HomeMy WebLinkAbout50088-Z ��o�gufFOl�-�oG� Town of Southold 12/13/2023
a P.O.Box 1179
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o T.{ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44815 Date: 12/13/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1980 Leeton Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 58.-2-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/5/2023 pursuant to which Building Permit No. 50088 dated 12/5/2023
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:
replacement of electrical meterpan and mast.
The certificate is issued to Anello,Robert
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50088 12/7/2023
PLUMBERS CERTIFICATION DATED
Authorized gnature
SUFFo� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
BUILDING PERMIT
I
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 50088 Date: 12/5/2023
Permission is hereby granted to:
Anello, Robert
1980 Leeton Dr
Southold, NY 11971
To: Electrical - Install New Meter Pan / Remove & Replace Line / Load Service Cable 2/0
CPR
At premises located at:
1980 Leeton Dr, Southold
SCTM #473889
Sec/Block/Lot# 58.-2-13
Pursuant to application dated 12/5/2023 and approved by the Building Inspector.
To expire on 6/512025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
�o��oF so�ryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(-town.southold.nv.us
Southold,NY 11971-0959 Q�yCOUm'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Robert Anello
Address: 1980 Leeton Dr city:Soutbhold st: NY zip: 11971
Building Permit#: .50088 Section: 58 Block: 2 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Double Pole Electric License No: 3913ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X 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 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 Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: Meterpan
Notes: Replaced Meterpan j& Mast
i
Inspector Signature: Date:
December 7, 2023
S.Devlin-Cert Electrical Compliance Form
I I
®Gy BUILDING DEPARTMENT-Electrical Inspector
CoTOWN OF SOUTHOLD
• Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802
Temporary Certificate # I Date 2023
Customer Name ku1 Electrician Name ' '410
Address ,91) Ledzin Phone ej B
e-mail e-mail d b0,poleeCt d- czm
Phone License#
Size f-- A Phase Overhead X Underground �I #of Meters
,5
Remarks T_n cLjj n �� (nefi-eepctn " (ern GLi1�i Y�lJ1GGP 1 y)e
oa d 5eryice double_ a1, Cpjs
#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 verification is valid for he jeabove.
Authorized by
Ofso(/1y0re S GCJ
# TOWN OF SOUTHOLD BUILDING DEPT.
couffm 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 - ] PRE C/O [ ] RENTAL
REMARKS:
12)
DATE INSPECTOR
D
CEC EOWE
fFOLIC ® DEC — 5 202kIL DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
CD, ="` Building DeTwOMtrdll Annex- 54375 Main Road - PO Box 1179
�� Town of Soufh®ld Southold, New York 11971-0959
p Telephone (631) 765-1802 - FAX (631) 765-9502
lamesh(a)_southoldtownny.4ov- seand(c-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: December 5, 2023
Company Name: Double-Pole Electric, Inc.
Electrician's Name: Steve Negri
License No.: 3913-ME Elec. email: dblepole@aol.com
Elec. Phone No: (631) 361-6440 E I request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 130 Nesconset NY 11767
JOB SITE INFORMATION (All Information Required)
Name: Robert Anello
Address: 1980 Leeton Drive Southold NY 11971
Cross Street:
Phone No.: Cell (631) 766-5012
Bldg.Permit#: 65D O RY email:
Tax Map District: 1000 Section:58 Block: 2 Lot: 13
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install New Meter Pan / Remove & Replace Line / Load Service Cable 2/0 CPR
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0 YES ❑ NO -]Rough In Final
Do you need a Temp Certificate?: 0 YES ❑ NO Issued On
Temp Information: (All information required)
Service SizeFv11 Ph❑3 Ph Size: 200 A # Meters One Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑✓Service Reconnect❑Underground ✓❑Overhead
# Underground Laterals 1 2 F H Frame D Pole Work done on Service? DY N
Additional Information:
PSEG Requires Temp and Underwriters Certificate in order to turn power back on
PAYMENT DUE WITH APPLICATION
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