HomeMy WebLinkAbout49702-Z �OSUFF�t'��or` Town of Southold 1/27/2024
P.O:Box 1179
o _ a 53095 Main Rd
��j1ry S Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44903 Date: 1/27/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: - 8570 Nassau Point Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 118.-5-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/18/2023 pursuant to which Building Permit No. 49702 dated 9/18/2023
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 dock power pedestal.
The certificate is issued to Gray,Heath&Rhodes,Molly
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49702 9/20/2023
PLUMBERS CERTIFICATION DATED
uthorized ,' nature
TOWN OF SOUTHOLD
¢�o�SUEFaI �oG BUILDING DEPARTMENT
ti. y
' TOWN CLERK'S OFFICE
oy • 0� 7;{ 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#: 49702 Date: 9/18/2023
Permission is hereby granted to:
Gray, Heath
175 W 12th St Apt 18E
New York, NY 10011
To: Install a dock power unit as applied for.
At premises located at:
8570 Nassau Point Rd, Cutchogue
SCTM # 473889.
Sec/Block/Lot# 118.-5-5
Pursuant to application dated 9/18/2023 and approved"by the Building Inspector.
To expire on 3/19/2025.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Insp c or
pF SO�j�,Olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(a-town.southold.ny.us
Southold,NY 11971-0959 CDUNTV
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Heath Gray
Address: 8570 Nassau Point Rd city:Cutchogue st: NY zip: 11935
Building Permit#: 49702 Section: 118 Block: 5 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: GJS Electric License No: 4839ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Dock X
.New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 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: Dock Power Pedestal, 250GFI Breaker
Notes: AS BUILT NO VISUAL DEFECTS " Dock Power Pedestal
Inspector Signature: Date: September 20, 2023
S.Devlin-Cent Electrical Compliance Form
D
� D
S E P 1 8 2023
BUILDING DEPARTMENT- Electrical Inspector
O C�
TOWN OF SOUTHOLD BUMDING DEPT.
Town Hall Annex- 54375 Main Road -
Southold, New York 11971-0959
4,, oo` Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr @..southoldtownny.gov- seand(a4southoldtownny qov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: GJS Electric, LLC
Electrician's Name: Gary Salice
License No.: 4839ME Elec. email:gary@nfay.com
-E-lee: Phone-Noi-63-1 298-4545 —O-I-request an-email c_op)Fof-Certificate of-_C-o-mpliance-- -
Elec. Address.: 6615 Main Rd., Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: e��
Address: rj0 1 44 62i
Cross Street:
Phone No.:
BIdg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
dock- power
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑NO ❑Rough In ZF!nal
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❑Underground❑Overhead
#Underground Laterals 1 2 H Frame 0 Pole Work done on Service? MY N
Additional Information:
PAYMENT DUE WITH APPLICATION
`WA(3A
* # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm, ' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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:
DATE INSPECTOR �� !=
. D CC �ML
S E P 1 3 2023 -
,yOSU L BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD BUTI,DrNG DEPT.
o �` Town Hall Annex- 54375 Main Road - POMW67N17a sOI'T1 r,t
o { Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
col .�a 0,.
rogerrC@southoldtownny.gov - seand(@.southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: - / 5-
Company Name: GJS Electric, LLC
Electrician's Name: Gary Salice
License No.: 4839ME Elec. email:gary@nfay.com
Elec-. Phone No:-631 298-4545---- - Ek--request an-email copy of Certificate af_-C-ompliance -
Elec. Address.: 6615 Main Rd., Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: C ck�4 a
Address: Q -J' , ULtc ho 3 5
Cross Street:
.Phone No.:
Bldg.Permit#: A.r '�()2 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
G( oLk_ �OW2r btni 4`
`Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑NO Rough In OFinal
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 ServiceOFire ReconnectOFlood Reconnect oService ReconnectOUndergroundElOverhead
# Underground Laterals 1 2 M H Frame Pole Work done on Service? Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION W l -
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