HomeMy WebLinkAbout50201-Z o�SUFFot��o TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y z 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#: 50201 Date: 1/10/2024
Permission is hereby granted to:
Silver Sands Hldgs I LLC
c/o Alexander Perros
19215 Soundview Ave
Southold, NY 11971
To: Electric - 100am UG Service for Swimming Pool. Fee due for swimming
p g g inpection as
well.
IN
1$oo 5Jyf.,rmere—r,,-4 P
o I1�
At premises located at: dI
1t15,fi#e Dr, Greenport QM D
SCTM #473889
Sec/Block/Lot# 47.-2-15 C!S •J
Pursuant to application dated 1/10/2024 and approved by the Building Inspector.
To expire on 7/11/2025.`
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
�o�aOF SOUTyOlo �� OT-'. I
# # 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) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE INSPECTOR---- `-
�osuFFoc,��o�p Gym BUILDING DEPARTMENT-Electrical Inspector
o TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�'y�1j01 �a0�•F Telephone (631)765-1802
'Temporary Certificate # S Date 1 2024
Customer Name S►�lv�j/ �a�in �LC Electrician Name � e
Addresses j� }��. Phone .-/ ag-g
e-mail e-mail W i(C k2 eJeC Y/c.&/ (!V *Aov-ezvvi
Phone License# q7 a3- i
Size 4M 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/N Flood Reconnect
Old Meter#1 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 f y r rri the to a� r
Authorized by ( ''�
r � BUILDING DEPARTMENT-Electrical Inspector
3
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
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APPLICATION FOR ELECTRICAL INSPECTION
F
CIAN INFORMATION (Ali info'natlon Required) Date:y Name: > ," ��� 1 ca �,L-� , �_ -t-'4� ,, -3 L
s Name: �
License No.: Y� Z3-lil,C- Elec. email: Pi, l� e-/4 �l�jr rc �( �44,U c �,
Elec. Phone No: G-2 i -23 e Z9 s ®1 request an email copy of Certificate of Compliance
Elec. Address.: 3 I S' S� �r-.n ti' "7 /
JOB SITE INFORMATION (All Information Required)
Name: S; S- J f A/0/J
Address:
Cross Street: /;!I 1�7
Phone No.: V7. 31 F . e
Bldg.Permit#: A/ A- 5-1)20 email:
Tax Map District: 1000 Section: Q 1 Block: 0- Lot: 1H
7BR�IEF�gDESCRIPTION OF WORK, INCLUDE SQUTE FOOTAGE (Plearse Print Clearly):
} } p O 4 Cr r .� /:ro .� S L� �. 4-6 .)c-r-,t C-L
��a 1
Square Footage:
Circle All That Apply: j h
Is job ready for inspection?: YES❑NO ❑Rough n 1 C8 Final
Do you need a Temp Certificate?: ® YES❑NO Issued On
Temp Inbrmation: (All into at(on required
Service 8ize�1 Ph❑3 Ph ize: 0 a A #Meters l Old Meter#
®New ServiceO Fire Reconnect[]Flood Reconne, aervice ReconnectIffUnderground Doverhead
Underground Laterals 1 H Frame M Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION r
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0## ' BUILDING DEPARTMENT-Electrical Inspector
L 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
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All InIbnatlon Required) Date: 9 Z
Company Name: Lv,, 1 �. `�. , �, c c.•t- 4. c �
Electrician's Name:
License No.: L/-? Z3-m - Elec. email:
Elec. Phone No: G7i1 -7-3 t, 2,9 S- 01 request an email copy of Certificate of Compliance
Elec. Address.: n, D •( - /
JOB SITE INFORMATION (Ali information Required)
Name: 51 = s J f /J C L
Address:Cross Street: 11h91 '\J
Phone No.: V-7- 3 C- , b o 2
BIdg.Permit#: AJ A- email:
ri.�rm
Tax Map District: 1000 Section: Q 1 Block: Lot: /
BRIEF DESCRIPTIOfycx�OF WORK, INCLUDE SQU�RE FOOTAGE (Please Print Clearly):
1
S uare Footage:
Circle All That Apply: In
Is job ready for inspection?: YES NO Rough In 1C'5 .Final
Do you need a Temp Certificate?: ® YES❑NO Issued On
Temp Information: (All information required)
Service Size01 Ph a3 Ph Size: 0 o A #Meters l Old Meter#
®New Service[]Fire Reconnect[]Fiood Reconnect aervice Reconnect Munderground averhead
Underground Laterals[Z 1 f72 n H Frame n Pole Work done on Service? EJ Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION
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