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HomeMy WebLinkAbout50548-Z suFF �. ��ov0 CpGy Town of Southold 8/22/2024 a P.O.Box 1179 0 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: k- 4-0 nl� eir (,virtaoi -1 �n �-om rv) 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 �-�