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HomeMy WebLinkAbout45253-Z $dfF t Town of Southold 4�A oG 3/14/2021 P.O.Box 1179 0 , _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41883 Date: 3/14/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1350 Oakwood Dr., Southold SCTM#: 473889 Sec/Block/Lot: 70.-12-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/28/2020 pursuant to which Building Permit No. 45253 dated 9/28/2020 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 underground electric service. The certificate is issued to Katsavos,Anna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45253 3/3/2021 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD ; o�SOFfot,r°OBUILDING DEPARTMENT a TOWN CLERK'S OFFICE oy • �6111 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#: 45253 Date: 9/28/2020 Permission is hereby granted to: Katsavos, Anna 1350 Oakwood Dr Southold, NY 11971 To: 200A underground electric service. At premises located at: 1350 Oakwood Dr., Southold SCII'M # 473889 Sec/Block/Lot# 70.-12-31 Pursuant to application dated 9/28/2020 and approved by the Building Inspector. To expire on _ 3/30/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector 0f SO(/j�®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 ® �® C®UNN BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Katsavos Anna Address: 1350 Oakwood Dr city:Southold st: NY zip: 11971 Building Permit* 45253 Section. 70 Block 12 Lot- 31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Paul Burns Electrical Contr License No. 3897ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Surrey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling 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 FI Pump Other Equipment, 42 Circuit Panel - 21 Used Notes Service Upgrade Inspector Signature: o Date: March 3, 2021 S Devlin-Cert Electrical Compliance Form As * * TOWN OF SOUTHOLD BUILDING-DEPT. 765-1802 E INSP TION C [` ] 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: AIA �(� f✓- `� DATEINSPECTOR ®�®SlafFat��oGy� BUILDING DEPARTMENT-Electrical Inspector ® < TOWN OF SOUTHOLD o ' Town Hall Annex-S437S Main Road-PO Box 1179-Southold, NY 11971-0959 ®yfj01 �a0�� Telephone (631)765-1802-FAX(631)765-9502 Temporary Certificate # Oa&L Date 2020 Customer Name -�5�� Electrician Name Pau Address ()a kW Phone �613 5--`f-735 e-mail e-mail bLl oz olplyn1 Phone License# Size 3DO 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� rj 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 veriticatio 251 or 90 )from the to above. Authorized by D 1,ru�EOL %� BUILDING DEPARTMENT- Elect rica n ectP 2 4 2020 .G5■�O ' TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO ' tl RG Southold New York 11971-095 %ID ' ° Telephone (631) 765-1802 - FAX rogerr@southoldtownny.gov �-,seand0southoldtownny.00v APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date. 9 /21 /20 Company Name: Paul Burns Electrical Contractors Inc Name: Bob Burns License No.: 3897-ME email: pburnsjr@optonline.net Address: PO Box 1061 Southold,NY 11971 Phone No.: 631-365-4735 JOB SITE INFORMATION (All Information Required) Name: Anna Katsavos Address: 1350 Oakwood Drive Southold, NY - Cross Street: North Bayview Phone No.: Bldg.Permit#: rj�,5� email: Tax Map District: 1000, Section: Block: L a Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Underground service / upgrade Circle All That Apply: Is job ready for inspection?: bES !� �NO' Rough In Final Do you need a Temp Certificate?: Issued On•`�n= q'a.0_2_D Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: 200 A # Meters 1 Old Meter# 155-022-251 New Service - Fire Reconnect- Flood Reconnect ervice Reconnected - Unde rou Overhead # Underground LateralL1 2 H Frame Pole Work done on Service? N Additional Information: .PAYMENT DUE WITH APPLICATION Request for Inspection Form.As