HomeMy WebLinkAbout43676-Z QUFFQ(/r.�G Town of Southold 5/3/2019
o� P.O.Box 1179
a' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40357 Date: 5/3/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 490 N Sea Dr, Southold
SCTM#: 473889 See/Block/Lot: 54.-5-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/25/2019 pursuant to which Building Permit No. 43676 dated 4/25/2019
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:
200 AMP SERVICE UPGRADE.NEW PANEL AND GROUNDING
The certificate is issued to Demos,George
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
SUFeoc,r, TOWN OF SOUTHOLD
a�o�° cOGy BUILDING DEPARTMENT
a 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#: 43676 Date: 4/25/2019
Permission is hereby granted to:
Demos, George
10 04 149th St
Whitestone, NY 11357
To: 200a overhead electrical service reconnection.
At premises located at:
490 N Sea Dr, Southold
SCTM # 473889
Sec/Block/Lot# 54.-5-17
Pursuant to application dated 4/25/2019 and approved by the Building Inspector.
To expire on 10/24/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
i
Building Inspector
pF SO�j�®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ® • �® roger.richertt town.southold.ny.us
Com
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: George Demos
Address: 490 N Sea Drive City: Southold St: New York Zip. 11971
Budding Permit#: 43676 Section. 54 Block: 5 Lot. 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pickney Electric License No: 3745-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a 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 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a service upgrade, new panel and grounding
Notes
Inspector Signature: Date: May 12019
81-Cert Electrical Compliance Form.xls
OF So(/l�°�
# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION Le
[ ] 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:
&, oL
DATE S / INSPECTOR�?
fF�1BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD . --_
= Town Hall Annex- 54375 Main Road -gqpD ox.1179 19
oy�01 Southold; New York 11971-C 96 - y
Telephone (631) 765-1802 - FAX{6 ) 76522 5 2019 +v..
'roger:06hertnaouthold'.'riy.us
_
APPLICATION FOR ELECTRICAL INSPECTION .� .- Y .}P 1
A
REQUESTED BY: 1 C T o�1 _ 1�1 C,1�1J E`� Date: 041 t°I
-- - -- - -- -
Company Name: plc-,- N F L C, �I-eTIUG -
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No.: 3"I ��' -- "email: Fic, Vi�tk�i R+L c W � , Aa-
License - -
Address: ALLEA 40 `Ae-1vv vC,0vVLC_ N y - 1173 _ -
Phone No.: cell
JOB SITE INFORMATION: (All Information Required)
Name: �r' Q,orke,
Address: q0 _0 a--ni Y&,k b K- So 4-r ko4 r�M �I�t71
Cross Street: =
Phone No.: 341 -IS1 - 013
-
Bldg.Permit#: ��p1_� _ __ -- email; LA
Fax Map District: 1000 Section: 57 Block:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) SUN,uj wCLNJD
o 46
Circle All That Apply:
Is job ready for inspection?: YE' / NO Rough In Final
Do you need a Temp Certificate?: E NO Issued On
Temp Information: (All information required)
SelviceZlze 1 Ph 3 Ph Size: _A #Meters Old Meter#
New Service- Fire Reconnect- Flood ReconnectServiceReconnects Underground Over
]#=Underground Laterals__1 2 H Frame Pole Work-done on Service? Y N___
Additional Information:
PAYMENT_DUE WITH APPLICATION
82-Request for Inspedon FaffnAs Y ��