HomeMy WebLinkAbout45972-Z taF souryo� Town of Southold
P.O. Box 1179
�0 53095 Main Rd
°!)�oUN" Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46416 Date: 08/19/2025
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1295 Sigsbee Rd Laurel, NY 11948
Sec/Block/Lot: 144.-2-5
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/23/2021
Pursuant to which Building Permit No. 45972 and dated: 03/23/2021
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:
200a Overhead Electric Service.
The certificate is issued to: Rachel Kovar
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH'APPROVAL:
ELECTRICAL CERTIFICATE: 45972 8/8/2025
PLUMBERS CERTIFICATION:
Authorized Signature
o�aof.souyo` TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
RENEWED
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 459724 Date: 03/23/2021
Permission is hereby granted to: Renewal.Date: 08/01/2025
Rachel Kovar
2375 Sigsbee Rd
Mattituck, NY 11952
To:
100a single meter upgraded to 200a overhead service.
Premises Located at:
1295 Sigsbee Rd, Laurel, NY 11948
SCTM#144.-2-5
Pursuant to application dated 03/23/2021 and approved by the Building Inspector.
To expire on 08/01/2027.
Contractors:
Fees:
Renewal Fee $42.50
Total $42.50
Building Inspector
�g�Feoc� TOWN OF SOUTHOLD
c�q BUILDING DEPARTMENT
c, TOWN CLERK'S OFFICE
oy-• SOUTHOLD, NY
0
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#: 45972 Date: 3/23/2021
Permission is hereby granted to:
Mule, Linda
251-42 6.1 st Ave
Little Neck, NY 11362
To: 100a.single meter upgraded to 200a overhead service.
At premises located at:
1295 Sigsbee Rd, Laurel
SCTM # 473889
Sec/Block/Lot# 144.-2-5
Pursuant to application dated 3/23/2021 and approved by the Building Inspector.
To expire on 9/22/2022. -
Fees:
ELECTRIC $85.00
Total: $85.00
Buil 'ng
o��OF SO!/rgol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 ell-
Southold,NY 11971-0959 %"
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Linda Mule
Address: 1295 Sigsbee Rd City: Laurel St: NY Zip: 11948
Building Permit#: 45972 Section: 144 Block: 2 Lot: 5.
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Alan Hubbard License No: 4285ME
SITE DETAILS
Office Use Only
Indoor rl-0�1 Basement F Service rV-0 Solar (—
Outdoor W 1st Floor F Pool 1- Spa F
Renovation 2nd Floor (- Hot Tub
f Generator (—
Survey 17
Attic F Garage Battery Storage
INVENTORY
Service 1 ph P-0 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph r Hot Water GFCI Recpt 1 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 /27 Used , Meterpan
Notes: Upgraded to 200A Service
Inspector Signature: X Date: August 8, 2025
Sean Devlin
Electrical Inspector sean.deviin(a-town.southold.ny.us
1295SigsbeeService
OFSOUTyO� l •7 i� Ace
* * TOWN OF SOUTH0 ; Ace
DEPT.
"cou 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 [ ] PRE C/O [ ] RENTAL
REMARKS: �C��(1 f a
DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
~ Town Hall Annex - 54375 Main Road - PO Box 1179
�, � i fi 6 2021
-f Southold, New York 11971-0959
p� Telephone (631) 705-1802 - FAX (631) 765-9502
Ol ;o roger.rich ertCa)_town.southo Id.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:._.. ^j ._.y�. A. ._....._.......... ....... Date: ..
Company Name: IJ U L,b re-6c eC r F cAC 00 ,1+
Name: A .(� vbh d -
License No.: M email: uh PQ4 Ad-s; /Qn L
Address: b ash Q14( Iq J uc°bo6we
Phone No.: ? ( (q-7 17
JOB SITE INFORMATION: (All Information Required)
Name: C
Address:
Cross Street: (ti
Phone No.:
14 �,: email• J� oV fI L'"
BIdg.Permit#: � `✓J� �: FYI S,���
Tax Map District: 1000 Section: Block: Lot: S
BRIEF DESCRIPTION OF WORK (Please Print Clearly) l D v Am
S;rJ g—ler-- -fo 2bo Amg 0Jf,(4,o0J 5 E•�-v I e .
Circle All That Apply:
Is job ready for inspection?: YE / NO Rough In Final
Do you need a Temp Certificate?: YED NO Issued On
Temp Information: (All information required).
Service Size QlPh 3 Ph Size: r OQ A #Meters 4/JE Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
�J
Request for Inspection Formals
�o�oSu�Fnt,��o
G BUILDING DEPARTMENT-Electrical Inspector
o y� TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�'y., �a0�� Telephone (631) 765-1802-FAX(631)765-9502
Temporary Certificate # i5 Date- 13/213 2021
Customer Name Racke o Ja r // Electrician Name Ala �,d C f &A,
Address � � �� �� ` i a` 1 t"v Phone &31
e-mail e-mail uvbh And nmds-Q 4a, 60M
Phone License# L.sf-1 5- M 6
Size �_Cd A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N 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 ays the date ab
Authorized by
EFQL,. BUILDING DEPARTMENT- Electrical Inspector
�p TOWN OF SOUTHOLD
' ',` Hall Annex - 54375 Main Road - PO Box 1179 Town
6 2021 Southold, New York 11971-0959
o'A Telephone (631) 705-1802 - FAX (631) 765-9502
roger.richert(_town.southo Id.n .us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED'BY: /- f {� /} ._....._.......... ....... .Date: ..
Company Name:
Name:
License No.: �'gJc _/Yl& email:
Address:.
Phone No.: f ll ? 1 -7 /5 -
-JOB SITE INFORMATION: (All Information Required)
fs i `
s'
Address: 2
Cross Street: `
Phone No.: / 6 1
Bldg:Permit#: �`7;;), email• a C.W GI/ `t C
Fax Map District: 1000 Section: 1 Block: Lot: �J
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
S,-,J e
Circle All That Apply:
Is job ready for inspection?: YE / NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required).
Service Size QlPh 3 Ph Size: c�OO A # Meters ' DBE Old Meter#
New Service-Fire Reconnect- Flood Reconnect- Service Reconnected- Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Orr
Request for Inspection FormAs ����
PERMIT# Address:
Switches
Outlets
G F1's I
Surface
Sconces
H H's
UC Lts Fridge HW POOL
- -
Fans Mini Fr. W/D PanelPump
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 M.inisplit Blower
AC AH Hood Blower
Service Amps -Have l) Used
/2-
Sub Amps Have Used
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