HomeMy WebLinkAbout43969-Z gtlEFO(,��e
Town of Southold 8/1/2019
�!:I.�; P.O.Box 1179
m 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40582 Date: 8/1/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 11900 Oregon Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 83.-3-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/16/2019 pursuant to which Building Permit No. 43969 dated 7/16/2019
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:
"as built" 100a service and generator transfer switch.
The certificate is issued to Zuhoski, Shirley
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43969 7/9/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SVF��co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a 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#: 43969 Date: 7/16/2019
Permission is hereby granted to:
Zuhoski, Shirley
11900 Oregon Rd
Cutchogue, NY 11935
To: Electric service
At. premises located at:
11900 Oregon Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 83:-3-5.3
Pursuant to application dated 7/16/2019 and approved by the Building Inspector.
To expire on 1/14/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
B ' in ctor
oF sovTy®�
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® roper.riche rt(a)-town.south old.ny.us
Southold,NY 11971-0959
®lyc®UNTI,N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Shirley Zuhoski
Address: 11900 Oregon Rd City: Cutchogue St: New York Zip: 11935
Building Permit#: 43969 Section- $3 Block. 3 Lot 53
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"
Notes: 100a overhead service,transfer switch for stand by generator
Inspector Signature: — Date: July 9 2019
81-Cert Electrical Compliance Form As
OF 50GTy��
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. N400
[ ] FOUNDATION 2ND [ ] INSULATION L
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
SO
Town Hall Annex Telephone(631)765-1802
54375 Main Road Wf(x(153p-mg
P.O.Box 1179 roger P * S�\
Southold,NY 11971-0959 U V —7J
eouw�'
JUL 9 2019
BUILDING DEPARTMENT
TOWN OF SOUTHOLD BUILDUTC4 DEFE
APPLICATION FOR ELECTRICAL INSPECTI
REQUESTED BY: Date: 7 19�/y
Company Name:
Name:
License No.:
Address:
lPhone No.. 57 F -3
JOBSITE INFORMATION: (*Indicates required information)
*Narhe: zu �0's
*Address: 1 ]q001 (0 �d kal CuTe-VOIq U("
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1060 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
4,5 f r2k" c� - - �5 P�-)00 t-ff 6&7'�
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (if needed)
*Service Size: 1 Phase 3Phase DO 0 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meter's Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form