HomeMy WebLinkAbout43098-Z Town of Southold 11/29/2018
P.O. Box 1179
53095 Main Rd
# Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 40080 Date: 11/29/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 530 The Strand, East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/3/2018 pursuant to which Building Permit No. 43098 dated 10/3/2018
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
The certificate is issued to Bouklas,Helen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43098 10-05-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
1� 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#: 43098 Date: 10/3/2018
Permission is hereby granted to:
Bouklas, Helen
145-32 29th Rd
Flushing, NY 11354
To: Replace meter pan
At premises located at:
530 The Strand, East Marion
SCTM # 473889
Sec/Block/Lot# 21.-5-2
Pursuant to application dated 10/3/2018 and approved by the Building Inspector.
To expire on 4/3/2020.
Fees:
ELECTRIC $85.00
(:: Total: $85.00
Building Inspector
SO!/jyOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� • �o roger.richertCa�town.Southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: DiMartino (Bouklas)
Address: 530 The Strand City East Marion St: New York Zip 11939
Building Permit* 43098 Section. 21 Block: 5 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No. 38893-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 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 Recpt Emergency FixtureTime Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Install new meter pan per PSEG request
Notes.
Inspector Signature: Date: October 5 2018
81-Cert Electrical Compliance Form.xls
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Ott BUILDING DEPARTMENT-Electri Vector ---.,
TOWN OF SOUTHOL DL
Town Hall Annex - 54375 Main Ro PO Box 1179
Southold, New York 1197 -619590CT - 3 2018
Telephone (631) 765-1802 - FAX (631) 765-9502
roaer.richert,.attown.southold.ny.v�r
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: I c)1,3 VK
Company Name: C o C-C-
Name:
License No.: �-`�.� email:
� CL..lpl Oar
Address: �k X <
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: Cneo-f Ron,
�)
Address: o
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) V�o*<Ar 9-an Was Wnnnfi-
p " 7pnc
Circle All That Apply:
Is job ready for inspection?: YE / N Rough In Final
Do you need a Temp Certificate?: YES N Issued On
Temp Information- (All information required)
Service Size3 Ph Size:C'J A
�Ph #Meters eter#
New Service- Fire Reconnect- Flood Reconnect Service Reconnecte nderground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service. Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Formals