HomeMy WebLinkAbout40745-Z ���,OSU�F��''��aG,� Town of Southold 7/6/2016
,� �� P.O.Box 1179
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CERTIFICATE OF OCCUPANCY
No: 38382 Date: 7/6/2016
TAIS CERTIFIES that the building ELECTRICAL
LocaHon of Property: 4400 Breakwater Rd, Mattituck
SCTM#: 473889 SecBlock/Lot: 99.-5-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Pernut heretofore filed in this office dated
6/2/2016 �pursuant to wluch Building Permit No. 40745 dated 6/3/2016
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:
ELECTRIC SERVICE UPGRAI)E FOR COTTAGES 1 AND 2, AS APPLIED FOR
The certificate is issued to Papasimalas,Paul
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40745 06-30-2016
PLUMBERS CERTIF'ICATION DATED
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Authorized Signature
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Town Hall Annex � � Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 � � �Q roqer.richert(a�town.southold.nv.us
Southold,NY 11971-0959 _
O���oUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
�ssued To. Papasimakis
Address: 4400 Breakwater Road City: Mattituck St: New York Zip: 11952
Building Permit#' 40745 Sect�on: 99 Block: 5 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
cor,tra�tor: �Ba: Petersen Electric �icense No: 4102-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 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 Ex�t Fixtures TVSS
otne�Eq��Pme�t: Up Grade Electric Service on Cottage #1 and #2.
Cottage#1-150A Overhead Service with 150A Disconnect
Notes: Cottage#2-100A Overhead Service with 100A Disconnect
Inspector Signature: - - Date: June 30, 2016
z Electrical 81 Compliance Form.xls
�gv-��, TOWN OF SOUTHOLD
��o ���y BUILDING DEPARTMENT
� g TOWN CLERK'S OFFICE
o . � � SOUTHOLD, NY
' 'y'�l0� '�,�',O� ,
�� 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#: 40745 Date: 6/3/2016
Permission is hereby granted to:
Papasimakis, Paul
40-26 205 St -
Bayside, NY 11361
To: Electric Service Upgrades for Cottages 1 & 2
At premises located at: � �
4400 Breakwater Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 99.-5-3
Pursuant to application dated 6/2/2016 and approved by the Building Inspector.
To expire on 12/3/2017.
Fees: � � _ �
, ELECTRIC , $170.00
Total: $170.00
� Buildi g Inspector
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• , � �o��OF S�tjpyp!
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Town Ha1t Annex - 7�f J� Telephone(631)765-1802 .
54375 Maui Road (68l)765- 5
. �r.o.Box ii�s � Q roqer.richert(a�`wn.sout�io��d.ny.us�
� Soutfiold,NY 1197I-0959 . �'�Q�� �,�a��
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BUILDIl�TG DII'ARTMENx
� TUW1�I OF SQU'FI�bI�D
Af'P�ICATlON FC�R ELECTRlCAI� 1NSPECTION
- REQUES'fED BY: J p G7 �� -�f''5,�� Date: �j °-,� l,E�
. Company Name: �' �c �� C
� Name: �a5 � � � �.�',�'e - - -
License No.: d�
Address: ' �s ,s�L�/-P�r' G-7—' �,P
� Phone No.: _ � 3 �
JOBSlT INFORMATION: {*Indicates required in#armation) . _
*Nan�ne: ( GC. � S�/� � S .
'`Address: D� / � • Q � ��C
�Cross Street: C� p � / DC/C �'r'�-• �'/^ � '
#Phone No.: _� [�� - ��� �- 3 t�3�
Petmit Nv.: �
Tax-Map District: 900U Section: Block: Lot:
, *BRIEF DESCR�PTi�N OF W�RK(Please Print Clea�ly) �, �
� 1 � � � Q-��// � /1 � .
(Please Circle All That AppIY) ." .
*Is jo6 ready�or inspection: / Np �ough �n F'rnal
*I�o�you n�eed a Temp Certificate: . YE NO � -
Te�np Information � d) � � ,
'�Service Size: 1 phase 3Phase 1QQ �t50 20Q 300 350 400 . O#her �
*New Serv�ce. Re-connect Unde�ground Number of Meters Change af Seniice Overh�ad
Additionai In�ormafion: � � PAYMEMT DUE W1TM aPPL TION �'P .
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82-Request for Enspec[ion For�n - X �i� �J\
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