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Home My WebLink About50637-Z �4gHFFal�cp . Town of Southold 8/7/2024 boo ay�� P.O.Box 1179 o _ 53095 Main Rd ,, �ap�;± Southold,New,York 11971 xr' CERTIFICATE OF OCCUPANCY No: 45428 Date: 8/7/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 580 Jacobs Ln, Southold SCTM#: 473889 Sec/Block/Lot: 88.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/7/2024 pursuant to which Building Permit No. 50637 dated 5/8/2024 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: 200amp underground electric service The certificate is issued to Sardar-Aflchami,Ahmad A of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50637 7/17/2024 PLUMBERS CERTIFICATION DATED r Authorized Sig re o�SUFFoc,��a TOWN OF SOUTHOLD BUILDING DEPARTMENT y i 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#: 50637 Date: 5/8/2024 Permission is hereby granted to: Zangari, Francesco 279 Nassau Rd Huntington, NY 11743 To: Electrical -Upgrade to 200amp UG Service At premises located at: 580 Jacobs Ln, Southold SCTM #473889 Sec/Block/Lot# 88.-1-9 Pursuant to application dated 5/8/2024 and approved by the Building Inspector. To expire on 1117/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector o��pF SO(/ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Southold,NY 11971-0959 �0 �o sean.devlinCaD-town.southold.ny.us ooum,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ahmad A Sardar-Afkhami Address: 580 Jacobs Ln city:Southold st: NY zip: 11971 Building Permit#: 50637 Section: 88 Block: 1 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X 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 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt -2 -Wall Fixtures Smoke Detectors Main Panel 200A 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: 200A MeterMain Panel 8 Circuit/ 1 Used for Panel GFI, 200A Panel 40 Circuit/ 22 Used Notes: New MeterMain Panel & New Service Panel Inspector Signature: � Date: July 17, 2024 p 9 S.Devlin-Cert Electrical Compliance Form o�s�FFot,(�oG - _� y� BUILDING DEPARTMENT-Electrical Inspector ram„ TOWN OF SOUTHOLD oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate # 1(0 '79 Date 8 20L4 Customer Name e Electrician NameL*1(,blym .� Address LceSok to d Phone 43% -2q 48• 8 e-mail rt e-mail (p 1 0 oev*% Phone 9-11 • 5-1 41 • If-2-to License# E Size_AOd A Phase Overhead Underground L001 #of Meters Remarks #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 verificationnvor':=the date above. Authorized by OF SOUTyO� �V �� ✓�l� � �Gam` � J # * TOWN OF ZOUTHOLD :BUILDING DEPT. °y o rmN�' 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) *" _ LECTRICAL (FINAL) [ ]. CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: v j G DATE 1171V INSPECTOR �� f v BUILDING DEPARTMENT-Electrical.1*h,'S"pector 2024 TOWN OF SOUTHOLD ca , Town Hall Annex- 54375 Main Road - PO Box 117p-, Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765* rogerr(@-southoldtownny.gov- seandCcD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 5/(0 Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email:CLOS5170@gmaii.com Elec. Phone No: 631-298-4588. 211 request an email copy of Certificate of Compliance Elec. Address.:,PO Box 1698 Maftituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Ahmad Sardar-Afkhami Address: 580 Jacobs Lane Cross Street: Main Bayview Phone No.: 917 519 1126 Bldg.Permit#: ,5-0 to 2,,`7 email:ahmad@asardar.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Electric upgrade from 1 OOA to 200A , burying of existing electric/data service Square Footage: Circle All That Apply: �H4-7q Is job ready for inspection?: YES R]NO Rough In Fina Do you need a Temp Certificate?: FV-] YES [] NO issued On Temp Information: ' (All information required) Service Size ' Ph Size: A # Meters Old Meter# El New ServiceD Fire eco 9.60 lood ReconnectE]Service Reconnect D§Jnderground Eloverheadi # Underground Laterals N 1 r-12 MH Frame F] Pole Work done on Service? FJY FIN Additional Information: YW�L- Or PAYMENT DUE WITH APPLICATION 5-/ 8 1�q —� .� 4 /00 Ire c * /5-734-7 5-0Co37 :. BUILDING DEPARTMENT-Electrica 'inspector W Su TOWN OF SOUTHOLD °..r `•.`�. M AY 2024 - 7 l y" >: . Town Hall Annex-54375 Main Road - PO Box 117R. ; » Southold, New York 11971-0959 i •`,.a-. . a Telephone (631) 765-1802 - FAX(631) 7654 2 ' P. ro4errO-southoldtownny.Qov seandO)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: s �y Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email:CLOS5170@gmail.com 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: Ahmad Sardar-Afkhami Address: 580 Jacobs Lane Cross Street: Main Bayview Phone No.: 917 519 1126 Bldg.Permit#: ,5_0 Co 3I email:ahmad@asardar.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Electric upgrade from 100A to 200A , burying of existing electric/data service Square Footage: Circle All That Apply: )(v7� Is job ready for inspection?: YES�✓ NO Rough In Final Do you need a Temp Certificate?: YES❑NO Issued O a �M2,t( Temp Information: (All information required) Service Size 1 Ph❑3 Ph Size: 0 A # Meters Old Meter# El New Service❑Fire econnectOFlood ReconnectElService Reconnecto!Jnderground DOverhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: YW9,1� /AA W k l� � ��g'�te� ��-S�� off' p,4tis-L 4 PAYMENT DUE WITH APPLICATION "� /00 PAP S'v to37