HomeMy WebLinkAbout50548-Z suFF �.
��ov0 CpGy Town of Southold 8/22/2024
a P.O.Box 1179
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o _ g 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45476 Date: 8/22/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 570 Bayview Ave, Greenport
SCTM#: 473889 Sec/Block/Lot: 52.-5-41
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/12/2024 pursuant to which Building Permit No. 50548 dated 4/12/2024
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:
100amp electric service
The certificate is issued to Drobny,Colleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50548 8/15/2024
PLUMBERS CERTIFICATION DATED
Authorized Sign e '
f, suFFoc,r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
oy • �� SOUTHOLD, NY
poi � Sao
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#: 50548 Date: 4/12/2024
Permission is hereby granted to:
Drobny, Colleen
500 Bayview Ave
Southold, NY 11971
To: Electric service upgrade
At premises located at:
570 Bayview Ave, Greenport
SCTM #473889
Sec/Block/Lot# 52.-5-41
Pursuant to application dated 4/12/2024 and approved by the Building Inspector.
To expire on 10/12/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
OF SOUj��l
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
lean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
OUNTY�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Colleen Drobny
Address: 570 Bayview Ave city:Greenport st: NY zip: 11944
Building Permit#: 50548 Section: 52 Block: 5 Lot: 41
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Brian Brooks Electrical License No: 3613ME
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 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A 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: 100A Panel 12 Circuit/ 10 Used
Notes: New Overhead Service
Inspector Signature: Date: August 15, 2024
S. Devlin-Cent Electrical Compliance Form
O��OFSOUTyO �V ( V rQt, Aipd
TOWN. OF SOUTHOLD BUILDING D T.
"cou 631-765-1802
INSPECTION
] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION.21SID [ ] 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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10 4cllG
DATE INSPECTOR
*pF SOOT° ( J
# # TOWN OF SOUTHOLD BUILDING-urr-..
o � 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' ( I PRE C/O [ ] RENTAL
REMARKS:. (G� �►- SUMx - - � C�Ih
dtevl
DATE I ANSPECTOR `
pF SOUIyO� 1 -7`) ��y (116?v 14ve
T w OF S UTHOLD BUILDING DEPT.
o�+,� 631-765-1802
INSPECTION
[ ] FOUNDATION 1 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:
DATE I SINSPECTOR
i
p�
gOfFOI/-c OG BUILDING DEPARTMENT-'Electrical Inspector
o� y� TOWN OF SOUTHOLD
o.. • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone(631)765-1802
Temporary Certificate # Date 2024
Customer Name -d et ro Electrician Name Q
Address 5-7 ev) . 3Q(2 Phone _ n S
e-mail��I �dro 00 C:Gm e-mail �j�'Op,L%S,� ✓e 04 /Ie
Phone 10 lLicense# 3 to
Size / b D A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/ /V Flood Reconnect
Old Meter#1 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 valid for 90 days from th ove.
Authorized by
FCqLFS L,�! t8I-'DING DEPARTMENT- Electrical Inspector
�I
TOWN OF SOUTHOLD
co APR 1 2 AbWn HI -I Annex- 54375 Main Road -PO Box 1179
v' z Southold, New York 11971-0959
r�j U.,,Dr `,F; lephone (631) 765-1802 - FAX (631) 765-9502
1 ' TOWN�-Ir"ropmravoutholdtownny.aov - seand southoldtownny.goy.
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date: 10 A
Company Name:
Electrician's Name:
License No.: 3(ok?� - E El�?l
c email: e o ryeAr
Elec. Phone No: 1- request an email copy of bertificate of Compliance
Elec. Address.: PO byz toot
JOB SITE INFORMATION (Ali Information Required)
Name: 2
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email . (' dm
Tax Map District: 1000 Section: a' Block:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
�'c"vl GB vpc�rage - -
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: �ESF-] NO Issued On F�
Temp Information: (Ali information required)
Service Sizef1 Ph❑3 Ph Size: -A # Meters / Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect �ervice Reconnect❑Underground[Overhead
# Underground Laterals D 1 F12 H Frame Pole Work done on Service? Fly N
Additional Information:
PAYMENT DUE WITH APPLICATION �y ��
WING DEPARTMENT- Electrical Inspector
50 N9V,,-- t TOWN OF SOUTHOLI)
1. APR 2 2�`t;Qwn Hall Annex - 54375 Main Road -PO Box 1179
o • Southold, New York 11971-0959
(631) 765-1802 - FAX (631) 765-9502
:rog_err(c-�s�outholdtownny.gov seand pi7southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: %t A
Lk
Company Name: m M
Electrician's Name:
License No.: 3(,k-� - E Elec email: e o
Elec. Phone No: h3l- 1 request an email copy of tertificate of Compliance
Elec. Address.: l CAL
JOB SITE INFORMATION (All Information Required)
Name: e �6bn
Address-
Cross Street: vl
Phone No.: --
Bldg.Permit#: -5-0 glaemail ( Gl�lt�
Tax Map District: 1000 Section: �' Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
c`VlG6 OV%T- de
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: r�J�YES ❑ NO Issued On
Temp Information: (All information required)
Service Size Ph❑3 Ph Size: -,VQ A # Meters Old Meter# 1
❑New Servicen Fire Reconnect OFlood Reconnect ice Reconnect❑Underground[Overhead
# Underground Laterals 1 R2 M H Frame M Pole Work done on Service? Fly KN
Additional Information:
PAYMENT DUE WITH APPLICATION �-�