HomeMy WebLinkAbout45587-Z �o-SHEFQLKcoG Town of Southold 10/14/2022
y4P.O.Box 1179
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�� 53095 Main Rd
tp Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43478 Date: 10/14/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2470 Rocky Point Rd.,East Marion
SCTM#: 473889 See/Block/Lot: 31.-2-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/21/2020 pursuant to which Building Permit No. 45587 dated 12/21/2020
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:
300A underground electric service.
The certificate is issued to Planzos,Harriet
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45587 9/26/2022
PLUMBERS CERTIFICATION DATED �--�
Authorized Signature
��o�S�FFQ TOWN OF SOUTHOLD
oy BUILDING DEPARTMENT
y -2C 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#: 45587 Date: 12/21/2020
Permission is hereby granted to:
Planzos, Harriet
1582 82nd St
Brooklyn, NY 11228
To: 300A underground electric service.
At premises located at:
2470 Rocky Point Rd., East Marion
SCTM #473889
Sec/Block/Lot# 31.-2-5
Pursuant to application dated 12/21/2020 and approved by the Building Inspector.
To expire on 6/22/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO!/T�QI
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviinCcD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Harriet Planzos
Address: 2470 Rocky Point Rd city:East Marion st: NY zip: 11939
Building Permit#: 45587 section: 31 Block: 2 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Genertaion Green Electric License No: 4483ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Surrey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 150X2 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 ri Switches 4'LED Exit Fixtures 11 Pump
Other Equipment: 300A Service w/2x 150A Panels 30 Circuits
Notes: Service Upgrade
Inspector Signature: 1 Date: September 26, 2022
S.Devlin-Cert Electrical Compliance Form
oSWot't�oG
y� BUILDING DEPARTMENT-electrical Inspector
C= TOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631 765-1802-FAX(631) 765-9502
Temporary Certificate # Date 2020
Customer Name "t" 9 0 Electrician Name
Address Phone Q �f
e-maila-mail P (� 0-
ca
Phone IT License#- I q L/&3 M
Size `3 A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 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 veritication is vali �das the dal bove.
Authorized by
PF P
OFSOuIyO� 4SS 8-7 24-7V -----
# TOWN OF SOUTHOLD BUILDING DEPT.
courmN�'' 631-765-1802
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 [ ] RENTAL
REMARKS:
DATE INSPECTOR
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DEC , 1 8 20203UILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
-. T;77[1 #-:.;:�; Tnwn'°Nall Annex- 54375 Main Road - PO Box 1179
' �: . v. ..... ' Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
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APP.LI:GATI:ON FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 12-- I7-
Company Name: .. ee R
Name:
License No.: email \fe sel 3321 0
.. .:::: ..........
d
Adress: Zr. ... .... . O�rfJ
Phone No.: L4 1:25
JOB SITE INFORMATION (All Information Required)
Name:._.. R-1
_.
Address: _. ..........
Cross Street: e
..........::
Phone No.: - -7
Bldg.Permit#: email:
Tax Ma District:_.`..._...... ........ _
_._...__p 1000_ ... Sectior>... Block: _ Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
U
Circle All That Apply:
Is job ready for inspection?: YES/ NO Rough In Final
Do you need a Temp Certificate?: ES / NO Issued On.f f Qi I'd ....1a:a1-:10
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A #Meters . .__..1 . Old Meter#
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected Undergroun -Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Informatioh:
PAYMENT..D.UE_Wf.TH.APPLICATI.ON
V�
(01
Request for Inspection Form.xls �" ( �
„rf�O�OS�fFOL/��,0 .- - DEC 1 ;BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
lip .)I Southold, New York 11971-0959
4,- ,Do�:;''' Telephone (631) 765-1802 - FAX (631) 765-9502
qtr' rogerr(c�southoldtownn gov- seandCcDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date.- 1 2,-- 17- XZ0
Company Name: (-e -� .0 (\
Name: 1
License No.: L.{
email: f Sel 332-t 0
Address:- 2-6 �' �( __. IJGZ� (v
Phone No.: �
JOB SITE INFORMATION (All Information Required)
Name: S . .Zc s
Address: . C j_, - - R-oa I\ly t1q3q
Cross Street: (\ a �-ee�-
Phone No.: -7 R-7 .
Bldg.Permit#: email:
Tax Map District: 1000 Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) 01ie�heo�
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: EEJS'/ NO Issued On-flY] l lfd
Temp Information: (All information required)
Service Size 1 P� 3 Ph Size: . Z)CL.A # Meters � Old Meter#
New Service - Fire Reconnect- Flood Reconnect - Service Reconnected Undergroun - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION �(
Request for Inspection Formals
PERMIT # Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
1STy
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