HomeMy WebLinkAbout44294-Z �4�OS�F Town of Southold 11/9/2019
. P.O.Box 1179
CD
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40844 Date: 11/12/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 19105 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 51.4-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/15/2019 pursuant to which Building Permit No. 44294 dated 10/15/2019
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:
200a overhead electrical service.
The certificate is issued to Serpanos,Andreas&Yula
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44294 11/4/2019
PLUMBERS CERTIFICATION DATED 42
Aut orized Signature
oF sovey®�
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ® iQ sean.devlin(aD-town.southold.ny.us
�ycoUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To* Andreas Serpanos
Address- 19105 Soundview Ave city,Southold st: NY zip: 11971
Building Permit#• 44294 Section 51 Block- 1 Lot 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Bri-Co Electric Inc License No: 33720-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 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 Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment. Meterpan, 54 Circuit Panel- 34 Circuits Used
Notes* New Service
Inspector Signature: C Date:
November 4, 2019
S.Devlin-Cert Electrical Compliance Form(1)As
o�gU�nt��oTOWN OF SOUTHOLD
Gy BUILDING DEPARTMENT
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#: 44294 Date: 10/15/2019
Permission is hereby granted to:
Serpanos, Andreas &Yula
26 Bayview Ave
Douglaston, NY 11368
To: electric
At premises located at:
19105 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 51.-1-17
Pursuant to application dated 10/15/2019 and approved by the Building Inspector.
To expire on 4/15/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
i � � E��ri• "'_ BUILDING DEPARTMENT Electrical Inspector
Z ` ; TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179. "
-J Southold New York 11971=0959- ;
Telephone (631) 765-1802 - FAX (631)765-9502 -
'.rogerr@southoldtownny.gdv"- seand&souttfoldtownnVgov, `
APPLICATION-FOR'ELECTRICAL.INSPECTION
ELECTRICIAN INFORMATION (All,information Required) bate:,- \:'C)
'��.�?` -
Company Name: , ;
j Name:
I License No.: -7�� email. ; .L a .fin
Address: O Oz�) . - ,, �Q
-Phone No.: 't� -
JOB SITE INFORMATION (All Information Required) -
I
Name: , ns
Address:
4I Cross Street: �,�
I Phone No.:
Bldg.Permit#: email: oS C
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply: �--�
Is job ready for inspection?: ' YES NO 'Rough In', Final-
Do you need a Temp Certificate?: YE NO Issued On
Temp Information' (All information required)
Service Si e.1 3 Ph Size: A #Meters�_ Old Meter#
need
New Service- Fire Reconnect-Flood Reconnect-Service Reconnected-Underground e.--5 ver
# Underground Laterals 1 2 H Frame Pole Work done on ServicN
e.
Additional Information: ��,� �y c'��, ��°► -°— ' �-�a J
PAYMENT ®UE V41iThI APPLICATION
G-
Request for inspectkn Formals