HomeMy WebLinkAbout45059-Z �o�ag11ff0l�-oG Town of Southold 8/5/2023
P.O.Box 1179
o ` 53095 Main Rd
y�j0! �aof S Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 44422 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. 45059 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#3 (ham)
The certificate is issued to 01de Road Farm LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45059 1/25/2021
PLUMBERS CERTIFICATION DATED
3—uthnr' ifure
_-' TOWN OF SOUTHOLD
gUFFOt, BUILDING DEPARTMENT
�4
' 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#: 45059 Date: 8/4/2020
Permission is hereby granted to:
Peconic Land Trust
PO BOX 1776
Southampton, NY 11969
To: Existing Electric Barn #3
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
Building Inspector
pF SOUpyo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 0 a® sean.devlin(a)-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 #3 city,Southold st: NY zip: 11971
Building Permit* 45059 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 Survey X Attic Barn X
INVENTORY
Service 1 ph X Heat Duplec Recpt 5 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors
Main Panel 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 7 4'.Fluorescent 4 Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Barn #3
Inspector Signature: Date:
January 25, 2021
S. Devlin-Cert Electrical Compliance Form.xls
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# # TOWN OF SOUTHOLD BUILDING DEPTV
couMv��''�Q 765-1802 2
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) P ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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INSPECTION ' :,
[ ] FOUNDATION 1 ST [ ] 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 [(_] PRE C/O
REMARKS: .
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BUILD( (DEPARTMENT-Electrical Inspector
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yt . AUG 4 2020 t TOWN OF SOUTHOLD
N Town Hall Annex - 54375 Main Road - PO Box 1179
o 'B�,DING DEPT,Southold, New York 11971-0959
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: -712,0 la aA
Company Name: — pec.
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: Iri iw9a T AN
Address: LtAb
Cross Street: Z
Phone No.: t- 283- I
Bldg.Permit#: � .SpS� emailJr+� 'c"A Pec�� -
Tax Map District: 1000 Section: .5'5_ Block: a Lot: 9. N
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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
of &, 'r, �
Request for Inspection Form.xls
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BUILDI.NIbEPARTIVIENT-Electrical Inspector
AUG 4 2020 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
baNc-DFn.Southold, New York 11971-0959
76160hd66 (631) 765-1802 - FAX (631) 765-9502
rogerr(cD_southoldtownny.gov — sea nd(&-southoldtown nv.q
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: --712,0 1,9,0 a=")
Company Name: aaci
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All information Required)
Name: V.1rU,9,A- Q�,^ 2eag2L!,L" 'Oj-d
Address: �,i 2- t)
Cross Street: Ljlg
Phone No.:
Bldg.Permit#: e m a i kirivi-c's - ie-"""`k`�-f--rus
Tax Map District: 1000 Section: 5' Block: cR Lot: 9. L/
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
U
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 06
Request for Inspection FormAs