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