HomeMy WebLinkAbout49756-Z SHEFOIA'�pGy Town of Southold 8/7/2024
a P.O.Box 1179
o _ .+ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45435 Date: 8/7/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 55 Dickerson St,Peconic Peconic
SCTM#: 473889 Sec/Block/Lot: 67.-3-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/21/2023 pursuant to which Building Permit No. 49756 dated 9/21/2023
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:
electric for shed
The certificate is issued to Robertson,Bonnie&Dempsey,Judy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49756 8/5/2024
PLUMBERS CERTIFICATION DATED
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Authorized Signature
��Suf loco TOWN OF SOUTHOLD
Gyp BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
"oy • 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#: 49756 Date: 9/21/2023
Permission is hereby granted to: ,
Robertson, Bonnie
55 Dickerson St
PO BOX 188
Peconic, NY 11958
To: Electric For Shed
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At premises located at:
55 Dickerson St, Peconic
SCTM #473889
Sec/Block/Lot# 67.-3-10.1
Pursuant to application dated 9/21/2023 and approved by the Building Inspector.
To expire on 3/2212025.
Fees:
ELECTRIC $90.00
Total:' $90.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� �O Jamesh southoldtownny.gov
�yCOUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Bonnie Robertson
Address: 55 dickerson Street city:Peconic st: New York zip: 11958
Building Permit#: 49756 Section: 67 Block: 3 Lot: 10.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: ProMaster Electric Corp Electrician: Fausdo Lopez License No: 59226
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 3 4'LED 2 Exit Fixtures Sump Pump
Other Equipment:
Notes: SHED
Inspector Signature: A C�e Date: August 5, 2024
55 dickerson st shed
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# # TOWN OF SOUTHOLD BUILDING DEPT.
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INSPECTION
[ ] FOUNDATION 1ST [ ] 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., ,
REMAR
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DATE 1 ��J�pZ.3 INSPECTOR
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# -TOWN OF SOUTHOLD BUILDING DEPT.
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INSPECTION
[ ] FOUNDATION "I ST/ 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 U f S INSPECTOR 0 4 W_
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr _southoldtownny.gov- seanda-southoldtownny.gov
' APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 0 _ ,2l•- 2
Company Name: enn,a
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: cq_7 request an email copy of Certificate of Compliance
Elec. Address.: ��z6S i`I.a��,✓ Rio �szE�,JPo�T Y rr y
JOB SITE INFORMATION (All Information Required)
Name: 90 N .2r D J
Address: a- S�
Cross Street:
Phone No.: S/ 1
Bldg.Permit#: email:
Tax Map District: 100.0 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
104 -
Square Footage:
Circle All That Apply:
is job ready for inspection?: ❑ YES ❑ NO -]Rough In Z 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 Reconnect❑Underground❑Overhead
# Underground Laterals : 1 2 H Frame Pole Work done on Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION a(21 23 �� QQpO
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