HomeMy WebLinkAbout35866-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34559
Date: 09/16/10
THIS C~u(TIFIES that the building ELECTRIC SERVICE CHANGE
Location of Property: 5030 NEW SUFFOLK RD NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
C~unty Tax Map No. 473889 Section 110 Block 8 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 23, 2010 purs,,a-t to which
Building Permit NO. 35866-Z dated AUGUST 23, 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 BRUCE & CHERYL HOTCHKISS
( OWNER )
of the aforesaid building.
SuFMOI=K C~)I~qTY DEPART~qT OF }~ALTH ~PRO~]%L N/A
EL~t-rKICAL u~KTIFICATH NO. 35866 08/30/10
PL~BERS c~KTIFICATION DA-r~O 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. 35866 Z Date AUGUST 23, 2010
Permission is hereby granted to:
BRUCE & CHERYL HOTCHKISS
135 SUNRISE AVENUE
RIVERHEAD,NY 11901
for :
ELECTRIC SERVICE CN3kNGE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 110
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
5030 NEW SUFFOLK RD NEW SUFFOLK
Block 0008 Lot No. 015
23, 2010 and approved by the
23, 2012.
Fee $ 85.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
'l'om~ 1 t;dl Annex
,5 t375 Main Road
1'.(). Box 1179
Sotllh{lld, NY 11971-093!1
· l'clcphonc (631 ) 765-1802
Fax (631) 765-9502
to,ger, richert~,town.so uthold, ny. us
BI;II,1)IN(; 1)EPARTMENT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: B&C Hotchkiss
Address: 5030 New Suffolk Rd City: New Suffolk St: NY Zip: 11956
Building Permit#: ';;~,..~ ~:::~,~ Section: 110 Block: 8 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Rocky Point Electric License No: 32644-me
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 NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: new 200a underground service
Ceiling Fixtures R HID Fixtures
Wall Fixtures [.~ Smoke Detectors
Recessed Fixtures ~,~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtureu Time Clocks
Exit Fixtures [~] TVSS
Notes:
Inspector Signature:
Date: Aug 30 2010
81-Cart Electrical Compliance Form
T .~m l.[aJl An~-~
P.O. Bo~ 1179
TOWN O1~ SOUTHOLD
~pPLICATION F:OR ~L~CTRICA~ INSPECTION
~EQUESTED BY:
,3ompany Name:
4ame:
Address:
Fhone No.:
Data:
,,
Block: ~ Lot:
JOBSITE INFORMATION: (*Indicates required Information)
*Address: ,, ~0~0
*Crosa Street: ~
*Phone No,: - ~-.///
Pe~ No.: ~.
T~MapDi~: 10q,q: ,, ,,, S~lon;. ~o ..... ,,,
~EF DESCRIPTION'OF W~ (Plea~ P~nt Cl~y)
(Plem~e Clmle All That Apply) ~ ~
*Is. Job ready for Inspe~ion: ~(~_~..,~1 NO ~
*Do you need a Temp Certificate: (~,NO
Final