HomeMy WebLinkAbout36428-Z �o'�pf SOUTyo`o To" of Southold
P.O. Box 1179
• �oQ 53095 Main Rd
urm. Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47239 Date: 07/24/2026
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3255 Bay Shore Rd Greennort, NY 11944
Sec/Block/Lot: 53.-6-8
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/26/2011
Pursuant to which Building Permit No. 36428 and dated: 05/26/2011
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:
200A underground electric service
The certificate is issued to: Basilice DM Rev Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 36428 7/23/2026
PLUMBERS CERTIFICATION:
Authorized Signature
gUFED4 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a 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#: 36428 Date: 5/26/2011
Permission is hereby granted to:
Basilice, Dahna
3255 Bay Shore Rd
Greenport, NY 11944
To: underground electric service
At premises located at:
3255 Bay Shore Rd, Greenport, NY 11944
SCTM # 473889
Sec/Block/Lot# 53.-&8
Pursuant to application dated 5/26/2011 and approved by the Building Inspector.
To expire on 11/24/2012.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SOUr�,�l
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 1 1 97 1-0959 'Q
UNT`l1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Dahna Basilice
Address: 3255 Bay Shore Rd city: Greenport St: NY zip: 11944
Building Permit#: 36428 Section: 53 Block: 6 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: C&S Power License No: 31697ME
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service X Solar
Residential X Outdoor X 1 st Floor Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Surveyl IMezzanine Garage Dock
INVENTORY
Service 1 ph X In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater
Main Panel 200 A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment: 200A 40 Circuit/40 Used
Notes: UG Service
Inspector Signature: Date: July 23, 2026
41
OF SO(/lyOlo 3o 28
N TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
C�
hO��pF SO(/j�Ql
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road ax(631)765-.g95Qp2
P.O.Box 1179 G Q roger.richert(a�town.south i d.ny.us
Southold,NY 11971-0959
1�V4U ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �.�Y ��� Date:
Company Name: S c.,r C
Name:
License No.:
Address: j
Phone No.:
JOB,SITE INFORMATION: (*Indicates required information)
*Name: V v� o-'b CA "—
*Address:
*Cross Street: U �M
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: 5 Block: _ Lot:
*BRIEF DESCRIPTION OF WORK Please Print Clearly)
U ,f
Cy—
n
(Please Circle All That Apply)
*Is job ready for inspection: CYES NO Rough In Final
*Do-you need a Temp Certificate: ES NO
Temp Information (If n eded)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-tonne t Undergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
oe
.82=Request for Inspection Form ��a�
�o'of SO�jyol
0
Town Hall Annex J�i J Telephone(631)765-1802
54375 Main Road y ax(631)765- 5 2
P.O.Box 1179 iQ roger.richert(atown.soutfio�d.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Y � J �a— Date: pU�l
Company Name: S �o-� C_A(
Name:
License No.:
Address:
Phone No.: f
JOBSITE INFORMATION: (*Indicates required information)
`
*Name: \J k LCAJc_5 CA1 I -
*Address:
*Cross Street: 0
*Phone No.: co - y
Permit No.:
Tax-Map District: 1000 Section: 5 3 Block: _ Lot: _
*BRIEF DESCRIPTION OF WORK Please Print Clearly)
V
n
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: ES NO
Temp Information (If n eded)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-tonne t Undergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
C b
82=Request for Inspection Form J�a�
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. W/D Panel
Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps ? Havelt) Used40�
Sub Amps Have Used
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