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Home My WebLink About43187-Z OM-f Town of Southold 11/13/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 1 � CERTIFICATE OF OCCUPANCY No: 40041 Date: 11/13/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 58165 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 44.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/1/2018 pursuant to which Building Permit No. 43187 dated 11/1/2018 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: Electric Meter Pan and Service Components The certificate is issued to Tabibian, Garo of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43187 11-07-2018 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) Permit#: 43187 Date: 11/1/2018 Permission is hereby granted to: Tabibian, Garo 58165 CR 48 Greenport, NY 11944 To: Electric At premises located at: 58165 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 44.-2-10 Pursuant to application dated 11/1/2018 and approved by the Building Inspector. To expire on 5/2/2020. Fees: ELECTRIC $85.00 Total: $85.00 u g Inspector pF SO!/ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 0 i0 roger.richertCcD-town.southold.ny.us �y�0UNT1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Garo Tabibian Address. 58165 CR 48 City- Greenport St: New York Zip 11944 Building Permit#- 43187 Section: 44 Block: 2 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor- DBA. Wilcenski Electric License No 4723-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 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: Install new meter pan and service components from meter pan to weather head. existing service panel remained Notes: Inspector Signature: - Date: Movember 7 2018 81-Cert Electrical Compliance Form.xls OF 5001yp� * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION 4 .71V [ ] 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: DATE �� ? �Y INSPECTO� 116- %, 4;e - , V — �►1FfQlr �O DING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD gown Hall Annex - 54375 Main Road - PO Box 1179 ft.N Southold, New York 11971-0959 114pv YPQne (631) 765-1802 - FAX(631) 765-9502 TO0 $01 roger.richerttown.southold.n .us ON APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: -- 1 k Date: 1 O»j3 I- 1 Company Name: ti k-# Cl Name: f"�o,., c.-t-� License No.: L-(-1 2 3 -/K 1:5 email: rc,W, I c4 ,� Address: . (� kI c Phone No.: t— Z 3 �- - 7—`7 .k JOB SITE INFORMATION: (Ali Information Required) Name: t (—rb Address: ST I (e 5- d-� 1-z C-ep Cross Street: Phone No.: 1p BIdg.Permit#: email: /L Fax Map District: 1000 Sectio Block: a Lot: p BRIEF DESCRIPTION OF WORK(Please Print Clearly) 2 C IS, ► � -t- U r (�� -S— (Do rcle All That Apply: ob ready for inspection?: C� NO Rough In Final you need a Temp Certificate?: ��NO Issued On mp Information: (All information required) rvice Size Ph 3 Ph Size: L b a A #Meters � Old Meter# w Service - Fire Reconnect- Flood Reconnect-Service Reconnected -Underground erh #Underground Laterals 1 2 H Frame Poje Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION CP 82-Request for Inspection FormAs n' �O r� 6C I I - `7- 10