HomeMy WebLinkAbout42054-Z Town of Southold 12/23/2018
P.O.Box 1179
co
T. 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40131 Date: 12/24/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 10896 Great Peconic Bay Blvd, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-6-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/17/2017 pursuant to which Building Permit No. 42054 dated 10/17/2017
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 electrical service.
The certificate is issued to Volpe,Mark
i
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42054 12/18/2018
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#: 42054 Date: 10/17/2017
Permission is hereby granted to:
Volpe, Mark
157 Pine Brook Rd
Montville, NJ 07045
To: Electric Service
At premises located at:
10896 Great Peconic Bay Blvd, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-6-13
Pursuant to application dated 10/17/2017 and approved by the Building Inspector.
To expire on 4/18/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Iding In pector
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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.richert(aD-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Mark Volpe
Address: 10896 Great Peconic Bay Blvd City. Laurel St: New York Zip: 11948
Building Permit#. 42054 Section: 126 Block: 6 Lot. 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Modern Electric License No- 4353-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 200a underground service
Notes*
Inspector Signature: Date: December 18 2018
81-Cert Electrical Compliance Form xls
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° that this installation is complete;, _
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Town Hall Annex #f Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 H ro er riche x 7
Southold,NY 11971.0959 ��
OCT 16' 2017
BUIMING DEPARTIU EW ,
TOWN OF SgOUTHOLD
13UMDING DEPT.
APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOLD
REQUESTED BY: Date: /o / 7
Company Name: r'1 O D G Zt,4
Name: r eco w sic '=
License No.: S-E
Address:
Phone No.: S! 1p -5o3- 77'j 1
JOBSITE INFORMATION: (*Indicates required information)
*Name: \-)CD
*Address: J(� c c v x c. (3 (3! v
*Cross Street: Pecn,y i c Y-S10-0
*Phone No.: 31 - E0 Co - bs-9
Permit No.:
Tax-Map District: 1000 Section: _ Block: Lot:
*BRIEF DESCRIPTION OF WORK(PleasePrintClearly)
�S7ALL�i�Div d-i- �OC7 f-tv►� � .G. �`ecT,2+c Se,rvc�e
(Please Circle All That Apply)
*Is job ready for inspection: YES/� Rough in Final
*Do-you need a Temp Certificate: YES! NO
Temp Information(if needed)
*Service Size: =Phase 3Phase 100 15Q200 300 350 400 Other
*New Service: Re-connect Undergroun Number of Meteri-Change of Service Overhead
Additional Information: FAWMENT DUE WITH APPLICATION
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