HomeMy WebLinkAbout38997-Z x'fFOtrt Town of Southold Annex 10/21/2014
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P.O.Box 1179
.ti 54375 Main Road
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 37222 Date: 10/21/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 54255 CR 48, Greenport,
SCTM#: 473889 Sec/Block/Lot: 52.-1-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/30/2014 pursuant to which Building Permit No. 38997 dated 6/30/2014
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:
NEW ELECTRIC METER PAN
The certificate is issued to Donikyan,Mardik
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38997 10-06-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'a 41, 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#: 38997 Date: 6/30/2014
Permission is hereby granted to:
Donikyan, Mardik
437 Grandview Ave
Englewood, NJ 07631
To: Change Electric Meter Pan
At premises located at:
54255 CR 48, Greenport
SCTM # 473889
Sec/Block/Lot# 52.-1-4
Pursuant to application dated 6/30/2014 and approved by the Building Inspector.
To expire on 12/30/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 � Q roper.riche rt(a)_town.southoId.ny.us
Southold,NY 11971-0959 'Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Donikyan
Address: 54245 CR 48 City: Southold St: NY Zip: 11971
Building Permit#: 38997 Section: 52 Block: 1 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install new meter pan to replace rusted out one
Notes:
Inspector Signature: Date: Oct 6 2014
81-Cert Electrical Compliance Form.xls
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. Of S�lyo
Town Hall Annex Telephone(631)765-1802
54375 Main Road �ax(631)7�gg5QQ��,
P.O.Box 1179 G rooer.dchert IOWn.Sowsol tl nv us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: ;..
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ,a
*Address: 5( { �
*Cross Street:
*Phone No.: 1
Permit No.: fj i✓j�
Tax Map District: 1000 Section: L- Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(Please Circle All That Apply)
*Is job ready for inspection:
ES NO Rough in Final
*Do you need a Temp Certcate: ES O '
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 0 300 350 400 Other
*New Service: -connect nderground Number of Meters I Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=R nest for Inspection Form
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