HomeMy WebLinkAbout47139-Z �o�OSUPFOI�-01' Town of Southold 11/23/2021
role
P.O.Box 1179
o
0 .� 53095 Main Rd
04, �p� Southold,New York 11971
`10
CERTIFICATE OF OCCUPANCY
No: 42558 Date: 11/23/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1570 Indian Neck Ln,Peconic
SCTM#: 473889 Sec/Block/Lot: 86.4-6.7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/1/1900 pursuant to which Building Permit No. 47139 dated 11/23/2021
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:
300 AMP ELECTRIC METER PAN
The certificate is issued to Kharal,Awais
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47139 11-23-2023
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o�g11FFBI/( TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y _ TOWN CLERK'S OFFICE
o • 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#: 47139 Date: 11/23/2021
Permission is hereby granted to:
Kharal, Awais
515 E 72nd St Apt 31 F
New York, NY 10021
To: Replace 300 amp electric meter pan Replaces BP 42044
At premises located at:
1570 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-4-6.7
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 5/25/2023.
Fees:
ELECTRIC $42.50
Total: $42.50
Building Inspector
z �r TOWN OF SOUTHOLD
SOFFnt��o BUILDING DEPARTMENT
moo
y 2 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#: 40244 Date: 11/5/2015
Permission is hereby granted to:
Kharal, Awais
515 E 72nd St Apt 31 F
New York, NY 10021
To: Electric Service
At premises located at:
1570 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86..-4-6.7
Pursuant to application dated 11/5/2015 and approved by the Building.Inspector.
To expire on 5/6/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
Buildin specto
OF SO(/ryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.richert(a-town.Southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Awais Kharal
Address: 1570 Indian Neck Ln City: Peconic St: New York Zip: 11958
Building Permit#: 47139 Section: 86 Block: 4 Lot: 6.7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 300 Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS 11
Other Equipment: Installed new 300a meter pan to replace damaged one.
Notes:
Inspector Signature: Date: November 23 2021
81-Cert Electrical Compliance Form.xls
oFsouryo6 BUILDING DEPARTMENT
f TOWN OF SOUTHOLD
• �e Town Hall Annex•54375 Main Road•P.O.Box 1179•Southold,NY 11971-0959
l�co u Telephone(631)765-1802•Fax(631)765 502
Date v ,20 1
Number of Meters Temp/o�racry Certificate
Size
3M Phase f J� �"C
Overhead ❑ Underground ❑
New Service ❑ Change of Service ❑ Reconnect isting Service ,
Location 157 U
Issued to &de S
L-
� L y ect 4VWInstalled b
Reference P �
i
Application for electrical service equipment is on file with the Town of Southold.On applicant's notification
that this installation is complete,the town will conduct a premises inspection of the service equipment.
This v '' ion is yal ro7m the above date.
Authorized by
���F SO�jly
Town Hatt Annex ie�hoite(631) C6 102\''/ I'
54375 Main Road y �i
P.O.Box 1179 1 @ r0 erAch wn.sout O .n .us
Southold,NY 11971.4956 NOV 5 2015 I i
B[,DG DEPT.
WaDING DEPARTMENT rOVdl!0� SOUTHOLD
TOWN OF SOLrMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: - F IL
Name: rx >0r'o st-, ;
License No.:
Address: x ms
Phone No.: 1
JOBSITE INFORMATION: (*Indicates required information)
*Name: WA IS A rA.I _ E
*Address: �-1 O `� r►� ,.� JJe u _ (_
*Cross Street:
`Phone No.: (9 31 r{g y (4P y
Permit No.: Lf(� f
Tax-Map District: 1000 Section:- Block: Lot:��
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) 01A
r� As PzrCj
ck )
114A u-1 t-I �� r W A- cQes+0 *44S AV-,4 Ak.Q4tr 4-
(Please Circle All That Apply)
Is job ready for inspection: NO. Rough In Final
*Do-you need a Temp Certificate: ! NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect derground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
I /� I
B2-Request for Inspection Form / f�