HomeMy WebLinkAbout49554-Z o�s�EFOi�-cOG Town of Southold 3/26/2024
y� P.O.Box 1179
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ca ,�, 53095 Main Rd
Gy�jo� �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45075 Date: 3/26/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 10273 N Bayview Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 79.-5-20.12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/8/2023 pursuant to which Building Permit No. 49554 dated 8/8/2023
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:
"as built"electric wiring(building#8 underground concrete building).
The certificate is issued to Peconic Land Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49554 3/13/2024
PLUMBERS CERTIFICATION DATED
Au on ed S' tore
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H z ' TOWN CLERK'S OFFICE
"oy • o� 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#: 49564 Date: 8/8/2023
Permission is hereby granted to:
Peconic Land Trust
296 Hampton Rd
PO BOX 1776
Southampton, NY 11969
To: As built electric wiring (building #8 underground concrete building)-
At premises located at:
10273 N Bayview Rd, Southold
SCTM #473889 r
Sec/Block/Lot# 79.-5-20.12
Pursuant to application dated 8/8/2023 and approved by the Building Inspector.
To expire on 2/6/2025.
Fees:
ELECTRIC $250.00
Total: $250.00
r'
Bu,iIA4 Inspector
O��pE SO!/��ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� • �o sean.devlin(cD-town.southold.ny.us
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peconic Land Trust
Address: 10273 N.Bayview Rd- city:Southold st: NY zip: 11971 -
Building Permit#: 49554 Section: 79 Block: 5 Lot: 20.12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service X
Commerical X Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Modine Heater 4 Duplec Recpt 32 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel X 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 �4 Exit Fixtures Sump Pump 2
Other Equipment: Sub Panel 20 Circuit/20 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Bunker
' (2
Inspector Signature: Date: March 13, 2024
S.Devlin-Cert Electrical Compliance Form
ho�a0FS0Uly�lo q55� b I 27� ® �TOWN OFOUTHOLD BUILDIN DEPT.
631-765-1802 vn k fr
INSPECT.101
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �OLECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS:
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DATE INSPECTOR
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# # TOWN OF SOUTHOLD BUILDING DEPT.
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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: iko:t L . b t-e �,kff . V1,P,� ,;J 2 hop- CA)✓L
DATE l a3 INSPECTOR
r1F SOUTyO6 �\ l D �� �_ N � TOWN OF SOUTHOLD BUILDING DEPT.
couto, 631-765-1802
INS-PECTIOW'
[ ] FOUNDATION 1 ST/ REBAR [ ] 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:
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DATE f /�,4INSPECTOR'-
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TOWN O F SOUTHOLD BUILDING DEPT.
°yo , 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] 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: [Al
DATE INSPECTOR
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
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[ ] FIRE RESISTANT CONSTRUCTION [ ] FIREAESISTANT PENETRATION
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i [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
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[ ] CODE VIOL PRE C/O [ ] RENTAL
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ECC0VE.
of k AUG 8 2023 DDING DEPARTMENT- Electrical Inspector
O
Off' G TOWN OF SOUTHOLD
N z uliding Departrdedn Hall Annex- 54375 Main Road - PO Box 1179
o • Town of Southold Southold, New York 11971-0959
'yfj0 �O� Telephone (631) 765-1802 - FAX (631) 765-9502
1 " rogerrasoutholdtownny.gov- seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 8/8/2023
Company Name: Multiple electricians and property owners
Electrician's Name: Multiple electricians and property owners
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:-
JOB SITE INFORMATION (All Information Required)
Name: Peconic Land Trust- Shellfisher Preserve(Bunker)
Address: 10273 N Bayview Rd, Southold
Cross Street: Shellfisher Rd.
Phone No.: 631-283-3195 Ext. 143
Bldg.Permit#: q q 66Lf email:jwilson@peconiclandtrust.org
Tax Map District: 1000 Section: 79 Block: 5 Lot: 20.12
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Electrical inspection for under ground bunker.
As requested by John Jarski
Square Footage: goo
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❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
d ! o�1�/
E C E E
AUG 8 2023 DDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
c ® 'ullding DepartnTetri Hall Annex- 54375 Main Road - PO Box 1179
Town of Southold Southold, New York 11971-0959
�� ® apt ' Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov- seandp_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 8/8/2023
Company Name: Multiple electricians and property owners
Electrician's Name: Multiple electricians and property owners
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Peconic Land Trust- Shellfisher Preserve (Bunker)
Address: 10273 N Bayview Rd, Southold
Cross Street: Shellfisher Rd. --
Phone No.: 631-283-3195 Ext. 143
Bldg.Permit#: q nI,6�q email:jwilson@peconiciandtrust.org
Tax Map District: 1000 Section: 79 Block: 5 Lot: 20.12
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Electrical inspection for under ground bunker.
As requested by John Jarski J
Square,Footage: 79oo
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❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT 9 Address:
SWItC he
Outlets
GFI's
Surface
Sconces
H H's
UC Us II
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
arbon Micro Generator
ombo Cooktop Transfer
\C AH Hood Service
Amps Have Usec
-pecial- MAC "
omments
A o �S