HomeMy WebLinkAbout35973-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34709
Date: 11/22/10
THIS C~KTIFIES ~hat the building ELECTRIC SERVICE
Location of Property: 175 DEPOT LA
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 102 Block 5
subdivision
Filed Map NO. __ Lot No. __
CUTCHOGUE
Lot 25
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 27, 2010 pursuant to which
Building Permit No. 35973-Z dated OCTOBER 27, 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 OVERHEAD ELECTRIC SERVICE AS APPLIED FOR.
The certificate is issued to DAVID H ALBRECHT
( OWNER )
of the aforesaid building.
SuFfOLK CO[~%TY DEPARTMENT OF HEALTH APPRO~-AL N/A
R~t-£~ICAL CERTIFICATE NO. 35973 11/15/10
PLIERS CERTIFICATION DA'r~u3 N/A
Rev. 1/81
FOR~ 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. 35973 Z Date OCTOBER 27, 2010
Permission is hereby granted to:
DAVID H ALBRECHT
95 DEPOT LA
CUTCHOGUE,NY 11935
for :
ELECTRIC OVERHEAD SERVICE AS APPLIED FOR.
at premises located at 175 DEPOT LA
County Tax Map No. 473889 Section 102
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
CUTCHOGUE
Block 0005 Lot No. 025
27, 2010 and approved by the
27, 2012.
Fee $ 85.00
~ho~gnature
ORIGINAL
Rev. 5/8/02
To,,vn ltall Anne×
,5 t375 Main Road
P.(). Box 1179
Southokl, NY 11971-0959
'i clcphouc (631) 765-1802
Fax (631) 7tiS-PS02
ro.qer, richert~town.southold.ng, us
ssued To: David Albrecht
BI 7ILl)IN(; I)EPARTMENT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
/ _
Address:
95 Depot Lane
{..6X.~C~ i'-)~) City:Cutchogue St: NY Zip:
~uilding Permit#: ~O[ ~ Section: { ~ Block: 5 Lot: ~
WAS E~MINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
;ontractor: DBA: License No:
SITE DETAILS
11935
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commefica~ Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 171 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures Ill CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixturel I Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ I Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: 150a overhead service, 1-exhaust fan
Notes: re-wire house only, no construction work done (snaked)
Inspector Signature:
Date: Nov 15 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING / STRAPPING
FIREPLACE & CHIMNEY
[ [ ] ROUGH PLBG.
[ [ ] INSULATION
[ [ ] FINAL
[ [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION ~ ]FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) /~ ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTO~
Towa Hell Aun~
,~/$ Maln Road
P.O.~ ll~
· .So~o~, NY 11!~1.~59
m.~ ~ING D~P~1~--~
TO~fl~ OF SOUTHO!.]3
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
company Name:
.(Please.Cimle All That .Apply)
qsJOb ready for inspectl0n: · YES I NO Rough In"" Flna!.
you nc~.~! a TemP Certificale: (~ NO
Temp'lnformation (If needed) *
'~r~S~.: ~ ~a,. ~oo ~ 2°0. soo ~o ~o
Unde~mund Num~r~Metem ~ange 0~
~dffional Inflation: PA~E~ DUE WITH'APPLICATION
,
Date:
JOBSITE IN:FORMATION: (*!ndi~tes mq.uimd info~ati~)
Pe~ No.: ~