HomeMy WebLinkAbout36491-Z j' Town of Southold Annex
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54375 Main Road
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35076 Date: 7/20/2011.
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 970 E Greenway, Orient,
SCTM#: 473889 Sec/Block/Lot: 15.-241
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/17/2011 pursuant to which Building Permit No. 36491 dated 6/20/2011
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:
pool heater and electric for an existing swimming pool.
The certificate is issued to Johnson,Diane&Peabody,Carolyn
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36491 7/1/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
�. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
CA 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#: 36491 Date: 6/20/2011
Permission is hereby granted to:
Johnson, Diane & Peabody, Carolyn
970 E Greenway
PO BOX 103
Orient, NY 11957
To: New pool heater and electric for pool.
At premises located at:
970 E Greenway, Orient
SCTM # 473889
Sec/Block/Lot# 15.-2-11
Pursuant to application dated 6/17/2011 and approved by the Building Inspector. r
To expire on 12/19/2012.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
50!/Tyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1179 G Q
Southold,New York 11971-0959
roger.riche rtCa�town.southoId.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Johnson/Peabody
Address: 970 Greenway East City: Orient St: NY Zip: 11957
Building Permit#: 3,01 Section: 1S Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: QC Electric License No: 3823-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 11 TVSS
Other Equipment: install new pool heater to existing pool, 1-50a GFCI protected disconnect
1-GFCI recpticle
Notes:
Inspector Signature: Date: July 1 2011
81-Cert Electrical Compliance Form
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N -
P.O.Box 1179 Q ro er.richert . 72011' 0
Southold,NY 11971-0959
JUN 14
BUILDING DEPARTMENT
TOWN OF SOUTHOLD BLDG.DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Date:
Company Name: lC -=Xq C_
Name: ��
License No.:
Address: Ro, Z�70k "5-lg
Phone No.: -S-3 w e_,&L ZK� sy/O
JOBSITE INFORMATION: (`Indicates required information)
'Name:
.S. �v,t/ S
'Address:
'Cross Street: N 60eF e
'Phone No.: 32:3 ✓8Z
'ermit No.:
rax-Map District: 1000 Section: ) 5� Block: Lot:
`BRIEF DESCRIPTION OF WORK (Please Print Clearly) NsrgwkAlt—_ )GxL_
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Please Circle All That Apply)
'Is job ready for inspection: ES NO Rough In Final .
'Do-you need a Temp Certificate: YES/M
hemp Information (If needed)
Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other -�
New Service: Re-connect' Underground Number of Meters Change of Service Overhead
ldditional Information: PAYMENT DUE WITH APPLICATION 1
V
82=Request for Inspection Form