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HomeMy WebLinkAbout51454-Z of souryo`o Town of Southold * P.O. Box 1179 io 53095 Main Rd ����ourrrr� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45866 Date: 01/02/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 1410 Trumans Path East Marion,NY 11939 Sec/Block/Lot: 31.-12-11 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 12/06/2024 Pursuant to which Building Permit No.51454 and dated: 12/06/2024 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: 200 amp overhead electric service. The certificate is issued to: Hideaki Ariizumi,Glynis Berry Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51454 12/23/2024 PLUMBERS CERTIFICATION: el - C Authorized Signature ho��oFgo�lyo(o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 51454 Date: 12/06/2024 Permission is hereby granted to: Hideaki Ariizumi PO BOX 444 Orient, NY 11957 To: 200 amp overhead electric service Premises Located at: 1410 Trumans Path, East Marion, NY 11939 SCTM#31.-12-11 Pursuant to application dated 12/06/2024 and approved by the Building Inspector. To expire on 12/06/2026. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total 100.00 Building Inspector o��OF SOUI�,�I � o Town Hall Annex . Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 11971-0959 ���DUNTV,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Hideaki Arizumi Address: 1410 Trumans Path City: East Marion St: NY Zip: 11939 Building Permit#: 51454 Section: 31 Block: 12 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: JPG Electric License No: 60158ME SITE DETAILS Office Use Only Indoor W! Basement r Service Wt Solar F Outdoor 1st Floor 17 Pool r Spa I t Renovation (^ 2nd Floor r Hot Tub r Generator F Surrey (- Attic (- Garage Battery Storage (- INVENTORY Service 1 ph r 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 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 Other Equipment: 200A Panel 40 Circuits /26 Used Notes: Service cam' Inspector Signature: Date: December 23, 2024 . Sean Devlin Electrical Inspector sean.devlin(ccD-town.southold.ny.us Copy S.Devlin-Cert Electrical Compliance Form 2 �OF 50UTyo# �/ g� / �f /10 �r um oAs- TOWN OF SOUTHOL D/ B DEPT. - BUILDING G o 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: V GCS DATE INSPECTOR 1 ;✓l� \\ ;t,;4�� V 1 py` �;� UFF04 BUILDING DEPARTMENT-Electrical Ih`Spector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box�1-1779�' '_ ; Southold, New York 11971-0959 oy�o� --f Telephone (631) 765-1802 - FAX (631) 765-9502 ia mesh(a)southoldtownny.gov- seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 02 Company Name: JP /'C Electrician's Name: '%o12, g I t*17a License No.: Elec. email: Elec. Phone No: 1�;Cp 7-4 7yy I request an emai co y of Certificate of Compliance Elec. Address.: JSQK ( akolikom Al- 77 JOB SITE INFORMATION (All Information Required) Name: Address: Y/© , G i` n . Cross Street: a-1'/1 Phone No.: )- p 6) . . . Bldg.Permit#: .` email: h r5 S�U ioa'-CA 4e, IS eorh Tax Map District: 1000 Section: b / Block: d a Lot: l/ BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): o20D {mp .Se-orvl'Q mis 1 0ti. r Square Footage: Circle All That Apply: Is job ready for inspection?: FP�r YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO 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 2 H Frame Pole Work done on Service? M Y N Additional Information: PAYMENT DUE WITH APPLICATION P� $ 1 W cec#l U$453 r / �oS�rFp� cG BUILDING DEPARTMENT- Electrical Inspector �o 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 jamesh southoldtowrinkgov — seand cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN.INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: I �I r` Ll iv► Address: Cross Street: Phone No.: Bldg.Permit#: 5 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): vp 0�� Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (Ail 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 D.L2 H Frame 0 Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump Exhaust Oven Sump Heater Smokes DW Generator TrnsfmrSalt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV Inst Hot DeHum Transfer HOT TUB/SPA Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Z21i Have i�o Used 0/' Sub Amps Have Used Comments