HomeMy WebLinkAbout43484-Z �4�SufF Town of Southold 5/18/2019
P.O.Box 1179
0
c T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40394 Date: 5/18/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1350 Aldrich Ln, Laurel
SCTM#: 473889 Sec/Block/Lot: 125.4-2.12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/15/2019 pursuant to which Building Permit No. 43484 dated 2/15/2019
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:
meter pan on"H" frame for 200a service.
The certificate is issued to Aydinian Irry Fam Trust
of the aforesaid building.
1
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43484 5/13/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�sv of l��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o s r 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#: 43484 Date: 2/15/2019
Permission is hereby granted to:
Aydinian Irry Fam Trust
62 Eisenhower Dr
E Quogue, NY 11942
To: Replace electric meter enclosure
At premises located at:
1350 Aldrich Ln, Laurel
SCTM # 473889
Sec/Block/Lot# 125.-1-2.12
Pursuant to application dated 2/15/2019 and approved by the Building Inspector.
To expire on 8/16/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
hz/
Bu' ing Inspector
S®U��®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 e ® �� roper.rich ert(aD-town.southold.ny.us
Southold,NY 11971-0959
c®OM��
BUELDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: George Aydinian
Address: 1350 Aldrich Lane city,Laurel st: New York zip: 11948
Building Permit#: 43484 Section: 125 Block: 1 Lot: 2.12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceding 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 FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Replace Rusted Meter Pan on "H" Frame for 200A Service; per PSEG Request.
Notes:
Inspector Signature: Date: May 13, 2019
0-Cert Electrical Compliance Form.xls
OF 50UlyO�
# * TOWN OF SOUTHOLD BUILDING DEPT:
cou765-1802
INSPECTION - g
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] 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:
lq!PU k/6,12 W9
DATE /3 ! INSPECTOR
UILDING DEPARTMENT- Electrical Inspector
DTOWN OF SOUTHOLD
= Hall Annex - 54375 Main Road - PO Box 1179
'� • FEB 1 5 2019 Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(c�town.southold.ny.us
TOWN OF S®UT0-_LD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: -j
Company Name:
Name:
License No.: 3 3 !(I q— 14 Z,- email:
Address: o �� ^ �✓ L�• !�'r�o� '�
Phone No.: Co 31 - 73Y- -
JOB SITE INFORMATION: (All Information Required)
Name:
Address: /35c> �Al k Z,1
Cross Street:
Phone No.: •
Bldg.Permit#: 4 email:
Tax Map District: 1,000 Section: I � Block: Lot: �� T
BRIEF DESCRIPTION OF WORK(Please Print Clearly) 91f f 16i c e A�_ C/tcl
Circle All That Apply:
Is job ready for inspection?: YES /� Rough In Final
Do you need a Temp Certificate?: 6PNO Issued On
Temp Information' (All information required)
Service Size .1 Ph 3 Ph Size: neo A # Meters Old Meter#
New Service - Fire Reconnect-' Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Fr Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION A
82-Request for Inspection Form.xis
60)_0 FID A l b-e r1124