HomeMy WebLinkAbout44308-Z �o�SofFol,��a TOWN OF SOUTHOLD
o BUILDING DEPARTMENT
s2 TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
1
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#: 44308 Date: 1 011 7/201 9
Permission is hereby granted to:
945 New Suffolk LLC
60 W 13th St Apt PHB
New York, NY 10011
To: Electrical service change from 1 to 2 meters.
At premises located at:
945 New Suffolk Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-11-23
Pursuant to application dated 10/17/2019 and approved by the Building Inspector.
To expire on 4/17/2021.
Fees:
ELECTRIC $85.00
,Total: $85.00
Building Inspector
SO(/��o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q. sean.devlinl-town.southold.ny.us
Southold,NY 1 1 97 1-0959
oIyCOWN
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 945 New Suffolk LLC
Address: 945 New Suffolk Ave city:Mattituck st: NY zip: 11952
Building Permit#: 44308 Section: 114 Block: 11 Lot: 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Johynson Electrical License No: 58338ME
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 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
Main Panel 100A 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: 300A Doouble Meter Bank w/200A Panel 40 Circuit in Cottage & 100A.Panel
40 Circuit in Studio
Notes: Twin Meters For Two Appartments & Panel Upgrades
Inspector Signature: Date: August 5, 2024
S.Devlin-Cart Electrical Compliance Form
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING =
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] 'FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
j ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL
[ ] CODE VIOLATION [ ]' PRE C/O
REMARKS:
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DATE Z INSPECTOR
CI
OGy� BUILDING DEPARTMENT-Electrical Inspector
y x TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631)765-1802-FAX(631)765-95 2
Temporary Certificate # 15-6 Date /01 lb 2019
Customer Name LtSA jM&m-rtK*RXElectrician Name d LLC
Address Phone [, 9"1
e-mail a` e-mail a O / ri QQ Q/
Phone License# -Mg
Size 7.60 -A Phase / Overhead Underground_ #of Meters !2
Remarks
yA,-QM rtoQAj9 +-NTA-LS-
#of Underground Laterals 1 2 New
"H" Frame or Pole P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# 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 alid for t�romthe ove.
Authorized by
ff11LT� BUILDING DEPARTMENT-Electrical Inspector
S XEdG:t,Y.
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
` �: ►xt - Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(c-lsoutholdtownny.gov -!o sea nd(-southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: o i v
Company Name: I c� ••�C��,�
Name: �5�rN
License No.: lA c - 5-833 S' email: 30W)-a') AZA,ec-1 r1'--C'l c� (P y"All , c04-
Address:. v�c'i'� Si R�.�a-1��-2 ivy 11�►a1
Phone No.: IS)I G - 32 2-- 6 y �-
JOB SITE INFO MATION (AII Infor tion Required)
Nam : 65 �►%�-F�,.r� 5 Who S L
Address: nev ;,,A�11 0u-2_
Cross Street:
Phone No.:
Bldg.Permit'#: 30 5 email:
Tax Map District: 1000 Section: /H Block: j/ Lot: oZ
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Ln
Circle All That Apply:
Is job ready for inspection?: Rough In Final
Do you need a Temp Certificate?: ud
YE / NO Issue
Temp Information: (All information required)
Service Size 01Ph 3 Ph Size: 301D A #Meters 2 Old Meter#
New Servic - Fire Reconnect- Flood Reconnect-Service Reconnected- nderground - verhead
#Underground Laterals 1 2 H Fram Pole Work done on Service? Y N
Additional.Information:
PAYMENT DUE WITH APPLICATION
�.J
"Je
Request for Inspection FormAs �
Fes. BUILDING DEPARTMENT-Electrical Inspector
-- . _-- __ ------------ ---TOWN OF 50LITHOLD: - -----
�. _
Town,Hall Annex- 54375 Main Road PO Box 1179
' Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roQerr _southoldtownny.go..v.� seand�southoldtownny.cLov_,
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (An infom oon Required) Date..jjo I u
Company Name: L1�' . �.Q . +i (,,�^rCr�,'i
Name: S�n
License No.; A f 5-933 S' email: qr)-P-1 4tCT r,c-C.l co lykia
Address Ia I
. vr�'t' ST ____R• �
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Phone No.: S'1 G _ 32 2 _ Go
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JOB SITE INFO MATION (Ail in Required)
Nam :...b ,%�-Fo.r�... �J S
-- -- -
Address: ✓I?a-_...sue., �1 -..
Cross.Street:
Phone No.:
BIdg.Permit#: - Q email:
_. - ...
Tax Map District:._ 1000 Block: - ....._.l 1 Lot: ,..�
BRIEF DESCRIPTION OF W. QRK (Please Print Clearly) � �,, ;� ,,' -R,•►�
yme,1QKr To
r
_Circle All That Apply:
Is job ready for inspection?: Rough In Final .
Do.you need a Temp Certificate?: YE / NO Issued On
Temp Information: (All information required)
Service Size 01Ph 3 Ph Size: . 3 00 _A #Meters 2 Old Meter# :
=Servic - Fire Reconnect-Flood Reconnect-Service Reconnected- nderground - verhead
Underground Laterals 1 2 H Fram Pole Work done on Service? . Y N
Additional Information:
PAYMENT..DUE.WITH APPLICATION
Request for Inspection FormAs �