HomeMy WebLinkAbout36013-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34767 Date: 12/28/10
THIS U~TIFIES that the building ELECTRIC SERVICE
Location of Property: 3225 NASSAU POINT RD CUTCROGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 111 Block 9 Lot 1
Subdivision Filed Map No. __ LOt No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 9, 2010 pursuant to which
Building Permit No. 36013-Z dated NOVEMBER 9, 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 UNDERGROUND ELECTRIC SERVICE AS APPLIED FOR.
The certificate is issued to ROBERT & LEE M CASSANO
( OWNER )
of the aforesaid building.
SUFFOLK COUNTYDEPART~TOFHEALTHAPPROVAL N/A
EL~t-rKICAL CERTIFICATE NO. 36013 12/~6/10
P~ERS CERTIFICATION DAmco N/A
Authorized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~3ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 36013 Z
Date NOVEMBER 9, 2010
Permission is hereby granted to:
ROBERT & LEE M CASSANO
3225 NASSAU POINT RD
CUTCHOGUE,NY 11935
for :
UNDERGROUND ELECTRIC SERVICE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 111
purs,,~nt to application dated NOVEMBER
Building Inspector to exq~ire on MAY
3225 NASSAU POINT RD CUTCHOGUE
Block 0009 Lot No. 001
9, 2010 and approved by the
9, 2012.
Fee $ 85.00
ut~ho'ri~e d Signature
Rev. 5/8/02
ORIGINAL
Form No. 6
TOV~N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual usmral or
topograplfic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S_9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6..Submit Pl. ~a~aing Board Approval ofcempleted site plan requirements
B; Fo~ existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. AccUrate anrvey 0f pr0perty showing all property lines, streets, building and unusual natural or topographic
features·
2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50·00, Businesses $50·00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $·25
4. Updated Certificate of Occupancy- $50.00
· 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Old or Pre--existing Building:
House No. Street
(check one)
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section \
SubdiviSion '
?e tNo.% lB
Health Dept. Approval:
· Planning Board Approval:
Date ofPermit.
Block
Filed Map.
Applicant:
Underwriters Approval:
I
Lot:
Request for: Temporary Certificate
Fee Submitted: $ ~x)3C~'
Final Certificate:
check one)
Applicant Signature
Tram ltall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
F~cc (631) 76,5-9502
ro.qer, dchert~town.southold.ny.us
BI ;ILDING I)EPARTM ENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cassano
Address: 3225 Nassau Point Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: '3(~0 I,~2 Section: 1 1 1 B,ock: 9 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: North Electric License No: 890-e
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only [~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures R HIDFixtures
Service 3 ph Hot Water GFCl Recpt Wall Fixtures ~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures U CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture U Pumps
Transformer Appliances Dryer Recpt Emergency FixturesL~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: 200a underground service change
Notes:
Inspector Signature:
Date: Dec 6 2010
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro,qer, dche r t dt~w(~n ~s) o7~(~, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOI.I~
APPLICATION FOR ELECTRICAL INSPECTION
BY:
Company Name:
Name:
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
Date:
(*Indicates required information)
1000 Section: t I }
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
(Please Circle All That Apply)
*Is job ready for inspectiOn:
~Do you need a Temp Certifical
Temp Information (If needed
*Service SiZe:
Re.connect
Addrtional Information:
82-Request for Inspection Form
Block: '4 Lot:
~, .x~0 ~ 300 350 400 Other
~~m~hange of Service Overhead
PAY~H APPLICATION
/