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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 r��� Town Hall Annex / r ` ryt •ti,,� '114:r � M''' Telephone(631)765-1802 � �- ��� �� - , 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 .gL� [ ] 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 i 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 � s 82-Request fo Inspection Form f7 G