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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 ol � 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 0 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, tC- 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 C,--0 �&bj'D