HomeMy WebLinkAbout47509-Z SUFfo TOWN OF SOUTHOLD
����y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o5+ 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#: 47509 Date: 2/28/2022
Permission is hereby granted to:
Kontothanassis M Irr Trt
c/o Denise Gounaris
5 East Gate Dr
Mount Sinai, NY 117661703
To: electric for shed
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At premises located at: `-'`e
3190 The Long Way, East Marion
SCTM # 473889
Sec/Block/Lot# 30.-2-112
Pursuant to application dated 2/28/2022 and approved by the Building Inspector.
To expire on 8/3012023.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
pF SOUlyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.deviin(&-town.southold.ny.us
Southold,NY 11971-0959 QIyCOU(�+��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kontothanassis M Irr Trt
Address: 3190 The Long Way city:East Marion st: NY zip: 11939
Building Permit#: 47509 Section: 30 Block: 2 Lot: 112
WAI EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: WElectric License No: 4099ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commeri 1 O o r X 1st Floor X Pool House X
New X e vatio 2nd Floor Hot Tub
Addition S,rvey X Attic Garage
INVENT Y
Service 1 ph eat Duplec R c Ceiling Fixtures Bath Exhaust Fan 1
Service 3 ph of Water GFCI c t 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Singi cpt ecessed Fixtures 5 CO2 Detectors
Sub Panel A/C Blower Ra Recpt eiling Fan Combo Smoke/CO 1
Transformer UC Lights D r Recpt Emergency Fixtures Time Clocks
Disconnect Switches 5 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Pool House 7 Shed
Inspector Signature: Date: April 7, 2022
S.Devlin-Cert Electrical Compliance Form
pF SOUlyolo
# TOWN OF SOUTHOLD BUILDING DEl .
765-1802
I"NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND'- [ J-INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) j ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PREToz
REMARKS:-
a r is- aollu,
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DATE Y1712, INSPECTOR
VIFF01/t G BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
cam` ' Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cDsoutholdtownny.gov - seand(a-Dsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: c{p q t Elec. email: -E� Q O a Tov� (; -vte
Elec. Phone No: 51 . 9c3 --Cq q I request an email copy of Certificate of Compliance
Elec. Address.: 1\1 Y (qc��
JOB SITE INFORMATION (Ail information Required)
Name: u t C ou 6 Ga Vt,r,o-r j
Address: - 'T L� tis S tN1 ,-(
Cross Street:
Phone No.:
Bldg.Permit email: (t5-0 ( 69 OQ42A 4.,,—,-L+
Tax Map District: 1000 Section: Block: 2 Lot: I( L
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
::4rASquare Footage: 0 O
Circle All That Apply:
Is job ready for inspection?: YES [] NO -]Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches *�
Outlets
GFI's f
Surface
Sconces 1
H H's
UC Lts
Fans Fridge HW
Exhaust ` Oven W/D
Smokes 1 DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC All-I Hood, Service
Amps Have Used
Special:
Comments.
o�OS�F..FOL�-�oG BUILDING DEPARTMENT- Electrical Inspector
� y
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
CA
Southold, New York 11971-0959
.1hp��. Telephone (631) 765-1802 - FAX (631) 765-9502
ro-gerr(-)southoldtownny.gov - seand(@.southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Au information Required) Date:
Company Name: FM
Electrician's Name: v- l Mo(a,-,
License No.: c f p q I -Me Elec. email: o -IbA (;V-z ,VU-
Elec.
Elec. Phone No:,z�l 9o3 -L g ❑I request an email copy of Certificate of Compliance
Elec. Address.: 4s3 �Fo nJ It q 0 r
JOB SITE INFORMATION (All Information Required) pp
Name: � u , N t dv17 cub G-oIAn,Pur)
Address: ": L) Lo L.S S-- IN C, /j`� 1 q31
Cross Street: 41-e
Phone No.: - (R
Bldg.Permit#: 4-)G 0 email: t04 (tC o -F
Tax Map District: 1000 Section: o Block: 2 Lot: I I.2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
S-�VrA e 4-t"ol Square Footage: lo O
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
F]New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame D Pole Work done on Service? Y DN
Additional Information:
PAYMENT DUE WITH APPLICATION
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