HomeMy WebLinkAbout49706-Z o�g�FF01 �� Town of Southold 9/24/2023
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y�4; P.O.Box 1179
53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 44589 Date: 9/24/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1515 Sigsbee Rd,Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/18/2023 pursuant to which Building Permit No. 49706 dated 9/18/2023
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:
200 amp overhead electric service.
The certificate is issued to King,Daren
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49706 9/20/2023
PLUMBERS CERTIFICATION DATED
Authorized gignature
TOWN OF SOUTHOLD
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cad; BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
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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#: 49706 Date: 9/18/2023
Permission is hereby granted to:
King, Daren
1330 Factory Ave
Mattituck, NY 11952
To: upgrade existing 100 amp 240 volt service to 200 amp 260 volt service
At premises located at:
1515 Sigsbee Rd, Laurel
SCTM # 473889
Sec/Block/Lot# 144.-2-10
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 3/19/2025.
Fees:
ELECTRIC $185.00
Total: $185.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(Qtown.southold.ny.us
Southold,NY 11971-0959 Q�ycOiJN'fV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Daren King
Address: 1515 Sigsbee Rd city:Laurel st: NY zip: 11948
Building Permit* 49706 Section: 144 Block: 2 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor X 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/ 13 Used
Notes: Service Upgrade
Inspector Signature: Date: September 20, 2023
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S.Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD BUILDING DEPT.
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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: � '� d Ce
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DATE �� 2 INSPECTOR
� uFpj�� BUILDING DEPARTMENT- Electrical Inspector
A �,� �G�'� TOWN OF SOUTHOLD
Y Town Hall Annex - 54375 Main Road - PO Box 1179
t Southold, New York 11971-0959
�� ®4Telephone (631) 765-1802 - FAX (631) 765-9502
079'� ' "✓ rogerr southoldtownny.gov - seand(a_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: �f— 2aZ3
Company Name: F7Usla(v c—&&c7/iC iNc
Electrician's Name: D C-MC7;,t3,roS �+&1 1S
License No.: Elec. email: FUS1�aN� c '/Cr�/� (/�s2�zoov> i
Elec. Phone No: -7/e-29/ —a173 C7f'r`equest an email copy of Certificate of Compliance
Elec. Address.: I V 8--c27LL-S/DC- ^C- cTir iYl `� //6/_357
JOB SITE INFORMATION (All Information Required)
Name: y-oaf-`:-�
Address: d p` � c k N1 195
Cross Street: gi, t`
Phone No.:
Bldg.Permit#: 'q 9 11 _-L email: , ;
Tax Map District: 1000 Section: Block: Z Lot: 1 01
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
— UPG� DIST/�r/cG /a Q/,v? 9Yo wG7 Sd'(11'4E 7e) 2—co^ P 2(eo vxT X65vvice
PCIOL
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES 10 ❑Rough In ❑ Final
Do you need a Temp Certificate?: 'ES ❑ NO Issued On
Ternp Information: (All information required)
Service Size 1 Ph❑3 Ph Size: 200 A # Meters
,� Old Meter#
❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground Wverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y
Additional Information:
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PAY T DUE WITH APPLICATION c , �
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