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HomeMy WebLinkAbout43114-Z ®�OpFFQqCpG Town of Southold 10/25/2018 o, P.O.Box 1179 53095 Main Rd d4 �yo�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40001 Date: 10/25/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: August Ln, Greenport SCTM#: 473889 See/Block/Lot: 53.-6-46.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/9/2018 pursuant to which Building Permit No. 43114 dated 10/9/2018 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: 300 AMP UNDERGROUND ELECTRIC SERVICE The certificate is issued to Polena, Sotir&Mellos-Polena,Adrianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43114 10-19-2018 PLUMBERS CERTIFICATION DATED zvkz- � Authorized Signature f o�g�ffoa �oTOWN OF SOUTHOLD BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE oy 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#: 43114 Date: 10/9/2018 Permission is hereby granted to: Polena, Sotir 57 Westgate Blvd Manhasset, NY 11030 To: New Electric Service At premises located at: August Ln, Greenport SCTM #473889 Sec/Block/Lot# 53.-6-46.10 Pursuant to application dated 10/9/2018 and approved by the Building Inspector. To expire on 4/9/2020. Fees: ELECTRIC $85.00 Total: $85.00 ing Inspector pF SOUTyo! Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 �Q roper.richerttccD-town.Southold.nV.us Southold,NY 11971-0959 �M"COU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Sotir Polena Address: August Ln City: Greenport St: New York Zip. 11944 Building Permit#: 43114 Section 53 Block. 6 Lot: 461 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Spiro Basho License No: 42765-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 300a Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 125a A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect 400a Switches Twist Lock Exit Fixtures TVSS 11 Other Equipment. 300a underground service to "H" frame, 125a sub panel Notes Inspector Signature: Date: October 19 2018 81-Cert Electrical Compliance Form As SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. °ycourm��' 765-1802 INSPECTION43 " [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ice - DATE la 1 INSPECTOR �$uFFot,t app COGy� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD oy • ! Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 .1J►O! �a0 Telephone (631)765--1802-FAX(631)765-9502 Temporary Certificate # %04 Date 2018 Customer Name `� rZ. jootdAJO Electrician Name 15rP(,P_,5 T�Ifts 1+0 Address Aulstf Lti. �� iEj_ Phone Pit& '6Z3 — T4s7� e-mail a-mail Phone License# Size 3 M�' 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 ,9 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 days from the date above. Authorized by BUILDING DEPARTMENT-Elecfiri ®rt t!!5�� 201 TOWN OF SOUTHOL Town Hall Annex - 54375 Main Roa 'RO PRX T 117 r Southold, New York 11971-0959 2018 Telephone (631) 765-1802 - FAX(631) 765-9502 roxer;richertOtown,south"old.ih us r S T; Y :3 � APPLICATION FOR ELECTRICAL INSPECTION; REQUESTED BY: Dater I Company Name: s .SSo kIN C Name: License No.: email: EB A-S q-,o Hj M As-(LCID Andress: — j L7-tt''4-G2'� S ti _ Phone No:: — S JOB SITE INFORMATION: (All Information Required) Name: �-�_ Address: A- G S L_}�'I� FEN F-02 Cross Street: o Phone No.: /`7 Op 5 1 Bldg.Permit#: C email•_Qp LtN At5 F-Ar2m@ I L- Tax Map District: 1000 Section: j Block: _ _ Lot,- BRIEF ot;BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply: Is job ready for,inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On F rmati®n- (Ali information required) .1 P 3 Ph Size: .. A #Meters Old MMeter# - Fire Reconnect- Flood Reconnect- Service ReconnectedCde:r ::nd'�verhead rground Laterals 1 2 Frame Pole Work done on , Y Additional Information': Y - _ PAYMENT DUE WITH APPLICATION 82-Request for Inspection FormAs