HomeMy WebLinkAbout42871-Z ��o�gUFf�t�COGy Town of Southold 7/23/2018
P.O.Box 1179
0
VD 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39787 Date: 7/23/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 22615 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 135.4-25.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/18/2018 pursuant to which Building Permit No. 42871 dated 7/18/2018
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:
MOVE ELECTRIC METER PAN(100 AMP OVERHEAD SERVICE)
The certificate is issued to Lagoudis, Stephanie&Ioannis
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42871 07-18-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
off 0,raG� BUILDING DEPARTMENT
TOWN CLERKS 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#: 42871 Date: 7/18/2018
Permission is hereby granted to:
Lagoudis, Stephanie & loannis
c/o Thomaidis & Lagoudis PC
214-11 Northern Blvd Ste 200
Bayside, NY 11361
To: readjust electrical box.
At premises located at:
22615 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 135.-1-25.1
Pursuant to application dated 7/18/2018 and approved by the Building Inspector.
To expire on 1/17/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
B X in ector
OF SO(/T�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road H Fax(631)765-9502
P.O.Box 1179 �Q roger.richertR-town.southold.ny.us
Southold,NY 11971-0959 CpUNT
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Lagoudis
Address: 22615 Soundview Avenue city,Southold st: New York zip: 11971
Building Permit#: 4.2871 Section- 135 Block: 1 Lot: 25.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Spiro Basho License No: 2254-E
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 Heat Duplec Recpt Ceiling 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: Move Meter Pan (100A Overhead Service) to Allow Cosmetic Changes to House.
Notes:
Inspector Signature: Date: July 18, 2018
0-Cert Electrical Compliance FormAs
D
DING DEPARTMENT- Electrical Inspector
p TOWN OF SOUTHOLD
JUL 1 3 20
own Hall Annex- 54375 Main Road - PO Box 1179
a° Southold, New York 11971-0959
�' • O� BU]LDItNGDE> phone (631) 765-1802 - FAX (631) 765-9502
To�-TI C-P"'Vo-TiTH, roger.richertCcbtown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
EQUESTED BY: - -Q -.-- - 4 r .-- - - - .--- - - . . . Date: - -
Company Name: ��' S ��20
Date-
Company
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
- n
Name: � e7 D✓ t 1
Address: -f—e,6 �
Cross Street: a 1'0 1
Phone No.: &/—
Bldg.Permit#: email: yrC- i
Fax Map District: 1000 Section: cj Block:, I Lot: 5,,
BRIEF DESCRIPTION OF WORK.'(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
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
50
Request for Inspection FormAs m
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