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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 \ Electrical Inspection Form 2020 xlsx ^�j f l�"