HomeMy WebLinkAbout45714-Z Town of Southold 2/25/2021
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-A P.O.Box 1179
�- 53095 Main Rd
X4,1 0� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41833 Date: 2/25/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1600 Sigsbee Rd, Laurel
SCTM#: 473889 Sec/Block/Lot: 144.4-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/19/2021 pursuant to which Building Permit No. 45714 dated 1/23/2021
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 upgrade.
The certificate is issued to Marinis,Daniel&Kristen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45714 1/28/2021
PLUMBERS CERTIFICATION DATED
Authorized ignature
TOWN OF SOUTHOLD
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#: 45714 Date: 1/23/2021
Permission is hereby granted to:
Marinis, Daniel & Kristen
340 W 19th St Apt 10
New York, NY 10011
To: 200a overhead electric service upgrade.
At premises located at:
1600 Sigsbee Rd, Laurel
SCTM # 473889
Sec/Block/Lot# 144.-1-9
Pursuant to application dated 1/19/2021 and approved by the Building Inspector.
To expire on 7/25/2022.
Fees:
ELECTRIC $85.00
Tota $85.00
Building Inspector
OF SOUPS,®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �� Sean.devlinCa)-town.Southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Daniel Marinis
Address: 1600 Sigsbee Rd city Laurel st. NY zip: 11948
Building Permit#: 45714 Section 144 Block: 1 Lot- 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Nicholas Kerzner Electric License No: 42972ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey 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 Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 42 Circuit Panel
Notes: New Service
Inspector Signature: Date: January 28, 2021
S.Deviin-Cert Electrical Compliance Form.xls
# TOWN.OF SOUTHOLD BUILDING DEPT.
°`y�ou►mN�'' 765-1802
}
I'N
SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE--& CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE L. INSPECTOR
BUILDING DEPARTMENT-Electrical Inspector
C3 TOWN OF SOUTHOLD
co Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�'y.JjO� Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate # P_,b 0- Date _f Z7 2021
Customer NameN s Electrician Name Nl
Address ��� Phone O`1
e-mail e-mail fir/ C eT e0117
Phone License# L ,Z
Size (�O A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 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 valid for 90 days from th ate above.
Authorized by .�
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD JAN 1 9 2021
� Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
01 Telephone (631) 765-1802 - FAX (631) 765-9502 ;--,
rogerro_southoldtownny.gov - seandO-southoldtownny.-gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name:
Name:
License No.:
./14F - qemail:
_nk 29
Phone No: request an email copy of Certificate of Compliance
Address.:
...........
JOB SITE INFORMATION (All information Required)
Name: it l' v aha&5
Address: &)t)o
Cross Street:
94 f UA -
Phone No.: -se-0-
Bldg.Permit#: 5-11 q email:
Tax Map District: 1000 Section: —)4L( Block: I
BRIEF DESCRIPTION OF WORK (Please Print Clearly) fin` G11
VV
Check All That Apply:
'Is job ready for inspection?: P]YES EJN0 DRough In E]Final
Do you need a Temp Certificate?: -) YES FlNO issued On
Temp Information: (All information required)
Service Size P1 Ph F]3 Ph Size: 2QD A # Meters Old Meter#
I F]New Service ❑ Service Reconnect E] Underground 9 Overhead
# Underground Laterals E]l [:]2 []H FrameElpoie Work done on Service?... Ely _ON
Additional Information: &&uE;-1fD A-P
A4 DMA 4
PAYMENT DUE WITH APPLICATION
V
Electrical Inspection Form 2020.xlsx