HomeMy WebLinkAbout43605-Z �4�gUFPO�,�coG� Town of Southold 4/18/2019
P.O.Box 1179
53095 Main Rd
Q411- �,'�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40336 Date: 4/18/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2435 Brigantine Dr, Southold
SCTM#: 473889 See/Block/Lot: 79.-4-64
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/2/2019 pursuant to which Building Permit No. 43605 dated 4/2/2019
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
The certificate is issued to Denicola III,Philip&Sharon
of the aforesaid building. 4
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43605 04-09-2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
��o�suEFo�,�c
TOWN OF SOUTHOLD
� BUILDING DEPARTMENT
TOWN CLERK'S 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#: 43605 Date: 4/2/2019
Permission is hereby granted to:
Denicola III, Philip & Sharon
172 Broadway
Massapequa Park, NY 11762
To: 200a overhead electrical service.
At premises located at:
2435 Brigantine Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-4-64
Pursuant to application dated 4/2/2019 and approved by the Building Inspector.
To expire on 10/1/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Ins ector
SO
Town Hall Annex Telephone(631)765-1802
54375 Main Road cis Fax(631)765-9502
P.O.Box 1179 ® �� roger.riche rt(D-town.south old.ny.us
Southold,NY 11971-0959 C®u9�,��`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Philip Denicola
Address. 2435 Brigantine Dr City: Southold St: New York Zip: 11971
Budding Permit#. 43605 Section 79 Block: 4 Lot, 64
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: R Arnabile License No: 1069-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 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 TVSS
Other Equipment 200a overhead service
Notes:
Inspector Signature: Date: April 9 2019
81-Cert Electrical Compliance Form.xls
OF so(/TyO
* TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802
INSPECTION4, 01,
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINA )
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: oll
r
DATE � I INSPECTOR
FF�KC BUILDING DEPARTMENT- ElectriDD spector,, ..._..
o a TOWN OF SOUTHOLDTown Hall Annex - 54375 Main RoaO Box 1179
Southold, New York 11979 _ 1 2019
y0� "ate Telephone (631) 765-1802 - FAX (631) 76A 902
roger richert(a town.southold.nV.us
_APPLICATION FOR-ELECTRICAL INSPECTION-
REQUESTED BY: Date:
s
Company Name:
Name: -
License No.: /Q(v�?rE _ email:
Address: 73 4E72�a
Phone No.:
JOB SITE INFORMATION: (All Information Required)
C, I
Name:
Address: 2-4 )a iuE
Cross Street:
Phone No.: '2 3` '7� CALL NE- � 01>:,7�� �alt
Bldg.Permit P. ��� email;
Tax Map,District: 1000 Section:. "� Block:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: NO Rough In Fi
Do you need a Temp Certificate?: YES / NO Issued On_
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: 2490-- A #Meters Old Meter# - - - --
ew Servi - Fire Reconnect-Flood Reconnect-Service Reconnected=Underground er
#Underground Laterals- 1 2 H Frame Pole Work done on-Service*? Y N
Additional Information:
PAYMENT DUE WITH APPLLCATION'
K-Request for Inspecrion Fon-n As