HomeMy WebLinkAbout50047-Z �O�oS�EF01t Town of Southold 11/27/2023
a y� P.O.Box 1179
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* �.�� 53095 Main Rd
Gy?jo� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44776 Date: 11/27/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1245 Boisseau Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 63.-2-7.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/20/2023 pursuant to which Building Permit No. 50047 dated 11/20/2023
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 overhead electric service.
The certificate is issued to Naleski,David&Rosabelle
of the aforesaid building.
i
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50047 11/27/2023
PLUMBERS CERTIFICATION DATED
Authonzed Signature
�SUFFot��o, TOWN OF SOUTHOLD
moo. BUILDING DEPARTMENT
y �� TOWN CLERK'S OFFICE
o1 • o� SOUTHOLD, NY
Hof �a s
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#: 50047 Date: 11/20/2023
Permission is hereby granted to:
Naleski, David
1245 Boisseau Ave
Southold, NY 11971
To: 200 amp overhead electric service
At premises located at:
1245 Boisseau Ave, Southold
SCTM #473889
Sec/Block/Lot# 63.-2-7.2
Pursuant to application dated 11/20/2023 and approved by the Building Inspector.
To expire on 6/21/2026.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
pf SOUr�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 � a� Jamesh southoldtownny.gov
couff I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: David Naleski
Address: 1245 Boissea Ave city:Southold st: New York zip: 11971
Building Permit#: 50047 Section: 63 Block: 2 Lot: 7.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Custom Lighting Electrician: Benjamin Dorski License No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a 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: 1 200amp main panel 40space 24 used
Notes:
200AMP SERVICE
Inspector Signature: Date: November 27, 2023
1245 boisseau ave
OFsouyO� VI CJ l7 /a T5 6o fsse,a_Q Je
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou 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) [A ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE e�.� INSPECTOR
BUILDING DEPARTMENT-Electrical Inspector
® TOWN OF SOUTHOLD
4 Town Hall Annex-54375 Main Road-PO Box 1179,-Southold, NY 11971-0959
Telephone (631) 765-1802
`�=zzucL= Temporary Certificate # I 5&f L Date j �o0- 2023
Customer Name Ni VI° g e l Electrician Name gnap,771'�7 5
Address /2 9j &sjj5.5,-GG" k/P, S i�1 Phone 1,P31 0? D - V-5
e-mail rnAk- e-mail C L,0S SI-7O at e)f,
Phone q License# 3
Size_,2%U A Phase Overhead Underground #of Meters /
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/ 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 verification is va' 90 the date a ve.
c
Authorized by
------
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NOV 2 0 2023
BUILDING DEPARTMENT-Electrical ns ector
TOWN OF SOUTHOLD
I�ufl�lno�eg�a�r:�eret
.: Town Hall Annex-54375 Main Road - PO B441aicalct
Southold, New York 11971-0959
Telephone (631) 765-1802,- FAX.(631)765-9502
rogerrt�southoldtownny.aov seandCa)southoldtownny.�
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AII'Information Required) Date:
Company Name: Custom Lighting of Suffolk Inc
Electrician's Name: Benjamin DorosId
License No.: 38893-FAE Elec. email:CLOS5170(Igimalcom .
Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: David Naleski
Address: 124 Boisseau Ave Southold NY 11971
Cross Street: Hummel
Phone No.: 631765-8224 or 6316445429
Bldg.Permit#: email:Rosenaleski21 @gmail.com
Tax Map District: 1000 Section: Block: 1-9 Lot: -7
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
200 AMP Overhead Service. There were (2) Meters, removed one meter to create
a single meter home
'Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑NO ❑Rough In ® Final
Do you need a Temp Certificate?: YES NO Issued On 41 (7,2z,
Ternp Infoernation: (All information required)
Service SizeR11 Ph F-13 Ph Size: 200 A # Meters 1, Old Meter# 98311864
®New Service®Fire ReconnectOFlood Reconnect✓Service Reconnect OUnderground R]Overhead
# Underground Laterals 1 R2 D H Frame D Pole Work done on Service? F1 Y te N
Additional information:
PAYMENT DUE WITH APPLICATION
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BUILDING,DEPARTMENT-ElectricaI orw 2 0 2023
TOWN OF SOUTHOLD Building Department
Town Hall Annex-54375 Main Road - PO Be Q9 Southold
Southold, New York 11971-0959
Telephone (631)765-1802- FAX(631) 765-9502'
.: , ..... rogerrO-southoldtownnyraov-•seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Aliinformation Required) Date:
Company Name: Custom Lighting of Suffolk Inc
Electrician's Name: Benjamin Dorosid
License No.: 38893-ME Elec.email:CL0851711!�alloom
Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance
Elec.Address.:PO Box 1698 Mattituck NY 11952
JOB.SITE INFORMATION (All Information Required)
Name:. David Naleski
Address: .124.�8oisseau Ave,.Southold.NY 11971.
Cross Street:"Hummel
Phone No.: 631765-8224 or 6316445429
Bldg.Permit M email:Rosenaleski21 @gmail.com
Tax Map:District: 1000 Section: 7j Block: Lot: .
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): .:
200 AMP Overhead Service. There were (2) Meters, removed one meter to create
a single meter home
Square Footage.
'Circle All That Apply:
Is job ready for inspection?: YES❑NO 0 Rough In E] Final
Do you need a Temp Certificate?: ❑� YES❑NO Issued On /1)�4
Temp Information: ,: (All information required)
Service Size�1 Ph03 Ph Size: 200 A #Meters 1 Old Meter#.98311864
O New ServiceOFire Reconnect[]Flood Reconnect✓Service Reconnect OUnderground ✓D erhead
# Underground Laterals 1 2 M H Frame F1 Pole Work done on Service? Fly ✓N
Additional Information:
PAYMENT DUE WITH APPLICATION
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