HomeMy WebLinkAbout44181-Z �o�V=m
SUFFaj,fcOGy Town of Southold 10/21/2019
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40791 Date: 10/21/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 235 Bridge St, Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-47
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/18/2019 pursuant to which Building Permit No. 44181 dated 9/18/2019
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 blt"electrical survey.
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The certificate is issued to Johnston,Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44181 9/17/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature —
:ren` TOWN OF SOUTHOLD
�o�g11fF0(�Coy BUILDING DEPARTMENT
C3 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#: 44181 Date: 9/18/2019
Permission is hereby granted to:
Johnston, Maureen
c/o Michael Foster
31 Saratoga St
Hoosick Falls, NY 12090
To: as bit" electric.
At premises located at:
235 Bridge St, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-3-47
Pursuant to application dated 9/18/2019 and approved by the Building Inspector.
To expire on 3/19/2021.
Fees:
ELECTRIC $90.00
Total: $90.00
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BuiIdi Inspector
so
Town Hall Annex
r , ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
sean.deviin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Maureen Johnston
Address: 235 Bridge St city Greenport st: NY zip: 11944
Budding Permit# 44181 Section 34 Block. 3 Lot 47
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No-
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures 6 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 1 Smoke Detectors
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt 50A Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect Switches 3 Twist Lock Exit Fixtures Combo SD/CO
Other Equipment
Notes. AS BUILT" " NO VISUAL DEFECTS" Visual Inspection Of Updated Wiring
Inspector Signature: Date: September 17, 2019
S Devlin-Cert Electrical Compliance Form As
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# TOWN OF SHOLD BUILDING DEPT.
°ycourm��' 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) (IQ(Arl
[ ] CODE VIOLATION [ ] CAULKING
0
- REMARKS: l t F211 t tom?_
DATE I 1 INSPECTOR
BUILDING DEPARTMENT-Electrical Inspector
Pp TOWN OF SOUTHOLD
Town Hall Annex- 543715 Main Road - PO Box 1179
Southold; NeWYork-1-197170959
Telephone (631) 765-1*802 FAX(631) 765450�
roger.richertC@-town.s6uthold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
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REQUESTED BY: r Date: /np
Company Name:
Name:
License No.:tam 30) email:
Address: 3 S 2r
J
Phone No.. 2,PIV - -,Ve5��Z , \J
JOB SITE INFORMATION: (All Information Required)
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permlt#: email:
lTax Map District: 1000 Section: q - Block: 3 Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for Inspection?: NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All Information required) I
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service-Fire Reconnect- Flood Reconnect-Service Reconnected -Underground-Overhead
l#-Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form As