HomeMy WebLinkAbout52784-Z �oy��oF s°�ryolo Town of Southold
* * P.O. Box 1179
• �oA 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47109 Date: 06/03/2026
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 9000 Route 25 East Marion, NY 11939
Sec/Block/Lot: 31.-8-2
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/25/2026
Pursuant to which Building Permit No. 52784 and dated: 03/25/2026
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 service upgrade (2 meters) for dwelling.
The certificate is issued to: Emily Kem, Charlotte Gemmel
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52784 5/12/2026
PLUMBERS CERTIFICATION:
Authorized Signature
�aofsoary° TOWN OF SOUTHOLD
BUILDING DEPARTMENT
�, • woe
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#: 52784 Date: 03/25/2026
Permission is hereby granted to:
Emily Kern
PO BOX 166
Orient, NY 11957
To:
Electric meter for dwelling.
Premises Located at:
9000 Route 25, East Marion, NY 11939
SCTM#31.-8-2
Pursuant to application dated 03/25/2026 and approved by the Building Inspector.
To expire on 03/24/2028.
Contractors:
Required Inspections:
Fees:
Electrical-Meter $100.00
Total $100.00
��
Building Inspector
*pF SO!/lyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn
P.O.Box 1179 ^a��
Southold,New York 11971-0959 ��y100UNV,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Emily Kern
Address: 9000 Main Road city: East Marion St: NY zip: 11939
Building Permit#: 52784 Section: 31 Block: $ Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Glen Jacobs License No: ME-4770
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service 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 Garagel IDock
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 150 A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Main Panel 150 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:
Notes: SERVICE UPGRADE
2 METERS
Inspector Signature: Date: May 12, 2026
�a5f 50UTyOl �a 7-94 1000 P r cK
h� O
# # TOWN OF SOUTHOLD BUILDING DEPT.
""oum, 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: �!'lf`C� o? /✓ie leprS
DATE ' "' &D INSPECTOR Of
MAR 2 5 2026 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Hall Annex- 54375 Main Road - PO Box 1179
C4
Southold, New York 11971-0959
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: -,5-Z;L0_z
Company Name:
Electrician's Name:
License No.: Elec. email: _z' t
Elec. Phone No: request an email copy of Certificate of Compliance
Elec. Address.: C-Ovn
JOB SITE INFORMATION (All Information Required)
Name: kAgL,6i
Address: oe &C,AJ
Cross Street:
Phone No.: 10 17,1- ry 5_34'
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block. Lot: IL
BRIEF DESCRIPTION OF WORK, IN91LUDE SQUARE FOOTAGE (Please Print Clearly):
6 C3,0 � Me5-rede VO 2
Square Footage:
�Z2L 74
Circle All That Apply: I r,�
Is job ready for inspection?: ❑ YES 2-lq'O F-]Rough In ❑ Final
Do you need a Temp Certificate?: Ej--YESF-] NO issued On
Temp Information: (All information required) ov 0c,co
Service Size ff,
PhF-13 Ph Size: 3&o A #Meters Old Meter#
E
Mile--w ServiceE]Fire Reconnectr]Flood Reconnect Elservice Reconnect Elu nderg round 215ver eald
# Underground Laterals[U rl M2 F] H Frame [-] Pole Work done on Service? [71 Y
Additional Information:
PAYMENT DUE WITH APPLICATION
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-21188 Date DECEMBER 3, 1992
THIS CERTIFIES that the building TWO FAMILY DWELLING
Location of Property 9000 MAIN ROAD EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 8 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-21188 dated DECEMBER 3, 1992
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 TWO FAMILY DWELLING, ACCESSORY WOOD FRAME GARAGE,
ACCESSORY STORAGE SHED & WOOD PRIVY *
The certificate is issued to SHERRY AMOTT (TIPPEY)
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N=255794 - NOVEMBER 4, 1992
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
NOTE: THIS UPDATES PRECO Z-21103 DATED OCTOBER 22, 1992
BTdilding Inspector
Rev. 1/81
FU7...+:..
TO:.;J CF :,GUT::OLJ,
�:IO'j 117:C.-�T
Locction 9000 MAIN ROAD EAST MARION, N.Y.
Subdivision ;fan No. Lot(s)
va•Ze of Ouner($_)� SHERRY AMOTT
Occupancy 2 FAMILY 'DWELLING OWNER t
Adzit�wed (type) �O':,ner-cenanZ)
b : LYNDA L. SPANGEL Acconp,Hied by: SAME
Key available Suffollc Co. Tax DJo. 31-8-2
Source of request SHERRY L. AMOTT•(TIPPEY) Data DEC. 2, 1992
DVELL13JG:
,Type Of cons trL'Cti0.1 WOOD FRAME PARTIAL
's Cori es 1-1/2 6 l
Foundation BRICK, STONE RUBBLE Cellar 20z
Crawl space 8oz
Total roo:ns, . lst. Fl 5 2nd. Fl 5 3ra. Fl i
Bathroo;s(s) 2 Toilet roorn(s)
Porch, type 1 SCREENED Deck, type Patio, type
Breeze•:ay Garage
Utility rpm
Type •Heats fAI. darn Air
i?o Ewa..,t Fireplace xi
s) 2 UNSAFE AJo, Exits 5 y
Dc7estic hotFF-
aa�,eri� Ty-pe heater AI�ELECTRIC 1 NATURAL GAS
Other
ACCT3sCRy STRLC'^•T=
?rc0Q� t'jp e coast. WOOD FRAME Storage, type corst. WOOD-FRAME
SWi=z:1� pool
Othe Guest, type const.
r•. WOOD.PRIVY
VIOLATIOAJS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Lncation DpScrintion
I JArt. t Sec.
I
Remarks: BP #21097 -CO Z-21197 FOR REPAIRS
Inspected by: GAR Date of Insp. 11/24/92
Time start end
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