HomeMy WebLinkAbout51809-Z *of Sao ryo!° Town of Southold
* P.O. Box 1179
ao4 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46120 Date: 04/21/2025
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 1285 Three Waters Ln Orient, NY 11957
Sec/Block/Lot: 15.-3-45
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/07/2025
Pursuant to which Building Permit No. 51809 and dated: 04/07/2025
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:
Temporary Electric Service
The certificate is issued to: Thomas Agell
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51809 4/21/2025
PLUMBERS CERTIFICATION:
i
Authorized Signature
�aofSo(/,yo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• TOWN CLERK'S OFFICE
U""'N��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#: 51809 Date: 04/07/2025
Permission is hereby granted to:
Thomas D Agell
224 W 22nd St
Huntington, NY 11743
To:
Temp pole install
Premises Located at:
1285 Three Waters Ln, Orient, NY 11957
SCTM# 15.-3-45
Pursuant to application dated 04/07/2025 and approved by the Building Inspector.
To expire on 04/07/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC-Residential $100.00
Total lioo.00
Building Inspector
so�Tyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 • Q
Southold,NY 11971-0959
oUNT`I,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas D Agell
Address: 1285 Three Waters Ln City: Orient St: NY Zip: 11957
Building Permit#: 51809 Section: 15 Block: 3 Lot: . 45
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Bri-Co Electric License No:
SITE DETAILS
Office Use Only
Indoor r Basement r Service Solar F
Outdoor 1st Floor r Pool r Spa
Renovation F 2nd Floor I— Hot Tub r Generator (-
Survey Attic I— Garage Battery Storage
INVENTORY
Service 1 ph W' Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph r Hot Water GFCI Recpt 2 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 30 Circuit/ 6 Used
Notes: Temporary Service
Inspector Signature: X Date: April 21, 2025
Sean Devin
Electrical Inspector sean.deviin((D-town.southold.ny.us
1285Th reeWatersTempService
OF SOUTyolo kvvu-oI f
# * TOWN OFsoulrHOLD BUILDING DEPT.
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 rl PRE C/O. ' [ ] RENTAL
REMARKS: 1 l
DATE ail INSPECTOR w
------------------------- - -
BUILDING DEPARTMENT-Electrical Inspector
x TOWN OF SOUTHOLD
�-A Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # f 053 Date 4 - 7 - 2025
Customer Name `t/ mt% &671-L Electrician Name TFT Co _ 7`C G
Address I ZQjs -Aree W&4tT- h gle, Phone 31- 37 �(� L7
e-mail a-mail,DQt3fJ3el]/-I @ 6jef- or/C-Crele 00M
Phone License# �7 a 0—
SizeQ( A Phase Overhead Underground #of Meters A
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? 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 verification is valid for 90 days from the da above.
Authorized by
E C E U
6APR - 7 2025 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD �
#1
-Iidii ingl)epatlmefitown Hall Annex - 54375' Main Road - PO Box 1179�T;6��rn ®t Southold
Southold, NewaY.ork 11971-0959
M
Telephone (631) 765-1802 - FAX (631) 765-9502
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4-8-25
Company Name: BRI - CO ELECTRIC INC.
Electrician's Name: BRIAN ABRAMS
License No.: 33720-ME Elec. email: DEBORAH@BRI-COELECTRICINC.COM
Elec. Phone No: 631-378-9000 211 request an email copy of Certificate of Compliance
Elec. Address.: 1539 LINCOLN AVE., HOLBROOK, NY 11741
JOB SITE INFORMATION (All Information Required)
Name: AGELL
Address: 1285 THREE WATERS LANE, ORIENT POINT, NY 11957
Cross Street: NO SEA DRIVE
Phone No.: 631-378-9000
Bldg.Permit#: NA rj email: Deborah@bri-coelectricinc.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
TEMP POLE INSTALL
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑✓ NO ❑Rough In ❑ Fina '
Do you need a Temp Certificate?: YES NO 1 s5> I�ts-
Y p ❑✓ ❑ Issued On
Temp Information: (All information required)
I�
Service SizeFv-11 Ph❑3 Ph Size: 200 A # Meters + Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect WService Reconnect❑Underground❑✓Overhead
# Underground Laterals 1 F2 H Frame ✓ Pole Work done on Service? ✓ Y N
Additional Information:
PAYMENT DUE WITH APPLICATION