HomeMy WebLinkAbout50755-Z •r^.
�o�0S11EFOtk�oGy Town of Southold 7/18/2024
o
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45366 Date: 7/18/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 925 Glenn Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-2-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/28/2024 pursuant to which Building Permit No. 50755 dated 5/29/2024
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:
200amp overhead electric service
The certificate is issued to Richardson,Peter&Lynn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50755 5/31/2024
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SUFFot,r�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 50765 Date: 5/29/2024
Permission is hereby granted to:
Richardson, Peter
45 Harrison Dr
Berkeley Heights, NJ 07922
To: Electrical - 200amp Service Wire AC Unit
At premises located at:
925 Glenn Rd, Southold
SCTM #473889
Sec/Block/Lot# 78.-2-6
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 11/28/2025.
Fees:
ELECTRIC '$100.00
Total: $100.00
Building Inspector
oF so�ryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
sean.devlinl town.southold.ny.us
Southold,NY 11971-0959
OUMy,.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peter Richardson
Address: 925 Glenn Rd city,Southold 'st: NY zip: 11971
Building Permit#: 50755 Section: 78 Block: 1 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: BWO Electric License No: 64604ME-
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 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/22 Used
Notes: Service
Inspector Signature: Date: May 31, 2024
S.Devlin-Cert Electrical Compliance Form
OF SOUIyOIo 's-, V
TOWN OF SOUTHOLD 3UILDING 66T:'�r�
°`ycourm,N�' 631-765-1802
I'NSPECTION
[ ] 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: (,g� —
DATE = INSPECTOR
4roV- Li.0\Z __ -___.._._.-. ...... bv JF1C\.LVI
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
cs „�, Southold, New York 11971-0959
:4k ,�.�' Telephone (631) 765-1802 - FAX (631) 765-9502
roaerrD-southoldtownny aov - sea nd(asoutholdtownnv gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: �.; �?o07
Company Name: i�. dec i v ,c. mac.
Electrician's Name: S 1 etz
�
License No.: 14(DC)L4 Elec. email:
Elec. Phone No: 31-7(6l_S439 -request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address: 79,:5-- 631 S
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
OVA,
Square Footage:
Circle All That-Apply: « L&k1A_J C"f
Is job ready for inspection?:
DES NO F�Rough 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 ServiceE]Fire Reconnect[]Flood Reconnect[]Service Reconnect[]Underground DOverhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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co
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PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbon Micro GrbDis Lights
Heat Pucks ERV
HOT TUB SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit
Blower
AC AH Hood Blower
s Use
Service Am p Z Have � d _
Sub Amps Have Used
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