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Home My WebLink About44405-Z guFFO[ Town of Southold 12/30/2019 P.O.Box 1179 W 53095 Main Rd ,11��j01 ��o ' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40974 Date: 12/30/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2575 Marlene Ln,Laurel SCTM#: 473889 Sec/Block/Lot: 144.-3-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/13/2019 pursuant to which Building Permit No. 44405 dated 11/13/2019 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 UNDERGROUND ELECTRIC SERVICE UPGRADE The certificate is issued to Sopkia,Marilyn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44405 12-09-2019 PLUMBERS CERTIFICATION DATED Authori Signature o�SUFFnt,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 44405 Date: 11/13/2019 Permission is hereby granted to: Sopkia, Marilyn PO BOX 625 Mattituck, NY 11952 To: 200 amp underground service upgrade At premises located at: 2575 Marlene Ln, Laurel SCTM # 473889 Sec/Block/Lot# 144.-3-16 Pursuant to application dated 11/13/2019 and approved by the Building Inspector. To expire on 5/14/2021. -Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector sovey®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q sea n.devlin(a_)town.southold.n us Southold,NY 11971-0959 y' coum BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Marilyn Sopkia Address: 2575 Marlene Ln city.Laurel st: NY zip: 11948 Budding,Permit#. 44405 Section 144 Block 3 Lot: 16 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X 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 Switches Twist Lock Exit Fixtures Combo SD/CO Other Equipment- 42 Circuit Panel- 13 Used Notes. Inspector Signature: Date: December 9, 2019 S Devlin-Cert Electrical Compliance Form.xls �o�SufFoc�.�oG y� BUILDING DEPARTMENT-Electrical Inspector TOWN,OF SOUTHOLD oy • !� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone(631)765-1802-FAX(631)765-9P02 Temporary Certificate Date 2019 Customer Name MA-044W S p p I-f 'GL Electrician Name Cep z ' Address 7S! bay re t Phone 3 3 5 q�L_ e-mail e-mail TG'1'oi E D /7/1YI-e.,/7e Phone License# q/ , E Size 7,DU A Phase Overhead Underground #of Meters Remarks #of Underground Lateralsl 1 2 New "H" Frame or Polel H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a'premises inspection of the service equipment. This verificatio is val' ny: om t ate above. Authorized by OF SOUIyo� `l 1-1101 c s to S�►� e LFiy * TOWN. OF SOUTHOLD BUILDING DEPT. 0 765-1802 NS-PECTI O N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION - [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: e 4 - DATE _ INSPECTOR - �OSUFFO(,f-COBUILDING DEPARTMENT- Electrical Inspector a�0 Gym 1 NOV 1 3 29 TOWN OF SOUTHOLD CM Yown Hall Annex 54375 Main Road - PO Box 1179 co '2 - Southold, New York 11971-0959 'Telephone (631) 765-1802 - FAX (631) 765-9502 0 rogerra_southoldtownny.gov - seand(cr�.southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: License No.: 3 3 q �, cj - /-I L email: j��, ��n Address: p Phone No.: - 299L 3 ' _3 �- 2-- JOB SITE INFORMATION (All Information Required) Name: 1141%f1'1v,1✓1 K'C_ Address: Cross Street: Gr�c Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Prin Clearly) �_b0 MD Circle All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YE / NO Issued On Temp Information: (All information required) Service Siz 1P 3 Ph Size: J-0 0 A # Meters d Meter# New Service - Fire Reconnect - Flood Reconnect - Service Reconnecte - Undergrou - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? N Additional Information: PAYMENT DUE WITH APPLICATION ((�� U � � ff Request for Inspection Form As 1 .