HomeMy WebLinkAbout50357-Z �o�OgUFP01�'cpGd Town of Southold 3/20/2024
a P.O.Box 1179
o
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45061 Date: 3/20/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 465 Mailler Ct, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-9-35
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/20/2024 pursuant to which Building Permit No. 50357 dated 2/20/2024
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:
basement sub panel and(3)20amp branch circuits
The certificate is issued to NPKGW LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50357 3/20/2024
PLUMBERS CERTIFICATION DATED
Authorize gnature
�suFFoi�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H x TOWN CLERK'S OFFICE
oy • a�� 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#: 50357 Date: 2/20/2024
Permission is hereby granted to:
Roberts Prop Dev LLC
3 Sandie Ln
Manorville, NY 11949
To: Replace basement sub panel and (3) 20amp branch circuits
At premises located at:
465 Mailler Ct, Southold
SCTM # 473889
Sec/Block/Lot# 70.-9-35
Pursuant to application dated 2/20/2024 and approved by the Building Inspector.
To expire on 8/21/2025.
Fees: -
EL'ECTRIC $100.00
Total: $100.00
Building Inspector
SO!/T�,ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlina-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Roberts Prop Dev LLC
Address: 465 Mailer Ct city:Southold st: NY zip: 11971
Building Permit#: 50357ME section: 70 Block: 9 Lot: 35
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Lowell Electrical License No:' 3211 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect LEI Switches 4'LED Exit Fixtures Sump Pump H R
Other Equipment: 100A Sub Panel 24 Circuits / 8 Used
Notes: Sub Panel & Basement Outlets
Inspector Signature: ,� Date: March 1, 2024
S.Devlin-Cert Electrical Compliance Form
OFSOUTy�Io ✓ ,�� I/b --
# _ # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ 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: '� 14-M gj +
CJLI
T0
DATE �7 . INSPECTOR '�
6/'6e���
OLD BUILDING DEPARTMENT- Electrical Inspector
TOWN:OF SO.HOLD
T own'HaII Annex-.54375 Main Road - PO Box 1179
.4 ..
Southold, New York.11971-0959
Telephone 631 765.1802.-'FAX' 631 765-9502
ems.' ro err southoldtownn ov— seand@s6uthbidtownny.gov.
APPLICATION FOR'ELECTRICAL INSPECTION':
ELECTRICIAN INF RMATION (An information Required) Date:
Company Name: � ...� I� &V, �7'� 2
Name:
License No.: �g ly email: �G f
Address: SF X) l 7l
Phone No.. W-/ 77/
JOB,SITE INFORMATION (All I ormation Required)
Name: C,GL ag
f�l CL
Address:
Cross Street: �G,�
Phone No.:
BIdg.Permit#: email:
Tax Map District: . . 1000 Section:- Block: Lot
BRIEF ESCRIPTION OF WORK (Please Print Clearly)
+mac -
3
Circle All That Apply:.
Is job,-ready for inspection: YES T)O Rodgh In Final
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 Reconnected-Underground -Overhead:
,a
# Underground Laterals 1 2 H Frame Pole., .Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formxls
a:
fj BUILDING DEPARTMENT-Electrical Inspector
4r,
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
1-ft I;: Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
ro, --seandCcD-southoldtownny.gov
-gerrasoutholdtownnv.qov
APPLICATION FOR. ELECTRICAL INSPECTION
ELECTRICIAN INF3)RMATION (All information Required) Date:
Company Name:
Name:
License No.: email:
Address: QA1
Phone No.:
JOB SITE INFORMATION (All 1 1,ormation Required)
Name: A
Address: azz 4Q.0 p Al
Cross Street:
Phone No.: J 2Ze— Oze — 5-614
Bldg.Permit#: ?_)Fj email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF YESCRIPTION OF WORK (Please Print Clearly)
Rt oecct'
--.;s
N.,
Circle All That Apply:
Is job ready for inspection?: C �YES / (0 Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size I Ph 3 Ph Size: A #Meters Old,Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected -Underground - Overhead
J#Underground Laterals 1 2 H Frame Pole Work done on Service? Y , N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals
PERMIT 9 Address:
Switches
Outlets
GFI's 1�
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
smokes DW Mini
-arbon Micro Generator
-ombo Cooktop Transfer
aC AH Hood Service
Amps Have US,ec
-pedal- ell
.omments