HomeMy WebLinkAbout43304-Z FFat/( Town of Southold 1/2/2019
P.O.Box 1179
o -
�' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40129 Date: 12/23/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2460 Paradise Shores Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 80.4-7.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/12/2018 pursuant to which Building Permit No. 43304 dated 12/12/2018
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:
150a underground electrical service.
The certificate is issued to Timms,Michael&Ganci,Donna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43304 12/17/2018
PLUMBERS CERTIFICATION DATED
1F�L�-R---
o
Authorized Signature
S�fwt� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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#: 43304 Date: 12/12/2018
Permission is hereby granted to:
Timms, Michael
12 Pine Dr E
Nesconset, NY 11767
To: Electric change of service
At premises located at:
2460 Paradise Shores Rd, Southold
SCTM # 473889
Sec/Block/Lot# 80.-1-7.1
Pursuant to application dated 12/12/2018 and approved by the Building Inspector.
To expire on 6/12/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil JaglS/pector
pF SO�j�y®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road jr Fax(631)765-9502
P.O.Box 1179
-�► ® �o roper.riche rta-town.south old.ny.us
Southold,NY 11971-0959 Q�yc®UBS N'
9��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michael Timms
Address- 2460 Paradise Shores Rd City: Southold St: New York Zip: 11971
Building Permit#: 43304 Section- 80 Block. 1 Lot: 7.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Buchanon Electric License No: 52350-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY_
Service 1 ph 150a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 150a 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 150a Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: Change existing service from overhead to underground
Notes:
Inspector Signature: Date: December 17 2018
81-Cert Electrical Compliance Form.xls
oF soulyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
comm, 765-1802
INSPECTION 4
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �1,✓f ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
1
DATE 'J 7-'' 7 I INSPECTOR71
f
i
T
G BUILDING DEPARTMENT-Electrical Inspector
®„ g TOWN OF SOUTHOLD
o �► _V Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802-FAX(631) 765-9502
Temporary Certificate # Date 'D�- /T/ 2018
Customer Name J#fel{41,2 '/T/D7`*-S Electrician Name Ou( 4,44jaa
Address Gp .W4% rw e.' ct2&--s J4.2, Phone 6 I - 9Sb- 7 3
e-mail e4 %6 4T> e-mail c3Ut'F( m K 04 .
Phone License# Z 3516
Size jf� A Phase Overhead Underground S�r — #of Meters
Remarks - 7 - a(!�)
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# 7e4- 323 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
T
ffDl ` BUILDING DEPARTMENT-Electric
TOWN OF SOUTHOLD DD
- Town Hall Annex - 54375 Main Road - Bid 1 T92 2018
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 7 2 ,.,
t+oxer richertCa town. outfiold;Ct O>F SOUTHOiz
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ��y,�9r�_ �y�_I, onarl _ Date:` _la'Ja�IF�
Company Name:
Name:
License No.: ;%233o--
%233o -Mi email: btlG ���L�' .`� ® OP�iMvM • ne-4-_
A"d0ress: Q� d • Qpx ISe't� 1 � eat �✓. ! 90 _ l
Phone No.:'
JOB SITE INFORMATION: (All Information Required)
E
Name: M i lCe. S
Address: P rn 47,Se - A reS le 1k0 IJ v y 119')/-
Cross Street:
Phone No.:
BIdg.Permit#: __ —._� -" email:')r9n
Tax Map District: 1000 Section: Block: _ J Lot, 7o I "
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
n Se Zvi« _ Cl C'm 040P /c/'drn 0 ver A'ea 'I f-49kne.tr' r�v�
Circle All That Apply:
Is job ready for inspection?: 69/ NO Rough In Final
Do you need a Temp Certificate?: 0/ NO Issued On- _
Temp Information:mm (All information required) 76 , 3a
Service Size 1 Ph 3 Ph Size: _ 1- 3
1S Q., A #Meters _ Old Meter# 7
1
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected nderground Overhead
#Undergr, und_Laterals ,1 _ 2 H FramePole Work done on Service? Y N_
Additional Information:
PAYMENT'DUE WITH APPLICATION
82-Request for Inspecpon FormAs