Loading...
HomeMy WebLinkAbout46899-Z o�SFf 1 c TOWN OF SOUTHOLD �a Gym BUILDING DEPARTMENT y g TOWN CLERK'S OFFICE "o Fft� 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#: 46899 Date: 9/29/2021 Permission is hereby granted to: Cavounis, Michael 11 Belleview Ave Port Washington, NY 11050 To: 100 amp temporary electric service. At premises located at: 3475 Wells Rd, Peconic SCTM # 473889 Sec/Block/Lot# 86.-2-9 Pursuant to application dated 9/29/2021 and approved by the Building Inspector. To expire on 3/3112023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector 2593445 �� 1 c� R DIVE _ -- SEP232021 ti Tcmu Ha1I An= Tc4how(GSI)765-18ft ""S Maia Hord (�,� p� P.Q.Bmc 1gq177�9, BU11DIN".a DEPT. A �er.Jia 78Pf WC11 �}10CLnV us - SoudwW.NY 11".9"IN OF soul,J1 L �►�A� '� BLMZING DEPARTMENT • TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �<.�Y C� 0. uo��`" Date: q , � 2o z1 Company Name: Name: i— Ucense No.- Address: y [C V\8e✓5 _ Phone.No.: (� l r 5 3 39 11 JOBSITE INFORMATION: (*Indicates required information} *Name: 'OV n 1 S *Address: 5 c_c ►)I C tl F) 9 5 *Cross street *Phone No.: _ (,?i I "3 5 3 `i ) Permit No.: Tax Map Distrrct: 0 Section:_9(,a Block Lot: *BRIEF DESCRIPTION OF WORK(Please Print Ciearty) 100 ci we 'I e_erp2ra &r %f tr ct (Please Cirds All That Apply) Is job ready for InspeUon: YES!© Rough In Final *Do you need s Temp CerElfrcate: NO' 1 Temp Infomwdon(if needed) *Service SIZE: 1 Phase 3PhM CX5:) 150 200 300 35Q 400 Order *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional information: PAYMENT DUE WITH APPLICATION • Ct C&s 82-ReciL"tar lnoxxftn Form ��O Gym BUILDING DEPARTMENT-Electrical Inspector o TOWN OF SOUTHOLD w • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Gy.1�01 �a0� Telephone(631)765-1802LFAX(631) 765-9502 Temporary Certificate # G°I Date 2021 Customer Name C Rvoun),�— Electrician Name W m fi GAG IC Address ?�L( '7 j //S d 1"eCQ/1 /G Phone �2� s 1 e-mail e-mail Phone License# s7 /ti Size f Go A Phase i Overhead Underground #of Meters Remarks 10aA- -Mmlp sIE��vr #of Underground Laterals 1 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 verification is v ' 90 days 22he date above. Authorized by ----------------- �S11frF4li�co ��O Gym BUILDING DEPARTMENT---Electrical Inspector- c TOWN OF SOUTHOLD oy ! ! Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 •jj01 ��O Telephone(631) 765-180i}FAX(631)765-9502 Temporary Certificate # G% Date q 2021 Customer Name C oll/Pjt)A I J` Electrician Name "_ wete,H fi Le- lC Address r1,L( 7> f cl Tee-.o.,i /G Phone (o!J S q e-mail e-mail Phone License# t4 s7 m Size 1pa A Phase / Overhead Underground #of Meters Remarks Jb0 f� M`� SE�r-V t G-A:: #of Underground Laterals 1 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 verification is vqkd4Qr,,590 days fro he date above. Authorized by ---------------------------------,-------------- U8-16-1b;1J:41. 2593445 �/ 1 0 V SEP 2- 3 2021 Tana Kiffl Anna Ta4hom tau 765-IM SW5 Maia Road r.0-Box 1179 BUILDING DT��. � �er.richerf(a�a v�rilf 7 nv ug - SouhoW,NY 1191@RNT OF SGIJTHOL BUIIZING DEPARThMW TOWN OF SOU17HOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: < Oc��0. 0. wAEJ S, Date: ell) � 20 21 Company Name: Name: U) }- Llcse No.: Address: Phone.No.: 6Z 1 -3 'S 3-39 11 JOBSITE INFORMATION: (*Indicates required infont n) *Name: C1\[ O Lt /1 i *Address: 5 e cc3 n I c. N 11 9l *cross Stream 'Phone No.: - f '`3.� 3 q V Permit No.: Tax IU P' Diskict 1000 89etlon: Bloda. Lot: *BRIEF DESCRIPTION OF WORK(Please Print-cfeariy) .(Please Circle All That Apply) •. *Is job ready liar inspection: YES/© _ Rough In Final *Do you need a Temp Certificate: NO' Term lnformadcm of needed) *Service Size: I Phase Vhase CXj 150 200 300 350 400 Comer `New Service: Re-connect Underground Number of Meters Change of Service ovefiW Additional information: PAYMENT DUE WITH APPLICATION aC&s 82-Requamt for mots Foam