HomeMy WebLinkAbout35750-ZFORM NO. 4
TO~qq OF SOLVfHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34560
Date: 09/16/10
THIS c~TIFIES that the building ELECTRIC SERVICE CHANGE
Location of Property: 20365 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Taxx ~ap No. 473889 Section 51 Block 4 ~t 9
Subdivision Filed Map NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 4, 2010 pursuant to which
Building Permit NO. 35750-Z dated AUGUST 4, 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 AS APPLIED FOR.
The certificate is issued to CELESTE THEOPHILOS
(OWNER)
of the aforesaid building.
S~I~FOI~£~)~DEPAR~)~T OF }~ALTHAP~O%5~L N/A
ELRL-rKIC~L C~K'rIFIC3~TH NO. 35750 09/03/10
I~L~ C~RTIFICATION DA'r~ N/A
Authorized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII/]ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35750 Z Date AUGUST 4, 2010
Permission is hereby granted to:
CELESTE THEOPHILOS
23-22 30TH ROAD
ASTORIA,NY 11102
for :
ELECTRIC SERVICE CHA/~GE AS APPLIED FOR.
at premises located at 20365
County Tax Map NO. 473889 Section 051
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
SOUNDVIEW AVE
SOUTHOLD
Block 0004 Lot No. 009
4, 2010 and approved by the
4, 2012.
Fee $ 85.00
ORIGINAL
Rev. 5/8/02
Town llall Ampex
5~375 Main Road
P.O. Box 117!t
Southold, N Y I 1!t71-0959
Telephone (631) 765-1802
l:ax (631) 76.1-9,302
ro.qer, dchert~town.southold.nv.us
Issued To:
BI IILDING 1)EPARTMENT
TOWN OF $OUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Celeste ~'V¢*--~ ~,; [OS
Address: 20365 Soundview Ave City:Southold St: NY Zip: 11971
Building Permit#: 35750 Section: 51 Block: 4 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Lowell Electrical License No: 3211-e
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
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel AJC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: change service from overhead to underground
Ceiling Fixtures ~[~[~ 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:
Date: Sept 3 2010
81-Cert Electrical Compliance Form
07-30-10;12:58 ;
4471775
Roger, Richert
Temporary Certificate
Number of Meter8
Size ~ Phase
Overhead
,New.Service Chang~ of service
Issued to
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Electric:al Inspector
765-1802
S/B/L ,,
Underground' ,,~
Reconneot Existing Service
# 1/
_.--, ,_ PAID
.AMOUNT PAID
CHECK #
¥1