HomeMy WebLinkAbout36492-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
6/27/2011
CERTIFICATE OF OCCUPANCY
No: 35024
Date: 6/27/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
780 Rabbit Ln, East Marion,
Sec/Block/Lot: 31.-18-17
Filed Map No.
conforms substantially to the Application for Building perrmt heretofore
6/20/2011 pursuant to which Building Permit No.
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:
Lot No.
filed in this officed dated
36492 dated 6/20/2011
overhead electric service
The certificate is issued to
Stefanides, Stephanos & Stefanides, Ors
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36492 06/20/2011
~uth~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 #: 36492
Date: 6/20/2011
Permission is hereby granted to:
Stefanides, Stephanos & Stefanides, Ors
455 E 51st St
New York, NY 10022
To;
new electric service
At premises located at:
780 Rabbit Ln, East Marion
SCTM # 473889
Sec/Block/Lot # 31 .-18-17
Pursuant to application dated
To expireon 12/19/2012.
Fees:
6/20/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, richert~,town.so uthold, ny. us
BUILDING DEPARTMENT
TOWN O1~' SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Dean Stefanides
Address: 750 Rabbit Lane City: East Marion St: NY Zip: 11939
Sui,ding.o.m,t : Sectio.: S,ock: tX .et:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric Inc License No: 34091-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~.~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~.~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~.~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~ TVSS
Other Equipment: replace deteriated meter pan on 100a overhead service, re-ground service
Notes:
Inspector Signature:
Date: June 20 2011
81-Cert Electrical Compliance Form
'Fox~ Hall Annex
5,1375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
· ~ax (631) 765-.95(}2
ro.qer, nchert~,town.soutno~&ny.us
BUILDING DEPARTMENT
TOWN OF $OUTI-IOI,I'~
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Date:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
1000 Section: '22 { Block: / ~ Lot: I '7
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: ///YES~J/I~O Rough In
*Do you need a Temp Certificate: ~-----~O
Temp Information (I/~;.~,,eded]
*Service Size: (1Pha~ 3Phase /~I_Q~" 150 200 300 350 400 Other
*NewService: ~conne~nderground"~'"~ ~ Number~fMeters ChangeofService Overhead
Additional Informa~
P/~MENT DUE WITH APPLICATION
82-'Rkqtr~t for Inspection Form
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Roger Richert
Temporary Certificate
Number of Meters //
Size //¢0 Phase
· -New Service
Location
Issued to
Installed by
Reference
Electrical Inspector
765-1802
Date
Overhead
Change of service
S/B/L
# 6I?Z-
Reconnect Existing Service
Application for electrical service equipment is 'on file with the Town of Southold. On applicant's notification that this
installation is complete, Southold Town will conduct a premises electrical inspection of the service equipment.
Th~ca~for 90 days from the above date.
Authorized by"~Cp.4 ~ } Division Electrical
Inspections
.//
Company Name:
~ame:
.icense No.:
~,ddress:
JOBSITE INFORMATION:
*Name:
*Address:
*Cress Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
Block:
Lot:
1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady)
*Is job ready for inspection:
-Do you need a Temp Certificate: ~~0/~
Temp Information (I.~.~led} /"-') r ~
~e.~S~e:~ p~:~Phase ~ ~0 ~00 ~00 *~0 ~00 ~her
'ce' e_connec.~4~ndergreund Number o,f Meters Change of Service Overhead
Receipt
For
TOWN of SOUTHOLD
OFFICE OF BUILDING INSPECTOR
Town Hall Annex
Southold, New York 11971
Date
- / lOODollars
Fee for Fee for
[] Sign [] Flood Development Pmt.
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Fee for Fee for
Fee for Certificate __ ~.lectrical
[] Building Permit [] of Occupancy I~' Inspection
Building Department