HomeMy WebLinkAbout39718-Zc
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Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
6/17/2015
No: 37609 Date: 6/16/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 55255 CR 48, Greenport
SCTM #: 473889 Sec/Block/Lot: 44.4-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/30/2015 pursuant to which Building Permit No. 39718 dated 4/30/2015
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:
200 AMP ELECTRIC SERVICE
The certificate is issued to Terjanian, Misak & Salcioglu, Manusak
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39718 06-11-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
gtlFFat ,�-CO
TOWN OF SOUTHOLD
ay
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 SPECIFICATION
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 39718 Date: 4/30/2015
Permission is hereby granted to:
Terjanian, Misak & Salcioglu, Manusak
6 Louis St
East Hanover. NJ 07936
To: 200a overhead electric service.
At premises located at:
55255 CR 48, Greenport
SCTM # 473889
Sec/Block/Lot # 44.-1-9
Pursuant to application dated 4/30/2015 and approved by the Building Inspector.
To expire on 10/29/2016.
Fees:
ELECTRIC $ 85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roper. riche rt(aD-town.southoId. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Misak Terjanian
Address: 55255 CR 48 City: Greenport St: New York Zip: 11944
Building Permit #: 39718 Section: 44 Block: 1 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pumillo Electric License No: 2300 -ME
Residential
Commerical
New
Addition
X
Indoor
Outdoor
Renovation
Survey
Duplec Recpt
SITE DETAILS
Office Use Only
Basement
X 1st Floor
2nd Floor
Attic
INVENTORY
Service Only X
Pool
Hot Tub
Garage
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 Fixtures
Time Clocks
Disconnect
200A
Switches
Twist Lock
Exit Fixtures
TVSS
Other Equipment:
Replaced 200A Over Head Service
Notes:
Inspector Signature: Date: June 11, 2015
Electrical 81 Compliance Form.xls
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Company Name: IM. c LLO �- -74
Narne: t (414Ar + C)
License No.- ® M���
Address: �% 3 3 � _ � /V
Phone No.: -q66 j
JOBSITE INFORMATION: (Indicates required information)
*Name:
*Address:
*Cross Street:
',Phone No.:
Permit No.: —
Tax -Map District: 9000- Sectibn:
*SRIF DESCRIPTION OF WORK (Please Print Clearly)
Block: � i Lot: q
(A ce.
(Please CIE -Cie All That Apply)
*19 Jab ready for inspection: NO. Rough In Final
*Do. you need a Temp Cextificate: YES NO
Temp Informaltuon (itis needed)
*Semce Size: 9 Peh a 3Phase 900 960 20 300 360 400 Other
NeU� Service: Re -conned l�nderground umber of Mete 1 Change of Service Overhead
Additional Infal-ma PAYMENT DUE WITH APPLICATION
82=Request for Inspection Form