HomeMy WebLinkAbout49822-Z ootiO��FF cGy, Town of Southold 10/27/2023
P.O.Box 1179
0
53095 Main Rd
Wit aSouthold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44694 Date: 10/27/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1955 Haywaters Rd,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-7-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/3/2023 pursuant to which Building Permit No. 49822 dated 10/4/2023
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 overhead electrical service.
The certificate is issued to McFadden, S
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49822 10/16/2023
PLUMBERS CERTIFICATION DATED
Authorized Signature
,�SUFFQt�cD_ TOWN OF SOUTHOLD
�o BUILDING DEPARTMENT
y z ' TOWN CLERK'S OFFICE
Way • 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#: 49822 Date: 10/4/2023
Permission is hereby granted to:
McFadden, S
PO BOX 480
Paoli, PA 19301
To: upgrade service to a new 200 Amp Overhead
At premises located at:
1955 Haywaters Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-7-1
Pursuant to application dated 10/3/2023 and approved by the Building Inspector.
To expire on 4/4/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
oF so�ryol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 Jamesh southoldtownny.gov
l�COUNl'Y,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Sheila & Pat McFadden
Address: 1955 Haywaters Road city:Cutchogue st: New York zip: 11935
Building Permit#: 49822 Section: 111 Block: 7 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Petersen Electric Corp. Electrician: Joseph Petersen License No: 4102-ME
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 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: 200 amp panel 42 spac 31 used ,2 40a double pole breakers ,2 30amp double pole
breakers , 1 20amp double pole breaker, 5 15amp single pole breakers, 13 20 amp single pole break
Notes: SERVICE
Inspector Signature: ylym�- Date: October 16, 2023
Copy of 1955 haywaters rd
�I ill
.10 11
_ till
I�
........... 1 'aI
i �r'RI
M.
•
ECE
2023
a
Q
3�a a
�t a
�y
y
ri
aft a;a
�7f
J O3
13
UJ
;11 I
a.�j
g �
0 CT 2 4 2023
Bl+iiding Department
-Town of Southold
OF SOUTyO� �F 175-5
# # 5 RA
TOWN OF SOUTHOLD BUIL/DING DEPT.
cou631-765-1802
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) PC ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: 15e v C--e,
DATE L I6' INSPECTOR
c2OO RRP
iia
a ZP 0 a3 ao sP l
a-
30. DP
D
ECEIN1E
OCT - 3 2023
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
q11 ng Department
T
n of goutholdown Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(@-southoldtownny.gov- seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required Date:
Company Name: �-Q rQr' 'er-lRefrie
Electrician's Name: G,S
License No.: Elec. email: i N ,Q
Elec. Phone No4 ,,3 ,s-i63o Gil request an email copy of Certificate of Compliance
Elec. Address.: �,� $ ' .p„r &pl_r OW. 1W11
JOB SITE INFORMATION (All Information Required)
Name: S /'/Q A, Q Ine- QDIdle
Address:
Cross Street:
Phone No.: -A 42.05—
Bldg.Permit
5'Bldg.Permit#: — H%)21 email: r
Tax Map District: - 1000 Section: I 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?: 2YES 0 NO Issued On
Temp Information: (All information required)
Service Size�1 Ph F Ph Size c'
# Meters Old Meter#
2lew Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground�erhead
#Underground Laterals 1 2 H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
/4 /00
5 'V4/I
��� �uC,n