HomeMy WebLinkAbout42899-Z �O�gUFFO(p.CpG� Town of Southold 8/10/2018
3 P.O.Box 1179
0
a' 53095 Main Rd
o4,1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39840 Date: 8/10/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 765 Bay Ave, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-10-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/27/2018 pursuant to which Building Permit No. 42899 dated 7/27/2018
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 UPGRADE
The certificate is issued to Sarris,Margo
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42899 07-31-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
g�fFalk TOWN OF SOUTHOLD
o&y BUILDING DEPARTMENT
y z 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#: 42899 Date: 7/27/2018
Permission is hereby granted to:
Sarris, Margo
23-80 27th St
Astoria, NY 11105
To: Change of Electric Service
At premises located at:
765 Bay Ave, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-10-14
Pursuant to application dated 7/27/2018 and approved by the Building Inspector.
To expire on 1/26/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
uilding Inspector
pF SO(/j�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road CP_ Fax(631)765-9502
P.O.Box 1179 ® �Q roger.richertCab-town.southoId.ny.us
Southold,NY 11971-0959 Q
l'�c4UNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Margo Sarris
Address: 765 Bay Ave city,East Marion st: New York zip: 11939
Building Permit#: 42899 Section: 31 Block: 10 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Doroski Electric Inc. License No: 2941-E
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 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 RecptEmergency Fixture Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures 11 TVSS El
Other Equipment: Overhead Service Up Grade to 200A
Notes:
Inspector Signature: �Y Date: July 31, 2018
0-Cert Electrical Compliance FormAs
�gfat/(- TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�y • 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#: 42899 Date: 7/27/2018
Permission is hereby granted to:
Sarris, Margo
23-80 27th St
Astoria, NY 11105
To: Change of Electric Service
At premises located at:
765 Bay Ave, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-10-14
Pursuant to application dated 7/27/2018 and approved by the Building Inspector.
To expire on 1/26/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
(h
Buil ing Inspector
g11EFO11rco
c Gym BUILDING DEPARTMENT-Electrical Inspector
y x TOWN OF SOUTHOLD
�y • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802-FAX(631)7502
Temporary Certificate #_94?___ Date ZL 2018
Customer Name jqi4fZ&jD _S�lqfe2/4 Electrician Name refer
Address gj ,C Elt5ri 47 0A1 Phone
e-mail e-mail .
Phone License# y/—
Size bB A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# Service Reconnected
Application for electrical service equipment is on file with the town of Southold.on the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for 90 d m the date abo
Authorized by
r
Q
D,
JUL 2 6 2018
BUmDrNG DEPT.
Tomw o,T`ovrmo LD
'1�1BMu 1111!A�oRx�` lit fii;il�0�
Miha MM�tt!� _ _ _�• �LtiliallL-_.._
M11tIMi�NY!61�i3.0�dD
wk
q �� �wi1�11r�rM•�MypR11s -
777
vw•re r �.
' �ll—
I.JCY'c
I�rr
JO�l�T! i1M�C�R�ATt�3��a {��ndlo�w nqulnrd inte�l��r!r��i�n�
, « • • � V i 60l
Oki
r , � r1a1 � i11Mll�.
' fit. ® ell r.•r-
No
`/4A
lei®• � ��
Tax vap t.
•.rr r.�.rsr��MIrI�RgrNrll�ll�rR.��wl•r -
� a.
•w
r.r9•MMRl.rMOMR'rM
rym�ll NO
Tom Iftw won tit Mr84110CCA�
taa 4w- x, Soo +�ao o�w
*law SwMeIw attr!:�tlm� itM
' wrrraae
MO-"
�rr� WYer ed