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HomeMy WebLinkAbout47902-Z ho��pF SOUryo`o Town of Southold * * P.O. Box 1179 eAf 53095 Main Rd Ulm,a Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46916 Date: 03/17/2026 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1815 King St Orient, NY 11957 Sec/Block/Lot: 26.-2-43.6 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/02/2022 Pursuant to which Building Permit No. 47902 and dated: 06/02/2022 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 meter pan replacement. The certificate is issued to: William Nystrom, Suzanne Nystrom Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 47902 6/8/2022 PLUMBERS CERTIFICATION: Of Authorized Signature ��OFSo//,yo TOWN OF SOUTHOLD BUILDING DEPARTMENT ' SOUTHOLD, NY o��COU�r a� 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#: 47902 Date: 06/02/2022 Permission is hereby granted to: Renewal Date: 03/05/2026 William Nystrom 79 Pine St Dover, MA 02037 To: Electric meter pan replacement. Premises Located at: 1815 King St, Orient, NY 11957 SCTM#26.-2-43.6 Pursuant to application dated 06/02/2022 and approved by the Building Inspector. To expire on 03/05/2028. Contractors: Fees: Renewal Fee $42.50 Total 42.5 Building Inspector TOWN OF SOUTHOLD 4��gQFfO(p- C2 BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 47902 Date: 6/2/2022 Permission is hereby granted to: Nystrom, William 79 Pine St Dover, MA 02037 To: Electric meter pan replacement. At premises located at: 1815 King St., Orient SCTM #473889 Sec/Block/Lot# 26.-2-43.6 Pursuant to application dated 6/2/2022 and approved by the Building Inspector. To expire on 12/2/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pF SO!/Tyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Southold,New York 11971-0959 if'COU '� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: William Nystrom Address: 1815 King St city: Orient St: NY Zip: 11957 Building Permit#: 47902 Section: 26 Block: 2 Lot: 43.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Electrician: BJ Electric License No: 2670ME SITE DETAILS Office Use Only Commercial Indoor Basement Service X Solar Residential X Outdoor X 1st Floor Pool Battery Storage As-built Renovation 2nd Floor Hot Tub EV Charger New X Addition Attic Spa Generator Survey Mezzanine Garage Dock INVENTORY Service 1 ph X In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp. ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier Other Equipment: Meterpan Notes: Meterpan Replacement Inspector Signature: l Date: June 8, 2022 ho��OF SOGTyp� a 2 h # # BUILDING EPT. TOWN OF SOUTHOLD U `ycourm,��'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] 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: f-a l � r DATE INSPECTOR �OS%sEFO(4 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o Towht- 'e Annex - 54375 Main Road - PO Box 1179 o MAY 2 6 ?p?� outhold, New York 11971-0959 BUILDI 4ele (631) 765-1802 - FAX (631) 765-9502 TOWN of &southoldtownny.gov - seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: ,� �6�-tI 7d, Electrician's Name: License No.: ,Elec. email: Gp/ --t, Elec. Phone No: request an email copy of Certificate of Compliance Elec. Address.: 4�17661& r¢--c 2 el JOB SITE INFORMATION (All Information Required) r' r Name: !?its e20 Address: Cross Street: ,CpI�LG�1 �( rim- /?40,J Phone No.: Bldg.Permit#: q 7 9 Q email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, IN LUDE SQUA F09TAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: XYES [] NO C ❑Rough In Final Do you need a Temp Certificate?: 1-1 YES ©Ab/ 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 D H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION