HomeMy WebLinkAbout36492-Z ofF04 Town of Southold Annex 6/27/2011
54375 Main Road
CM
z Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35024 Date: 6/27/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 780 Rabbit Ln, East Marion,
SCTM#: 473889 See/Block/Lot: 31.-18-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/20/2011 pursuant to which Building Permit No. 36492 dated 6/20/2011
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:
overhead electric service
The certificate is issued to Stefanides, Stephanos&Stefanides,Ors
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36492 06/20/2011
PLUMBERS CERTIFICATION DATED
Authorized Signature
jLIIF0 TOWN OF SOUTHOLD
SUFFo�,� 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#: 36492 Date: 6/20/2011
Permission is hereby granted to:
Stefanides, Stephanos & Stefanides, Ors
455 E 51 st St
New York, NY 10022
To: new electric service
At premises located at:
780 Rabbit Ln, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-18-17
Pursuant to application dated 6/20/2011 and approved by the Building Inspector.
To expire on 12/19/2012.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO�jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179 G
Southold,New York 11971-0959 '� roger.riche rt(a)-town.southo Id.ny.us
4UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Dean Stefanides
Address: 750 Rabbit Lane City: East Marion St: NY Zip: 11939
Building Permit* 3 -9 d— Section: 31 Block: 18 Lot: '
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric Inc License No: 34091-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 100a 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 Fixtures Time Clocks
Disconnect Switches Twist Lock F1 Exit Fixtures 11 TVSS
Other Equipment: replace deteriated meter pan on 100a overhead service, re-ground service
Notes:
Inspector Signature: Date: June 20 2011
81-Cert Electrical Compliance Form
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Town Hall Annex { Telephone(631)765-1802
54375 Main Road tax(631)7� 512
P.O.Box 1179 • o roger_richert a�town.south�o d.ny.us
Southold,NY 11971-0959 O
l�C®m,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: K-l r� Date:
Company Name: A „k -A e _ _--C, V(Name:
License No.:
Address:
Phone No.: J' _
JOBSITE INFORMATION: ('Indicates required information)
*Name: % Dcw < rc'F)+Ni 0y`
*Address: 'r?Z -ctVz> 98-PR 1 •- Ch+�l-7 r� A-ST M42ty� II 73�1
*Cross Street: 8 ul-*Phone No.: -?
Permit No.:
Tax Map District: 1000 Section:_ Block: t Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) Lr
�Ujl vICcr 16c) 4n�
(Please Circle.All That Apply)
*Is job ready for inspection: YES O Rough In Final
*Do you need a Temp Certificate: ES O
Temp Information (I ed) /
*Service Size: 1 Phas 3Phase /;) 150 200 300 350 400 Other
*New Service: e-connect nderground Number of Meters Change of Service Overhead
Additional Informa P YMENT DUE WITH APPLICATION
� S CA V
�1i A MCT & MAC o�
84- qu'e t for Inspection Form
Q . 11
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11
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Qv /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Roger Richert Electrical Inspector 765-1 802
Temporary Certificate Date jagi.c- /� l
Number of Meters S/B/L
Size Phase # G j 9 z-
Overhead Underground
-New Service Change of Service Reconnect Existing Service
Location
Issued to cyf;-j
Installed by l C eg��IC�G-[ C `cam 3 ?f/— k,C; _
Reference i 1~ 75
Application for electrical service equipment is'on file with the Town of Southold.. On applicant's notification that this
installation is complete, Southold Town will conduct a premises electrical inspection of the service equipment. .
This ven icaf ri is valid for 90 days from the above date.
Authorized by Division Electrical Inspections
TOWN of SOUTHOLD
OFFICE OF BUILDING INSPECTOR
Town Hall Annex
Receipt No.8 0 0 0 3 Southold, New York 11971
Date
Received of lCl_ 1h�� ( .� �" �� 't I L
n� /1 OODollars
For ��e �L S!'� ^ 'del
Fee for Fee for
Fee for Fee for Fee for Certificate electrical
❑ Sign El Flood Development Pmt. ❑ Building Permit El of Occupancy. [E Inspection
❑ C
Check 0 f
$ ,
Building Department