ph 3 Ph Size: # Meters / Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnectednderground Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: P-AYMENT__UUE WITH APPLICATION 82-Request for Inspection Form As