HomeMy WebLinkAbout43545-Z �4�gUfFQt,��pGy Town of Southold 9/7/2019
o -
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40683 Date: 9/9/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 455 Beebe Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-7-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/11/2019 pursuant to which Building Permit No. 43545 dated 3/11/2019
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:
electrical sp ey.
The certificate is issued to Peter Harbes
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43545 3/18/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
QTOWN 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#: 43545 Date: 3/11/2019
Permission is hereby granted to:
Bank of NY Mellon
4425 Ponce Deleon Blvd
Coral Gables, FL 33146
To: Electric Survey
At premises located at:
455 Beebe Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-7-14
Pursuant to application dated 3/11/2019 and approved by the Building Inspector.
To expire on 9/9/2020.
Fees:
ELECTRIC $120.00
Total: $120.00
Buil Ins or
OF SOUIyo�
* TOWN OF SOUTHOLD BUILDING DEPT.
urm,N 765-1802
INSPECTIO-N
_
[ ] FOUNDATION 1ST [ ] 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:
e
DATE INSPECTOR'7(
OF SOUr�,®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 G • Q roper.riche rt(a-town.south old.ny.us
�` �
OIyC®UNT`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Peter Harbes (Bank of NY MELLON)
Address- 455 Beebe Dr City- Cutchogue St: New York Zip: 11935
Budding Permit#. 43545 Section: 97 Block 7 Lot, 14
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 Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage X
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 ri Twist Lock Exit Fixtures TVSS
Other Equipment "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes: OK to re-connect exiating 200a overhead service
Inspector Signature: Date: March 18 2019
81-Cert Electrical Compliance Form As
March 16
B LDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
' a VTTwn Hall Annex - 54375 Main
11R9ad - P 9 Box 1179
y MpR Southold, New
'�O1a elephone (631) 765-1802 - FAX (631) 765-9502
Ply- b roger.richert(a town.southold.nV.us
of
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: -e� ,, e� Date:
Company Name: �- e )Ve'
Name:
License No.: g,C t-( email:
Address: S-5-
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: e)
Address: A-7-t 3 s�
I
Cross Street:
Phone ll
Bldg.Permit#: 57`J email:
Tax Map District: 1000 Section: ---?- Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) �1-e c-+-v%C �.(
aN w 1
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: = # 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 //^^
%vJ
C?��0-
m�
82-Request for Inspection Fo .xls v
\� �UQ)
tfj c' �° �. ''' ` rrr
§�„Via,It �,�{ �! - F?l6 �i .�)
,9 `l `� +�, '�
u` �f,
i
}�� ��VO
!� - � �
{ ,
N .�I
�` •'b
//
i I
�' /
� __
f �j� —4
��'a _ �
i ��
` !� �
� ��
:�