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HomeMy WebLinkAbout50688-Z �po�OSUEF�I�'CpGy Town of Southold 5/30/2024 a P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45237 Date: 5/30/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 3204 Great Peconic Bay Blvd,Laurel SCTM#: 473889 Sec/Block/Lot: 128.-6-9.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/16/2024 pursuant to which Building Permit No. 50688 dated 5/16/2024 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: 300a electric service reconnection. The certificate is issued to Romanelli,Martin&Lynn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50688 5/20/2024 PLUMBERS CERTIFICATION DATED Authorize Signature OF lFa j o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT C x TOWN CLERK'S OFFICE 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#: 60688 Date: 6/16/2024 Permission is hereby granted to: Romanelli, Martin 20 Derby Dr Huntington Station, NY 11746 To: 300a electric service reconnect At premises located at: 3204 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 128.-6-9.2 Pursuant to application dated 5/16/2024 and approved by the Building Inspector. To expire on 11/15/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector pF SOUj�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Cc� .Old �o sear.devlintown.southold.ny.us Southold,NY 11971-0959 �OUNT`l,0 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Martin Romanelli Address: 3204 Great Peconic Bay Blvd city:Laurel st: NY zip: 11948 Building Permit#: 50688 Section: 128 Block: 6 Lot: 9.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Surrey 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 CO 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 11 Sump Pump Other Equipment: Notes: Ran New Service Wires to Existing Meter Inspector Signature: Date: May 20, 2024 S.Devlin-Cert Electrical Compliance Form OF SO(/T�° -eA # TOWN OF SOUTH6 D BUILDING DEPT. "CO 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) J,,VELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: /Tz(,rW f i DATE 9 L INSPECTOR 1 BUILDING DEPARTMENT-Electrical Inspector '4 q��SUfFQExell i MAY 1 2Q�4 TOWN OF SOUTHOLD P wn Hall Annex-54375 Main Road - PO Box 1179 -.p.l' Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 rogerr(&southoldtownny.gov -- seand@southoldtowrrny.Qov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS5170@gmail.com Elec. Phone No: 631-298-4588 D I request an email copy of Certificate of Compliance Elec. Address.: PO Box 1698 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Loda Romanelli Address: 3204 Peconic Bay Blvd Laurel NY. Cross Street: Wendy Drive Phone No.: Bldg.Permit M email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): i Ge co n-0- C-� Square Footage: Circle All That Apply: Is job ready for inspection?: YES 0 NO ❑Rough In Imp D,P inaI Do you need a Temp Certificate?: LY '�S ❑ NO Issued On ��q Temp Information: (AII information required) Service Size❑✓ 1 Ph❑3 Ph Size00 A # Meters 1 Old Meter# ❑New Service[:]Fire Reconnect[]Flood Reconnect❑✓ Service Reconnect❑✓ Underground❑Overhead # Underground Laterals 1 2 H Frame ole Work done on Service. Y N Additional Information: PAYMENT DUE WITH APPLICATION %C)o ������ PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower _Service Amps Have Used Sub Amps Have Used Comments BUILDING DEPARTMENT-Electrical Inspector C4 TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 1 `K;', Telephone (631) 765-1802 r Temporary Certificate 9_18np 14 Date �y ,�� 2024 Customer Name w Electrician Namec— AS b a n m7m4e, Address PhoneGIy% j98_ e-mail Oxot e-mail , o m- Phone License# C1S a F4 Size A Phase Overhead Underground #of Meters Remarks #of Underground Laterals t,0"11 2 New "H" Frame or Pole H P 17 Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#F 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 90 d the date above. Authorized by G . r BUILifSING DEPARTMENT-Electrical Inspector F061 MAY 1 6 2024 .: �ip TOWN OF SOUTHOLD , }� GJn Hall Annex-54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 rogerr@southoldtownny.gov seand@southoldtownnyraov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS5170@gmail.com Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance Elec. Address.: PO Box 1698 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Loda Romanelli Address: 3204 Peconic Bay Blvd Laurel NY Cross Street: Wendy Drive Phone No.: Bldg.Permit#: #566 emai : r . rr) Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): i Ge tom.. C.esVl/lQ S uare Footage: Circle All That Apply: Is job ready for inspection?: YES❑NO ❑Rough In -%M9 inal Do you need a Temp Certificate?: LYES❑NO Issued On *WCO, Temp Information: (All information required) Service Size❑✓ 1 Ph❑3 Ph Size300 A # Meters 1 Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑✓ Service Reconnect❑✓ Underground❑Overhead # Underground:Laterals 1 2 H Frame ole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 51,(01Xy �cv�ce