HomeMy WebLinkAbout44044-Z Q�gUFFOt,t�� Town of Southold
8/22/2019
P.O.Box 1179
y T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40631 Date: 8/19/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3150 Boisseau Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-6-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/7/2019 pursuant to which Building Permit No. 44044 dated 8/7/2019
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:
30 circuit main panel with ground road and coldwater ground for dwelling and 2 circuit panel in garage.
The certificate is issued to Swiatocha,Wayne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44044 8/16/2019
PLUMBERS CERTIFICATION DATED
I
Authorized Signature
r�'��} TOWN OF SOUTHOLD
FFo�,� BUILDING DEPARTMENT
n TOWN CLERK'S OFFICE
o� • 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#: 44044 Date: 8/7/2019
Permission is hereby granted to:
Swiatochia, Wayne
83-05 98th St Apt 5S ,
Woodhaven, NY 11421
To: Electric Service
At premises located at:
3150 Boisseau Ave, Southold
SCTM # 473889
Sec/Block/Lot# 55.-6-8
Pursuant to application dated 8/7/2019 and approved by the Building Inspector.
To expire on 2/5/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Bui g Inspector
0v SO(/T�ol
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117 G Q sean.devlin(cD-town.southold.n
Southold,NY 119711-0959 .t` � �O y'us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Wayne Swiatochia
Address: 3150 Boisseau Ave city,Southold st: NY zip. 11971
Budding Permit#- 44044 section: 55 Block 6 Lot. $
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pre-CO License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt 3 Ceiling Fixtures I HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel X A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel X A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures 11 Combo SD/CO
Other Equipment 30 Circuit Main Panel with Ground Rod and Coldwater Ground. 2 Circuit Sub Panel it
Garage
Notes
Inspector Signature: ate: August 16, 2019
S. Devlin-Cert Electrical Compliance Form As
pF SOUIyo� L/ � V
# TOWN OF SOUTHOLD BUILDING DEPT.
CO 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).q"v`C
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: TOM-- C-®
DATE INSPECTOR
0/0
BUILDING DEPARTMENT- Electrical Inspector
�O TOWN OF SOUTHOLD _
Town Hall Annex - 54375 Main Roa - } fid 1 r17 ', _? ;
Southold, New York 1197 1 59 i I
p1r� Telephone (631) 765-1802'- FAX 76 50
�I {
1 roger.richertCa�town.southold.ny.usA"0 2019
APPLICATION FOR ELECTRICAL INSPECTIOI7
REQUESTED'BY: Q% ��\ -Date: 7 / -
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: WCtNdG.�OC��
Address: 3i5o tsSeaw Aw. oj0ld tQq jjq�_)
Cross Street: `�
Phone No.: — L45S _b M
Bldg.Permit#: LLQ4 f (6 email: SON 1 Z3 !=` AV9Sl�1.C(Sl�
Tax Map District: 1000 Section: 5`S_ Block: (Q Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) el-ecmca Pe(fir a
-e ec o ('ncI Ih r4wellm ccicikoor
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO 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 Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT.DUE WITH APPLICATION
9Y737
Request for Inspection Formals