HomeMy WebLinkAbout41862-Z �o�OSUFFoc �. Town of Southold 4/10/2023
y< P.O.Box 1179
53095 Main Rd
�yx' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39278 Date: 10/11/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 825 Peconic Ln,Peconic
SCTM#: 473889 Sec/Block/Lot: 75.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/8/2017 pursuant to which Building Permit No. 41862 dated 8/8/2017
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 ELECTRIC SERVICE
The certificate is issued to Wilmington Savings Fund
of the aforesaid,building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41862 09-26-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
1
AR' TOWN OF SOUTHOLD
4�guFEoc,r�o
BUILDING DEPARTMENT
Mp
TOWN CLERK'S OFFICE
5 • 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#: 41862 Date: 8/8/2017
Permission is hereby granted to:
Wilmington Savings Fund
1600 S Douglass Rd
Anaheim, CA 92806
To: electric change of service
At premises located at:
825 Peconic Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 75.-5-2
Pursuant to application dated 8/8/2017 and approved by the Building Inspector.
To expire on 2/7/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
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Buil i ctor
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Ar Fax(631)765-9502
P.O.Box 1179 e ® �@ roger.richert(aD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Wilmington Savings Fund
Address: 825 Peconic Lane city Peconic st: New York zip: 11958
Budding Permit#: 4.1862 Section: 75 Block: 5 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-CAT Electric License No: 953-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment 200A Overhead Service Up Grade
Notes.
Inspector Signature: - Date: September 26, 2017
0-Cert Electrical Compliance Form.xls
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vLW ly
�OUNT`I,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATEINSPECTOR
. D
L�O Td�e(631)76W802
��CC P_O9 RK-ler.fit le _ i U Old.(1
SomhoK I -0999.
AUG 4 2017
BUMDING DEPT. BUMDING DEPS
TOWN OF SOUTHOLD • TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY c l-�. E3jIl bate.
- - - - Company Name: �' C0
e -
Ucense No.:
dress: �� J�.�t AM'97 A)at
Phone No.:
JOBSITE INFORMATION: (*Ind! required infortnmfion}
*Name: � - �-� l�lob 1 MI � VI
*Addr+ms. �-
*Cross,sbeet
*Phone No. j
,Permit No.: 91 8(�,2
Tax Nlap District 1000 Secum-
.7 Block Lot
'BRIEF I)MCRIPTiON OF WORK(Please Print Clearly)
(Please-Chvle All That Apply)
*Is job ready-for iron: / Rough In rnal
*Do you need a Temp Certificate: NO
-Temp lnlbnnat1cm(If needed]
'Service Size: 3Phm 100 150 300 350 400 Other
*New Service: Re-aonnsc t Undue Number of Metersof Service Overlmd
Additional lrformatton: PAYMENT DUE WITH APPLICATION
8¢-Request Forth --