HomeMy WebLinkAbout35701-ZFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34577 Date: 09/24/10
T~I$ CERTIFIES that the building ELECTRIC SERVICE CHANGE
Location of Property: 8045 NASSAU POINT RD CUTCNOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 118 Block 4 Lot 8
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 12, 2010 pursuant to which
Building Permit No. 35701-z dated JULY 12, 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 UNDERGROUND SERVICE AS APPLIED FOR.
The certificate is issued to GEORGE H & EVA FRY
(OWNER)
of the aforesaid building.
S~FOL~COI~TYDBPART~T OF ~2~L~"~APPRO~-~J~ N/A
ELBC~i~ICAL u~TIFICATE NO. 35701 08/30/10
PLUMBERS ~'rIFICATION DA'£~ 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)
PER~IT NO. 35701 Z Date JULY 12, 2010
Permission is hereby granted to:
GEORGE H & EVA FRY
8045 NASSAU PT RD
CUTCHOGUE,NY 11935
for :
ELECTRIC SERVICE CHAI~GE FROM OVERHEAD TO UNDERGROUND AS APPLIED
FOR.
at premises located at
County Tax Map No. 473889 Section 118
pursuant to application dated JULY
Building Inspector to expire on JANUARY
8045 NASSAU POINT RD
CUTCHOGUE
Block 0004 Lot No. 008
12, 2010 and approved by the
12, 2012.
Fee $ 85.00
( ?~ ~ ~'~t hc r~i z~ ~e-d~ S~ignatur e
ORIGINAL
Rev. 5/8/02
'lk~tl Hall Annex
,5 ~37.5 Main Road
P.O. 1½ox 117!)
Soulhold, Nh' 119714)959
Telephone (631) 76.5-1802
Fax (631) 76,5-9,502
roger, richert~town.so uthold, ny. us
BUII,1)ING I)EPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Jim Fry
Address: 8045 Nassau Pt Rd City: Cutchogue St: NY Zip: 11935
)uilding Permit #: 3~.~0{ Section: 118 Block: 4Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: M&B Electrical License No: 38879
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement
Commerical Outdoor 1st Floor
New Renovation 2nd Floor
Addition Survey Attic
INVENTORY
Service 1 ph ~ Heat [~ Duplec Recpt
Service 3 ph ~ Hot Water ~ GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Slower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: new 200a underground service
Service Only ~
Pool
Hot Tub
Garage
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ].~ CO Detectors
Fluorescent Fixture ].~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures ~ TVSS
Inspector Signature:
Date: Aug 30 2010
81-Cert Electrical Compliance Form
Tom ~ A~ T~ph~n~ (6~1) 765-1802
' B~. ~G D~~ ~-
~o~so~o~ ' % YX ~;~
' APPUCATION FOR ELECTRICAL INSPECTION ~0
BY:
Name: ·
No..'
Date:
JOBSITE INFORMATION: (*!ndid. ates required information)
*Name:
'~ress:
· *Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: //~, ' Block: ~' Lot:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady)
E~,~,_ ~,~,~ ,~,, o/,, ~_~ .~/~.
(Please Circle. All That Apply)
*Is job ready for Inspection:
.*Do you need a Temp Certificate:
NO
Rough In
Final
Temp'lnf..o. rmat!on (If n_p. eded} · ·
· Service Size: ~asA 3Phase 100___~150 L'~) 300: 350 400
· New Service: , Re-conne~rgm~ndjmber of Meters Change of Service
Additional Inf0rmatlon:.
. - .
Other
Overhead