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Home My WebLink About35651-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34426 Rte: 07/02/10 T~IS c~TIFIES that the hailding ELECTRIC SERVICE UPGP, ADE Location of Property: 4520 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 3 Lot 30 subdivision Filed Map No. Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JLrNE 16, 2010 pursuant to which Building Permit No. 35651-Z dated JUNE 16, 2010 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 ELECTRIC SERVICE CHANGE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EE & JM BOCCIA TRUST ( OWNER ) of the aforesaid building. S~FOI~K C~I~l~f DEPAR~qT OF ~"~ APPRO~-~J~ N/A ~EC'~RIC3%L ~RTIFIC3%~ NO. 35651 06/30/10 PLUMBERS c~KTIFICATION DA'£~U N/A /~~Au horize~ Rev. 1/81 '1'(I;~ n Hall Annex 1375 Main Road P.(). Box 117!) Southold, Nh' l lg71-0959 Tclcphonc (631 ) 763-180'2 Fi[x (631) 765-9502 ro.qer, richert~town.southold.ny.us I~,UILI)ING DEPAI/TMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jeff Kracke Address: 4520 Pequash Ave City: Cutchogue St: NY Zip: 11935 B i,ding Pct.,it #: '3 5-& Bection: I1' B,oek: Lo,: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Steve Rosin DBA: QC Elec License No: 3823 SITE DETAILS Office Use Only Residential R Indoor ~ Basement Commedcal Outdoor 1 st Floor New Renovation 2nd Floor Addition Survey Attic INVENTORY ServJcelph ~ Heat ~ DaplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: service change only--200a overhead service [ Service Only ~ Pool Hot Tub Garage Ceiling Fixtures~R R HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtun ~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Notes: Inspector Signature: Date: June 30 2010 81-Cert Electrical Compliance Form Form No. 6 TOWN OF SOIJTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be rifled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, strects, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi'om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Subrait Planning Board Approval of completed site plan requiremants. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ,pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A proper!y completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Teraporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Ol~-qr Pre-existing Building: House No. Street Owner or Owners ofProperty: ~ +-~J-~{~ ~)~)C~ Ca Suffolk County Tax Map No 1000, Section ] ~ t~) Block (check one) %0 Subdivision Filed Map. Permit No. ~ C~ ~ t Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ {NV~ Final Certificate: (checkone) ApPlicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35651 Z Date JUNE 16, 2010 Permission is hereby granted to: EE & JM BOCCIA TRUST 600 HARPER AVE WEBSTER GROVES MO, 63119 for : ELECTRIC SERVICE UPGRADE AS APPLIED FOR. at premises located at 4520 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0003 Lot No. 030 pursuant to application dated JUNE 16, 2010 and approved by the Building Inspector to expire on DECEMBER 16, 2011. Fee $ 85.00 Authorized Signature COPY Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35651 Z Date JUNE 16, 2010 Permission is hereby granted to: EE & ~ BOCCIA TRUST 600 HARPER AVE WEBSTER GROVES MO, 63119 for : ELECTRIC SERVICE UPGRADE AS APPLIED FOR. at premises located at 4520 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0003 Lot No. 030 pursuant to application dated JUNE 16, 2010 and approved by the Building Inspector to e~ire on DECEMBER 16, 2011. Fee $ 85.00 Authorized Signature ORIGINAL Rev. 5/8/02 Town Hall Annex $4~75 Ma~n Road P.O. Box 1179 Soufi~old, NY 11971-09.59 Telephone (631) 765-1802 to f{. er. dc, be rt~d~,~.~S~°~, ny. u s BUILDING DEPARTMENT TOWN OF SOUTHOLr~ APPLiCATiON FOR ELECTRICAL iNSPECTION REQUESTED BY: Company Name: Name: Date: "~,.~- License No.: ~ ~,~ 3 ~,ddress: ~,(). ~o~ ~"'l~ ~./~Uz/~-/.. / ~, //~ Phone No.: ~ ~q O~ ~ ~10 ~ JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Permit, No~: Tax Map District: (*Indicates required information) 1000 Se~n: ~ ~ B Block: ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: l~ase~ *New Service: Re-connect Additional Information: 82-Request for Inside Jct~n FO~J't YES / NO Rough In Final ~NO 3Phase 100 Underground 150 ~ 300 350 400 Other Number of Meters ~ PAYMENT DUE WITH APPLICATION