HomeMy WebLinkAbout38108-Z Town of Southold 2/27/2019
�3 Gj P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40233 Date: 2/27/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 980 Southern Cross Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-549
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/18/2013 pursuant to which Building Permit No. 38108 dated 6/18/2013
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:
200a overhead electric service.
The certificate is issued to Schumacher,Roy&Schumacher, Eileen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERKS 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#: 38108 Date: 6/18/2013
Permission is hereby granted to:
Schumacher, Roy & Schumacher, Eileen
4 Marfo Ln
Centereach, NY 11720
To: upgrade overhead electric service.
At premises located at:
980 Southern Cross Rd
SCTM # 473889
Sec/Block/Lot# 110.-5-49
Pursuant to application dated 6/18/2013 and approved by the Building Inspector.
To expire on 12/18/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex
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M''' Telephone(631)765-1802
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54375 Main Road � -' l -`, ,
Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ��.s=,,; '=__ roper.riche rt(&-town.so uth old.ny.u s
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Roy Schumacher
Address: 980 Southern Cross Rd City: Cutchogue St: New York Zip- 11935
Budding Permit#. 38108 Section. 110 Block. 5 Lot: 49
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Lademann Electric License No: 4141-E
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 overhead service upgrade
Notes.
Inspector Signature: - Date: February 25 2019
81-Cert Electrical Compliance Form.xls
OE SOUIyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
courm e�' 765-1802
INSPECTION
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[ ] 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 INSPECTOR T<
i
pf SO�ryD
Town Hall Annex J i Telephone(631)765-1802 i
54375 Main Road N (631)765-R512,1
P.O.Box 1179 G • Q rQQef.richertCa 'o`wn.souto .ny.us a
Southold,NY 11971-0959
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BUILDING DEPART1VENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION i
REQUESTED BY:
. Date:
Company Name:
Name:
License No.:
i
Address: J 114 i
Phone No.: ' _ 7�L
i
JOBSITE INFORMATION: (*Indicates required information)
*Name: K U Y �C' N N MwM c He-fN
*Address:
C..-,) f C
*Cross Street: 821 de AJ
`Phone No.:
i
Permit No.: i
Tax-Map District: 1000 Section: Block:yLot: 17
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
y o O v c 4 —
(Please Circle All That Apply)
*Is job ready for inspection: (YES)/ NO. Rough In Final
*Do-you need a Temp Certificate:
YE / NO
Temp Information(If eded) �
`Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
i
*New Service: Re-connect Underground Number of Meters Change of Servi Overhead
Additional Information: PAYMENT DUE WITH APPLICATIO
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82-Request fo Inspection Form f7 G