HomeMy WebLinkAbout36565-Z S1� A'�p• Town of Southold 2/26/2018
P.O.Box 1179
d' 53095 Main Rd
1.#
as Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39530 Date: 2/26/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1250 Elijahs Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 108.-3-5.11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/19/2011 pursuant to which Building Permit No. 36565 dated 7/19/2011
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 Pileski, Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36565 02-14-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
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 SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Perrnit'#: 36565 Date: 7/19/2011
Permission is hereby granted to:
Pileski, Thomas
1250 Elijahs Ln
Mattituck, NY 11952
To: Electric service upgrade
At premises located at:
1250 Elijahs Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 108.-3-5.11
Pursuant to application-dated 7/19/2011 and approved by the Building Inspector.
To expire on 1/17/2013.
Fees: '
ELECTRIC $85.00
Total: $85.00
Building Inspector
ho�*pF SO!/j�Ql
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.sox 1179 , w Q roger.richert(a)-town.Southold.ny.us
Southold,NY 11971-0959 Q
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Thomas Pileski
Address: 1250 Elijahs Lane city Mattituck st: New York zip: 11952
Building Permit* 36565 Section: 108 Block: 3 Lot: 5.11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Power Pro Electric License No: 5051-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 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 Fixture Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A OVER HEAD SERVICE
Notes:
Inspector Signature: Date: February 14, 2018
IF
0-Cert Electrical Compliance Formals
�apF SOco
Uryo
i� ( 6
l �
TOWN OF SOU O U SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
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
ft�t
.J
4
- �o��OF SO�lyo
�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road x . 2
P.O.Box 1179 G Q rogerAchertt tOlNsn So7utho9tl.ny.us
Southold,NY 11971-4959 'Q1 w�y�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: _6
Company Name: ,owee po 6)Cj?IC
Name: Roam dalall ,
License No.:
Address- Woodland e/ie2
iC' 6ch Al
Phone No.: b3l- 8q8- -=2607
JOBSITE INFORMATION: (*Indicates required information)
n � J
*Name: �171Q�_ f l es k io
`Address: X07 -/i �LLr� ff'l 11 Q 5
`Cross Street:
`Phone No.: 1n31 - 7H 1- .1793(0
Permit No.: 1-6(O 5 5
Tax Map District: 1000 Section: I Dg Block: _ Lot: S . 1 I
"BRIEF DESCRIPTION OF WORK(Please Print Clearly) 'Mice d ,9.d e
Please Circle All That Apply)
8111 b ready for inspection: YES Rou h In Fi I
9 na
Do-you need a Temp Certificate: YES NO -
'emp Information(If needed)
Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
—Wevor-Senriee�---Re-eenneet--Underground--Atn
►dditional Information: PAYMENT DUE WITH APPLICATION- TION p
.1111 1 8 2011
A�
/ BLDG.DEPT.
.82-:-Request for Inspection Form , �� TOWN OF SOUTHOLD