HomeMy WebLinkAbout48979-Z o��guFFalKel Town of Southold 7/9/2024
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Gym P.O.Box 1179
�. 53095 Main Rd
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41 �a Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45340 Date: 7/9/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1930 Sigsbee Rd,Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-1-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/3/2023 pursuant to which Building Permit No. 48979 dated 3/3/2023
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:
200 amp overhead electric service,panel and meter.
The certificate is issued to Carey,Patrick&Valerie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48979 6/10/2024
PLUMBERS CERTIFICATION DATED
Authorized ignature
SufFQl�,co TOWN OF SOUTHOLD
A4. ....
ay BUILDING DEPARTMENT
H z TOWN CLERK'S OFFICE
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#: 48979 Date: 3/3/2023
Permission is hereby granted to:
Carey, Patrick
9 Devonshire Dr
New Hyde Park, NY 11040
To: New Service
At premises located at:
1930 Sigsbee Rd, Laurel
SCTM #473889
Sec/Block/Lot# 144.4-14 .
Pursuant to application dated. 3/3/2023 and approved by the Building Inspector.
To expire on 9/1/2024.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO!/r�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold, Bo 1171-0959 �� • �o sean.devlinO—town.southold.nv.us
oum,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE .
SITE LOCATION
Issued To: Patrick Carey
Address: 1930 Sigsbee Rd city,Laurel st: NY zip: 11948
Building Permit#: 48979 Section: 144 Block: 1 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: GOOdale Electric License No: 783ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1 st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey 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 200A 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 Sump Pump
Other Equipment: 200A Panel 40 Circuit/23 Used
Notes: Service Panel & Meter
Inspector Signature: Date: June 10, 2024
S.Devlin-Cert Electrical Compliance Form
OF SOGTyO�
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TON �qSOUTHOLDB ILDING D
couto, 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:
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DATE INSPECTOR
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Town Hall Annex Telephone(631)765-1802
5W5 Main Road � Fa: �.g�Q2
P_O_Box 1179 G roger llcherligk ln.soUthOld.nv.us
Southold,NY 11971-0959 ��/ �
BUMDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQ ESTED BY: �1��� Date: ` -�
Coml any Name:
- Nam- ---- - _. . --- —�o.- - - - --------_ - -_ -�---- ----- _—. . --- - - - --- -
Licen a No.: t '~'
Add
Phon No.: `� ' 5
JOB 1TE INFORMATION: (*Indicates required information)
*Nam ,
*Add _ E~
*C Street: 4 y n,,
*Pho No_:
Perm No.:
Tax h 3p District 9.000 Section:. Block: Lot:
*BRIE DESCRIPTION OF WORK(Please Print Clearly)
(Pie 4 9 Circle All That Apply) -
*Is jo ready for inspection: YES Rough In Final
*Do y need a Temp Certificate: C / NO .�I
3(at,
Temp nformation Lff needed)
*Servi Size: 1 Phase Whase 100 . 150 �nr� 0 _
..5 �0
*New ervice: Re-connect Underground Number of Meters Change of Service Overhead
Additio ial Information: PAYMENT DUE WITH APPLICATION r
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82-B uestforInspection Form y `
BUILDING DEPARTMENT- Electrical Inspector
W TOWN OF SOUTHOLD
Oy Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
®1 �� Telep4one (631) 765-1802 n
Temporary Certificate # )`C oZe Date 2023
Customer Name C a4v-" C_ Electrician Name f c,
Address SI' ee (, L_ Phone r/ 41 S-7
e-mail e-mail
Phone ' - License#- 7 u 2
Size ' OCR A Phase - i Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 2 New V
"H" Frame or Pole H Fire Reconnect
Was work done on Service? Y N Flood Reconnect
Old Meter# Service Reconnected
Application for electrical service equipment is on file wit 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 days from the date above.
Authorized by 2E��