HomeMy WebLinkAbout42830-Z FGj/( Town of Southold 7/18/2018
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P.O.Box 1179
co 53095 Main Rd
o4%V �a Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39775 Date: 7/18/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 795 Westwood Ln, Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/2/2018 pursuant to which Building Permit No. 42830 dated 7/2/2018
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:
200a overhead electric service.
The certificate is issued to Georgaklis,George&Evangela
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT,OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42830 7/9/2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
g� ot� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
CA 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#: 42830 Date: 7/2/2018
Permission is hereby granted to:
Georgaklis, George & Evangela
449 84th St
Brooklyn, NY 112094711
To: 200a service change
At premises located at:
795 Westwood Ln, Greenport
SCTM #473889
Sec/Block/Lot# 33.-2-7
Pursuant to application dated 7/2/2018 and approved by the Building Inspector.
To expire on 1/1/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
rRi
t`
spector --
®�1
fif SO�j�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 �� roger.richert@town.soLithoId.ny.us
Southold,NY 11971-0959
®lyOWN
BUELDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Georgaklis
Address: 795 Westwood Lane city,Greenport st: New York zip: 11944
Building Permit t 42830 Section: 33 Block: 2 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: East County Electric License No: 1005-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat l 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 Overhead Service Change
Notes:
Inspector Signature: Date: July 9, 2018
0-Cert Electrical Compliance Form.xls
OF SO(/1,�°�
# TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECT-ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) KELECTRICAL
(FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
Z6e C4- Def-
DATE �� INSPECTOR 1�(
$iyFFO�,� BUILDING DEPARTMENT- Electrical Inspector
�O TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
Olp� Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(c-)-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: - -
Company Name: A 'jIName:
License No.: ��'9C3�I�, email: 131rvc-i -T&P `@- (7 y' VAlk, COW%-
Address: 01D Gr`lev- x S 0LI 1-401 l Q'(
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: C L �e'a tr" - j4 IS
Address: 771 I e�� �- 1L LY"&;'eVN0c' f o
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: °� Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YE NO Rough In :F:i:nal
Do you need a Temp Certificate?: YES / NO. Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs