HomeMy WebLinkAbout35681-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34466 Date: 07/15/10
THIS UI~K'rIFIES that the building ELECTRIC UPGRADE
Location of Property: 475 MIRIAM RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap NO. 473889 Section 99 Block 1 Lot 32
Subdivision Filed Map NO. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 1, 2010 purs,,ant to which
Building Permit No. 35681-Z dated JULY 1, 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 UPGPQ%DE FOR AM EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issned to PETER & HELEN LOUCA
(OWNER)
of the aforesaid building.
SUFFOLKCOi~i-iDEPAR~gBTOFI{EALTHAPPRO%~L N/A
BI~BUA-KICAL c~-rIFICATH NO. 35681 07/09/10
PLIERS U~fIFICATION DA'i'll3 N/A
~Au~nature
Rev. 1/81
~[~OWII tlall Annex
.5 ~,375 Main Road
P.O. Box 1179
Somhold, NY 11971-()959
Telephone (631) 763-18()2
Fax (631) 765-9302
ro.qer, richert~town.southo d ny us
BI TILDING 1)EPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Louce
Address: 475 Miriam Rd City: Mattituck St: NY Zip: 11952
Building Permit#: 35681 Section: 9g Block: I Lot: 32
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 ~
Commericel Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures [~ HID Fixtures ~r~lr~lr~lr~l
Service 3 ph Hot Water GFCl Recpt Wall Fixtures II Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures I I CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture I I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ I Time Clocks
Disconnect Switches Twist Lock Exit Fixtures L.~ TVSS
Other Equipment: 200a over head service upgrade
Inspector Signature:
Date: July 9 2010
81-Cert Electrical Compliance Form
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35681 Z
Date JULY 1, 2010
Permission is hereby granted to:
for :
PETER & HELEN LOUCA
60AKLEAF COURT
HUNTINGTON,NY 11743
ELECTRIC UPGR3~DE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
at premises located at 475
County Tax Map No. 473889 Section 099
pursuant to application dated JULY
Building Inspector to expire on JA/~UARY
MIRIAM RD MATTITUCK
Block 0001 Lot No. 032
1, 2010 and approved by the
1, 2012.
Fee $ 85.00
AuthoriZed[ Signature
ORIGINAL
Rev. 5/8/02
54375 Main Road
P.O. Box 1179
· Sou~hold, NY 11971-0959
BU~ ~DING DEPARTMENT
TOWN OF $OUTItOLr~
APPLICATION FOR ELECTRICAL INSPECTION
Company Name:
No.:
Date:
o~- ~'~C'£o I
JOBSITE INFORMATION: (*Indicates required information)
Lo u c
· *Cross Street:
*Phone No.:
Permit No.: '~ ~' I~ ~' I
Tax Map District: 1000 Section:., fi ~ Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) C~(~)
(Please Circle All That Apply)
*la. job ready for inspection:
.*Do you need a Temp Certificate:
Temp'lnformation (If needed}-
*Service Size: ~ 3Phase
*New Service: ' Re-connect
Additional InfOrmation:
100 150 ~ 300 350 400 Other
Underground Number of Meters ~ of S~e~-~'~) O~
PAYMENT DUE WITH' APPLICATION