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HomeMy WebLinkAbout49988-Z suF of c` �o�o coGy Town of Southold 11/18/2023 P.O.Box 1179 .� 53095 Main Rd oy o�Fr Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44753 Date: 11/18/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 575 Westview Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 139.-1-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/2/2023 pursuant to which Building Permit No. 49988 dated 11/2/2023 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 Agarabi,Mina of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49988 11/9/2023 PLUMBERS CERTIFICATION DATED Authorized Signature �suFFotK� TOWN OF SOUTHOLD BUILDING DEPARTMENT a 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#: 49988 Date: 11/2/2023 Permission is hereby granted to: Agarabi, Mina PO BOX 101 Mattituck, NY 11952 To: Upgrade 100amp OH Service to New 200amp UG Service At premises located at: 575 Westview Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 139.-1-21 Pursuant to application dated 11/2/2023 and approved by the Building Inspector. To expire on 5/3/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector so�ryo ,moo �o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlina-town.southold.ny.us Southold,NY 11971-0959 COU 'w` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Mina Agarabi Address: 575 Westview Dr city:Mattituck st: NY zip: 11952 Building Permit#: 49988 Section: 139 Block: 1 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Peconic Power Systems License No: 45056ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A 40 Circuit Panel / 19 Used Notes: Service Inspector Signature: 4 Date: November 9, 2023 S.Devlin-Cert Electrical Compliance Form 0F5oGlyolo 57S w v ���✓`' * TOWN F�OUTHOLD 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 �- g�fFD�,�c BUILDING DEPARTMENT-Electrical Inspector o s TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southold NY 11971-0959 Telephone (631)765-1802 �' Temporary Certificate # /5�(o Date NoVQm bc' 1 , 2023 Customer Name Sa,,Q 4 ra4; Electrician Name Address y er) 1).r. M&%I c. Phone G1` . S 9 , -71 q e-mail cr l�lo e-mail �� vs QA W%4.i/. Caro Phone License# m£_ 4 S'OGU Size AOO A Phase Overhead Underground #of Meters r! Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y N Y&S Flood Reconnect Old Meter# 9531 1 q I b 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 days TAom the date above. Authorized by jo uFFO�, �® BUILDING DEPARTMENT- Electrical Inspector ® G TOWN OF SOUTHOLD $ y y Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ' )amesh(a-southoldtownny.gov - seand(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11/2/23 Company Name: Peconic Power Systems Electrician's Name: Robert Stanevich License No.: ME-45056 Elec. email:Peconicpowersys@gmail.com Elec. Phone No: 516-819-7191 ❑I request an email copy of Certificate of Compliance Elec. Address.: PO BOX 512 Cutchogue NY 11935 JOB SITE INFORMATION (All Information Required) Name: Sara Agarabi Address: 575 Westview drive Mattituck NY 11952 Cross Street: Brower Road Phone No.: 516-607-3138 Bldg.Permit#: 4q!q!&6 email:Northforkboats55@gmail.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Upgrade 100 amp overhead service to new underground 200 amp service Square Footage: Circle All That Apply: Is job ready for inspection?: 0 YES❑ NO [ Rough In ❑ Final Do you need a Temp Certificate?: � YES ❑NO Issued On Temp Information: (All information required) Service SizeFv�1 Ph F13 Ph Size: 200 A # Meters 1 Old Meter# 98311916 F1 New Service[-]Fire Reconnect[]Flood Reconnect[-]Service Reconnect❑✓Underground❑Overhead #Underground Laterals R 1 2 D H Frame Pole Work done on Service? ✓ Y ON Additional Information: PAYMENT DUE WITH APPLICATION f ?-I 23 ptzQt toe� VJ. C4� 1p99llir "VfFat�$`? BUILDING DEPARTMENT- Electrical Inspector 14, q� _', TOWN OF SOUTHOLD ti r' Town Hall Annex- 54375 Main Road - PO Box 1179 :t Southold, New York 11971-0959 Telephone_(631) 765-1802 - FAX (631) 765-9502 amesh southoldtownn ov — seand(a)_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11/2/23 Company Name: Peconic Power Systems Electrician's Name: Robert Stanevich License No.: ME-45056 Elec. email:Peconicpowersys@gmail.com Elec. Phone No: 516-819-7191 ❑I request an email copy of Certificate of Compliance Elec. Address.: PO BOX 512 Cutchogue NY 11935 JOB SITE INFORMATION (All Information Required) Name: Sara Agarabi Address: 575 Westview drive Mattituck NY 11952 Cross Street: Brower Road Phone No.: 516-607-3138 Bldg.Permit#: 4qQ!cps email: Northforkboats55@gmail.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Upgrade 100 amp overhead service to new underground 200 amp service Square Footage: Circle All That Apply: Is'job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: 0 YES ❑NO issued On Temp Information: (All information required) Service Size�1 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter# 98311916 ❑New Service[:]Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead # Underground Laterals Z 1 2 H Frame Pole Work done on Service? ✓ Y N Additional Information: PAYMENT DUE WITH APPLICATION V � C � 0S�? Ig' ' / / 2 ��.� f � ,,`