HomeMy WebLinkAbout39728-Z L
�Q�SnFFst��oGy Town of Southold 6/2/2017
P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38990 Date: 6/2/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 400 Greenway W, Orient
SCTM#: 473889 Sec/Block/Lot: 15.-1-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/4/2015 pursuant to which Building Permit No. 39728 dated 5/4/2015
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 UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Rigas,Alice
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39728 05-24-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�g11EEU(,YC TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a , TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
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#: 39728 Date: 5/4/2015
Permission is hereby granted to:
Rigas, Alice
32-15 168th St
Flushing, NY 11358
To: Electric Service
At premises located at:
400 Greenway W, Orient
SCTM # 473889
Sec/Block/Lot# 15.-1-18
Pursuant to application dated 5/4/2015 and approved by the Building Inspector.
To expire on 11/2/2016.
Fees:
ELECTRIC $85.00
3 o a : $85.00
Building In ector
pF SO!/��®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q roger.richert(aD-town.southoId.ny.us
Southold,NY 11971-0959 'Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rigas(Constantine)
Address: 400 Greenway West City: Orient St: New York Zip: 11957
Building Permit#: 39728 Section. 15 Block: 1 Lot- 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: - DBA: Vue Electric License No: 5230-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Convert Existing 200A Service from Overhead to Underground.
Notes:
41-�Z
Inspector Signature: 19
Date: May 24, 2017
0-Cert Electrical Compliance Form.xls
i
���OF SOUly�P y ,
Town HaII Annex Jt 1 [ 1 one((631i�65-1802''
54375 M;Cin Road u 1
c� � �� ,,aax(631)703- 3Q2
P.O.Box 1179 G� Q r0 er.flC 'erT IOWn.souRold.n .us
Southold,NY 11971-0959 Ql • a0 J MAY
- 4 201 �(.
MUM
,in, r -J I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD '
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ale
Date: S /L
Company Name: of k,�
Name- j_-
License
=License No.: v E
Address: 3(sr At to A v
Phone No.: �=
JOBSITE fNFORMATION: (*Indicates required information)
*Name: S4,e�;,e r A i
---- -� -
-- Address: Zoo bre,e.v"A.,
*Cross Street: -
*Phone No.: 9�7 no f '8-7s O
Permit No.: -5912-
Tax-Map District: 1000 Section: /s - Block: _ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
- eG
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NO Rough In Final
*Do"you need a Temp Certificate: ES NO
Temp Information- ) i
*Servic e: 1 P 3Ph 100 150 200 300 350 400 Other
ew Servl : Re-connec Under round N
g umber of Meters Change of Service Overhead '
itional Information: PAYMENT DUE WITH APPLICATION
CP
96
82-Request for inspection Form
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