HomeMy WebLinkAbout50530-Z %of soulyO!° Town of Southold
* P.O. Box 1179
iv 53095 Main Rd
% •lm ki Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46171 Date: 05/20/2025
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 41045 Route 25 Peconic, NY 11958
Sec/Block/Lot: 86.-1-3.3
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/09/2024
Pursuant to which Building Permit No. 50530 and dated: 04/09/2024
Was issued, and confonns to all of the requirements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
Repair of existing 100 amp service on pole.
The certificate is issued to: Scott DeSimone
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50530 5/7/2025
PLUMBERS CERTIFICATION:
Authorized Signature
�oS�yFfQi�o TOWN OF SOUTHOLD
�o aye BUILDING DEPARTMENT
y 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#: 50530 Date: 4/9/2024
Permission is hereby granted to:
B & J Realty
Attn: Osprey Dominion Co
PO BOX 198
Peconic, NY 11958
To: repair of existing 100 amp service on customer owned pole.
At premises located at:
41045 Route 25, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-1-3.3
Pursuant to application dated 4/9/2024 and approved by the Building Inspector.
To expire on 10/9/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
o��OF SOUr�QI
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 11971-0959 'Q a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: B & J Realty
Address: 41045 Route 25 City: Peconic St: NY Zip: 11958
Building Permit#: 50530 Section: 86 Block: 1 Lot: 3.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: BJ Electric License No: 2670ME
SITE.DETAILS
Office Use Only
Indoor F Basement F Service W, Solar r
Outdoor r 1st Floor (- Pool Spa r
Renovation 2nd Floor Hot Tub F Generator r
Survey 1- Attic r Garage Battery Storage r
INVENTORY
Service 1 ph 5—�[ Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph [- Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A 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:
Notes: Replaced 100A Panel on Pole
Inspector Signature: X Date: May 7, 2025
Sean Devlin
Electrical Inspector sean.devlina—town.southold.nv.us
41045Rt25Spri nklerService
OE SOUTyO� +' I Ly G...�
# TOWN OF SOUTHOLD BUILDING DEPT.
eourm��' 765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION--
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) IKE
ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
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�S,trot CO !! UILDING DEPARTMENT- Electrical Inspector
APR 9 2024 i 1--; TOWN OF SOUTHOLD
a =` Town Hall Annex - 54375 Main Road - PO Box 1179
,;. Southold, New York 11971-0959
T'rqqn a in`ii7C9ir C"-' G%Telephone (631) 765-1802 - FAX (631) 765-9502
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name:
Electrician's Name: /$ E/L`711
License No.: (.e -17,4 Elec. email: e'QeO,4'lt�3oa
Elec. Phone No: `lv 53 01.l�o BRfrequest an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All information Required)
Name: �C(9
Address: tD
Cross Street: Ga
Phone No.:
Bldg-Permit#: email:
Tax Map District: 1000 Section: (p Block: ) Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
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Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES rNO ❑Rough In ❑ Final
Do you need a Temp Certificate?: �jYES ❑ NO issued On
Temp Information: (All information required)
Service Size 1 1 Ph❑3 Ph Size: !Jo A # Meters�_ Old Meter#
❑New Service❑Fire Reconnect❑Flood Re connectE]Service Reconnect❑Underground Ek5verhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? D Y N
Ad tionalInformation:-
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PAYMENT DUE WITH APPLICATION
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k`BUILDING DEPARTMENT- Electrical Inspector
APR 9 2024 TOWN OF SOUTHOLD
o ` N Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
`Telephone (631) 765-1802 - FAX (631) 765-9502
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: ,8 �(X16
Electrician's Name:
License No.: r,2 le /]Q !/�C� Elec. email: (,ePR.�✓Oa
Elec. Phone No: llo SSS 04ee,0 Orrequest an emaaiill copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: S'co
Address: 10
Cross Street: del o eovG(:t, A,4tN�,
Phone No.:
Bldg.Permit #: --- email:
Tax Map District: 1000 Section: Block: ' Lot:,
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
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0- O_� you S-t� ✓f - / 0v6f�
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Q `� Square Footage:
Circle All That Apply: VV IF )'
Is job ready for inspection. : '"" =-YES:�--�TN6Fsr]Rough In ❑ Final
Do you need a Temp Certificate?: ® YES❑ NO Issued On
Temp Information: (All information required)
Service SizeP1 Ph❑3 Ph Size: O A # Meters_� Old Meter#
❑New Service❑Fire Reconnect❑Flood ReconnectP� Service Reconnect❑Underg round00verhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Ad 'tionalInfor t /0,0 � ��2Veems: oou �'vS�4D�-
O�wN,677-) Now
PAYMENT DUE WITH APPLICATION L Cam. L
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