HomeMy WebLinkAbout49653-Z of sauTyo�o Town of Southold
* P.O. Box 1179
g 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45679 Date: 10/24/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 65490 Route 25 Greenport,NY 11944
Sec/Block/Lot: 53.-5-12.6
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 09/07/2023
Pursuant to which Building Permit No. 49653 and dated: 09/07/2023
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:
200 AMP service and wiring of garage (#30)
The certificate is issued to: Breezy Shores Comnty Inc
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 49653 10/17/2024
PLUMBERS CERTIFICATION:
Authorized Signature
o�SUFFo TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"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#: 49653 Date: 9/7/2023
Permission is hereby granted to:
Breezy Shores Comnty Inc
PO BOX 925
Mattituck, NY 11952
To:
Accessory Building #30- 200amp Service &Wiring <500sgft.
At premises located at:
65490 Route 25, Greenport
SCTM #473889
Sec/Block/Lot# 53.-5-12.6
Pursuant to application dated 9/7/20.23 and approved by the Building Inspector.
To expire on 3/8/2025.
Fees: .
ELECTRIC $175.00
Total:' $175.00
Building nspector
oF so�ryQl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(aD-town.southold.ny.us
Southold,NY 1 1 97 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Breezy Shores Community Inc.
Address: 65490 Rt 25 #30 city:Greenport st: NY zip: 11944
Building Permit* 49653 Section: 53 Block: 5 Lot: 12.6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
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 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 200A 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: 200A Main Panel 40 Circuit/4 Used at Acc. Garage, 200A Sub Panel -
40 Circuit/ 0 Used in House
Notes: New Service
Inspector Signature: Date: October 17, 2024
30BreezyS horesService
OF SOOT � ALFUILINEPT.'4q
TOWN OF SO.UTH � 603
couto,��'' 631-765-1802
I-NSPECTION
[ ] 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: L2
DATE a > a INSPECTOR
TOE" :..: BUILDING DEPARTMENT-Electrical Inspector
TOE" BUILDING, ..
TOWN OF SOUTHOLD
�7 Town Hall Annex-54375 Main Road - PO Box 1179
Southold, New York 11971-0959 .
�3d Telephone (631) 765-1802 - FAX(631) 765-9502
:.
rogerrCa�southoldtownny,Qov seand(&-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Custom Lighting of Suffolk Inc
Electrician's Name: Benjamin Doroski
License No.: 38893-ME Elec. email: CLOS5170@gmail.com
Elec. Phone No: 631-298-4588 ED I request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Dowd-Myers Garage
Address: 65490 Main Road#30 Greenport NY 11944 GARAGE
Cross Street: Sage Blvd
Phone No.: 631-484-6481
BIdg.Permit#: (& S75 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Accessory Building- Garage-Main
�200 Amp Panel Feed house from there-200 amp Sub in house
Square Footage: <5oo
Circle All That Apply: *1s24
Is job ready for inspection? ® YES NO Rough In 0 Fin
Do you need a Temp Certificate?: YES ❑NO Issued On QI
Temp Information: (All information required)
Service Size❑✓ 1 Ph73 Ph Size: 200 A # Meters 1 Old Meter#
❑New ServiceE]Fire ReconnectE]Flood Reconnect 0✓ Service Reconnect✓ Underground❑Overhead
# Underground Laterals F1 1 2 F1 H Frame Pole Work done on Service? MY FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
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SF A
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PERMIT# Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans
Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special: �{
Comments O
r�
�l o Cl)
OGy
n BUILDING DEPARTMENT-Electrical Inspector
ram„ x TOWN OF SOUTHOLD
Gy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone(631) 765-1802
Temporary Certificate # IS Dat 7 2023
Customer Name Les Electrician Name . ,,( .0 . S
Address 5*&s sLv& 400&P-een r+Ij- Phone 631 Age. "10
e-mail ` SJ-/ M '/. a 411110" e-mail M1
Phone G a 1 -Y" • 4& License# 3 89 9 - fnA
Size 00 A Phase�_Overhead Underground #of Meters l
Remarks
#of Underground Lateralsl 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 a s date above.
Authorized by &&P-f
. :.. BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone 631 765-1802 - FAX 631 765-9502
rogerrO-southoldtownny.gov- seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date:
Company Name: Custom Lighting of Suffolk Inc
Electrician's Name: Benjamin Doroski
License No.: 38893-ME Elec. email: CLOS5170@gmail.com
Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance
Elec.Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Dowd-Myers Garage
Address: 66490 Main Road#30 Greenport NY 11944 GARAGE
Cross Street: Sage Blvd
Phone No.: 631-484-6481
Bldg.Permit r1qq (��3 email:
Tax Map Distric . Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Accessory Building-Garage-Main 200 Amp Panel Feed house from there-200 amp Sub in house
Square Footage: <5o0
Circle All That Apply: 52
Is job ready for inspection? ❑ YES NO ❑Rough In ❑ Fin I
Do you need a Temp Certificate?: YES®NO Issued On 4
Temp Information: (All information required)
Service Size❑✓ 1 Ph73 Ph Size: 200 A # Meters 1 Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑✓ Service Reconnect❑✓ Underg round❑Overhead
# Underground Laterals ✓ 1 2 M H Frame Pole Work done on Service? MY MN
Additional Information:
PAYMENT DUE WITH APPLICATION
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1 3
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