HomeMy WebLinkAbout43437-Z S�FFOt��Q�: Town of Southold 2/19/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40217 Date: 2/19/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 405 Oak Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 110.-8-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/1/2019 pursuant to which Building Permit No. 43437 dated 2/1/2019
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 basement wiring
The certificate is issued to Wiggins,Hadley&Marin,Daniele
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43437 2/11/2019
PLUMBERS CERTIFICATION DATED
Authorized Signat re
SufFn�K 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#: 43437 Date: 2/1/2019
Permission is hereby granted to:
Wiggins, Hadley & Marin, Daniele
99 Orchard St Apt 3B
New York, NY 10002
To: upgrade basment electrical wiring
At premises located at:
405 Oak Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 110.-8-12
Pursuant to application dated 2/1/2019 and approved by the Building Inspector.
To expire on 8/2/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
ui ing Inspector
OF SOUT'y®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road cis Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ,® ® a® roger.rich erta-town.south old.ny.us
�ycou ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Wiggins
Address: 405 Oak Rd City: New Suffolk St: New York Zip: 11956
Budding Permit# 43437 Section 110 Block 8 Lot. 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor, Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures 7 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 3 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt 30a Emergency Fixtures Time Clocks
Disconnect ri Switches 8 Twist Lock Exit Fixtures TVSS
Other Equipment: "UP GRADE BASEMENT WIRING"
Notes: 1-bath fan, 1-GFCI circuit breaker
Inspector Signature: Date: February 112019
J
81-Cert Electrical Compliance Form As
OF SOUT,�°!o
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION4124 �q
[ ] FOUNDATION 1ST [ ] 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 1f INSPECTOR r��r
o� D
� � Of Sll�j
a
TZ7 M Ro AnndV6 f Telephone(631)765-1802
{ y� H (681)765,95
P.O.Box 1179 ,. SF+ G roAer.richert(cv_OR's'ouino nY us i
Southold,NY 1197Iiv �
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BUILDING DEPARTNEW
TOWN OF SOUTHOLD
t
APPLICATION FOR ELECTRICAL INSPECTION �
REQUESTED BY:' 4 pC:\rV\1__ c�,r�� Date:
Company Name:
Name: to .
License No.:
Address: k Ito GK
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: V-
*Cross Street:
*Phone No.:
Permit No.: -�
Tax-Map District: 4000 Section:—I (� - Block: _ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) _
(Please Circle All That Apply) -
*Is job ready for inspection: YE ` / NO Rough In Final
*Do-you need a Temp Certificate: YES/ NO
Temp Information(If•needed)
`Service Size: 4 Phase 3Phase 400 450 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
O rf .
.82-Request for rnWecrlon Form
ry