HomeMy WebLinkAbout42274-Z o�O�UFFOt�COG Town of Southold 1/16/2018
P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39450 Date: 1/16/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 875 Gull Pond Ln, Greenport
SCTM#: 473889 Sec/Block/Lot: 35.4-28.42
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/2/2018 pursuant to which Building Permit No. 42274 dated 1/2/2018
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 FOR DOCK AS APPLIED FOR
The certificate is issued to Gull Pond Lane LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42274 01-10-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
�gUFFnik TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 42274 Date: 1/2/2018
Permission is hereby granted to:
Gull Pond Lane LLC
2320 Bell Blvd Apt 1K
Bayside, NY 11360
To: electric for dock and power ports
At premises located at:
875 Gull Pond Ln , Greenport
SCTM # 473889
Sec/Block/Lot# 35.-4-28.42
Pursuant to application dated 1/2/2018 and approved by the Building Inspector.
To expire on 7/4/2019.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
oF soUry®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �Q roger.richert(a)town.southoId.ny.us
Southold,NY 11971-0959 Q
COUON
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gull Pond Lane LLC
Address: 875 Gull Pond Lane city,Greenport st: New York zip: 11944
Building Permit#: 42274 Section: 35 Block: 4 Lot: 28.42
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ilberg Electric License No: 189-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 Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 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: Two Feeders to Floating Dock, 2- Light & Power Stands Containing Dock Lights
and Receptacles.
Notes- 3- 30A Receptacles, 2- 50A Receptacles.
i
Inspector Signature: Date: January 10, 2018
0-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
REMARKS:
DATE d INSPECTOR Z
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APPLICATI.Ot Ft)R:1`LECTRI+CAL.INSPECTiON
. . . - .
REQUESTED-�BY`, _;
Pompariy-.Name:'
hlali�e• " 1�.`:J� ht
License`No. � ,
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Address: ' `'o ;
JOB IT (NFORIUlATIC)I?l '(*Indicates requited i%iforrrion)=
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:=Address: ?s:: ° l : ,y�.O LF 1V
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*ls job ready{pr inspec-ion:` YES, NO Iiougfi !n Finan
,o,-.you need.a-Temp Certicate: YES./
%gr.Vtee`Size:. 9 phase Vh;i Se1D4 f50 200 3a0 350 QO Qthe . i
*New Service: „ Re-connect -Underground, Nuro r,of Meters >Change'of Service 'overhead-
Addlt onal!ni'ormafiori: PAYMENT DUE 1lViTR APPLICATION.
82=Requesti"fnr,"Enspection-Forrn: C
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