HomeMy WebLinkAbout38218-Z
p ° Town of Southold Annex 10/20/2013
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P.O. Box 1179
54375 Main Road
i3 W Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36576 Date: 10/18/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3970 Kenneys Rd, Southold,
SCTM 473889 Sec/Block/Lot: 54.4-36
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/26/2013 pursuant to which Building Permit No. 38218 dated 7/29/2013
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:
200a overhead electric service upgrade.
The certificate is issued to Varvitsiotes, Orestes & Evelyn
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38218 10/9/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
'Id" /I ,c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$®y 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 38218 Date: 7/29/2013
Permission is hereby granted to:
Varvitsiotes, Orestes & Varvitsiotes, Evelyn
25 Irvington PI
Brooklyn, NY 11230
To: 200 Amp Electric Service Upgrade
At premises located at:
3970 Kenneys Rd, Southold
SCTM # 473889
Sec/Block/Lot # 54.-4-36
Pursuant to application dated 7/26/2013 and approved by the Building Inspector.
To expire on 1/28/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO
Town Hall Anncx Telephone (631) 765-1802
54375 Main Road T Fax (631) 765-9502
P.O. Box 1179
Southold. NY 11971-09959 ~ • ~O rOQer.riche rt(a)town.SOUthoId.nv.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Orestes Varvitsiotes
Address: 3970 Kenneys Rd City: Southold St: NY Zip: 11971
Building Permit 38218 Section: 54 Block: 4 Lot: 36
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ CoraZZini License No: 33419-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 200 Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service
Notes:
7-7
Inspector Signature: Date: Oct 9 2013
81-Cert Electrical Compliance Form.xls
- - ~Of SOUK,
r-•i' Town Hall Annex I * Telephone (631) 765-1802
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Southold, lVY 11971-095 ~l •
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: f 6~~ez. T Dater
Company Name: ,.9 z _/~c ~rc
Name:
License No.:
Address: 3~ v ~'~c~.*w.^ c? L~ .<ov AX-1 //9 Sb
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: S ~5
*Address: 3970 Yc n ,s /c~ r Zjr ti~ iiT7/
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
/l
(Please Circle All That Apply)
*Is job ready for inspection: Y NO Rough In Final
*Do you need a Temp Certificate: ES / NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Ove ea
Additional Information: PAYMENT DUE WITH APPLICATION
i
82-Request for Inspection Form (r