HomeMy WebLinkAbout45058-Z �o�SUFFot�r p� Town of Southold 8/5/2023
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P.O.Box 1179
CIO, 53095 Main Rd
y 0 ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44421 �, 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. 45058 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#2(welding barn)
The certificate is issued to Olde Road Farm LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45058 1/25/2021
PLUMBERS CERTIFICATION DATED
i
Au orized S719na re
Ts, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
cc TOWN CLERK'S OFFICE
oy • o�A 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#: 45058 Date: 8/4/2020
Permission is hereby granted to:
Peconic Land Trust
PO BOX 1776
Southampton, NY 11969
To: Existing Electric Barn #2
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
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®�'�'OF SO(/lyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q sean.devlin(D-town.southold.n .us
Southold,NY 11971-0959 � �0 y
Comm,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peconic Land Trust
Address: 4280 Youngs Ave City:Southold st: NY zip: 11971
Building Permit#: 45058 Section: 55 Block: 2 Lot: 9.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT 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 Surrey X Attic Barn X
INVENTORY
Service 1 ph X Heat Duplec Recpt 6 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt 40A Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect LE] Switches 3 8'Fluorescent 6 Exit Fixtures Pump
Other Equipment: 30A Air Compressor
Notes: " AS BUILT NO VISUAL DEFECTS " Barn #2
Inspector Signature: Date: January 25, 2021
S. Devlin-Cert Electrical Compliance Form.xls
SURVEY OF
LOT 2
FINAL PLAT SETOFF FOR
PARKER E., BETSEY B. & CHESTER M. DICKERSON
y19.59 N,j°J"- FILE No.9998 FILED MAY 13, 1997
SITUATE
SOUTHOLD
e Tsst'p0 c e Y TOWN OF SOUTHOLD
S. SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-55-02-9.4
SCALE 1"=60'
mrx" MARCH 21,2014
wRG=a3/Rs1.a•rt.
£ 19.m1 Ro.
VERT!!'!60 TO-
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TOWN OF SOUTHOLD'BUILDING BEPT.
`ycourm ',ao 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
REMARKS:
I NPA,." fc �` c c ci
DATE JL5" Z INSPECTOR
o�aOF SOUTh�I 1 .% V' ti� bo v c 4ve
-
# # TOWN OF SOUTHOLD BUILDING DEPTJ
com, 765-1802
INSPECT1. 0-N ,
[ ] 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
REMARKS:
DATE ANSPECTOR r�
f4UElectrical Inspector
ING DEPARTMENT
Vrsy��N] AUG 4 2020 TOWN OF SOUTHOLD
.N ; Town Hall Annex - 54375 Main Road - PO Box 1179
.. It BUH,DINO DEPT. Southold, New York 11971-0959
���.ti �[ ��j�hone (631) 765-1802 - FAX (631) 765-9502
:: ! �'� ro err southoldtownn gov– seand southoldtownn gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date:
Company Name.-
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (AII Information Required)
Name: u .sk6 inn - eCc - —Cru
Address: 25a
Cross Street: C�j7q S
Phone No.: C
-
Bldg.Permit
Tax.Map District: 1000 Section: S�'Ss. Block:. �. Lot: • �f
BRIEF DESCRIPTION OF WORK (Please Print Clearly) C
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
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form.xls
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BU DING DEPARTMENT- Electrical Inspector
4 2020
o
AUG TOWN OF SOUTHOLD
,J
Town Hall Annex - 54375 Main Road - PO Box 1179
pU1JDaNrr DEPT.- Southold, New York 11971-0959
IN To !—� "'Te e0hone (631) 765-1802 - FAX (631) 765-9502
seand(M-southoldtownny.go
rogerr@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: r�), , '-p
5� e c
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: Voruosk.( �Cyvx
Address: 421
Cross Street: C
L4 r-&
Phone No.: (,;1 ,2,g�- -
;1
Bldg.Permit#: t f S-o-<s email:31",""'67"?110V"C W-He tS!
1 Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Cl
X)K I C
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
1# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form.xis