HomeMy WebLinkAbout50884-Z �o",Gf soulyo`o Town of Southold
* * P.O. Box 1179
53095 Main Rd
`y�ooarr Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45804 Date: 12/03/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 110 Sleeny Hollow Ln Southold, NY 11971
Sec/Block/Lot: 78.-1-10.6
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/27/2024
Pursuant to which Building Permit No. 50884 and dated: 06/27/2024
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:
Electric wiring for first floor kitchen, bathroom, & living room renovation.
The certificate is issued to: Christopher Doman, Jocelyn Doman
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50884 10/16/2024
PLUMBERS CERTIFICATION:
Authorized S'rn e
sofFo�i� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
oy • � , 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#: 50884 - Date: 6/27/2024
Permission is hereby granted to:
Neville Robert F Rev Trt
110 Sleepy Hollow Ln
PO BOX 995
Southold, NY 11971
To: electric wiring for reno of bathroom and kitchen
At premises located at:
110 Sleepy Hollow Ln, Southold
SCTM #473889
Sec/Block/Lot# 78.-1-10.6
Pursuant to application dated 6/27/2024 and approved by the Building Inspector.
To expire on 1212712025.
Fees:
ELECTRIC $200.00
Total: $200.00
Building Inspector
pF SO!/r�ol .
h O
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
(a�
Southold,NY 11971-0959 •��� �o sean.devlintown.southold.ny.us
�OUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Robert F Neville Rev. Trust
Address: 110 Sleepy Hollow Ln city:Southold st: NY zip: 11971
Building Permit#: 50884 Section: 78 Block: 1 Lot: 10.6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: PKJ Electrical License No: 60122ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor 1st Floor X Pool
New X Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 9 Ceiling Fixtures 6 Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 7 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 24 CO Detectors
Sub Panel A/C Blower Range Recpt 50A Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 9 4'LED Exit Fixtures 11 Sump Pump
Other Equipment: Fridge, Oven, DW, Micro, Hood, Mini Fridge, (3)115ARC (4)120ARC (2)120Combo-
Breakers
Notes: First Floor Kitchen, Bathroom & Living Room Renovation
Inspector Signature: G Date: October 16, 2024
110S IeepyHollowRen oElectric
OF SOUIyO� L
lO � /�G.�IDIN DE)&
T���JF SOUTHOLD BU G
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: I S'� �l
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DATE 1 l INSPECTOR . -
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EVEL DEPARTMENT- Electrical Inspector
f p� OG F TOWN OF SOUTHOLD
o ;1 SUN 2 -�ToHatl- nex - 54375 Main Road - PO Box 1179
.'j Southold, New York 11971-0959
pr hone (631) 765-1802 - FAX (631) 765-9502
TOWN
BU'MING
JMuthoIdtownny.qov seand(aDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATI -(All Informa ion fired) Date: 7
J�
Company Name: kl' L P 1 1
Electrician's Name: �e-- <-, �
License No.: 0"t G Z�-- Elec. email: rJ /r c/d A"
Elec. Phone No: / ❑1 request an email copy of Certificate of Compliance
Elec. Address.: Ai-r cv 1 06, 1/1
JOB SITE INFORMATION (All Information Required)
Nf�I Ile-
Name: -
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email: /A .ff--
Tax Map District: 1000 Section: 7 Block: Lot:
BRIEF DESCRIPTION O WORK, INCLUDE SQUP�REF OTAGE (Please Print Clearly):
WJ PJ(k I It'/ � C- (CS JA jWS7q�eFootage:
Circle All That Apply:
Is job ready for inspection?: 0 YES EINO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES aNO Issued On
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 1 R2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION t 7 Z�f
Address:
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`.surface 6
ticonces 7
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LJC Lts —
;Ins S Fridge
5+0 Ve.
xhaust Oven > WAD
;rro R e S DW Mini
of Micro Generator
Cooktop Transfer
A H Hood 'Service
Amps Have Used
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/WC
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