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HomeMy WebLinkAbout43572-Z Ire� Town of Southold 4/3/2019 P.O.Box 1179 O 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40296 Date: 4/3/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 295 Oak Rd,New Suffolk SCTM#: 473889 Sec/Block/Lot: 110.-8-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/20/2019 pursuant to which Building Permit No. 43572 dated 3/20/2019 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: 200 AMP OVERHEAD ELECTRIC SERVICE UPGRADE The certificate is issued to Grathwohl,Jeffrey of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43572 03-27-2019 PLUMBERS CERTIFICATION DATED Authorized Signature �goFFntk TOWN OF SOUTHOLD Sao. �oGy BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5 . 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#: 43572 Date: 3/20/2019 Permission is hereby granted to: Grathwohl, Jeffrey 2350 Breakwater Rd PO BOX 1069 Mattituck, NY 11952 To: electric service change (200a overhead) At premises located at: 295 Oak Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 110.-8-11 Pursuant to application dated 3/20/2019 and approved by the Building Inspector. To expire on 9/18/2020. Fees: ELECTRIC $85.00 Total: $85.00 Bui ding Inspector pF SO/���®! Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 ® • �® roper.richertr. D-town.southold.ny.us l�couff BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Jeffrey Grathwohl Address: 295 Oak Rd City. New Suffolk St: New York Zip: 11956 Budding Permit#. 43572 Section: 110 Block. 8 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor DBA: Twin Fork Electric License No: 3488-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 up grade Notes. Inspector Signature: Date: March 27 2019 81-Cert Electrical Compliance Form.xls OP SOUTyolo # TOWN OF SOUTHOLD BUILDING DEPT. �ycou765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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 �' �� �� INSPECTORS' FfQL,�C BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD = Town Hall Annex - 54375 Main Road - PO Box 1179 1� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richertPtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: -"�_o- ® 9 Company Name: t v y AJ c C_ Name: J,- �c License No.: :7 `- y 6- email: o6fJZV �L�,J-_ AAI Address: © ' r 7— `rzv-L 1 Phone No.: JOB SITE INFORMATION: (All Information Required) Name: - Address: Cross Street: Phone No.: Cv 31 — 3 9 2,Lf email: Bldg.Permit J 7 Tax Map District: 1000 Section: l I Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply: � YES I NO Rough In Final Is job ready for inspection.: Do you need a Temp Certificate?: ES l NO Issued On Temp Information: (All information required) Service Size 3 Ph Size: = # Meters 1 Old Meter# 1 P New Service Fire Reconnect- Flood Reconnect- Service Reconnected - Underground Overhea # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form.Xls 1� /1