HomeMy WebLinkAbout43290-Z ��o�Os�FFO('�toGy Town of Southold 1/3/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40147 Date: 1/3/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7635 Main Bayview Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-9-30.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/7/2018 pursuant to which Building Permit No. 43290 dated 12/7/2018
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:
200 AMP OVERHEAD ELECTRIC SERVICE TO GARAGE
The certificate is issued to McGowan,Andrew
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43290 12-20-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
oSUF��,coG TOWN OF SOUTHOLD
BUILDING DEPARTMENT
9 TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
1
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#: 43290 Date: 12/7/2018
Permission is hereby granted to:
McGowan, Andrew
7635 Main Bayview Rd
PO BOX 1205
Southold, NY 11971
To: 200a overhead electric service to garage
At premises located at:
7635 Main Bayview Rd, Southold
SCTM # 473889
Sec/Block/Lot# 78.-9-30.1
Pursuant to application dated 12/7/2018 and approved by the Building Inspector.
To expire on 6/7/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Bui pector
pF SOVj�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 � � �® roger.riche rtCaD-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Andrew McGowan
Address: 7635 Main Bayview Rd City. Southold St: New York Zip: 11971
Budding Permit* 43290 Section. 78 Block 9 Lot 301
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- Quinlan Electric License No: 4437-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 X
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceding 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 oh service to garage
Notes:
Inspector Signature: - Date: December 20 2018
81-Cert Electrical Compliance Form.xls
SOGIyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802
.INSPECTION o
[ ] FOUNDATION 1ST [ ] ROUGH PL13G. �Z
[ ] FOUNDATION-21SID - [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR W
i
i
FO(Kco
�` BUILDING DEPARTMENT-Electrical Inspector
y� .TOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631 765-1802-FAX(631) 765-9502
Temporary Certificate # Datoet, ? 2018
Customer Name Arnim% HeElectrician Name VLA
Address I1(4f )SoUCS Zi2 Phone - --2-5T3
e-mail a e-mail ►( (ljf�L�trCr� lG.
Phone License# -�G(�
Size A Phase Overhead�-Underground #of Meters
Remarks ( &R i4r 7b 640# e'r
#of Underground Laterals 1 2 New
"H" Frame or Polel HI P Fire Reconnect
Was work done on Service? Y/N I Flood Reconnect
Old Meter#[ 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 veritic is valid for 90 da s trom the date above.
Authorized by
r
�11fFOX/(, . BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Iry Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
-roper:richert(cry-'town:southol d.ny.u ii
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: MI : 440, Qct;"(&g Dater
Company Name: 14-; (a s1
Name: AC choz je--1
s�1 email: (4!V< (t>,kinlah � /
ec° ���4 N1
License No.: � � _ - _ _ _ -
Address: &7K lr--.3 ( Agfq -rp-i &Z-f, WY Uf 4 -
Phone No.: 6 J(,'7a8'-A 5S' - 6 q VS 3 Ya 7 G
JOB SITE INFORMATION: (All Information Required)
Name: 1AtCCs'r�WA h
Address: 705 Main 194 V i ecu (
Cross Street:
Phone No.: _ 'F 13 78,00 �-
Bldg.Permit#: email: MAt- 0, �-&yo aOb$ Mail-
Tax Map District: 100.0 ection: Block: _ _a Lot:: 30 0 ( o
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES /® Rough In Final
-Do you need a Temp Certificate?: �/ NO -issued On
Temp Information' (All information required)
Service Size .1 Ph 3 Ph Size: _oZy� A #Meters _ Old Meter#
New Service- Fire Reconnect- Flood Reconnect=Service Reconnected - UndergroundOverhead
#Underground Laterals 1 2 H Fame Pole Work done on Service? Y N _
Additional Information: Add i ^rarmo A&,'
`r 4 c a0D A seNUo Ce ,
PAYMENT_DUE WITH APPLICATION
82-Request for Inspection Formals