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Home My WebLink About35708-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. CERTIFICATE OF OCCUPANCY No: Z-34524 Date: 08/25/10 THIS C~KTIFIES that the building ELECTRIC SERVICE Location of Property: 295 GAGENS LANDING RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 10 Lot 35 subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 2010 pursuant to which Building Permit No. 35708-Z dated JULY 21, 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 AS APPLIED FOR. The certificate is issued to ALFREDA TAPLIN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPART~T OF ~]~J~TH APPROVAL ELBL-rKICAL c~KTIFICATE NO. PLIERS c~TIFICATION DA'£~u N/A 35708 08/03/10 N/A Authorized Signature Rev. 1/81 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. 35708 Z Date JULY 21, 2010 Permission is hereby granted to: ALFREDA TAPLIN (RUDDER) PO BOX 306 SOUTHOLD,NY 11971 for : ELECTRIC UPGRADE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated JULY Building Inspector to expire on JAI~UARY 295 GAGENS LANDING RD SOUTHOLD Block 0010 Lot No. 035 21, 2010 and approved by the 21, 2012. Fee $ 85.00 / Authorized Dignature ORIGINAL Rev. 5/8/02 Focm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 .. APPLICATION FOR CERTIFICATE OF OCCUPMSICY ~ applieafi0n mu~t bc.fill~l in by typewriter or ink and submitted to the Buildlng Dopaxtment with thc following: For new building or new use: "1. Final. survey of prepc~ty with accurate location of all buildings, pwperty lines, s~reets, and unusual natural or topographic feature. .2. Final Approval from Health Dept. ofwatex supply and sewerage-disposal (8-9 form). g. Approval ofelec(rical installation from Board of Fire Undeiwaiters. 4. Sworn statement from plumber ogrtifying that the solder used in system contai~ l~ than 2/10 of 1% load.. '5. Commel~0i~d building, indualxial building, multiple r~idcnc~ and Similar buildings und installatious, a 0¢Rificate . o f Code Complianoe from arohitcct or engineer respousible for the building. '6. 'Submit planning Board Approval of~6ompleted site'plan requirements. .For existing.buflding~.(prior to April 9, 1957) non-conforming uses~ or buildings and ~pre-existing' land uses: I. Accurate survey o f property showing all property lines, streets, building und unusanl natural or topographic fe.~xtres. 2. A properly completed applioation and. consent to inspect signed by the appliCant. If a Ce, rfificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certi~cate ~f ~c¢upancy~ New dwe~ing $25.~ Additi~ns t~ dwe~ing $25.~ A~terati~ns t~ dw~l~ing $25.~ Swimming pool $25.00, Accessory building $25.00, Addit/ons to accessory building g25.00, Businesses $50.00. 2. Cextificate ofOocupancyon Pre-~xisthig Building - $100.00 3. ' Copy of Certificate of OCCupancy - $.25 4. Updated CeRificate ofQccupancy - $50.00 5. Tcmpogoxy Certificate of Occupancy - Residantial $15.00, commercial $15.00 · New Constmctiun: Lo Uo ofProP : 5' House No. or o flP o : ..' 8u~ion Old or Pre-existing Building: Strut P¢iid.tNo. ~ '~'~O~ 'DateofPormit. Health Dept. ApprOval: (check One) Hamlet Block. ' ) Filed Map. . Applicant: Underwriters Approval:. Lot: Planning Board Approval: R~quest for: Temporary Certificate Final Certificate: Fee Submitted: $ ]N~ (check one) Applicant Signature Total flail Anncx 3137.5 Main Road P.(). Box 1179 Soulhold, N"I' 11!}71-09.59 Tclcl)honc ((i31) 76,5-1802 l:ax (Ii31) 76,5-9,50t2 ro.qer, dchert~town.southold.nV.us BUII,I)IN(, 1)1',1 Alii MI'~N 1 TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Ed Rudder Address: 295 Gaggen Landing City: Southold St: NY Zip: 11971 Building Permit #: '-'J~5 "~ O(~-} Section: "~ O Block: ~ {22) Lot: ~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Dan Wilcenski DBA: License No: 4723-me SITE DETAILS Office Use Only Residential ~ Ind°°r [X~ Basement ~] Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ OuplecRecpt ~ CeilingFixtures [~ HIDFixtures Service 3 ph Hot Water GFCl Recpt Wall Fixtures ~.~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors Sub Panel NC Blower Range Recpt Fluorescent FixtureJ.~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: up grade service to 200a over head Notes: Inspector Signature: Date: Aug 3 2010 81-Cert Electrical Compliance Form Town Hall Annex 54375 M;im Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro ' (631) 7 .qer. nchert(~,t~n.$oTur:u~o~, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: "- ~ Date: 7- 2- ( - / a Company Name: '"--~_,~.~/~/~,'/~ ~.,,/~* ~.r**'/(c ?,.., ¢~. / ('*o,.,~ ~.-f[~ ~..~_~ ,._, Name: ~. ~/~ ~ [lgd- Li~nse No.: ' ~TZ~- ~ ~ Address: Phone No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: ~ 0 Block: | ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (Please Circle All That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: Temp Information (If needed} · *Service Size: 1 Phase *New Service: Re-connect Additional Information: NO Rough In Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service.' Overhead PAYMENT DUE WITH APPLICATIOI~ //~ 82-Request for Inspection Form