HomeMy WebLinkAbout49923-Z �O1.0FOtAr'cpGy Town of Southold 10/27/2023
0
P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44695 Date: 10/27/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2295 Aldrich Ln,Laurel
SCTM#: 473889 Sec/Block/Lot: , 125.-2-1.14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/20/2023 pursuant to which Building Permit No. 49923 dated 10/20/2023
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:
electric service re-energized for well.
The certificate is issued to Peconic Land VIII LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49923 10/23/2023
PLUMBERS CERTIFICATION DATED
Authorized Sigfiature
, suF i TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x 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 #: 49923 Date: 10/20/2023
Permission is hereby granted to:
Peconic Land VIII LLC
448 Herricks Ln
PO BOX 645
Jamesport, NY 11947
To: electric for well
At premises located at:
2295 Aldrich Ln, Laurel
SCTM #473889
Sec/Block/Lot# 125.-2-1.14
Pursuant to application dated 10/20/2023 and approved by the Building Inspector.
To expire on 4/20/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
OF SOUT�OI .
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlin(aD-town.southold.ny.us
Southold,NY 11971-0959 D�yCOUn��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peconic Land VIII LLC
Address: 2295 Aldrich Ln city:Laurel st: NY zip: 11948
Building Permit#: 49923 Section: 125 Block: 2 Lot: 1.14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor Pool
New 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 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:
Notes: " AS BUILT NO VISUAL DEFECTS " SURVEY TO RE ENERGIZE ELECTRIC SERVICE
1
Inspector Signature: Date: October 23, 2023
S. Devlin-Cert Electrical Compliance Form
pF SOUIyOIo
* # TOWN OF SOUTHOLD BUILDING DEPT.
co 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:
01
DATE INSPECTOR
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bLpSUFFontl �G OCT 2 0 2023 BUILDING DEPARTMENT- Electrical Inspector
y TOWN OF SOUTHOLD
D ,uvn Hall Annex- 54375 Main Road - PO Box 1179
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� Southold, New York 11971-0959
Aja �p Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aD-southoldtownny.-gov - seand(cD-southoldtownny.Qov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Ilb-t>
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required) �,,rr��
Name: u c "L- L ---
Address: 2-8E C.�
Cross Street: rL)mC> (3(,p
Phone No.: 03>10 9'ag 44 AS
Bldg.Permit#: I g 3 email: S�QpNU u PONG'am
Tax Map District: 1000 Section: v't S Block: d2 Lot: /
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
ExtS 11 NG MG,-TSE /Wet-t- c-oi-WGfTl®i�1 `To & 1 V2.N�D 0},1. ,
P6w�? CDAF)N� e-eST-s 6 IT-f ki- SOEcpolA
,/s�(� V 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 PhF-]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals El 1 F2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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