HomeMy WebLinkAbout44003-Z �Su FF oi�r
�o� CdGy, Town of Southold 10/8/2019
P.O.Box 1179
o -
o _ 53095 Main Rd
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40754 Date: 10/8/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 30 Wesland Rd, Southold
SCTM#: 473889 See/Block/Lot: 59.-2-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/22/2019 pursuant to which Building Permit No. 44003 dated 7/22/2019
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 ELECTRIC SERVICE UPGRADE
The certificate is issued to Sfiroudis,Dean
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44003 10-02-2019
PLUMBERS CERTIFICATION DATED
Authoriz ig ature
==r�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a ' TOWN CLERK'S OFFICE
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#: 44003 Date: 7/22/2019
Permission is hereby granted to:
Sfiroudis, Dean
166-66 17th Rd
Whitestone, NY 11357
To: Electric Service
At premises located at:
30 Wesland Rd, Southold
SCTM # 473889
Sec/Block/Lot# 59.-2-18
Pursuant to application dated 7/22/2019 and approved by the Building Inspector.
To expire on 1/20/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
B u i d/i (ts vp'ecto r
. pE SO(�ry®l -
Town Hall Annex a ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Dean Sfiroudis
Address: 30 Wesland Rd city,Southold sr NY zip: 11971
Budding Permit#: 44003 Section: 59 Block: 2 Lot- 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Artel Electric License No: 2380-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding 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 Combo SD/CO
Other Equipment:
Notes 200A Main Panel w/a 200A Meter Disconnect. 24 Circuit Panel
Inspector Signature: Date: October 2, 2019
S.Devlin-Cert Electrical Compliance Form.xls
OF SOUI'yo�o 1 12
# TOWN OF SOUTHOLD BUILDING DEPT.
i'ourm,,�'' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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 1011/ INSPECTOR
fDtl' BUILDING DEPARTMENT-Electrical I ctor
TOWN OF SOUTHOLD JUL 2 2 2019
Town Hall Annex - 54375 Main Road - PO Box 1179
�:.• Southold, New York 11971-0959DINC DEP. .,
Telephone (631).765-1802 - FAX (631) 7%,-
roger-,riched tflwn.6out-hold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date.-
Company
ate:Company Name:
Name:
License No.: email:
Address:
Phone No :
JOB SITE INFORMATION: (All Information Required)
Name: r 1:f g of/ p'i-vccgi�'
Address:
Cross Street:
Phone No.: --
email:
Tax Map District: 1000 Section: Block: off- Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
rCe if—
Circle All That Apply:
Is job ready for inspection?: YES / Rough In Final
Do you need a Temp Certificate?: CYE7Y NO Issued On
Temp Informatiozoo
_ ] information required)
Service Size ;Zv Size: OO A #Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected -UndergroundOverhead
,-#,Underground Laterals_ 1 2 H Frame Pol Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
RILd
82-Request for Inspection Formas ' /