HomeMy WebLinkAbout35977-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD~RTMENT
Office of the Building Inspector
Town Hall
Southold, NoY.
CERTIFICATE OF OCCUPANCY
No: Z-34712
Date: 11/29/10
TNIS ~am(TIFIES that the building ELECTRIC UPGP~%DE
Location of Property: 560 NEW SUFFOLK RD
(HOUSE NO°)
Co%~ty Tax ~ap NO. 473889 Section 109
S~division
CUTCHOGUE
(STREET) (H3~4LET)
Block 6 Lot 4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in t~kis office dated OCTOBER 27, 2010 purs,,ant to which
Building Permit No. 35977-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 A~ APPLIED FOR.
The certificate is issued to CORCHAUG SEAFOOD INC
( OWNER )
of the aforesaid building.
~UF~OI~CO~DEPAR~OF~ALT~{~_PPRO%5~L N/A
m.~Cll~If~J~ C~TIFICR%TE NO. 35977 10/29/10
PLU~ERE ~TIFICATION DA'r~ 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)
PERMIT NO. 35977 Z Date OCTOBER 27, 2010
Permission is hereby 9ranted to:
CORCHAUG SEAFOOD INC
PO BOX 971
CUTCHOGUE,N-Y 11935
for :
ELECTRIC SERVICE UPGRADE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 109
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
560 NEW SUFFOLK RD
CUTCHOGUE
Block 0006 Lot No. 004
27, 2010 and approved by the
27, 2012.
Fee $ 85.00
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
Town 1 lall Annex
5437,5 Main Road
P.O. Box 117!)
,$outhold, NY I 1 !t71-09.39
Tclephonc (631) 765-1802
Fax (631) 76,3-9502
ro.qer, richert~,town.southold.ny.us
BI TILl)IN(; 1)EI~ARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Corchaug Seafood Inc
Address: 560 New Suffolk Rd City: Cutchogue St: NY Zip: 11935
~uilding Permit#: -'~ z-~ -"~ r.~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Doroski Electric Inc License No: 2941-e
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commedcal Outdoor 1 st 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: 200a overhead service
Ceiling Fixtures ~[~[E~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Oct 29 2010
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
$ou~hold, NY 11971.0959
BUILDING DF.~ARTMEN'r
TOWN OF SOUTHOII}
APPLIC. ATION FOR ELECTRICAl-INSPECTION
. y Name: ,~,~.
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
_In -a4 -/O !
(*Indicates required information)
'~..zv- -~ _
,7s~ ~.2 ~7_
, ..-.: .... ~5 17'1 .....
.,..-~0'00 .. Section: JOc]
Block: ~ Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle Ail That Apply)
*Is job ready for inspection:
*Do you need · Temp Certffic~te:
Final
emp Information (If
Service SIze: ~ 3Phase 100 150 (~ 300 350 400 Other
*Ne,.w., Service: ~ Re-conne~ Underground Number of Metem{
82-Request for Inspection Form
Change of Se~vl~