HomeMy WebLinkAbout46571-Z u
o�0`'uFFa4coG Town of Southold 8/19/2021
P.O.Box 1179
o . 53095 Main Rd
y o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42257 Date: 8/19/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 58425 CR 48, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.-2-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/16/2021 pursuant to which Building Permit No. 46571 dated 7/16/2021
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.
The certificate is issued to Bashian,Harry&Haykuhi
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46571 7/21/2021
PLUMBERS CERTIFICATION DATED
Authori zeignature
MIA.- TOWN TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
C* x TOWN CLERK'S OFFICE
"o • 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#: 46571 Date: 7/16/2021
Permission is hereby granted to:
Bashian, Harry
5 Bayview Dr
Plainview, NY 11803
To: install 200a overhead electric service.
At premises located at:
58425 CR 48, Greenport
SCTM #473889
Sec/Block/Lot# 44.-2-15
Pursuant to application dated 7/16/2021 and approved by the Building Inspector.
To expire on 1/15/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
7A—
Building Inspector
f3f so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 � sean.deviinl�town.southold.ny.us
Southold,NY 11971-0959 ;°
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Harry Bashian
Address: 58425 CR 48 city:Greenport st. NY zip: 11944
Building Permit#. 46571 Section- 44 Block 2 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: South Electric License No: 61331 ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures [] Pump
Other Equipment
Notes. New Service
Inspector Signature: Date: July 21, 2021
S.Devlin-Cert Electrical Compliance Form
£
o�aOF SOUTyO i 657/ q; LfLDINd�A' ,
f #
TON OF SOUTHOLD BU G DEPT.
°`ycourm��' 765-1802
I NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH-PLEG.
[ ] 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: � �
I
DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Y, Southold, New York 11971-0959
� Y �T( •_ F,Mus �T,,
. = ,<y Telephone (631) 765-1802 - FAX (631) 765-9502
, � ;_ roger r(absoutholdtownny.gov -- seandpsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Z
Company Name:
Name:
License No.: email:
Phone No: 2 equest an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: ` C-t ` CL
Address: gli ,r--G
Cross Street:
Phone No..
Bldg.Permit#: L}( email:
Tax Map District: 1000 Section: qL1Block: a Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: PIYES ❑NO Rough In ❑Final
Do you need a Temp Certificate?: [R ES ❑NO Issued On
Temp Information: (All information required)
Service Size 191 Ph Ph Size: 3 A # Meters Old Meter#
FINew Service Service Reconnect E] Under round verhead
# Underground Laterals 01 E]2 ❑H Frame ole Work done on Service? Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION 'J
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Electrical Inspection Form 2020.xlsx