HomeMy WebLinkAbout49984-Z ..V .
�o�DStlFFOtkIpG. Town of Southold 11/27/2023
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44766 Date: 11/27/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1565 Bray Ave,Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-8-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/2/2023 pursuant to which Building Permit No. 49984 dated 11/2/2023
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 existing accessory shed.
The certificate is issued to Martin,Courtney
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49984 11/18/2023
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SufFo TOWN OF SOUTHOLD
moo may. BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
• �h SOUTHOLD, NY
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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#: 49984 Date: 11/2/2023
Permission is hereby granted to:
Martin, Courtney
PO BOX 577
Laurel, NY 11948
To: Electric for Shed
At premises located at:
1565 Bray Ave, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-8-9
Pursuant to application dated 11/2/2023 and approved by the Building Inspector.
To expire on 5/3/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
OF SO(/r�ol V
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q sean.devlin(.3-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Courtney Martin
Address: 1565 Bray Ave city:Laurel st: NY zip: 11948
Building Permit* 49984 section: 126 Block: 8 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Cal Electric Corp License No: 41274ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Shed X
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 2 4'LED Exit Fixtures Sump Pump
Other Equipment: Sub Panel 6 Circuits/ 1 Used 20A Arc Fault Breaker
Notes: Shed Electric
Inspector Signature: Date: November 17, 2023
S. Devlin-Cert Electrical Compliance Form
SOUTyolo
# # TOWN IOF SOUTHOLD BUILDING DE T.
��cnurme 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) I
ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
'0- �S�y�Fp( �o?: BUILDING DEPARTMENT-Electrical Inspector
�O Gy`, TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road - PO Box 1179
Southold, New York 11971-0959
:::�,; �$o�; ' Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh c@southoldtownny.gov— sea ndt7southoldtownnv.dov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 11-2-2023
Company Name: Cal Electric Corp.
Electrician's Name: Steven Calamita
License No.: 41274-ME Elec.email:calelectriccorp@gmail.com
Elec. Phone No: 631-764-8737 Ell request an email copy of Certificate of Compliance
Elec.Address.: 6 Industrial Dr, Quogue, NY 11959
JOB SITE INFORMATION (All lnforma6on Required)
Name: Courtney L.Martin
Address: 1565 Bray Ave,Laurel,NY 11948
Cross Street: Main Road
Phone No.: 516-81M172
,r Bldg.Permit#: if 998q email:theaeupheme@yahoo.com
Tax Map District: 1000 Section:126 Block: 0008 Lot:009
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Electrical wiring of shed with less than 7 devices
Square Footage: 1117
Circle All That Apply:
Is job ready for inspection?: ❑ YES 0 NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES®NO Issued On
Temp Information: (Alf information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N
Additional Information:No Temp is required for this job.
PAYMENT DUE WITH APPLICATION )`` 2 23 '��Ck ��oa
1Te- CA 106 alL-f
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PERMIT N Address
Switches
Outlets
GFI's
Surface I
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
-arbon Micro Generator
-ombo Cooktop Transfer
�C AH Hood Service
Amps Have Usec
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:omments gq
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
.L Town Hall Annex-54375 Main Road -PO Box 1179
Southold, New York 11971-0959
,;.411 �b�,r, Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh(a)southoldtownny.ctov- sea nd(@southoldtownnv.Qov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date: 11-2-2023
Company Name: Cal Electric Corp.
Electrician's Name: Steven Calamita
License No.: 41274-ME Elec.email:calelectriecorp u@gmail.Gom
Elec. Phone No: 631-764-8737 Ell request an email copy of Certificate of Compliance
Elec. Address.: 6 Industrial Dr, Quogue, NY 11959
JOB SITE INFORMATION (All Information Required)
Name: Courtney L.Martin
Address: 1565 gray Ave,Laurel,NY 11948
Cross Street: Main Road
Phone No.: 51s-81"172
BIdg.Permit#: 4tg98q email: theaeupheme@yahoo.com
Tax Map District: 1000 Section:126 Block: 0008 Lot:009
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Electrical wiring of shed with less than 7 devices
Square Footage: 1117
Circle All That Apply:
Is job ready for inspection?: YES®NO n Rough In Final
Do you need a Temp Certificate?. RYES®NO Issued On
Temp Information: (All information required)
Service SizeF1 Ph❑3 Ph Size: A #Meters Old Meter#
❑NewServiceDFire ReconnectnFlood Reconnectnservice Reconnect OundergroundQOverhead
# Underground Laterals 0 1 M2 n H Frame Pale Work done on Service? Y N
Additional Information:No Temp is required for this job.
PAYMENT DUE WITH APPLICATION )t 2 �3 '��� 00 14