HomeMy WebLinkAbout43551-Z ��o�Og11FfU(���G9 Town of Southold 4/9/2019
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P.O.Box 1179
v' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40305 Date: 4/9/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 465 Private Rd#3, Southold
SCTM#: 473889 See/Block/Lot: 70.-6-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/12/2019 pursuant to which Building Permit No. 43551 dated 3/12/2019
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:
RE-WIRE ELECTRIC IN GARAGE
The certificate is issued to Galgo,Gabor&Spreeman,Cynthia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43551 04-03-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
p�® 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#: 43551 Date: 3/12/2019
Permission is hereby granted to:
Galgo, Gabor
250 E 39th St Apt 12N
New York, NY 10016
To: Re-wire garage
At premises located at:
465 Private Rd #3, Southold
SCTM # 473889
Sec/Block/Lot# 70.-6-16
Pursuant to application dated 3/12/2019 and approved by the Building Inspector.
To expire on 9/10/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
uil ing Inspector
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959 ® �® roper.richert�D-town.southold.ny.us
BLTELDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Spreeman (Galgo)
Address: 465 Private Rd #3 City: Southold St: New York Zip: 11971
Budding Permit#• 43551 Section 70 Block: 6 Lot- 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor, DBA. Brian Brooks Electric License No: 3613-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 10 Ceiling Fixtures 5 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 7 Twist Lock Exit Fixtures TVSS
Other Equipment: "GARAGE"-----accessory building
Notes* 3-ARC fault circyuit breakers
Inspector Signature: a _ - Date: April 3 2019
81-Cert Electrical Compliance Form.xls
of so(/l�°�
* # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm,N�' 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:
DATE INSPECTOR ��
gUFFa1X -� DING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
5 2Tawn Hall Annex - 54375 Main Road - PO Box 1179
�QR Southold, New York 11971-0959
�y"�O1 + ao� -r�felepone (631) 7fi5-1802 - FAX (631) 765-9502
r '';® "roger.richertfttown.southold.ny.us
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APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: .
Name:
License No.: email: s-Fi� aI V1
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name:
Address: t
Cross Street:
Phone No.: -
BIdg.Permit#:— C-Z I -- email:
Tax Map District: 1000 Section: 7b Block: (v Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) v>r� ,oar sitter® --
4
Circle All That Apply: _ -
Is job ready for inspection?: YES ! NO ough In Fina!
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
,elo82-Request for Inspection Form xis