HomeMy WebLinkAbout43606-Z ��o�g11FF�(�tpGr Town of Southold 4/18/2019
P.O.Box 1179
:501!^ nx, 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40339 Date: 4/18/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3657 Rocky Point Rd, East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-6-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/2/2019 pursuant to which Building Permit No. 43606 dated 4/2/2019
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:
TEMPORARY ELECTRIC INSTALLATION FOR WATER DAMAGE AREAS OF HOUSE
The certificate is issued to Stamatis,William&Susan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43606 04-11-2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
o�5v�1��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Wo . 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#: 43606 Date: 4/2/2019
Permission is hereby granted to:
Stamatis, William & Susan
3657 Rocky Point Rd
East Marion, NY 11939 '
To: temporary electric after water damage & 8 quad GFI outlets, 1 switch and 4 lights.
At premises located at:
3657 Rocky Point Rd, East Marion
SCTM # 473889
Sec/Block/Lot# 21.-6-6
Pursuant to application dated 4/2/2019 and approved by the Building Inspector.
To expire on 10/1/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 G ®C
Southold,NY 11971-0959 �'® ® �® roger.riche rt()-town.southoId.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stamatis
Address: 3657 Rocky Point Road City: East Marion St: New York Zip: 11939
Building Permit#• 43606 Section- 21 Block- 6 Lot, 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Allways Electric License No: 4062-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS Ll
Other Equipment- Install temporary electric for repairs in water damaged areas of house, to include,
8-GFCI protected recpticles 1-switc,4-lights
Notes.
Inspector Signature: Date: April 112019
81-Cert Electrical Compliance Form.xls
�o�aOF SOUTyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
• .ao
coum, 765-1802
-INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG., /
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ], ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
- 07-30-10; 12: 27 6660479 # 1/ 2
Town Hall Annex Tcicphonc(631)765-1302
54375 Main Road x(631),1$ g54
P.O.Box 1179 k roer.ri OUVrI;SCrUttliCt�i�:nY 7_
Soudiold,MY 11971.0959 ' ��� L=e`:- L-i u '
Own �
APR 1 2019 "
BUILDING DEPARI'MBN1'
TOWN OF SOLT HOLD
APPLICATION FOR ELECTRICAL INSPECTION" "°" ° ``'"•, 'rD
REQUESTED BY: `- - -- -" Date:
Company Name:
.A
Name:
License No.: L
Address: d-V D o®c-a D0- r S l
Phone No.: 6- p Lf-7:2
JOBSITE INFORMATION: (*Indicates required information)
"Name: �TepVM1pm
*Address:
*Cross Street:
*Phone No.. —1XiVe,
Permit No.: ,p(® —
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: ES / NO Rough In Final
*Do you need a Temp Certificate: YES /&
Temp Information (If needed)
'Service Size: 1 Phase Whase 100 150 200 300 350 400 Other
*New Service: Re--connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
t
82-Request for Inspection Form
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