HomeMy WebLinkAbout52431-Z ".Of SOUryolo Town of Southold
* P.O. Box 1179
53095 Main Rd
UK Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46698 Date: 11/18/2025
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 12995 Soundview Ave Southold, NY 11971
Sec/Block/Lot: 54.-2-13
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/03/2025
Pursuant to which Building Permit No. 52431 and dated: 11/03/2025
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:
300amp overhead electric service
The certificate is issued to: Cheryl Koshman , Gary Constantine
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52431 11/06/2025
PLUMBERS CERTIFICATION:
Authorized gnature
�osoU?yo TOWN OF SOUTHOLD
��.OF
6 BUILDING DEPARTMENT
`� • 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#: 52431 Date: 11/03/2025
Permission is hereby granted to:
Cheryl Koshman
12995 Soundview Ave
Southold, NY 11971
To:
Electrical Temp Reconnect Service-300amp
Premises Located at:
12995 Soundview Ave,Southold,NY 11971
SCTM#54:2-13
Pursuant to application dated 11/03/2025 and approved by the Building Inspector.
To expire on 11/03/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC -Residential $100.00
Total S100.00
v
Building Inspector
pF SO(/ryQl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q
�y�4UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Cheryl Koshman
Address: 12995 Soundview Ave City: Southold St: NY Zip: 11971
Building Permit#: 52431 Section: 54 Block: 2 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Glens Electric License No: 4770ME
SITE DETAILS
Office Use Only
Indoor r.,?—1 Basement F Service R7 Solar F
Outdoor � 1st Floor r,—, Pool F Spa F
Renovation (- 2nd Floor Hot Tub
r Generator i-
Survey r: Attic Garage ri Battery Storage (-
INVENTORY
Service 1 ph Wl Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
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 Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures
Other Equipment: 300A Meterpan Replaced Because of Tree Falling
Notes: Meterpan
Inspector Signature: X Date: November 6, 2025
Sean Devlin
Electrical Inspector sean.devlin(D_town.southold.ny.us
12995Sou ndviewMeterpan
OF 50UTyO
O� O1FS OUTHOLDL ( 9 TN UIDIN G DEPT.
coo 631-765-1802
INSPECTION' '
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) j j-ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
REMARKS: ! 09-, ztuLc1
DATE I INSPECTOR
BUILDING DEPARTMENT-Electrical Inspector
e®„ TOWN OF SOUTHOLD
• ��` Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802 Temporary V0,V'embLK.3
Temp Y Certificate # I'2 G/ Date 2025
Customer Name e,,, � a Electrician Name le z
Address 4 ' *,,,a LAtic Phone (,a/ -- ;Z6-7 — G 5-8/
e-mail 60e1 told e-mail /e-KS e- tee is COA" rx 4,Z o
Phone License tr 1/770 ME
Size 3oo A Phase I Overhead Underground #of Meters I
Remarks
#of Underground Lateralsi 1 2 New
"H" Frame or Polel H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter#1 06to 393) e) 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 days from the date above.
Authorized by C�
r
j.
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
W i
Southold, New York 11971-0959
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AII Information Required) Date: i► o3 2S
Company Name: �'� _ �0c" ,
Electrician's Name:
License No.: s ,Elec. email:
El ( ale rim -z
Elec. Phone No: I� request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required).
Name: C c� \ as ,r►, a d C ar C� ki.ne
Address: 12g45' �ovv+dv' veG
Cross Street:
Phone No.: (ry3►.5Z 3.3'1� ( (oat.5�3.3-iol (c 1,�.
Bldg.Permit#: Sa Lf / R email: ckc n 3� w,i�;l•�ewi
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE F9P-TAGE (Please Print Clearly):
Square Footage:
Circle All Th t Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: ES [] NO Issued On J.
Temp Information: (All information required) f�:e,(�3.53
Service Size Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground verhead
# Underground Laterals M 1 2 H Frame Pole,Work done on Service? Y N
Additional Information: - vre, ;,%k Acrcez uo,Ao%n1--5 so*lr w 01 N ++5 aw,• �I�d
poworli vices Ac>t.- ► A VICA e\cc.-I< CAt 4pan=1 C> F C~ M- vc
1nc�k/ /�v,�rcdarc�/ +ro�ne5 !6i-i +Ful1-. VVC- -�AM:1•.1
t o o t
PA MENT DUE WITH APPLICATION vaxl�i +
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