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Home My WebLink About45361-Z �gjjF OFOF (,�, �oti0 C�G�.s Town of Southold 11/24/2020 P.O.Box 1179 o ! 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41631 Date: 11/24/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 220 Cottage Pl., Southold SCTM#: 473889 Sec/Block/Lot: 62.-3-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/21/2020 pursuant to which Building Permit No. 45361 dated 10/21/2020 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: 200A overhead electric service. The certificate is issued to Leshko,Jurij&Svorak,Nadia J of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41631 10/28/2020 PLUMBERS CERTIFICATION DATED Authorized ignature TOWN OF SOUTHOLD , SUFFat,�� 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#: 45361 Date: 10/21/2020 Permission is hereby granted to: Leshko, Jurij 151 E Church St Bergenfield, NJ 07621 To: 200A overhead electric service. At premises located at: - 220 Cottage PI., Southold SCTM #473889 Sec/Block/Lot# 62.-3-14 Pursuant to application dated 10/21/2020 and approved by the Building Inspector. To expire on 4/22/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Ins SObTy°� L> # # TOWN OF SOUTHOLD BUILDING D - °`ycourm 765.1802 - INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] "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: U DATE INSPECTOR v, ®��oF soUl�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G sean.devlint�town.southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jurij Leshko Address: 220 Cottage PI city:Southold st: NY zip: 11971 Building Permit# 45361 Section. 62 Block. 3 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No- 38893ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer RecptEmergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 42 Circuit Panel Notes* New 200A Service Inspector Signature: Date: October 28, 2020 S.Devlin-Cert Electrical Compliance Form.xls ---- --- ---- ----------------- - -- a 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)765-9502 Temporary Certificate # O Date 2020 Customer Name Electrician Name Q Address- a Phone 1- - e-mail e-mail r,16,_5517 0 K) Phone License# 3 q Size,__*91 CO A Phase Overhead Underground #of Meters � Remarks #of Underground Lateraisl 1 2 New "H" Frame or Pole 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 verification is val' or 0 ays t�datee. Authorized by i BUILDING DEPARTMENT-Electrical Inspector X @';; TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 a _ Southold; New York,11971-0959 a v. . Telephone (631) 765-1802 - FAX (631) 765-9502 southoldtownri – sea sou#holdtawnn , o ro err . ov v APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN I ORMATION (Ail Information Required) Data✓': Company Name: (� Name• o License No.: _ email: Address Phone No.: - 3 JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: _ Bldg.Permit#: 1/ 15 3Lo email, Tax Map-District: 1000 Section:- 6 Block: 3 Lot: 1, RIFF DESCRIPTION OF WORK (Please Print Clearly) � —arme. Circle All That Apply: Is job ready for inspection?: CRDNO Rough In Final % Do you need a Temp Certificate?: YES 110 Issued On Temp Information' (All information required) Service Si e 1 Ph3 Ph Size:o2 CSO A #Meters _ Old,Meter#. New Service- Fire Reconnect- Flood Reconnect Service Reconnecte Underground verhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls