HomeMy WebLinkAbout49777-Z o���EFOI Town of Southold
11/27/2023
y� P.O.Box 1179
�. 53095 Main Rd
y o�, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44772 Date: 11/27/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7755 Main Bayview Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-9-30.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/22/2023 pursuant to which Building Permit No. 49777 dated 9/25/2023
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:
electric for two sheds and subpanel.
The certificate is issued to Bossen,Derek&Greenko,Jane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49777 11/27/2023
PLUMBERS CERTIFICATION DATED
u orized SigFfature
nJ� TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
WO • r`y 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#: 49777 Date: 9/25/2023
Permission is hereby granted to:
Bossen, Derek
PO BOX 128
Peconic, NY 11958
To: Electric - 50amp subpanel for outdoor lighting.and shed lighting
At premises located at:
7755 Main Bayview Rd, Southold
SCTM # 473889
Sec/Block/Lot# 78.-9-30.2
Pursuant to application dated 9/22/2023 and approved by the Building Inspector.
To expire on 3/26/2025.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� ,O sean.devlin(.U-)town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Derek Bossen
Address: 7755 Main Bayview Rd city:Southold st: NY zip: 11971
Building Permit* 49777 Section: 7$ Block: 9 Lot: 30.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: SPT Electric License No: 64696ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service
Commerical X Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Sheds 2
INVENTORY
Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures 2 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 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 5 4'LED Exit Fixtures Sump Pump
Other Equipment: 100A Sub Panel 20 Circuit/ 9 Used
Notes: Two Sheds & Sub Panel
Inspector Signature: Date: November 27, 2023
S.Devlin-Cent Electrical Compliance Form
r,jf SO L(q 77 '776-6 41A
# # TOWN OF OUTHOLD BUILDING DEP
co 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
rlCODE VIOLATION [ ] P C/O [ ] RENTAL
REMARKS:
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DATE INSPECTOR
O�aOF SOUIyO �I ( lJ a� v l GL/ 11P V r
TOWN OF�SOUTHOLD BUILDING DEPT. /
cou 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 rl PRE C/O [ ] RENTAL
REMARKS: C
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DATE l/ INSPECTOR ✓
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Ci DEPARTMENT- Electrical Inspector
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0 o Hall Annex - 54315 Main Road - PO Box 1179
oBULLDIN'x Southold, New York 11971-0959
yjjCl Sao T®liN .(, hone (631) 765-1802 - FAX (631) 765-9502
rogert7(bsou1holdtownny.gov — seand(cDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 9/22/23
Company Name: SPT Electric LLC
Electrician's Name: Sean Terry
License No.: ME-64696 Elec. email:sean@sptelectric.us
Elec. Phone No: 631-494-6030 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 57 Foster Ave, Hampton Bays, NY 11946
JOB SITE INFORMATION (All Information Required)
Name: Jane Greenko & Derek Bossen
Address: 7755 Main Bayview Road
Cross Street: Koke Drive
Phone No.: 631-765-1085
Bldg.Permit#: NA email:dnbossen@gmail.com
Tax Map District: 1000 Section:78 Block: 9 Lot:30.2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Adding outside 50A subpanel and power for lighting and outlets to shed
Square Footage: 1120
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❑Underg round❑Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION �)
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[ECIE'VeaDEPARTMENT- Electrical Inspector
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�(� TOWN OF SOUTHOLD
c SEP +o4PHall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
BUR'DINCPAe;krone (631) 765-1802 - FAX (631) 765-9502
� .fig _ �,Fd eFr7i9.sobtholdtownny.gov — seand(aD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 9/22/23
Company Name: SPT Electric LLC
Electrician's Name: Sean Terry
License No.: ME-64696 Elec. email:sean@sptelectric.us
Elec. Phone No: 631-494-6030 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 57 Foster Ave, Hampton Bays, NY 11946
JOB SITE INFORMATION (All Information Required)
Name: Jane Greenko & Derek Bossen
Address: 7755 Main Bayview Road
Cross Street: Koke Drive
Phone No.: 631-765-1085
Bldg.Permit#: NA email:dnbossen@gmail.com
Tax Map District: 1000 Section:78 Block: 9 Lot:30.2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Adding power for lighting and outlets to shed
Square Footage: 196
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑✓ NO --]Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES 0 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❑Underg round❑Overhead
# Underground Laterals 1 R2 D H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
1
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