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 �
,,`