HomeMy WebLinkAbout43511-Z ��gUFF�t,�coG Town of Southold 3/19/2019
y� P.O.Box 1179
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co, ? 53095 Main Rd
o4,- � Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40273 Date: 3/19/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 390 Oak Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80.-2-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/27/2019 pursuant to which Building Permit No. 43511 dated 2/27/2019
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:
2 TEMPORARY GFCI RECEPTICLES
The certificate is issued to Gallagher, Christopher&Catherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43511 03-13-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
4�sv�oi�co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . 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#: 43511 Date: 2/27/2019
Permission is hereby granted to:
Gallagher, Christopher& Catherine
PO BOX 287
Southold, NY 11971
To: 2 temporary GFI outlets after water damage.
At premises located at:
390 Oak Dr, Southold
SCTM # 473889
Sec/Block/Lot# 80.-2-14.1
Pursuant to application dated 2/27/2019 and approved by the Building Inspector.
To expire on 8/28/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
ui ing Inspector
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �� roger.riche rt(a7town.southoId.ny.us
Southold,NY 11971-0959 �®
COWN
BLAILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To, Gallagher
Address. 390 Oak Dr City: Southold St: New York Zip: 11971
Budding Permit#: 43511 Section- $0 Block 2 Lot 14.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA: Allways Electric License No:
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 2 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 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 ri Switches Twist Lock Exit Fixtures TVSS
Other Equipment 2-temporary GFCI recpticles for repairs to dwelling after fire and water damage
Notes:
Inspector Signature: c,r � Date: March 13 2019
81-Cert Electrical Compliance Form As
OF so//Tyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
°ycourm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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:
67K `-6
DATE C INSPECTOR 2 t
07-30-10; 12: 27 6660479 - # 1/ 2
Town Hall Annex (S^/ Tcicphonc(631)765.1302
5437.5 Main Road r(681)765 gg50
P.O.Box 1179 ` �F roger.richert 6Wn_soutnoPd.ny.us
-Southold,NY 11971.0959
BUILDINGDEPAKIMB,NT FEB 2 7 2019 ��-
TOWN OF SOIT HOLD
APPLICATION FOR ELECTRICAL INSPECTION-.-,T-7,,f"
T. -
REQUESTED BY: Date: Q 2, 1141 1 r
Company Name:
Name: VI
License No.: le w
Address: a( -j_ o(jnoen, Q Rr 11 -1
Phone No.: 10 )1- _ 4-1-1"
JOBSITE INFORMATION: (*Indicates required information)
Narne;-
*Address:
*Cross Street:
*Phone No.: ?� I- 1-�3�-� - ►1 1a,1" <<
Permit No.:
Tax Map District: 1000 Section: Block: a. Lot; l i
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: G;?N0 Rough In Final
*Do you need a Temp Certificate: YES
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*Nero Service:_ _ Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
- -__ — �
G,
82-Requost for Inspection Form
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