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Home My WebLink About35682-ZFORM NO. 4 TOWN OF S0UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34429 ~te: 07/06/10 THIS CERTIFIES that the building ELECTRIC UPGRADE Location of Property: 1465 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 103 Block 7 LOt 17 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 2010 pursuant to which Building Permit No. 35682-Z dated JULY 2, 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 UPGRADE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to PHILIP J TRZCINSKI JR & DEBOP~AH L (OWNER) of the aforesaid building. S~)LKC~)~rYDBPART~T OF ~LTHI%PPRO~-~J~ N/A ELEC~i'~ICAL CERTIFICATE NO. 35682 07/02/10 PLIERS U~TIFICATION DA'r~u N/A Authorized Signature Rev. 1/81 31373 Main Road P.(). Box 1179 SI)tflllohL N~IT 11971-09,59 TcM)I~(, w (63 l) 7(;3-1802 Fax (t;:l I ) 7(;,L9302 ro,qer, richert~,town.so uthold, ny. us BUIIJ)IN(; 1)E1)ARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Phil Trzcinski Address: 1465 Pequash Ave City: Cutchogue St: NY Zip: 11935 Building Permit #: ~-~ ~ ~ ~ Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893 SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: service up0rade only Ceiling Fixtures~ ~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures L_._J TVSS Notes: upgrade service to 200a overhead Inspector Signature: Date: July 2 2010 81-Gert Electrical Compliance Form Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 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, streets, 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 fl: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 installatious, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plaoning Board Approval of completed site plan requirements. Bo 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 properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Iuspcctor 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $ l 5.00 Date. New Construction: Okd or Pre-existing Buildin~g: (check one) Location of Property: \ ~'~ ~,~- ¢~-~q ~k0~ ~ House No. Street ~ ;Hamlet Suffolk County Tax Map No 10013, Section Subdivision PermitNo. ~ ~ DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ N ~2~ q -ct Block Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot 1"7 (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. 35682 Z Date JULY 2, 2010 Permission is hereby granted to: PHILIP J TRZCINSKI JR & DEBORA PO BOX 1109 CUTCHOGUE,NY 11935 for : ELECTRIC UPGP~ADE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 103 pursuant to application dated JULY Building Inspector to expire on JANUARY 1465 PEQUASH AVE CUTCHOGUE Block 0007 Lot No. 017 2010 and approved by the 2, 2012. Fee $ 85.00 Authorized Signature ORIGINAL Rev. 5/8/02 To~n Hall Annex · ~375 ~ R.o~d P.O. Box 1179 Souu~old, NY 11971-0959 Telephoue (63t) 765-1802 r~or. ri~nert(~o {wn~.~{~.nv.u~ BUILDING DEPA_R~ TOWI~ O1~ $OOTI-IOi.n APPLICATION FOR ELECTRICAL INSPECTION Name: ' Date: NO..' JOBSITE INFORMATION: (*Indicates required information) *Address: //-/ *Cm~' Street: *Phone No.: Petrol{ No.: . Tax Map District: 1000 Section: Block: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Lot: (Please Circle* NI That Apply) *Is Job ready for inspection: .*Do you need a Temp Certifica{e: Rough In ~ 82-Reques~ for Inspe~Jon Form Temp-lnformation (If needed} · · Service size: ~1~:~c 3Phase 100 150 (~ 300: 350 400 Other · New Service: ' t Underground Number of Metem ~ ~ Additional Information: PAYMENT DUE WITH APPLICATION /