HomeMy WebLinkAbout46252-Z o�OS�FFat/r-00, Town of Southold 9/19/2021
-` P.O.Box 1179
o - 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42349 Date: 9/19/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 12250 Soundview Ave., Southold
SCTM#: 473889 See/Block/Lot: 54.-7-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/14/2021 pursuant to which Building Permit No. 46252 dated 5/14/2021
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:
200 amp underground electric service.
The certificate is issued to Diaz,Freddie&Ruth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46252 9/2/2021
PLUMBERS CERTIFICATION DATED
Au"teorized Signature
o�S'aFFO�=L� TOWN OF SOUTHOLD
a aye BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�loo . ' 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#: 46252 Date: 5/14/2021
Permission is hereby granted to:
Diaz, Freddie
12250 Soundview Ave
Southold, NY 11971
To: 200A underground electric service.
At premises located at:
12250 Soundview Ave., Southold
SCTM #473889
Sec/Block/Lot# 54.-7-8
Pursuant to application dated 5/14/2021 and approved by the Building Inspector.
To expire on 11/13/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
B ing Inspector
oF so���®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q sean.devlinO-)town.Southold.n us
Southold,NY 11971-0959 W.
Olycom,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Freddie Diaz
Address: 12250 Soundview Ave city.Southold st: NY zip: 11971
Budding Permit#: 46252 Section: 54 Block- 7 Lot: $
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Monaco Electric License No: 31527ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 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 Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel 40 Circuit/29 Used
Notes. New Service
Inspector Signature: Date: September 2, 2021
S.Devlin-Cert Electrical Compliance Form
�o�SufEot,�coG
y� BUILDING DEPARTMENT-Electrical Inspector
N = TOWN OF SOUTHOLD
oy �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
®1 `leo Telephone(631) 765-1802-FAX(631)765-9502
Temporary Certificate # R -76, Date 2021
Customer Name 14 Electrician Name ate. o t i G
Address S CulA+eSo Phone t o
ilb
e-mail e-mail r q,I 2 4.0 J
Phone License# X-
Size A Phase _Overhead Underground #of Meters
Remarks
#of Underground Laterals1 2 New
"H" Frame or Pole 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 valid for 90 days from the date bove.
Authorized by
oF SOOTyolo 252 122s0
# TOWN OF SOUTHOLD BUILDING DESPTm- v� � y
765-1802
INSPECTION
[. ] 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:
DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
'= r rogerr(�southoldtownny.gov - seand(c-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 5/6/2021
Company Name: Monaco Electric
Name: Freddie Diaz
License No.: 31527-ME email: trial224@aol.com
Phone No: 017-741-0820 ❑✓ I request an email copy of Certificate of Compliance
Address.: 12250 Soundview Avenue Southold NY 11971
JOB SITE INFORMATION (All Information Required)
Name: Freddie Diaz
Address: 12250 Soundview Avenue Southold NY 11971
Cross Street: Booth Road
Phone No.: 917-741-0820
Bldg.Permit#: a ail: trial224@aol.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Moving overhead electrical service to underground
Moving overhead electrical service to underground
Moving overhead electrical service to underground
Check All That Apply:
Is job ready for inspection?: DYES ❑✓ NO ❑✓ Rough In ❑Final
Do you need a Temp Certificate?: ✓❑YES ❑NO Issued On 5/6/2021 YYII 5-17-21
Temp Information: (All information required)
Service Size ❑✓ 1 Ph ❑3 Ph Size: 200 A # Meters 1 Old Meter# 1
-❑New Service ❑✓ Service Reconnect Z Underground ❑Overhead
# Underground Laterals ❑1 Q2 QH Frame❑Pole Work done on Service? QY ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
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