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HomeMy WebLinkAbout47238-Z ��o�giIFFO(,f�OGy Town of Southold 1/8/2022 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42672 Date: 1/8/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 560 Madison St., Greenport SCTM#: 473889 Sec/Block/Lot: 40.-5-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/17/2021 pursuant to which Building Permit No. 47238 dated 12/17/2021 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 underground electric service. The certificate is issued to Gport Madison LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47238 12/27/2021 PLUMBERS CERTIFICATION DATED u horized Sli a re o�SufFDj1r ,o TOWN OF SOUTHOLD, 1- BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE Wo SOUTHOLD, NY jsY 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 #: 47238 Date: 12/17/2021 Permission is hereby granted to: Gport Madison LLC C/O Chris Mohr Landscaping PO BOX 48 Cutchogue, NY 11935 To: 200A underground electric service. At premises located at: 560 Madison St., Greenport SCTM #473889 Sec/Block/Lot#40.-5-20 Pursuant to application dated 12/17/2021 and approved by the Building Inspector. To expire on 6/18/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector OF SO�j�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlin(a)_town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Gport Madison LLC Address: 560 Madison St AKA(21) city:Greenport st: NY zip: 11944 Building Permit#: 47238 section: 40 Block: 5 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X 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 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " Underground Service Inspector Signature: Date: December 27, 2021 S. Devlin-Cent Electrical Compliance Form Li OE SOGIyO� �� ��© W) A44V iSWA * f TOWN OF SOUTHOLD BUILDING DEPT. °`ycournv ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING' [ ] FINAL [ ] FIREPLACE & CHIMNEY` [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION -[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: '-S yt �IEll -L/ le DATE S .ZI INSPECTOR �o�gUFFOI�coG _ y� BUILDING DEPARTMENT Electrical Inspector H = TOWN OF SOUTHOLD oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631)765-1802-FAX(631)765-9502 Temporary Certificate# 1 Date 10?-1 7-, 2021 Customer Name ` P j n LLC, Electrician Name TS Corozzim Address 5&0 Ma Phone j — 335 _ e-mail e-mail SG'7a Phone 3j -_76 5 -- 11 License# I C1 — M E_ Size A Phase Overhead Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pol H P Fire Reconnect Was work done on Servic . Y 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 ve -fication is valid faL90 d e. Authorized by / O�OSUFFp�,l.co BUILDING DEPARTMENT-Electrical Inspector �� Gy TOWN OF SOUTHOLD c Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 9 O� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr .southoldtownny.clov - seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 4 - -/ _ Company Name: `��i r 2Z:'n Electrician's Name: S , CDm License No.: � _�� Elec. email: ' � � ��,,,/, „e, ,vzf-� Elec.-Phone-No:Phone-No: �. _ 3S ---Ell request-an email copy o Certificate of-_Compliance-_ Elec. Address.: r.a ,-� ,,, ` ,• , ; . JOB SITE INFORMATION (All info ation Required) Name: oar k d Isom L-L C, Address: 6Z,0 ,q ►s o" 5 &ems /1 q Cross Street: Cd0U�r �,6 g Phone No.: — 7t 5= Bldg.Permit#: H 7 a,3Q) email: Tax Map District: 1000 Section: o Block: Lot: zc) BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 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 f,1Mf)3W T�IYId Ia- 17 ZI Temp Information: (All information required) Service Size 1 Ph❑3 Ph Size: A #Meters Old Meter# ❑NewServiceQFire Reconnect[]Flood ReconnectOService Reconnectj2rU nderg round E]Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? Y nN Additional Information: PAYMENT DUE WITH APPLICATION J N X ��