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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 - 1� 1