HomeMy WebLinkAbout45674-Z Town of Southold 2/27/2021
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P.O.Box 1179
o 53095 Main Rd
41, � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41846 Date: 2/27/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 320 Lakeview Terrace, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-9-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/13/2021 pursuant to which Building Permit No. 45674 dated 1/13/2021
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:
electric connection to hydro-action wastewater treatment system.
The certificate is issued to Boziotis,Basil&Lioreisis, Sofia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45674 1/15/2021
PLUMBERS CERTIFICATION DATED
c_
Authorized Signature
AcG TOWN OF SOUTHOLD
BUILDING DEPARTMENT
co TOWN CLERK'S OFFICE
y • 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#: 45674 Date: 1/13/2021
Permission is hereby granted to:
Boziotis, Basil & Lioreisis, Sofia
PO BOX 179
East Marion, NY 11939
To: electric connection to hydro-action wastewater treatment system.
At premises located at:
320 Lakeview Terrace, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-9-13
Pursuant to application dated 1/13/2021 and approved by the Building Inspector.
To expire on 7/15/2022.
Fees:
E-EFC, $85.00
Total: $85.00
Building Inspector
qf so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(a)-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Basil BOzlotis
Address- 320 Lakeview Terrace city.East Marion st: NY zip: 11939
Building Permit# 45674 section 31 Block: 9 Lot 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Hubbard Electric License No: 4709ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X 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 A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X 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 Hydro Action Septic System w/ Disconnect and Leaching Fields
Notes New Septic
Inspector Signature: CEa Date: January 15, 2021
S. Devlin-Cert Electrical Compliance Form.xls
OE souTyD� q5674
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# # TOWN OF SOUTHOLD BUILDING DEPT.
°`�rou►m '�� 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] '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:
Off/
DATE I INSPECTOR
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BUILDING DEPARTMENT-Electrical Inspector
1 2021 TOWN OF SOUTHOLD
® s Town Hall Annex-54375 Main Road-PO Box 1179
Southold, New York 11971-0959
44 Telephone(631)765-1802-FAX(631)765-9502
rogerr(c)-sobtholdtownny.-gov - sea nd(cD-southoldtown ny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Afl Information Required) Date- '
Company Name: �L )",d E164riC LLC
Name: fr-�
I-icenseNo.: -ft)e -Ljj0C[ email: 6)b�nrkelfrlh-c QLcohne-OA
Phone No: -,S Q I request an email copy of Certificate of Compliance
Address.: )h�-rA Ld ELL 2�Lrf-heCjt� Z;�L 1 ) 901
JOB SITE INFORMATION (All Information Required)
Name: i 1 t
Address:
n I-nY 'e -Er
)&-%)I -( , , - -mce , 625± OaGdC�n A-)Y 1 J!339
Cross Street
Phone No.:
Bldg.Permit#7- email:
I Tax Map District: 1000 Section: 31 Block: q cot
BRIEF DESCRIPTION OF WORK (PI se Print Clearly)
f�uLino 7igou:Es L21elxul )-eockl`na DC-0i.
Circle All That Apply:
Is job ready for inspection?: kE7S)l NO Rough In Cinal)
Do you need a Temp Certificate?: YES issued On
Temp Information: (All information required)
Service Size I Ph 3 Ph Size: A #Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground- Overhead
1#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICA710N