HomeMy WebLinkAbout49996-Z of souryolo Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
Courm.�' �o Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45795 Date: 11/24/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 835 Strohson Rd Cutchogue, NY 11935
See/Block/Lot: 103.4 0-8
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 11/03/2023
Pursuant to which Building Permit No. 49996 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:
"as built" 200 amp electric service and electrical wiring for kitchen.
The certificate is issued to: Geertrui Van De Heyning,Alan Davies
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 49996 01/18/2024
PLUMBERS CERTIFICATION:
Authorized Signature
l
o�SUFFo���o TOWN OF SOUTHOLD
,� ay BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
i oy • 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 #: 49996 Date: 11/3/2023
Permission is hereby granted to:
Van De Heyning, Geertrui
143 St Felix St Apt 1
Brooklyn, NY 11217
To: 200 amp overhead electric service upgrade.
At premises located at:
835 Strohson Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 103.-10-8
Pursuant to application dated 11/3/2023 and approved by the Building Inspector.
To expire on. 51412025.
T
Fees:
ELECTRIC $100.00
Total: $100.00
1
Building Inspector
o��pF SO(/j�Ql .
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
CA oP.O.Box 1179 �. � sean.devlin(&-town.southold.ny.us
Southold,NY 11971-0959 Q 01yCOUNT`l,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Van De Heyning
Address: 835 Strohson Rd city:Cutchogue st: NY zip: 11935
Building Permit#: 49996 Section: 103 Block: 10 Lot: 8
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
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 1 Ceiling Fixtures 2 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 8 CO2 Detectors
Sub Panel A/C Blower Range Recpt Gas Ceiling Fan .Combo Smoke/CO
Transfer Switch UC Lights 0' Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 7 4'LED Exit Fixtures Sump Pump
Other Equipment: Fridge, Oven, Micro, Hood, DW, Toekick Heater, Mini Fridge
Notes: " AS BUILT NO VISUAL DEFECTS " Kitchen & Service
Inspector Signature: r Date:
January 18, 2024
S.Devlin-Cert Electrical Compliance Form
BUILDING DEPARTMENT-Electrical Insli
TOWN OF SO
UTHOLD 2023
y Town Hall Annex-54375 Main Road;- PO Box Mg
o �
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-95,02-PPITT;D
roaerr(a)-southoldtownny.gov-- seand a@southoldrbWhliic d0k;s'O �-
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: t 'OrA Z Z,A rc '
Electrician's Name:
License No.: Elec. email: o,� ,,�,�,•/ Cd f�
Elec. Phone No: bi/ .;t ❑I request an email copy o Certificate of Compliance
Elec. Address.: << /
JOB SITE INFORMATION (Ali Information Required)
Name: //�,► G�r �,:
Address: 35 Ny
Cross Street: lg4l
Phone No.: Q f S —,;?a
BIdg.Permit#: q cj email:
Tax Map District: 1000 Section: l'� 3 Block: I Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE(Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES E� O Rough In Final
Do you need a Temp Certificate?: YES❑NO Issued On
Temp Information: (All information required)
Service Size 1 Ph F3 Ph Size: 2i9e A #Meters Old Meter#
❑New Service[]Fire ReconnectOFlood ReconnectQSetvice ReconnectOUnderground Overhead
#Underground Laterals 1 FJ2 n H Frame Pole Work done on Service? Y N
Additional Information:
100 PAYMENT DUE WITH APPLICATION