HomeMy WebLinkAbout51943-Z ho��oF souryo!° Town of Southold
* P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46249 Date: 06/17/2025
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 1160 Traveler St Southold, NY 11971
Sec/Block/Lot: 61.-2-2
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 05/23/2025
Pursuant to which Building Permit No. 51943 and dated: 05/23/2025
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:
Electric service. panel,wiring for existing storage building.
The certificate is issued to: Daniel Petrie,Kimberly Petrie
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51943 06/03/2025
PLUMBERS CERTIFICATION:
Authorized Signature
oFsa�r 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#: $1943 Date: 05/23/2025
Permission is hereby granted to:
Daniel Petrie
PO BOX 612
New Suffolk, NY 11956
To:
Electric service. panel, wiring
Premises Located at:
1160 Traveler St, Southold, NY 11971
SCTM#61.-2-2
Pursuant to application dated 05/23/2025 and approved by the Building Inspector.
To expire on 05/23/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC-Residential $100.00
ELECTRIC SERVICE $100.00
Total $200.00
Building Inspector
pF SO(/Tyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �p • �� Jamesha-southoldtownny.gov
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Daniel Petrie
Address: 1160 Travelers Street city:Southold st: New York zip: 11971
Building Permit#: 51943 Section: 61 Block: 2 Lot: 2
WAS EXAMINED AND FOUND TO BE IN-COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: OWNER Electrician: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 8 Ceiling Fixtures 8 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 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
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes:
STORAGE BUILDING
Inspector Signature: p�, Date: June 3, 2024
1160 travelers st
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# # TO N OF SOUTHOLD BUILDING DEPT.
coorm��' 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:P
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DATE 0'1 INSPECTOR I1 -
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* # / �1 0SOUTHOLD BUILDING DEPT.
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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) J4 ELECTRICAL (FINAL)
[ ] CODE VIOLATION ' [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE G310,5 INSPECTOR
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�o�OSUFFOC�c�G BUILDING DEPARTMENT- Electric Mel �}�/ 2
TOWN OF SOUTHOLD 1) E U E
o =` Town Hall Annex- 54375 Main Road�CI�9
Box 1179
o • Southold, New York 11971 MAY 2 3 2025
,j O Telephone (631) 765-1802 - FAX (631) 765-9502
jamesh(a-southoldtownny.gov - seand(D-southp.ldtowriny. e
ier at
Wn of Southold
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:
Address: p
Cross Street:
Phone No.: 3 222 1 8o(�N
Bldg.Permit#: 5 email:
Tax Map District: 1000 Section: (Q 1 Block: 2, Lot: 2-
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: El 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? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
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Pry
BUILDING DEPARTMENT- Electrical Inspector
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TOWN OF SOUTHOLIR3 )
EC E ll U E
o - Town Hall Annex- 54375 Main RoaO Box 1179
r� ^ Southold, New York 119759 yy 2
4% �ap�� Telephone (631) 765-1802 - FAX ( 7AG50'23 2025
WJVWiamesh(aD-southoldtownwgov — seand(asoutholdtownny.gov
building DePartment
APPLICATION FOR ELECTRICAL INSPECTION 7mwra of Southold
ELECTRICIAN INFORMATION (Ail 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:
Address: p
Cross Street:
Phone No.: 3 222 1 eu
Bldg.Permit#: S email:
Tax Map District: 1000 Section: (o 1 Block: a Lot: 2-
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0/yESONO ❑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? n Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
1 (0
a �
PERMIT# Address:
Switches I
nq
Outlets 'ld
GFI's l
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. W/D
Panel
Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub . Amps Have Used
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