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HomeMy WebLinkAbout49183-Z IYX=%cam �`�OSUFFotK y Town of Southold 9/24/2023 P.O.Box 1179 H x 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44590 Date: 9/24/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 555 Founders Path, Southold SCTM#: 473889 Sec/Block/Lot: 64.-2-36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/28/2023 pursuant to which Building Permit No. 49183 dated 4/28/2023 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: "as built"200 amp electric service. The certificate is issued to Molloy,Paul&June of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49,183 9/21/2023 PLUMBERS CERTIFICATION DATED Au orize Si afore J �suFFot,�� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE cao SOUTHOLD, NY `dol L � �� 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#: 49183 Date: 4/28/2023 Permission is hereby granted to: Molloy, Paul 23 Ocean Ave Manasquan, NJ 08736 To: As bit service upgrade to 200 amp At premises located at: 555 Founders Path, Southold SCTM # 473889 Sec/Block/Lot# 64.-2-36 Pursuant to application dated 4/28/2023 and approved by the Building Inspector. To expire on 10/27/2024. Fees: ELECTRIC $170.00 Total: $170.00 Building Inspector so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.deviinatown.southold.ny.us Southold,NY 11971-0959 '� OWN BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Paul Molloy Address: 555 Founders Path city:Southold st: NY zip: 11971 Building Permit#: 49183 Section: 64 Block: 2 Lot: 36 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Roslak Electric License No: 3677ME 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 StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuit/20 Used Notes: Service Upgrade Inspector Signature: Date: September 21, 2023 S.Devlin-Cert Electrical Compliance Form SOUT'yo # TOWN OF SOUTHOLD BUILDING DEPT. coo631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION �VIPREC/O [ ] RENTAL REMARKS: DATE INSPECTOR �t o��pf SOUTyo L4 1 l --- # # TOWN OF SOUTHOLD BUILDING DEPT. ��y�0urm� 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: r �M crylc_ DATE INSPECTOR �oguFFO Vic. BUILDING DEPARTMENT- Electrical Inspector Fp�A TOWN OF SOUTHOLD Town Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 eleone (631) 765-1802 - FAX (631) 765-9502 .a� �����OF� � r(c�southoldtownny.gov a seand@southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: c L/ v Electrician's Name: 9 ; . /, License No.: 3 7 7-,M Elec. email: sr f �e �7 C Elec. Phone No: _ t •6 ❑1 request an email copy of Certificate of Compliance Elec. Address.: jP 0 , - -- JOB SITE INFORMATION (All Information Required) Name: t aL t e I�L IL f-- Il 1 c � Address: 5 0 o dd ,,-V Cross Street: ► ,, �, Phone No.: Bldg.Permit#: T05email: Tax Map District: 1000 Section: Block: 2 Lot: �3 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES❑ NO ❑Rough In E] Final Do you need a Temp Certificate?: ❑ YES❑NO Issued On Temp Information: (All information required) Service Size[-11 PhF-]3 Ph Size: A #Meters Old Meter# ❑New Service[-]Fire Reconnect❑Flood Reconnect[]Service Reconnect❑Underground❑Overhead #Underground Laterals 1 2 H Frame El Pole Work done on Service? Y nN Additional Information: PAYMENT DUE WITH APPLICATION 9 ��1 BUILDING DEPARTMENT- Electrical Inspector Ai W TOWN OF SOUTHOLD Towni Hal) Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 OF0 ri@southoidtownnv.gov - seand(c_)southoldt wnny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: /-Z fli 0 P Ir Electrician's Name: R 4- License No.: 3 7 7-. Elec. email: k ) J,K, e 0"Jq Elec. Phone No: 6, 7,/ 5' -Li-&I/ El I request an"email copy of-Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: IL C- Address: Cross Street: ak, Phone No.: 97- Y 4f-7 C, / i- Bldg.Permit#: ml email: Tax Map District: 1000 Section: Block: Lot: ;-:3 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 4 J r-square Footage: Circle All That Apply: Is job ready for inspection?- J� (ES 0 NOE]Rough In E] Final e, Do you need a Temp Certificate?: F-1 YES❑ NO issued On Temp Information: (All information required) Service SizeF11 Ph❑3 Ph Size: A # Meters Old Meter# ❑New ServiceE]Fire Reconnect E]Flood Reconnect®Service Reconnect Elunderground Eloverhead # Underground Laterals n 1 [712 M H Frame F] Pole Work done on Service? M Y FIN Additional Information: PAYMENT DUE WITH APPLICATION