HomeMy WebLinkAbout52360-Z �o4, Soo ryo`o Town of Southold
* * P.O. Box 1179
+�, 53095 Main Rd
Ulm � Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46697 Date: 11/17/2025
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 2500 Hobart Rd Southold, NY 11971
SecBlock/Lot: 64.-3-7
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/15/2025
Pursuant to which Building Permit No. 52360 and dated: 10/15/2025
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:
Electrical upgrades
The certificate is issued to: Warke V Revoc Trt , Simitch A^Revoc Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52360 11/5/2025
PLUMBERS CERTIFICATION:
Authorized Signature
A
�"ofsolo/ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
`� • SOUTHOLD, NY
comw
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#: 52360 Date: 10/15/2025
Permission is hereby granted to:
Warke V Revoc Trt
286 Midline Rd
Freeville,NY 13068
To:
Electrical Additions
Premises Located at:
2500 Hobart Rd,Southold, NY 11971
SCTM#64.-3-7
Pursuant to application dated 10/15/2025 and approved by the Building Inspector.
To expire on 10/15/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC-Residential $100.00
Total $100.00
ding Inspector
hO��pF SO(/T�QI
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 11971-0959 'Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Warke V Revocable Trust
Address: 2500 Hobart Rd City: Southold St: NY Zip: 11971
Building Permit#: 52360 Section: 64 Block: 3 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Indoor ry-1,' Basement r. Service FIR-1 Solar 17-
Outdoor r%—Fj 1st Floor ( Pool F Spa 17-
Renovation 17 2nd Floor r Hot Tub r' Generator F
Survey ( Attic r Garage Battery Storage (—
INVENTORY
Service 1 ph r Heat Duplec Recpt $ Ceiling Fixtures 2 Bath Exhaust Fan
Service 3 ph 17 Hot Water 30A GFCI Recpt 1 Wall Fixtures 4 Smoke Detectors
Main Panel 200A A/C Condenser Cooktop 40A Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt 50A Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights 16' Dryer Recpt 30A Emergency Strobe [::] Heat Detectors
Disconnect Switches 3 4'LED Exit Fixtures
Other Equipment: Fridge, Oven, DW, Cooktop, 200A Panel 40 Circuit/ 37 Used
Notes: AS BUILT NO VISUAL DEFECTS " Kitchen,Bathroom & Service
Inspector Signature: X Date: November 5, 2025
Sean Devlin
Electrical Inspector sean.devlin(CD-town.southold.ny.us
2500H obartKitchen Bath Service
/ OE SOUTyIo J —
0 �� 2 �� e' o1,42-
WOF SOUTHOLD BUILDING DEPT.
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. t- 1
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DATE S INSPECTOR
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SOS ('o BUILDING DEPARTMENT-Electrical Inspector
G� TOWN OF SOUTHOLD
o Town Hall Annex- 54375 Main Road - PO Box 1179
o ® Southold, New York 11971-0959
Telephone (631) 765-1802.
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company.Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: p txD Re
Address: 2coo s�Du T-)-kot,7
Cross Street:
Phone No.: 6c-) 5'>39
Bldg.Permit M SZ---;S(e,D email:
Tax Map District: 1000 Section: (o LA, Block: 3 Lot: ff
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
(55cx� L-LJ r—AN 0 u'T L—.e� tr V 10.E '�iv + "VL'W
Square Footage:'17575e
Circle All That Apply:
Is job ready for inspection?: (5 YES❑NO ❑Rough In Final.
Do you need a Temp Certificate?: ❑ YES(>0 Issued On
Temp Information: (AN information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service[:]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑underground'Doverhead
# Underground Laterals M 1 M2 M H Frame n Pole Work done on Service? El Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Yt C-0 I ( 10-78
f BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
k z� Southold, New York 11971-0959
�' Telephone (631) 765-1802
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 (AII Information Required)
Name: ANe fP� �t�• �T��t
Address: 2-goo
Cross Street:
Phone No.:
BIdg.Permit#: �!57-Z-F (a(D email:
Tax Map District: 1000 Section: (- Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
wi 4G►-r�(v
Square Footage: trw
Circle All That Apply:
Is job. ready for inspection?: (O YES❑NO ❑Rough In �inal
Do you need a Temp Certificate?: ❑ YES(ON0 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 n H Frame Pole Work done on Service? Y DN
Additional Information:
PAYMENT DUE WITH APPLICATION /0 115d 2S- ?m4-S
YtG-9- I ( (0`7 S
PERMIT# Address:
Switches
Outlets
G F I's
Surface i
Sconces
H H's
l
UC Lts II , Fridge .1 HW` C� POOL�
Panel
Fans Mini Fr. W/D Pump
I 9�&
Exhaust Oven Sump Heater
Trnsfmr
z
Smokes DW f Generator Salt Gen.
Water Bond
Carbdn-' Micro j : G.rb.Dis Lights
Heat Pucks ERV ,
HOT TUB/SPA
Inst Hot DeHum �ransfer Disc
Blower
Combo %�Cooktop JG(--' Minisplit
AC AH Hood Blower
Service Amps -V
Have L, Jsed
Sub Amps Have Used
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