HomeMy WebLinkAbout36502-Z uaz-z,.
Town of Southold 3/4/2019
P.O.Box 1179
0
V'• 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40246 Date: 3/4/2019
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
6/20/2011 pursuant to which Building Permit No. 36502 dated 6/22/2011
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 electrical service.
The certificate is issued to Wiggins,Hadley&Marin,Daniele
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36502 2/11/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
F of lI(c TOWN OF SOUTHOLD
��a may BUILDING DEPARTMENT
y g TOWN CLERK'S OFFICE
SOUTHOLD, NY
yah
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#: 36502 - Date: 6/22/2011
Permission is hereby granted to:
Wiggins, Hadley & Marin, Daniele
99 Orchard St
New York, NY 10002
To: overhead electric service.
At premises located at:
405 Oak Rd, New Suffolk
SCTM #473889
Sec/Block/Lot# 110.-8-12
Pursuant to application dated 6/20/2011 and approved by the Building Inspector.
To expire on 12/21/2012.
It
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
r TOWN OF SOUTHOLD
�gUFFD(,�C�Gy BUILDING DEPARTMENT
X00 �
y TOWN CLERK'S OFFICE
o � e
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#: 36502 Date: 6/22/2011
Permission is hereby granted to:
Wiggins, Hadley & Marin, Daniele
99 Orchard St
New York, NY 10002
To: overhead electric service.
At premises located at:
405 Oak Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 110.-8-12
Pursuant to application dated 6/20/2011 and approved by the Building Inspector.
To expire on 12/21/2012.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SOI�T�®�®
Town Hall Annex Telephone(631)765-1802
54375 Main Road CP- Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
roper.riche rtO-)town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Mann / Wiggins
Address: 405 Oak Rd City: New Suffolk St. New York Zip: 11956
Building Permit#: 36502 Section. 110 Block: 8 Lot 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. AS BUILT DBA: Mariner Electric License No: 45056-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 X 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 FixturesTime Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes. 200a overhead service change
Inspector Signature: Date: February 11 2019
81-Cert Electrical Compliance Form.xls
Town Hall Annex Telephone(631)765-1802
54375 Main Road � �9
P.O.Box 1179 roper riche O1M1.So o d nV w
Southold,NY 11971-0959t��
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MIMING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
[Address':
QUESTED BY: RD er ' -}a�ev l G Date:
/ 7 /20_//
mpany Name: a,r i n r � L r
me: -
���,
ense No.: 4r, ®S'G _
40b Xr2 6 y(
_ Phone No.:
JOBSIT-E INFORMATION: (`Indicates required information)
*Name: flan i a i� M c n
*Address:
'405 Qod< RO&J _ I l I
*Cross Street: New S v FFa1/C d
*Phone No.. j '] 9 1 _ `7 0 T
Permit No.. /Voc,e,
Tax-Map District: 1000 Section: 1 n Block:- Lot:-I ;l �
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do-you need a Temp Certificate: YES NO
Temp Infonmation(if needed)
*Service Size: 1 Phase 3Phase 100 150 2 0 300 350 . 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional In€ormation: PAYMENT DUE WITH APPLICATION