HomeMy WebLinkAbout49990-Z ho��oF so�Tyo`o Town of Southold
* * P.O. Box 1179
CA
53095 Main Rd
COUNM Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45731 Date: 11/24/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 75700 Route 25 Greenport, NY 11944
Sec/Block/Lot: 48.4-10
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 11/03/2023
Pursuant to which Building Permit No. 49990 and dated: 11/03/2023
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 overhead electric service.
The certificate is issued to: Mark Breen
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51196 10/21/2024
PLUMBERS CERTIFICATION:
Authorized Signature
r
TOWN OF SOUTHOLD
o�SufF�i� o BUILDING DEPARTMENT
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#: 49990 Date: 11/3/2023
Permission is hereby granted to:
Ray, Annette
711 Front St
PO BOX 634
Greenport, NY 11944
To: Electrical Service - 150amp OH
At premises located at:
75700 Route-25, Greenport
SCTM #473889
Sec/Block/Lot#48.-1-10
i
Pursuant to application dated 11/3/2023 and approved by the Building Inspector.
To expire on 514/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Jamesh(.3-southoldtownny.gov
Southold,NY 1 1 97 1-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mark Breen
Address: 75700 Route 25 city:Greenport st: New York zip: 11944
Building Permit#: 51 196 Section: 48 Block: 1 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: Jim Sage Electric Electrician: Jim Sage License No: 3635-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat oil Duplec Recpt 20 Ceiling Fixtures 7 Bath Exhaust Fan
Service 3 ph Hot Water 30amp GFCI Recpt 10 Wall Fixtures 6 Smoke Detectors 4
Main Panel 200a A/C Condenser 2 Single Recpt Recessed Fixtures 2 CO2 Detectors 3
Sub Panel A/C Blower 2 Range Recpt 50a Ceiling Fan 2 Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt 30a Emergency Strobe Heat Detectors
Disconnect Switches 21 4'LED Exit Fixtures Sump Pump
Other Equipment: 1 dishwasher, 1 fridge, 1 hood, 1 washer
Notes: HOUSE
Inspector Signature: Date: October 21, 2024
711 front st
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# TOWN OF SOUTHOLD BUIL IN DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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: � f�CGi
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DATE I INSPECTOR
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# TOWN OF SOUTHOLD BUILDING DEPT.
'ouffm� 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
ARKS: 1116 �
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DATE INSPECTOR o/
BUILDING DEPARTMENT-Electrical Inspector
CZ TOWN OF SOUTHOLD
o • � i Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
'��r ��®! Telephone (631)765-1802
Temporary Certificate # /S7 Date a�-eW ve 2023
Customer Name tr- Electrician Name Sm2G e
Address-?(# k. re- r .- Phone 7b/ C' 17q4l
e-mail DO _ e-mail g A/ • Gam
Phone License# �p
Size / O A Phase 0 Overhead Underground #of Meters f
Remarks
#of Underground Lateralsi 11 2 New
"H" Frame or Polel HI P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# 7 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 days fr m the date above.
Authorized by
BUILDING DEPARTMENT-Electrical Inspector r
G.� 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,
rogerr southoldtownny.gov- seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's-Name: E
License No.: 3�a�jS� Elec mail: Lr &rY�
Elec. Phone No: 1 z, I request an email co by of Certificate of Compliance
Elec. Address.: ,u-n LO
JOB SITE INFORMATION (All Information Required)
Name: &ff&)
Address:
Cross Street: 1 p p -.
Phone No.:
Bldg.Permit#: LF676?Qo email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
�rr2��c2~ C`_H--)*If
Square Footage:
Circle All That Apply: vise 41
Is job ready for inspection?: YES❑ NO ❑Rough In LFinal
Do you need a Temp Certificate?: n'YEs❑ NO Issued On 1115
Temp Information: (All information required)
Service Size[!rlPhF—]3 Ph Size: /57D A #Meters / Old Meter#
New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground Overhead
# Underground Laterals D 1 2 H Frame Pole Work done on Service? DY N
Additional Information:,,
PAYMENT DUE WITH APPLICATION I
100 era