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HomeMy WebLinkAbout45568-Z of SOUryo`o Town of Southold * * P.O. Box 1179 53095 Main Rd UNV Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45777 Date: 11/20/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 235 Anderson Rd Southold, NY 11971 Sec/Block/Lot: 54.4-10 - Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 12/14/2020 Pursuant to which Building Permit No. 45568 and dated: 12/14/2020 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 electric service and meter pan. The certificate is issued to: Donald Blydenburgh Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 45568 11/19/2024 PLUMBERS CERTIFICATION: Authorized Signature �SUFFoc�.�, TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE �y • 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#: 45568 Date: 12/14/2020 Permission is hereby granted to: Blydenburgh, Donald 235 Anderson Rd Southold, NY 11971 To: Replace meter pan on 200A electric service. At premises located at: 235 Anderson Rd., Southold SCTM # 473889 Sec/Block/Lot# 64.-1-10 Pursuant to application dated 12/14/2020 and approved by the Building Inspector. To expire on 6/1612022. Fees: ELECTRIC $85.00 Total: $85.00 i Building Inspector y OE SO . � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 '0�� �o Jamesh -southoldtownny.gov �4UNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Donald Blydenburgh Address: 235 Anderson Road city:Southold st: New York zip: 11971 Building Permit#: 45568 Section: 54 Block: 1 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: ROSIak Electric Inc. Electrician: Thomas Roslak License No: ME-3677 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a 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 CO2 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 Sump Pump Other Equipment: Notes: SERVICE Inspector Signature: 0,0p4w Date: November 19, 2024 235 anderson rd # # TOWN OF SOUTHOLD BUILDING DEPT. 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: Sc°�'i1 is e it v DATE I INSPECTOR A A1111 - o�aSuFFot,��oG a y� BUILDING DEPARTMENT-Electrical Inspector y z TOWN OF SOUTHOLD oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 �Ol �a0 Telephone(631)765-1802-FAX(631)765-9502 Temporary Certificate # j Date 2 / 2020 Customer Name L , �� Electrician NameL .� / . Address 2=35- p Phone Lf S 7 p e-mail e-mail S (� } O //l e - 11 Phone 6 3 SZ © License# 6 Size__2=Q.CJ_A Phase ! Overhead Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Polel 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 Jor 90 days trom V date above. Authorized byLN gUFf0[,�c BUILDING DEPARTMENT- ElectricalInfpeefor i`��/�I ' TOWN OF SOUTHOL I✓ '��� 'L_a 1 1 i�'� �� Town Hall Annex - 54375 Main R PO Box 1179 Southold, New York 11971-0955EC, 9 1 2020 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(aDtown.southold.nV'tUs s.' 'i APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: r Date: fog 70 Company Name: t?-p s!-A t t =y am Name: t2o s 1�- License No.: 4 7 Address: Phone No.: �� ) 3 L/S� e) JOB SITE INFORMATION: (All Information Required) Name: e N'I!+c- —P' U-t2C- JI Address: y- Cross Street: Phone No.: 631) 7.3 v�-d-7D Bldg.Permit #: �-S5(o� email: Fax Map District: 1000 Section: 6 Lf Block: Lot: 1 BRIEF DESCRIPTION OF WORK (Please Print Clearly) �r� Circle All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: ES NO Issued On la-lq-29 Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: _�_A # Meters / Old Meter# New Service - Fire Reconnect - Flood Reconnect - Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form.xls