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
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