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�o�SUFfat��pG Town of Southold 8/16/2023
a y� P.O.Box 1179
�� 53095 Main Rd
0, 5�� Southold,New York 11971
- CERTIFICATE OF OCCUPANCY
No: 44452 Date: 8/16/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 625 Stephenson Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 17.-1-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/7/2015 pursuant to which Building Permit No. 48554 dated 12/2/2022
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 electric service.
The certificate is issued to Greene,Beverley
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48554 8/8/2023
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�S----Fa TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x
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#: 48554 Date: 12/2/2022
Permission is hereby granted to:
Greene, Beverley
625 Stephenson Rd
PO BOX 566
Orient, NY 11957
To: Electric service.
Replaces BP #39742.
At premises located at:
625 Stephenson Rd, Orient
SCTM # 473889
Sec/Block/Lot# 17.-1-8
Pursuant to application dated 5/7/2015 and approved by the Building Inspector.
To expire on 6/2/2024.
Fees:
PERMIT RENEWAL $42.50
Total: $42.50
Building Inspector
11' . tic TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 39742 Date: 5/7/2015
Permission is hereby granted to:
Greene, Beverley
625 Stephenson Rd
PO BOX 566
Orient, NY 11957
To: Electric Service
At premises located at:
625 Stephenson Rd, Orient
SCTM # 473889
Sec/Block/Lot# 17.-1-8
Pursuant to application dated 5/7/2015 and approved by the Building Inspector.
To expire on 11/5/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
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uilding In ec
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q Jamesh C�southoldtownny.gov
Southold,NY 11971-0959 �Q a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Beverly Greene
Address: 625 Stepenson Road city:Orient st: New York zip: 11957
Building Permit#: 48554 Section: 17 Block: 1 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Jim Sage Electric Electrician: Jim Sage License No: 3635E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 3 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch 200 UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 1 200 amp ATS, 1 200 amp sub panel 40 space 39 used,1 40 amp sub panel 12 spa
12 used, 1 100 amp sub panel 24 space 19 used 1 100amp breaker in gen
Notes:
LInspector Signature: 0*—�— Date: August 8, 2023
625 stephenson rd
q SOUTyO� 7'Y S��
# f TOWN OF SOUTHOLD BUILDING PT.
coum, 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] 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: 0L /
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DATE INSPECTOR C��
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4?� o� q 8 q LI(DING
° he s TOWN OF SOUTHOLD DEPT.
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: -vi
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DATE INSPECTOR
- i
OF SOlIjy��
Town Hall Annex J 1�S Telephone(631)765-1802
54375 Maw Road pp
P.O.Box 1179 Gr Q roaer.richert(otown sautold ny us
Southold,NY 11971-0959 �O j-
�yIOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION i
REQUESTED BY-
Date:
Company Name:
Name:
License No.: I:
Address:
Phone No.:
I
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: f I
*Cross Street: r'
*Phone No.: L
Permit No.:
Tax-Map District: 10do Section:- _ Block:��` Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
i
c.
(Please Circle All That Apply)
*Is job ready for inspection:
YES/ Rough in Final
*Do-you need a Temp Certificate: YE NO
Temp Information_(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other I -
*New Service: Re-connect ndergroun umber of Meters ange of Servic Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form (a
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