HomeMy WebLinkAbout35817-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
2/24/2011
CERTIFICATE OF OCCUPANCY
No: 34848
Date:
2/23/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 965 OSPREY NEST RD GREENPORT,
SCTM #: 473889 Sec/Block/Lot: 35.-6-24.1
Subdivision: Filed Map No.
conforms substantially to thc Application for Building Permit heretofore
8/16/2010 pursuant to which Building Permit No.
Lot No.
filed in this ofliced dated
35817 dated 8/30/2010
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 (REPLACE METER PAN) AS APPLIED FOR.
The certificate is issued to
Leonard & Kathleen Rosenbaum
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
35817
2/18/2011
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35817 Z
Date AUGUST 30, 2010
Permission is hereby granted to:
for :
ELECTRIC SERVICE
LEONARD A & KATHLEEN ROSENBAUM
965 OSPREY NEST ROAD
GREENPORT,NY 11944
(REPLACE METER PAN) AS APPLIED FOR.
at premises located at 965 OSPREY NEST RD
County Tax Map No. 473889 Section 035 Block
pursuant to application dated AUGUST 16, 2010
Building Inspector to expire on FEBRUARY
GREENPORT
0006 Lot No. 024.001
and approved by the
30, 2012.
Fee $ 85.00
~A~ut~Signature
ORIGINAL
Rev. 5/8/02
Town 1 lull Annex
5~375 Main Road
P.(). Box 1179
Southold, N Y 115)71-09,59
Tclcphonc (631) 763-1802
F~L\ ((J31) 763-9,502
rofler, dchert@town.southold.n¥.us
BI IILI)ING I)I:J'ARTMI,2NT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Rosenbaum
~,ddress: 965 Osprey Nest Rd City: Greenport St: NY Zip: 11944
3uildingPermit#: ~-~/"'~ Section: ~.~ Block: ~,~ Lot: ~.L/, t
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Jim Sage Electric License No: 3635-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
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Pane[ A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: install new meter pan only (old pan deteriated)
Ceiling Fixtures
RWe~'~le ~ is~ ~ r ~ iSx t u r e s ~
Fluorescent Fixture
Emergency Fixtures~
Exit Fixtures [~
HiD Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Inspector Signature:
Date: Feb 18 2011
81-Cert Electrical Compliance Form
Tovnx Hall Annex
$4~75 M~a Road
P.O. Box 1179
· Southold, NY 11971-0959
Telephone (~1) 7ff5-1802
BUILDING D]~PARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
IESTED BY:
Company Name:
Date:
JOBSITE INFORMATION: (*IndiCates required information)
· *Cross Street: - '
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: .~ 5~ Block:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print clearly)
(Please Circle Ali That Apply)
*Is.jOb ready for inspection:
.*Do you need a Temp Certificate:
Temp'lnformation (If needed}.
150 (~
Rough In
*Sel~ce S~Ze: ' ~3Phase 100 300: 350 400
*New Service: ~ Underground Number of Metem Change of Service
Additional InfOrma[~on: PAYMENT DUE WITH APPLICATION
Final
Other
Overhead
82-Request for Inspection Form - - - "~"