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HomeMy WebLinkAbout51154-Z ho�aof souryo`o Town of Southold * * P.O. Box 1179 % io 53095 Main Rd 0.outi Southold, New-York 11971 CERTIFICATE OF OCCUPANCY No: 45739 Date: 11/09/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 475 Clark Rd Southold, NY 11971 Sec/Block/Lot: 51.-3-20 Conforms substantially to.the Application for Building Permit heretofore, filed in this office dated: 09/10/2024 Pursuant to which Building Permit No. 51154 and dated: 09/10/2024 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: "as built" electrical service and devices. The certificate is issued to: 475 Clark Road LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51154 10/23/2024 PLUMBERS CERTIFICATION: Authorized Signature AN\00fSouTyo TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 51154 Date: 09/10/2024 Permission is hereby granted to: 475 Clark Road LLC 211 E 53rd St Apt 9D New York, NY To: as built electric meter Premises Located at: 475 Clark Rd, Southold, NY 11971 SCTM#51.-3-20 Pursuant to application dated 09/10/2024 and approved by the Building Inspector. To expire on 03/12/2026. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $200.00 Total S200.00 Building Inspector �ok\OF SO�ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 coo Q Southold,NY 11971-0959 .c�ly� � �� sean.devlin(a�town.southold.ny.us ou 1 1 e BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 475 Clark Rd LLC Address: 475 Clark Rd city:Southold st: NY zip: 11971 Building Permit#: 51 154 Section: 51 Block: 3 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1 st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph X Heat Duplec Recpt 18 Ceiling Fixtures 7 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 8 Smoke Detectors 3 Main Panel 200A A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO 2 Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors Disconnect Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 30 Circuit/ 16 Used (5) 115ARC Fault Breakers Notes: AS BUILT NO VISUAL DEFECTS " Service & New Devices Inspector Signature: Date: October 23, 2024 Copy * # TOWN OF/�SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] .FINAL [ ] FIREPLACE & CHIMNEY . [ ] FIRE SAFETY INSPECTION [ ] FIRERESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION . [ ]. ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: . Ats� <3�3,c/CA (rd 4- Ar lLn cl Vrte a AAtJ A wg 0-Y Ae iz 101 4CIIA 1/1 j ' . - - - I � 0- v 1-ee & DATE INSPECTOR —- ho�aqF SOGTyOIoOWC WN OF SOUTHOLD BUIG DEP . co 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: MIA-1 - Ca wil-e C�j DATE Z INSPECTOR Q f 2 BUILDING DEPARTMENT- Electric l' pectom IQ n24 -� 'Vel, ` TOWN OF SOUTHOLD Town Hall Annex - 54375-Mai Road - PO F So thold New York I 71-09 ,T,4,�- � y x, "d`�ip' � 3 �f,•�_i�?dam Telephone (631) 765-1802 - FAX (631) 765-9502 lamesh southo d.to_wnny o��wand a2southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2ZL5 12Cl Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No 5l(0 -{0L0- 21t10 ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: 0 j 5 1v100-�2- Address: L(-75 Ci60- IL , Cross Street: &` C ,La ock C'� Phone No.: Vj. - L�)t 1 � -- q 0 Bldg.Permit#: �5-(( SL{ email: 0.4— oU-<-e -72ge, coo Tax Tax Map District: 1000 Section: 5 Block: 3 Lot: 2u BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 5'v� <��SSC-'�i•��� Square Footage: Circle All That Apply: Is job ready for inspection?: YES [] NO []Rough In ❑ Final Do'you need a Temp Certificate?: YES aNO Issued.On frfW41 V6 Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: =-A # Meters Old Meter# ❑New Service❑Fire Reconnect[-]Flood Reconnect❑Service Reconnect❑Underground[overhead # Underground Laterals F1 1 72 H Frame Pole Work done on Service? M Y DN Additional Information- PAYMENT DUE WITH APPLICATION o�_(c)-�c.P PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV H'OT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub _" AmpS` ' Have Used Comments �y� BUILDING DEPARTMENT-Electrical Inspector x TOWN OF SOUTHOLD- �,� !� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate # I-XI-1 Date QVok . 2024 Customer Name "nore Electrician Name Address L41b k Phone e-mail e-mail Phone License# Size 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/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 valid for 90 days from the date above. Authorized by D BUILDING DEPARTMENT- Electrica&l pectTP IQ' 2024 TOWN OF SOUTHOLD -"� Town Hall Annex - 54375 Main Road - PO I ,Mlgft DFpT. Southold, New York 11 971-09 z LeOUTyov-� Telephone (631) 765-1802 - FAX (631) 765-9502 iamesh .southoldtownny.aov - seandp_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1? S1zcl Company Name: e V' 005� - r1 Electrician's Name: License No.: Elec. email: Elec. Phone 'No:' ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Q Lovr 5 jVL �2 Address: q-75 Cla r lC_ (j�(r 0 o1 Cross Street: f1/l t C�c,L.P_ A oo,-C C t�-�-e-- z-1 . Phone No.: <(0. - Co Bldg.Permit#: email: Tax Map District: 1000 Section: S-I Block:' 3 Lot: 2a BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE-(Please Print'Clearly): cca Gct^ �✓�5.1�'c�kr�� Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO' ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YESF:;]:Nj O Issued On Temp Information: (All information required) u Service Size❑1 Ph❑3 Ph Size: A - # Meters l Old Meter# []New Service[]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional,Information: PAYMENT DUE.WITH APPLICATION o`_�oL g� �ao� rec�i�83�1y