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HomeMy WebLinkAbout45714-Z Town of Southold 2/25/2021 0 -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