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Home My WebLink About51045-Z �O��SUFF01�cOG Town of Southold 9/9/2024 a y� P.O.Box 1179 0 o • 1 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45518 Date: 9/4/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 51970 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 63.-6-6.3 Subdivision: , Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/25/2024 pursuant to which Building Permit No. 51045 dated 8/7/2024 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: 100 amp underground electrical service to a single family dwelling The certificate is issued to First Universalist Church of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 51045 8/27/2024 PLUMBERS CERTIFICATION DATED _ orized Sig tune SS f Fat tr TOWN OF SOUTHOLD �o c° BUILDING DEPARTMENT 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#: 51045 Date: 8/7/2024 Permission is hereby granted to: First Universalist Church PO BOX 221 Southold, NY 11971 To: 100 amp underground electrical service for guest house At premises located at: 51970 Route 25, Southold SCTM #473889 Sec/Block/Lot# 63.-6-6.3 Pursuant to application dated 1/25/2024 and approved by the Building Inspector. To expire on 2/6/2026. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector OF SO�j�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q � �o sear.devlint�town.south old.ny.us Southold,NY 11971-0959 COMM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: First Universalist Church Address: 51970 Route 25 City:Southold st: NY zip: 11971 Building Permit* 51045 section: 63 Block: 6 Lot: 6.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34091 ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Surrey 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 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 11 Sump Pump Other Equipment: Notes: Changed Service from Overhead to Underground- Ran Wires Underground Inspector Signature: Date: August 27, 2024 S. Devlin-Cent Electrical Compliance Form 0ES0UTy�6 VIq �� 704 2!S;7 * # TOWN OF ;OUTHOLD BUILDING DEPT. 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:. �,�/ DATE &A INSPECTOR E C E 9 U E -'GILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD J��i 25 2024To .4all Annex-54375 Main Road - PO Box 1179 Southold!New York 11971-0959 Telephone(631) 765-1802 - FAX (631)765-9502 T''v,,-n of =�' roge�rCc�southoldtownny.gov- seand a0southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INF RMATION (Ail Information Required) Date: Company Name: J 1VC . Electrician's Name: License No.: M t -3 yp q 1 Elec. email: 0, /nv M ea s I hW, o� Elec. Phone No: 1- S JqZV C�,l request n email copy of Certifi ® of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name,. �� N Address: j I cl,,No Cross Street: Phone No.: 631 - r -_ Bldg.Permit#: S email:41Aav-" e !'Pvaw.c� Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUAREFOOTAGE (Plea M C e1�r�ly):, - -- S care Foota e: Circle All That Apply: Is job ready for inspection?: YES�NO F'�Rough In Fi ai Do you need a Temp Certificate?: YES❑NO Issued On 0 '� Temp Information: (All information required) / j 51 7G Service Sizett1 Ph 73 Ph Size: a A #Meters ( Old Meter# []New ServiceOFire ReconnectoFlood Reconnectliftrvice ReconnectWUnderground[]Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional information: � � � PAYMENT DUE WITH APPLICATION �� PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D PanelPump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments r ►L � C E9W ILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD J A N 25 202ftiihhall Annex-54375 Main Road -PO Box 1179 Southold!New York 11971-0959 Telephone(631)766-1802-FAX(631)765-9502 Town of o 3 r a(0soufholdtownny goy—sew@southoldtawnny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INF RMATION (Ail information Required) Date: —�X -2 Company Name: v C L ! JVC Electrician's Name: License No.:�J3 YO° I Elec,emall: alafhWM-easi I. hv,;. o*i Elec. Phone No: &31-' S� -JUV request n small copy of Cirfifloak M,Compliance Elea.Address.: JOB SITE INFORMATION (Ail information Required) Name: TIAam NCM01-1607 Address: t' Jb �,O Cross Street: Phone No.: 631 z Bldg.Permlt#: -_ -- --_ _ email: a o Tax Map District: 1000 Sectlo I: Block: Lot: BRIEF DESCRIPTION O WORK, INCLUDE St1UAR FOOTAGE"� I®as e S�2�tGar 00 0,UE5T�Qos� d/ to 0/64I00HousTd Ate' . S, uar$°.Fbota e: Circle All TM.ARply: Is job ready for inspection?: YES NO []Rough In � Fi al Do you need a Temp Certificate?: ' YES[],NO Issued'On Temp Information. (Ali Informatlon required) / '3'G � 3'76 Service Size 1 Ph❑3 Ph size: D A ,#Meters,(Old Meter# ._.� ❑New Serviceo Fire ReconnectoFlood Reconneci:�ervlce ReconnectgOnderground averheed #Underground Lateral&1 02 H Frame Pole Work done on,Servlce? 0,Y N Additional Inferm9tlnn• PAYMENT DUE WTH APPLICATION �1 � ,I d6by 15 U0 to c,ke-d v�