HomeMy WebLinkAbout40116-Z 00Of 4
cOG�.c Town of Southold 10/17/2019
P.O.Box 1179
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CERTIFICATE OF OCCUPANCY
No: 40782 Date: 10/17/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1625 Leeward Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 79.-7-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/25/2015 pursuant to which Building Permit No. 40116 dated 9/25/2015
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 ELECTRIC UPGRADE
The certificate is issued to Kritsberg,Anders
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�S�FFeI�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 40116 Date: 9/25/2015
Permission is hereby granted to:
Kritsberg, Anders
1625 Leeward Dr
Southold, NY 11971
To: 200A Electric Upgrade
At premises located at:
1625 Leeward Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-7-18
Pursuant to application dated 9/25/2015 and approved by the Building Inspector.
To expire on 3/26/2017.
Fees:
ELECTRIC $85.00
Tota : $85.00
uilding Inspe
OF SO(/��®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c • �@ sean.deviin(cD-town.southold.ny.us
Southold,NY 11971-0959
Comm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Margareta Kritsberg
Address: 1625 Leeward Dr city Southold st: NY zip: 11971
Budding Permit* 40116 Section. 79 Block: 7 Lot: 1$
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding 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 Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment Meterpan, 200A Main Panel- 30 Circuit w/ 15 Circuits Used, 6 Circuit Generator
Transfer Switch, Generator Plug, Ground Rod and Coldwater Ground
Notes Service Upgrade
Inspector Signature: Date: October 15, 2019
S.Devlin-Cert Electrical Compliance Form.xls
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# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] 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)Sgev
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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IO�is/�q
DATE Iq INSPECTOR
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OF SOJJ/Fy�f
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Town Hall Annex ( l Telephone(631)765-1802
54375 M;Cin_Road �, az(631)765-g5172 '
P.O.Box 1179 G, roger.richert(ay`�town.soutd ny us
Southold,IVY 11971-0959 �O ;
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BUILDING DEPARTMENT
TOWN OF SOUTIH[OLD '
i
APPLICATION FOR ELECTRICAL INSPECTION '
REQUESTED BY- _
• Date:
1company Name:
Name: -
License No.: _�7
Address: ZD �c ��o-.r✓ ,. 1
Phone No.: _21 c1 �=
JOBSITE WFORIVIATION: *Indi
( sates required information)
*Name: 4111-,-
*Addr-ess:
*Cross Street: !
'Phone No_: !
Permit No.: (� ,
Tax-Map District: - 1000 Section: q - Block:�_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ZDD �M
(Please Circle All That Apply)
*Is job ready for inspection:
�' NO. Rough In Final
*Do-you need a Temp Certificate:
601 NO
Temp Information (if needed)
*Service Size: dPha 3Phase 100 150 300 350 400 Other I .
*New Service: Re-connect Underground Number of Meters ange of Servic verhe
Additional Information: / PAYMENT DUE WITH APPLICATION
Vj - 1
82-Request for inspect n Fdrrn