HomeMy WebLinkAbout50146-Z FAt Gr Town of Southold 1/4/2024
y� P.O.Box 1179
o _ 53095 Main Rd
4, p r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44817 Date: 1/4/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 430 Grigonis Path, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-3-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/19/2023 pursuant to which Building Permit No. 50146 dated 12/19/2023
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 reconnection due to storm damage.
The certificate is issued to Sikalas Living Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50146 1/2/2024
PLUMBERS CERTIFICATION DATED
Authorized Signature
l
SufFoi�,c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
0y . 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#: 60146 Date: 12/19/2023
Permission is hereby granted to:
Sikalas Living Trust
8 Albergo Ct
Bethpage, NY 11714
To: Electrical - 200amp OH Service Reconnect
At premises located at:
430 Grigonis Path, Southold
SCTM #473889
Sec/Block/Lot# 70.-3-8
Pursuant to application dated 12/19/2023 and approved by the Building Inspector.
To expire on 6/19/2025.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
OF SOUj�ol .
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q Jamesh southoldtownny.gov
Southold,NY 11971-0959 COUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Stylianos Sikalas
Address: 430 Gringonis Path city:Southold st: New York zip: 11971
Building Permit#: 50146 Section: 70 Block: 3 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Peconic Power System: Electrician: Robert License No: ME-45056
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 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 200 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:
Notes:
Inspector Signature: Date: January 2, 2024
430 grigonis path
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# # TOWN OF SOUTHOLD 1304LDING DEPT.
y ouMr,��`' 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: ��kj d C`e
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DATE O 3 INSPECTOR
OGy� BUILDING DEPARTMENT-Electrical Inspector
CDTOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # Dateho_.kar , 2023
Customer Name S j OS S Electrician NameT;
Address (r� o � � of "JA Phone 5A, . / -7/q
e-mail a-mail h Mld✓S ( vy)ad. eem
Phone License"# m 0
Size A Phase I 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 N yLb 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 valid for 90 days fr ate above.
Authorized by
--------------------------------------------,
BUILDING DEPARTMENT- Electrical Inspector
�y TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aD-southoldtownny.gov seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: &CO'AIC,
Electrician's Name: k120 mo)- lslr,,,�
License No.: E_y��-� EIec. email -eC-0N,,C- ® r =A
Elec. Phone No:5( _ g/ _ -7 pq ❑1 request an email opy of Certificate of Compliance
Elec. Address.: d2o ,(, / c -3S
JOB SITE INFORMATION (All Information Required)
Name: -S L I n (I
Address: `'1 p G,r n��S G%P-,_
Cross Street:
Phone No.:
Bldg.Permit#: --t�— 6-1) ! 144/ email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply: IS�l7
Is job ready for inspection?: ITYES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: �ES ❑ NO Issued On
Temp Information: (All information required)
Service Size Kri Ph❑3 Ph Size: 9-00 A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect RrService Reconnect❑Underground�erhead
# Underground Laterals 0 1 2 H Frame D Pole Work done on Service? N
Additional Information:
PAYMENT DUE WITH APPLICATION I l ?aZ(�
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1�Y
SUFf01,� BUILDING DEPARTMENT- Electrical Inspector
yM1 y00 cn TOWN OF SOUTHOLD
1( O L :1
!f Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(�southoldtownny gov — sea nd(cDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date:
Company Name:
Electrician's Name: �-
License No.: ML-- c - Elec. email: �,�,,,` Lxi-�s S (:V ,_..j
Elec. Phone No: ( _ SIT- 7 t q ❑I request an email' opy of Certificate of Compliance
Elec. Address.: a go � � ��f� � / 5S
JOB SITE INFORMATION (All Information Required)
Name:
Address: `1 3C, Gar -� S �� • ��f l �q ? �
Cross Street:
Phone No.:
Bldg.Permit #: -if �'b 14(to email:
Tax Map District: 1000 Section: 7 Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply: 1 -7
Is job ready for inspection?: ITYES 0 NO ❑Rough In Final
Do you need a Temp Certificate?: alyES ❑ NO Issued On
Temp Information: (All information required)
Service Size®1 Ph❑3 Ph Size: 9-o® A # Meters �_ Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect Service Reconnect❑Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? N
Additional Information:
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PAYMENT DUE WITH APPLICATION
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