HomeMy WebLinkAbout49814-Z ��O�S11fF01�pyr Town of Southold 10/17/2023
o 4 P.O.Box 1179
co rn s 53095 Main Rd
'jjj ppm }a Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 44648 Date: 10/17/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 295 Bennett Ln, Southold
SCTM#: 473889 See/Block/Lot: 70.-9-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/30/2018 pursuant to which Building Permit No. 49814 dated 10/3/2023
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 DeAlbuquerque, Sergio&Christine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42630 10-5-2023
PLUMBERS CERTIFICATION DATED
Authorized S gnature
�o�suFFai�-�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
oy • 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#: 49814 Date: 10/3/2023
Permission is hereby granted to:
DeAlbuquerque, Sergio
69 Osborne Rd
Garden City, NY 11530
To: 200 Amp Electrical Service - Replaces BP#42630
At premises located at:
295 Bennett Ln, Southold
SCTM # 473889
Sec/Block/Lot# 70.-9-19
Pursuant to application dated 4/30/2018 and approved by the Building Inspector.
To expire on 4/3/2025.
Fees:
ELECTRIC $42.50
Total: $42.50
Building Inspector
��O�SUFEnc,r�yTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
• SOUTHOLD, NY
y�ol �
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#: 42630 Date: 5/1/2018
Permission is hereby granted to:
DeAlbuquerque, Sergio
172 Garden St
Garden City, NY 11530
To: 200 Amp Electrical Service
At premises located at:
295 Bennett Ln, Southold
SCTM # 473889
Sec/Block/Lot# 70.-9-19
Pursuant to application dated 5/1/2018 and approved by the Building Inspector.
To expire on 10/31/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Bui i nspector
pF SO!/ly�l
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(a-town.southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Sergio DeAlbuquerque
Address: 295 Bennett Ln city:Southold st: NY zip: 11971
Building Permit#: 42630 Section: 70 Block: 9 Lot: 19
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 X Basement X 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 54 Circuits /40 Used
Notes: Service Upgrade
Inspector Signature: ' Date: October 5, 2023
S.Devlin-Cert Electrical Compliance Form
OF SOOIyO� 2(P (3 ��- j�II/i T'9- t-A
* TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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:
DATE o` INSPECTOR
OF SO�l,�,ol .
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Me
Town Hall Annex
54375 Main Road
G Q 5;:�0 t a
roger-rich er_rich
P.O.Box 1179 � � �O D
Southold,NY 11971-0959 COU MAY - 1
2018
BUILDING DEPARTMENT :-='.:a 1:1t-
TOWN OF SOTHOLD TOWN OF SOUTH
UOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: l-n.l Date: q-36-10
Company Name: ,v,,,-L E — �, WC
Name: -
License No.: 3 y p 1 - Gr
Address: - 13 0 Cc 1JoeY ,D o T"oL
Phone No.: &-? I - r7&S- 'qy a
JOBSITE INFORMATION: (*Indicates required information)
*Name: �M410 0c/�13v 4U(2 Q�e"
*Address: x2,95 (3 Cr o-11S Lq&v� 5t9,,,- b o
*Cross Street:
*Phone No.: &3 (
Permit No.:
Tax Map District: 1000' Section: p Block:�_ Lot: q
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
,.,,p u (,gyf&,
(Please Circle.All That Apply)
*Is job ready for inspection: Y / NO ou Final
*Do you need a Temp Certificate: YE NO
Temp Information (If eded ';�
*Service Size: 1 Pha 3Phase 100 150 C2O 300 350 400 Other
*New Service: Re-connect ndergroun �mber of MetersZan6e;CATION
ervice erhe dPAYMENT DUE W7MAdditional Information:
\IeA_1+0" tUV_1D J
0�
82-Request for Inspection Form
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�o�SurrFoc,��o
l Gym BUILDING DEPARTMENT-Electrical Inspector
W +x TOWN OF SOUTHOLD
a,� • o�� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate # Date NtOl 2018
Customer Name Electrician Name 1tr((A/k(41eL
Address Zg ��/�/A(�, Phone - (seftlaj4
e-mail e-mail
Phone License# 916'
Size_260 A Phase Overhead Underground !� #of Meters
Remarks t-7?V - �� TG I.iGC GCt_6
#of Underground Laterals 11 2 New
"H" Frame or Pole P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for 90 kys tr ve.
Authorized by
a
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Urso
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Town Hall Annex Telephone(631)765-1802
54375 Main Road ��::ax(631)76�95Q2�
P.O.Box 1179 roger.richert(cytown.sou o
o .ny.us
• �
Southold,NY 11971-0959
OOUNi`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: iTH Date: -x,15
Company Name: ,VV'-% -C ^ 2 rU6-
Name: -
License No.: 3 g p 9 j - Gr
Address: - 13jo Iecwwe`(S o T"OL
Phone No.: Cs31 - r7(RS- ` q,21
JOBSITE INFORMATION: (*Indicates required information) 69 Dshc r'v,<.L c:(-
*Name: egv ® U'kF2 Qv&/' Y�
*Address: 029 5 Q eWAJj7fS L 11 53C
*Cross Street:
*Phone No.: (,31
Permit No.: Ala b O
Tax Map District: 1000 Section: 0 Block:. Lot:.—
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
r
(Please Circle.All That Apply)
*Is job ready for inspection: Y / NO ou Final
*Do you need a Temp Certificate: YE NO
Temp InformationnPh
ded
*Service Size: 3Phase100 159 260 300 350 400 Other
*New Service: Re-connect ndergroun QMber of Meters 5ane
ervice ,of Serhe d
Additional Information: PAYMENT DUE WICATION �
veit RW
Qn
82-Request for Inspection Form
2cc,E <S� U � � sc�i