HomeMy WebLinkAbout41272-Z �O�SUEFQ(,�coG� Town of Southold
1/27/2017
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P.O.Box 1179
53095 Main Rd
oy,� �aSouthold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41272 Date: 1/27/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2375 Soundview Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 94.4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/6/2017 pursuant to which Building Permit No. 41272 dated 1/6/2017
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 OVERHEAD ELECTRIC SERVICE
The certificate is issued to Tanal,Lisa&Minakyan,Nisan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41272 01-24-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o�Sanc,rooTOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy SOUTHOLD, NY
dol
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#: 41272 Date: 1/6/2017
Permission is hereby granted to:
Tanal,.Lisa & Minakyan, Nisan
6 Luquer Rd
Manhasset, NY 11030
To: 200a overhead electric service replacement
At premises located at:
2375 Soundview Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 94.-1-21
Pursuant to application dated 1/6/2017 and approved by the Building Inspector.
To expire on 7/8/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
en P.O.Box 1179 roger.richert(-town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Tanal
Address: 2375 Soundview Avenue City: Mattituck St: New York Zip: 11952
Building Permit#: 41272 Section: 94 Block. 1 Lot: 21
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 X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey 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 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: 200A OVER HEAD SERVICE
Notes:
Inspector Signature: Date: January 24, 2017
0-Cert Electrical Compliance Formas
SO//TyOlo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
E
INSP TION-
C
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
REMARKS:
DATE % INSPECTOR �-C
• t .
o*oFso�ryo°`` ;BUILDING` DEPARTMENT
TOWN',OF OU HOLD
Town allAnnexa-54375 Main Road•PO.-Box 1179•Southold,NY 11971-0959
tele hone,-(631)765=1802%Faz(63i)'765=9502
Date
Number of`:Meter"s
=f: Temporary_Certificate
Overhead)Gh,"06derdround'
_ _ `�..`L^ �'-�w p- _ rt'R tl!:.rr �' ,,.i"� •,,M_-" -_ .'
r't New'Service` ❑. Change'of'Service "-Reconnect Existing Service, ❑
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—Locationt -=✓C��%LY1 :-' :e y
Issued to �'J�4:Y�• ,'{� 1 5� j.
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lnstailed b_t
rtF'"Refere'ice
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{` ,,Application'for:aelectrical service'equipment is:on file''With, 676wn of Southold.On,dpplicant's notification
that this`installation is corrtpiete;the:town will conduct A.premises:inspection of-the service equipmerit.
' Thisw ri:is.v !i r:90 om the,above date. .' '
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Town Han Annex Ttlephouc(531)765-1802
54375 gain Road 0715
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P.O.Box 1179 r aer.dchert@%w1-1n1.S 05.ny.us
Southold,NY 11971.0959
BUILDING DEPAKEMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
FE
QUESTED BY: Date: IIto 1/—4mpany Name:
�J
Name: C2
c6m
License No.: -Z—�
Address: ex-w LOY M5-;4-,
Phone, No.:
JOBSITE INFORMATION: (*Indicates required information)
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*Name: 9A na V-AA 03,
*Address-
*Cross Street:
*Phone No.: w 4
Permit No.:
Tax Map District: 1000 Section: Blopk.---L— Lot;
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) C- '
--
cpr 0A 4q )I r(2
(Pleasa Circle All That Apply)
FIs job ready for inspection: ES 1 tC Rough In FInal
*rjo you need a Temp Certificate: NO i7l
Temp Informati ed)
ec
*Service Size: I Phas 3Phase 100 150 200 3 400 Other
_c0nn
Service*New Sarvim: Re-conn t Underground Number of Meter Change of S�verhead
Add! I Irformation: PAYMENT DUE WIT ICATI0N
82-Request for Inspectim rm,