HomeMy WebLinkAbout39342-Z Town of Southold Annex 12/4/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37308 Date: 12/4/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2828 Great Peconic Bay Blvd, Laurel,
SCTM#: 473889 Sec/Block/Lot: 128.-6-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/5/2014 pursuant to which Building Permit No. 39342 dated 11/5/2014
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:
200A OVERHEAD ELECTRIC SERVICE UPGRADE WITH 30A SUBPANEL IN GARAGE
The certificate is issued to Mastropolo Jean hTev Tr&Mastropolo Mich
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39342 11-26-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
zr � TOWN OF SOUTHOLD
r BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'a + SOUTHOLD, NY
r
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 #: 39342 Date: 11/5/2014
Permission is hereby granted to:
Mastropolo Jean Irrev Tr & Mastropolo Michael Iry Tr
2828 Great Peconic Bay Blvd
Laurel, NY 119481808
To: electric upgrade & electric panel for accy garage
At premises located at:
2828 Great Peconic Bay Blvd, Laurel
SCTM #473889
Sec/Block/Lot# 128.-6-22
Pursuant to application dated 11/5/2014 and approved by the Building Inspector.
To expire on 5/6/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
ilding I p ctor
SO(/ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �� roger.riche rt(&-town.so Litho Id.ny.us
Southold,NY 11971-0959 'rpUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mastropolo
Address: 2828 Peconic Bay Blvd City: Laurel St: NY Zip: 11948
Building Permit#: 39342 Section: 128 Block: 6 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Doumas & Sons Electric Irl License No: 4918-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
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 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect 200a Switches Twist Lock F1 Exit Fixtures TVSS
Other Equipment: 200a over head service upgrade with 30a sub panel in garage
Notes:
._a
Inspector Signature: C Date: Nov 26 2014
81-Cert Electrical Compliance Form.xls
11/03/2014 KON 8:41 FAX x002/003
_ l,ir 16 e.e '�tn++, 41%t camlb the undersigned,do(es)hereby su to:
Owner(s)Name(s) i
That the undersigraod(is)( )the owns s}of the premises in the Town of
Southold,located at
which is shown and designated on the Suffolk Counq Tax Map as District 1000,
Section t R •Block
That the undersigned(has)(have)riled,or cause to be filed,an application in the
Southold Town Building Inspector's Of1f`=for the following: a .o
p
That the undersigned do(es)hereby give consent to the Building inspectors of the
Town of Southold to enter upon the above described property,including any and all
buildings located thereon,to conduct such inspections as they.may deem necessary with
respect to the aforesaid application,including inspections to determine that sold premises
comply with all of the laws,ordinances,rales and regulations of the'rown of Southold.
The undersigned,in consenting to such inspections,do(es)so with the knowledge
and understanding that any Information obtained in the conduct of such inspections tray
be used in subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the'rown of Southold.
Dated: 1. /11 i AA aA Pop
(Signature)
(Print Name)
(Signature)
(Print Name)
i
.I
�o��aF Sl�jj�
Tann Haff Annex
54375 Main Road Telephone(631)765-1802
P.O.Box 117rooer.richert OWn(631)7.80 ny us
Southold,NSC 119711-0959 �
i
BUaDING DE)'ARTMENr
TOWN OF SOUTHOLD
APPLICATION-FOR ELECTRICAL INSPECTION
REQUESTED BY-
Date:
Company Name: S
C
Name:
License No.:
Address: (17 3
Phone No.: /� -- 2 -r- 6 p o-
.JOBSITE INFORMATION: (*Indicates required information)
*Name: ml
*Address: .
*Cross Street:
*Phone No.:
Permit No.: i.
Tax Map District: 4000 Section:_/ Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) t7� S v
n
U a.
Am Vlc��-✓
(Please Circle All That Apply)
*Is job ready for inspection: YES/(O Rough In Final
*Do-you need a Temp Certificate: (YJE / NO
Temp Information(if needed)
*Service Size: CPase 313hase 1 oo 150 200 300 350 400 Other
*New Service: Re-connect round Number of Meters hangs of Serve �ead
Additional Information: PAYMENT DUE WITH APPLICATION
IQ-Request for InWmton Form