HomeMy WebLinkAbout44990-Z ��:r��
guPFa(qTown of Southold 7/25/2020
P.O.Box 1179
_ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41287 Date: 7/25/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Alpine Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 10.-8-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/13/2020 pursuant to which Building Permit No. 44990 dated 7/16/2020
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:
relocation of 200a overhead electric service.
The certificate is issued to Sochi,Jun&Marjory
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44990 7/23/2020
PLUMBERS CERTIFICATION DATED
0400L- f
Authorized Signature
TOWN OF SOUTHOLD
�os�FFn�,r�Da� BUILDING DEPARTMENT
y g ' 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#: 44990 Date: 7/16/2020
Permission is hereby granted to:
Sochi, Jun
12 E 97th St#9G
New York, NY 10029
To: Relocate 200A overhead electric service.
At premises located at:
Alpine Ave
SCTM #473889
Sec/Block/Lot# 10.-8-9
Pursuant to application dated 7/16/2020 and approved by the Building Inspector.
To expire on 1/15/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richerta-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Sochi
Address: Alpine Ave City: Fishers Island St: New York Zip: 6390
Building Permit#: 44990 Section 10 Block: 8 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BD Electric License No: 35821-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 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 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 TVSS
Other Equipment-
Notes: Re-locate 200a overhead service due to utility company alterations,200a main panel with 200a service disconnect
Inspector Signature: 04_� Date: July 23 2020
81-Cert Electrical Compliance Form.xls
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BUILDING DEPARTMENT-Electrical Inspel-Wr 1 3 2020
CIA
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO _ V §DEPT.
Southold, New York
Telephone (631) 765-1802- FAX 631 765-9502
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APPLICATION FOR ELECTRICAL__IN__SP__ECTION_
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: p___ L- - — -
Name: -- --- -_ --w
-- - License No.: �S ( V►'l email: QJMIPAV - - =
Address:- 0Y- _
Phone No.: 'O ® _
JOB SITE INFORMATION (All Information Required) - -'
Name: Sw, 7,-,
Address: -'-- --- ---- - - -
-
Cross Street:
Phone No.:
Bldg.Permit#: qq o email:
Tax Map District: 1000 -Secton ' _-407 lock: t.-_Lo .,
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BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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Circle All That Apply:
Is job ready for inspection?: YE /-NO Rough In _ - final
Do you need a Temp Certificate?: YES
Issued On
Temp Information: (All information required)
Service Siz 1 P 3 Ph Size: =a-.00A #Meters _ Old Meter#
New Service- Fire Reconnect-Flood Reconnect Servic�Reco�nnecte� Underground - verhea
# Underground Laterals 1 2 H Frame Pole Work done on Service? N
Additional Information: -
PAYMENT DUE 1. 1 H_APPLICATION
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Request for Inspection FormAs
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