HomeMy WebLinkAbout36032-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34685
Date: 11/17/10
THIS U~I(TIFIES that the building ELECTRICAL
Location of Property: 1785 BREA/{WATER RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
Colmmty Tax Nap No. 473889 Section 106 Block 8 Lot 20.5
Subdivision Filed Map NO. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 17, 2010 pursuant to which
Building ~r~t No. 36032-Z dat~ NOVEMBER 17, 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 FOR LANDSCAPING AND POND AS AppT,Tm~ FOR.
The certificate is issued to THOMAS & MARY L WILSON
(OWNER)
of the aforesaid building.
SuFMOLK COU1FI"I DEPART~ENT OF HEALTH APPROVAL
N/A
RL~CTRICAL C~TIFICATE NO.
PLU~ERS C~KTIFICATION DA-r~u
36032 11/17/10
N/A
Authorized Signature
Rev. 1/81
31,373 ~'lain Road
P.O. Box 117!)
,~OL]lhold, NY l 1971-0959
Telephone ((;:Il) 7tJ,$-lSg2
F,~: (631) 76,5-9502
ro.qer, richert~town.southold, ny. us
BI !ILl)lNG DEI'ARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Wilson
Address: 1785 Breakwater Rd City: Mattituck St: NY Zip: 11952
3uildingPermit#: ~'~"~'~1._ Section: '~[.~[,~ Block: '~ Lot: ~(~)
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: DWP Electric Cont. LicenseNo: 2207-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 ~ CeilingFixtures [~ HIDFixtureSs~
Service 3 ph Hot Water GFCl Recpt Wall Fixtures ].~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixturel I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures t~ TVSS
Other Equipment: pond pumps and landscape and pond lighting, power to drive way gate
Notes: 3-pond pumps and Iow voltage lighting, pond control panel, 4-GFCI circuit breakers, 1-40a and 1-60a sub panel
Inspector Signature:
Date: Nov 17 2010
81-Cert Electrical Compliance Form
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. 36032 Z Date NOVEMBER 17, 2010
Permission is hereby granted to:
THOMAS & MARY L WILSON
69 RIM ROAD
HICKSVILLE,NY 11801
for :
ELECTRIC FOR LAAIDSCAPING AND POND AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 106
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
1785 BREAKWATER RD MATTITUCK
Block 0008 Lot No. 020.005
17, 2010 and approved by the
17, 2012.
Fee $ 90.00
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
· Town ~ Annex
54375 Main Ro~d
P.O. Box 1179
.Southold, NY 11971-0959
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTHO~.r~
A~PL~CAT~ON FOR ELECTRICAL INSPECTION
REQUESTED BY:
company Name: ~:::?Z~,/~, ~./~2~Zf~ ~[,~.
4ame: gT~-~.~ /.4~/.
.icense No.:
~,ddress:
Phone No.:
Date:
· JOBSITE INFORMATION: (*Indicates required information)
'Name: ,/~f,~'~ ~7,,~ '~~.~
*Address: ~/7~~' ~5"~/~'/.~7/~-'/'~/~--~' V-~*~, ~
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:
*BRIEF DF_~RIPTION OF WORK (Please Pdnt Cleady)
Lot: Sro %
(Please Circle All That Apply)
*Is job ready for inspection:
· *Do you need aTemp Certificate:
YES / NO Rough In Final
YES / NO
Temp Information (If needed)
*Service Size: I Phase 3Phase 100 150 200 300 350 400 Other '/
*New Service: Re-connect Underground Number of Meters Change of Service, Overh~ {~A~.(
Additional Information: PAYMENT DUE WITH APPLICATION .i ~-,~ v ~.
82-Request for Inspection Form