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HomeMy WebLinkAbout46724-Z 7" o�S11FFO1,fcoG Town of Southold 8/25/2021 a a P.O.Box 1179 0 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42275 Date: 8/25/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 40495 Route 25,Orient SCTM#: 473889 Sec/Block/Lot: 15.-8-14.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/23/2021 pursuant to which Building Permit No. 46724 dated 8/23/2021 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: 320A underground electric service. The certificate is issued to Thomatos,Irene&Adamantios of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46724 8/23/2021 PLUMBERS CERTIFICATION DATED l Q 1 , Authorized Signature J o�SOFFo TOWN OF SOUTHOLD BUILDING DEPARTMENT C2 x 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#: 46724 Date: 8/23/2021 Permission is hereby granted to: Thomatos, Irene 147-45 Beech Ave Flushing, NY 11355 To: 320A underground electric service. At premises located at: 40495 Route 25, Orient SCTM # 473889 Sec/Block/Lot# 15.-8-14.2 Pursuant to application dated 8/23/2021 and approved by the Building Inspector. To expire on 2/22/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SOU��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® sean.devlin@town.southold.ny.us Southold,NY 11971-0959 �` a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Irene Thomatos Address: 40495 Route 25 city.Orient st: NY zip. 11957 Building Permit#: 46724 Section: 15 Block: 8 Lot: 14.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: DAK Electric License No: 5120ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1 st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel 200X2 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 (2) 40 Circuit Panels Notes. Service Inspector Signature: �./` Date: August 23, 2021 S.Devlin-Cert Electrical Compliance Form G�< BUILDING DEPARTMENT-Electrical Inspector y x TOWN OF SOUTHOLD • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631) 765-1802-FAX(631) 765-9502 Temporary Certificate # 101-Y,6 Date 2021 Customer Name S Electrician Name L Address yGNgS Mei -p o /Phone L `76`1 2.j e-mail e-mail Phone License# E 1,_7cg /"Lf, Size_3,2,�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 va' 90 days from the above. c Authorized by �apE SOUTHO # # TOWN OF SOIITHOLD UILDING DEPT. co 765-1802 INSPECTION , [ ] 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: f DATE 3J7,-i INSPECTOR o�Og�Ff©(�-CDG BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 oZe y Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)southoldtownny.gov — seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: S , 13, Z Company Name:-Q, A , [K. ZC Name: License No.: S Zo email: dow o-Ke I eP Phone No: q 1 01 request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: bene A�at- r/1m- -t dS 7V-Lo ev-t-cA-i- os Address: (lp LJ ,r , Cross Street: PhAne No.: Bldg.Permit R email: m , wl Tax Map District: 1,000 Section: `j Block: 8 Lot: q- �C BRIEF DESCRIPTION OF WORK (Please Print Clearly) n_,- Io .s frNJ i C e -1-a— cJ C)i Vi-!24 Check All That Apply: Is job ready for inspection?: DYES ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: ®YES ONO Issued On .0 Aft .ej 23— 2_] Temp Information: (All information required) Service Size 7y 1 Ph 73 Ph Size: -S0 A # Meters Old Meter# 0 New Service ❑ Service Reconnect ® Underground ❑Overhead # Underground Laterals E]1 02 ❑H Frame ©Pole Work done on Service? Ely ❑N Additional Information: PAYMENT DUE WITH APPLICATION A Electrical Inspection Form 2020.xlsx ��'