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Home My WebLink About49698-Z o�ogtlFPolR G'. Town of Southold 10/21/2023 o P.O.Box 1179 z 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44681 Date: 10/21/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 175 First St,Laurel SCTM#: 473889 Sec/Block/Lot: 126.-10-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/14/2023 pursuant to which Building Permit No. 49698 dated 9/14/2023 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 underground electric service repair. The certificate is issued to Williams Jr,Jeffery of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44681 10/21/2023 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �o�suFFolK�o t BUILDING DEPARTMENT 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 #: 49698 Date: 9/14/2023 Permission is hereby granted to: Williams Jr, Jeffery 175 First St Laurel, NY 11948 To: 200amp UG - Service Repair At premises located at: 175 First St, Laurel SCTM #473889 Sec/Block/Lot# 1,26.-10-9.1 Pursuant to application dated 9/14/2023 and approved by the Building Inspector. To expire on 3/15/2025. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector o��OF SOUryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �� • �o Jamesh southoldtownny.gov enum BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jeffrey S. Williams Jr. Address: 175 1 st Street city:Laurel st: New York zip: 11948 Building Permit#: 49698 Section: 126 Block: 10 Lot: 9.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: OWI Electric INC. Electrician: Tyler Lademann License No: ME-60853 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 X 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: Notes: SERVICE REPAIR Inspector Signature: yjw4i:� Date: 10/1623 175 1 st street � 5 o��OF SOUIyO 70 / 75 # # TOWN OF SOUTHOLD BUILDING DEPT. °`ycou631-765-1802 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: Set 0 t C-e RP— Cukor 7 i DATE " (Q— INSPECTOR o�OgUfFOl,tc � OGy BUILDING DEPARTMENT-Electrical Inspector C, TOWN OF SOUTHOLD o Za Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631) 765-1802 r(�,, Temporary Certificate # / Date bee I'i�2023 Customer Name J2 f ' Ikiowt& Electrician Name Address 1'1S �F &"Ve 1j48 Phone (03/ .$2p• 4S e-mail e-mail ow eIleJV;C:X ' Phone (o31 License# VA V. - WS 573 Size 400 A Phase Overhead Underground V #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H 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 veri ation is valid forthW da e date above. Authorized byo f BUILDING DEPARTMENT- Electrical Inspector ZZ Nnr " w ``- 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 rogerr(D-southoldtownnygov - seand(D-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: i Company Name: 60L Electrician's Name: License No.: -(,gg5jj Elec. email: o Elec. Phone No: El request an email copy of Ce icate �,f Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: v Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: 6 Block: Lot:91 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Giearly): Square Footage: Circle All That Apply: 4 )sw Is job ready for inspection?: ❑ YES ® NO ❑Rough In ❑ Final Do you need a Temp Certificate?: YES ❑ NO Issued On gFM"at '7//-Y/Z3 Temp Information: (All information required) Service Size®1 PhF—]3 Ph Size:aM A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect®,Service Reconnect❑Undergro-ind❑Overhead # Underground Laterals Z 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION V e CIO /05-45-9 ►BP � �fa42t�