HomeMy WebLinkAbout50495-Z OSUEFO(��, Town of Southold
o� oG 4/26/2024
y� P.O.Box 1179
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53095 Main Rd
W�y�,01 �,aoS Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45147 Date: 4/26/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: ' 1500 Stars Rd,East Marion
SCTM#: 473889 Sec/Block/Lot: 22.4-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/l/2024 pursuant to which Building Permit No. 50495 dated 4/l/2024
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:
electric re-wiring of pool and equipment.
The certificate is issued to Tiliakos,Michael&Katherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50495 4/4/2024
PLUMBERS CERTIFICATION DATED
uthorized Si ature
o�g�FFOI,�cO TOWN OF SOUTHOLD
oy� BUILDING DEPARTMENT
co x TOWN CLERK'S OFFICE
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 #: 50495 Date: 4/1/2024
Permission is hereby granted to:
Tiliakos, Michael
99 Bourndale Rd
Manhasset, NY 11031
To: Electric - Pool Equipment Rewiring for Existing Pool
At premises located at:
1500 Stars Rd,East Marion
SCTM #473889
Sec/Block/Lot# 22.-4-14
Pursuant to application dated 4/1/2024 and approved by the Building Inspector.
To expire on 10/1/2025.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(cDtown.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Michael Tiliakos
Address: 1500 Stars Rd city,East Marion st: NY zip: 11939
Building Permit#: 50495 Section: 22 Block: 4 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Platinum East Electric License No: 34091 ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1 st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO 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: Pool Panel 8 Circuits / 3 Used, Pump 220GFI, Heater, Pool Pilot Salt Generator,
2 Lights 120GFI, Intermatic Time Clock
Notes: " AS BUILT NO VISUAL DEFECTS " POOL
Inspector Signature: Date: April 4, 2024
S. Devlin-Cert Electrical Compliance Form
OF SOUTh°�
# # TOWN 'OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG.
[ ]. FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] 'FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION'
[ ] FIRE RESISTANT CONSTRUCTION [ ], FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) 'KXELECTRICAL (FINAL)
[ ] CODE VIOLATION /[ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
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BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hail Annex- 54375 Main Road - PO Box 1179
Southol", ew York 11971-0959
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Telephone (631)765-1802 - FAX (631)765-9502
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date: q- I-
Company Name: R C OCIR!
Electrician's Name: J�
License No.: ^3 Vol Elec. email: /nvm CaS 1, li00, o.4
Elec. Phone No: 31- 7&9 IV,2 V request An email copy of Certific a of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: e�5
Address: — /pj�. v :f 7-j-1
Cross Street: a t-
Phone No.: &3I- && -o f o
Bldg.Permit#: email: j21&4jjjVMo& 1 v v
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
POOL VUV(PH� - e�LvV�L- -s us
S uare Foota e:
Circle All That Apply:
Is job ready for inspection?: YES❑NO D Rough In Final
Do you need a Temp Certificate?: YES D NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph 73 Ph Size: A #Meters Old Meter#
❑New Service Fire Reconnect[]Rood Reconnect[]Service Reconnect OUnderground DOverhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION I r I I ( A
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