HomeMy WebLinkAbout37926-Z �q�S116F0(�C�G Town of Southold 1/11/2019
P.O.Box 1179
a
53095 Main Rd
Gy.�o� �o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40163 Date: 1/11/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2575 Glenn Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-1-33
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/10/2013 pursuant to which Building Permit No. 37926 dated 4/10/2013
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:
UPGRADE EXISTING ELECTRICE SERVICE TO UNDERGROUND
The certificate is issued to Andrews,Frederick&Andrews,Jane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37926 01-03-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature""
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy • o� SOUTHOLD, NY
6fp1 � �a
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#: 37926 Date: 4/10/2013
Permission is hereby granted to:
Andrews, Frederick &Andrews, Jane
2575 Glenn Rd
Southold, NY 11971
To: underground electric
At premises located at:
2575 Glenn Rd, Southold
SCTM # 473889
Sec/Block/Lot# 78.-1-33
Pursuant to application dated 4/10/2013 and approved by the Building Inspector.
To expire on 10/10/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
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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 ® • y® roger.riche rtatown.south old.ny.us
COU I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Andrews
Address: 2575 Glenn Rd City Southold St: New York Zip. 11971
Building Permit#: 37926 Section: 78 Block. 1 Lot: 33
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East County Electric License No: 1005-E
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 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 TVSS
Other Equipment, up grade existing service to underground
Notes
Inspector Signature: Date: January 3 2019
81-Cert Electrical Compliance Form.xls
OF SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
�yc0urm��'' 765-1802
INSPECTION "-..Z. 1
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 1 INSPECTOK--smk'�
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TowsHaft Annex Te1eplhone(631)7654802-
5=5 Maia Road: - lCi.
P.O.J oJc 1179 �_ Q fOget:fllvheFl(EU,tOWtn-s7 o nV us
Southold,NY 11971-M
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BUILDING DUAIITARNT -
TOWN OF SOULHOLD
APPLICATION FOR ELECTRICAL, INSPECTION
REQUESTED BY
U- C, � Date.
Corn- an Mame: PISS I
Name: 1 ccCi_
license:NG,:
Riddress: C,4 `a1,� 5��7 i � L
Phone-NG.:
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JOBSI-TE INFORMAT[ON: (*I_`ndicates,required information)
;7vr Alr4re%„S
*Address:
*Cross-Street ti Aj tJ t e
*Phone No.: ' - ?3/ - a / ysy-�
Tax Map pgitrict 1000 Section: .7 8? (310cte " d Lot 33
*BRIEF DESCFJPTION OF WORK(Please Pdnt Clgariy� '
Votn R*Cotrh Ut°A%e14�41 to
-(€+tease Circle Aft That Apple
Isjob ready for inspection: YES NO Rough In, - Fina(-
*Da you need a Temp Certificate: NO
Temp information(if needed.
*Service Size:' - @Phase- 3Phase 100. -150 . 0 30Q- 350- 400 Other
*New Service: Re-connect .ndergraund Number of Meters Change of Service Over head
Addifional-Wbrmafion: PAYMENT DUE WITH APPLICATION