HomeMy WebLinkAbout45057-Z lam%=
�✓ SUFFOI�-�,Yr Town of Southold
4�0� ooy 8/5/2023
o P.O.Box 1179
521 53095 Main Rd
y�0 ap� 9' Southold,New York 11971
1 � s
CERTIFICATE OF OCCUPANCY
No: 44420 Date: 8/5/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4280 Youngs Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-2-9.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/4/2020 pursuant to which Building Permit No. 45057 dated 8/4/2020
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"electric in barn#1 (red barn).
The certificate is issued to 01de Road Farm LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45057 1/25/2021
PLUMBERS CERTIFICATION DATED
Authorized Wgriature
TOWN OF SOUTHOLD
gtlFFO'L
h �y 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#: 45057 Date: 8/4/2020
Permission is hereby granted to:
Peconic Land Trust
PO BOX 1776
Southampton, NY 11969
To: Existing Electric Barn #1 (red)
At premises located at:
4280 Youngs Ave, Southold
SCTM # 473889
Sec/Block/Lot# 55.-2-9.4
Pursuant to application dated 8/4/2020 and approved by the Building Inspector.
To expire on 2/3/2022.
Fees:
ELECTRIC $180.00
Total: $180.00
Build ng Inspector
pF SO(/T,�OI
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • COQ sean.deviina-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peconic Land Trust
Address: 4280 Youngs Ave Barn #1 city:Southold st: NY zip: 11971
Building Permit* 45057 Section: 55 Block: 2 Lot: 9.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service X
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Barn X
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures 10 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 3 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 Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Barn #1
Inspector Signature: Date: January 25, 2021
S. Devlin-Cert Electrical Compliance Form.xls
oe souryo ti 50 G-7 t 0 y a A(,'
# # TOWN OF SOUTHOLD BUILDING DEPT
courm, 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) )Iq ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE I Z INSPECTOR
OE SOUTyo Lf S S� Z o O %'49La f ArOe
# TOWN OF SOUTHOLD BUILDING DEPT.
y o,rm��' 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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:
SIC 712
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;f f_.Sof E0[,� BUILDING DEPARTMENT- Elecp I Inspector ; J
� 0� CSG TOWN OF SOUTHOLD AUG - 4 2020
CM =` Town Hall Annex- 54375 Main"Road - PO Box 1179
Southold, New York 11971-0 DEiP'r:
Telephone (631) 765=1802 - FAX
roAerr@southoldtownny.gov— seanda-southoldtownny.gov
APPLICATION FOR-ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:. 71 w 6d
Company Name: .r -
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: re.� c Pc,)c m
Address: o -2
Cross.Street:
"Phone No.:
Bldg.Permit#: �'D s� email: euv IL Oyu -
Tax Map District: 1000 Section: SS" Block: Lot: j.
BRIEF DESCRIPTION OF WORK (Please Print Clearly) i c r,: �, I&I C'
9 h r l (fir Y\)
Circle 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: (Alff Nformation required)
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected- Underground -Overhead
# Underground Laterals.�1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
P qc���
Request for Inspection Form.xls
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BUILDING DEPARTMENT- ElectrIc I Inspector
TOWN OF SOUTI-116LD AUG - 4 2020
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0.9 ,DING DEP7,
Telephone (631) 765-1802 - FAX
seandC&_southoldtownny.go
rogerrosoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: (0
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: &LA-VD—'U Cvv\
Address: g c>
Cross,Street:
Phone No.:
Bldg.Permit#:
Tax Map District: 1000 Section: SS- Block: a Lot: L/
BRIEF DESCRIPTION OF WORK (Please Print Clearly) ( -i, (te
Circle 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: A #Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
K Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
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