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HomeMy WebLinkAbout49618-Z sr.GT . SUFFot,�r 00 1pGyF� Town of Southold 8/30/2023 P.O.Box 1179 o • 53095 Main Rd y�jol �ao� S Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44505 Date: 8/30/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 3200 Peconic Ln,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-3-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/25/2023 pursuant to which Building Permit No. 49618 dated 8/25/2023 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: 200 amp electric service upgrade. The certificate is issued to Lopez,Fausto of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49618 8/25/2023 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD {��S11FF0� D t oo ay { BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE o • tea; 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#: 49618 Date: 8/25/2023 Permission is hereby granted to: Lopez, Fausto 3200 Peconic Ln Peconic, NY 11958 To: Service Upgrade 200amp At premises,located at: 3200 Peconic Ln, Peconic SCTM #473889 Sec/Block/Lot# 74.-3-14 Pursuant to application dated 8/25/2023 and approved by the Building Inspector. To expire on 2/23/2025. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pf SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q sean.deviine-town.southold.ny.us Southold,NY 11971-0959 'Q co BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Fausto Lopez Address: 3200 Peconic Ln city:Peconic st: NY zip: 11958 Building Permit#: 49618 Section: 74 Block: 3 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Promaster Electric License No: 59226ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures 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 Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuit/ 14 Used Notes: Service Upgrade Inspector Signature: Date: August 25, 2023 S.Devlin-Cert Electrical Compliance Form `�UfFUI r. BUILDING DEPARTMENT- Electrical Inspector Off' OG':. TOWN OF SOUTHOLD o� y< Town Hall Annex - 54375 Main Road - PO Box 1179 N Southold, New York 11971-0959 y� p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny qov seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: . � - z S Company Name: Electrician's Name: ,4 License No.: EIec. email: 2 _ 166 Elec. Phone No- FED request an email copy of Certificate of Compliance Elec. Address.: 2 5; �,,� g ;✓?�2�- JOB SITE INFORMATION (All Information Required) Name: �s Z Address: 3,2c,D ia<«� �C �'c �✓,� Cross Street: Phone No.: Bldg.Permit #: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: 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 1-11 PhF—]3 Ph Size: - A # Meters Old Meter# ❑New Service❑Fire/Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 E H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION ZqZ-;n, rP c - tiry 'S�fF�I��;•T�� BUILDING DEPARTMENT- Electrical Inspector,, TOWN OF SOUTHOLD cm '` Town Hall Annex - 54375 Main Road - PO Box 1179 N ►x Southold, New York 11971-0959 o y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cr�southoldtownny.gov - seand(c-southoldtownny._ ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: - 2 s� 2 Company Name: Peprg2 10 tie Electrician's Name: o License No.: s4 p 2G° Elec. email: r� ��r G _ 6-1 Elec. Phone No: 2- Zvi KI request an email copy of Certificate of Compliance Elec. Address.: 2 �,,� a ,✓P�a JOB SITE INFORMATION (All Information Required) Name: Address: 3,2o0 peevA,,rc 4Zw r Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot.- BRIEF ot:BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): ,96) Adf 0,4ee-7-4 e4L �'4'2dcrC (�P ao"A Q. Square Footage: 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 Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE,WITH APPLICATION gfZqSw P C