HomeMy WebLinkAbout45193-Z �o4S11ffD1McpG Town of Southold 8/7/2024
a y� P.O.Box 1179
o _ 53095 Main Rd
4% Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45433 Date: 8/7/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1000 Village Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 25.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/10/2020 pursuant to which Building Permit No. 45193 dated 9/11/2020
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:
100amp electric service
The certificate is issued to JOTAS Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45193 7/23/2024
PLUMBERS CERTIFICATION DATED
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
9 x TOWN CLERK'S OFFICE
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"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#: 45193 Date: 9/11/2020
Permission is hereby granted to:
J.OTAS Corp
25500 Main Rd
Orient, NY 11957
To: Electric 100A basement panel.
At premises located at:
1000 Village Ln., Orient
SCTM #47-3889
Sec/Block/Lot# 25.-1-18
Pursuant to application dated 9/11/2020 and approved by the Building.Inspector.
To expire on 3/13/2022.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
pF SOUr�,�l
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
sean:devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: JOTAS Corp
Address: 1000 Village Ln city:Orient st: NY zip: 11957
Building Permit* 45193 Section: 25 Block: 1 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Brooks Electric License No: 3613ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service X
Commerical X Outdoor X 1st Floor X Pool
New 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 3 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: 150A Panel & (2) 100A Panels
Notes: Service Replacement
Inspector Signature: Date: July 23, 2024
S.Devlin-Cert Electrical Compliance Form
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BUILDING DEPARTMENT-Electrical Ins ector 2020
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - POPMw� OEPT•
: '� S.ogthold, New York 11'971-095 >uD
Telephone.(631) 765-1802 - FAX (631) 765-9502
:;ro e r souitholdtoW n- ,. .ov.-.seand southoldtawnn v.gov.
APiRLf AT ON FO.R:ELECTRICAL INSPECTI:ON:;
ELECTRICIAN INFORMATION.(Ail i�form'ation Regtii[ed) Date;
Company Name:
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Name: :
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License No.: :email:
Address:
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JOB SITE INFORMATION (Ail*Information Required)
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Address:
Cross Street: {-
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Bldg.Permit#: `iS I email:...
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BRIEF DESCRIPTIONS OF WORK(l l0440 P.nnt Clear
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Circle All That Apply:
Is job ready for inspection?: YES Rough In Final
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Do you need a Temp Cert�cate?:- YES NO. frt
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Temp Information: (AII information required)
Service Size 1 Ph 3 Ph Size: Meters ...._........._.......... Old Meter#,- _
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New Service- Fire Reconnect-Flood Reconnect-Service,Reconnected- Underground-Overhead Is
#Underground.Laterals 1 2 H Frame Pole .... Work done on Service? Y N „i
Additional Information;::'
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PAYMENT..Q.IJE.-W.I.TH.:AP'L,I�CATIOLV.
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Request for Inspection FormAs Q, ���