HomeMy WebLinkAbout49603-Z oSpFfat KI'xr Town of Southold
ao� ooy 8/26/2023
P.O.Box 1179
o • 53095 Main Rd
y?j�! �ooi Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44497 Date: 8/26/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Properly: 9202 Bridge Ln,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 73.-2-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/21/2023 pursuant to which Building Permit No. 49603 dated 8/21/2023
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.
pool equipment moved and re-wired.
The certificate is issued to K2J4E6 LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49603 8/24/2023
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
9 pr FFQIt,y� BUILDING DEPARTMENT
10
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#: 49603 Date: 8/21/2023
Permission is hereby granted to:
K2J4E6 LLC
4306 Churchill Downs Dr
Austin, TX 78746
To: Move & Re-wire Pool Equipment
At premises located at:
9202 Bridge Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 73.-2-3.1
Pursuant to application dated 8/21/2023 and approved by the Building Inspector.
To expire on 2/19/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
pE SO!/T�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(a)town.southold.ny.us
Southold,NY 11971-0959 'Q • a�
�yCOUN N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: K2J4E6 LLC
Address: 9202 Bridge Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 49603 section: 73 Block: 2 Lot: 3.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Platinum East Electric License No: 34091 ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 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 X 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: Pump 220GF1, Heater, Lights 120GFI, Salt Generator, Water Bond, Ionizer
Notes: Pool Equipment Moved
Inspector Signature: c Date: August 24, 2023
S.Devlin-Cert Electrical Compliance Form
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(Z/20%
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
� Town Hall Annex
- 54375 Main Road - PO Box 1179
Southold*New York 11971-0959
; Telephone (631) 765-1802 - FAX (631) 765-9502
rogerKa-southoldtownny.gov— seand&-southoldtownn .00v
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: A C�"L` l JVC .
Electrician's Name: KCIT&
License No.: V'-3 y0°I I Elec. email: 121aflavAleasitt1O, ox.0%
Elec. Phone No: 31 &9-11,2y request-An email copy of Certificate of Compliance
Elec.Address.:
JOB SITE INFORMATION (Ail Information Required)
Name: S J 2S w
Address: r 4 i," ca-ve-
Cross Street:
Phone No.: 6 21 - 9 (2-S -q`l
Bldg.Permit#: LlQ (,p 0 �
email: && 1 .cv
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
S pare Footage:-
Circle
oota e:Circle All That Apply:
Is job ready for inspectlon?: YES NO Rough In �inal
1 tll
Do you need a Temp Certificate?: YES��NO Issued'On
Temp Information: (All Information required)
Service Size71 Ph 73 Ph Size: A # Meters Old Meter#
❑New ServiceF1 Fire Reconnect[]Flood Reconnect[]Service Reconnect MUndergroundOverhead
#Underground Laterals 1 2 H Frame 0 Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION
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