HomeMy WebLinkAbout40234-Z ¢ �ogQfFOiKIpr Town of Southold 4/12/2023
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37925 Date: 11/24/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50575 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 51.-3-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/2/2015 pursuant to which Building Permit No. 40234 dated 11/2/2015
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 UPGRADE
The certificate is issued to Touliatos,Gerasimos
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40234 11-17-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
v
�SUFFot,r� TOWN OF SOUTHOLD
moo aay BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
.f � ,dao
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# 40234 Date 11/2/2015
Permission is hereby granted to
Touliatos, Gerasimos
50575 CR 48
Southold, NY 11971
To 200a electric service upgrade.
At premises located at
50575 CR 48, Southold
SCTM # 473889
Sec/Block/Lot# 51.-3-11
Pursuant to application dated 11/2/2015 and approved by the Building Inspector
To expire on 5/3/2017.
Fees
ELECTRIC $8500
Total $8500
uildi ector
r
SOUry®lo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Pd, Box 1179c
Southold,NY 119711-0959 �Q roger ncherto_town Southold ny us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To TOUllatos
Address 50575 CR 48 City Southold St New York Zip 11971
Budding Permit# 40234 Section 51 Block 3 Lot 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA Watts New Electric Corp License No 45050-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 1-200A 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 200-A Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment " NEW 200A OVER HEAD SERVICE "
Notes
Inspector Signature Date November 17, 2015
Electrical 81 Compliance Form As
71!7
OCT3 0 2015 s
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�— I 41 11 Telephone(631)765-1802 ,
54375 Waih Road{n'r, (631)765- 5
P.O:Box 1179 G rover richert _taown.soutfi0 nV us I
Southold,NY 11971-0959
UNi'Is
MaDING DEPARTMENT
TOWN OF SOUTHOLD I
APPLICATION FOR ELECTRICAL INSPECTION
I"REQUESTED BY: Date; 0 ^ Z/-20>b
Company Name: ( e4i
Name: `��rt wt C��� '
License No.: qS0 6-0 M E
Address: 3 /jaw CM e `,,eve V6 w
Phone No : ;z-- V4 - 776- 03s-
w0' ne��GC�o yl„ •v� I
JOBSlTE INFORMATION: (*Indicates equired information)
*Name: C` '�� s'M o S jef/'�� �f�uvi� ��1.; t�
*Address: .�o 57' u �
*Cross Street:
*Phone No.: _ 5)L
Permit No : 14 D ' �
Tax Map District: 1000 Section: oo o o Block 123,-Q® Lot: 0 , o
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) 2-00&o
(Please Circle All That Apply)
*Is job ready for inspection: NO Rough in Final
*Do you need a Temp Certificate: YES NO -- — -�- -
Temp Information(If needed) C�
*Service Size: 1 Phase 3Phase 100 15 200 300 350 th
*, �� OCA �ro 2015
New Service: Re-connect Underground Number eters Change of Se ice Overhead
Additional Information: PAYMENT DUE WITH APPLICA ION u PFPG DFPr
T�1„rr , SUI'THn�n
82-Request for inspection Fora( \� ��