HomeMy WebLinkAbout36007-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
4/26/2011
CERTIFICATE OF OCCUPANCY
No: 34919 Date: 4/26/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property:
435 Bay Road, Cutchogue, NY 11935,
SCTM #: 473889 Sec/Block/Lot: 116.-2-11.1
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
10/13/2010 pursuant to which Building Permit No. 36007
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 upgrade service.
Lot No.
filed in this ofliced dated
dated 10/13/2010
The certificate is issued to
Robertson, Mark & Robertson, Ann
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36007
4/4/11
Ir Authorized Signature
Town llall Annex
54375 Main Road
P.O. Box 117!1
Southold, Nh' 11!171-0959
Tclephol~C (631) 7(;,'5-1802
lqtx (631) 765-95t)2
ro.qer, richert~town.southo d ny us
BI !ILDING DEPARTMI:]NT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Robed[son
~,ddress: 435 Bay Rd City: Cutchogue St: NY Zip: 'i193."
]uilding Permit #: 36007 Section: 116 Block: 2 Lot: 11.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Sontractor: Tim Meskill DBA: License No: 5211-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 ~ Duplec Recpt ~ Ceiling Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures
Main Panel A/C Condenser Single Recpt Recessed Fixtures
Sub Panel NC Blower Range Recpt Fluorescent Fixture
Transformer Appliances Dryer Recpt Emergency Fixtures
Disconnect Switches Twist Lock Exit Fixtures
Other Equipment: Up grade service to 200a overhead
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Notes:
Inspector Signature:
Date: April 4 2011
81-Cert Electrical Compliance Form
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII2DING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 36007 Z Date OCTOBER 13, 2010
Permission is hereby granted to:
ANN D TOBIN (MARK ROBERTSON)
520 FP~ANKLIN AVE
GARDEN CITY,NY 11530
for :
ELECTRIC UPGRADE AS APPLIED FOR.
at premises located at 435
County Tax Map No. 473889 Section 116
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
BAY RD CUTCHOGUE
Block 0002 Lot No. 011.001
13, 2010 and approved by the
13, 2012.
Fee $ 85.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
VIN~UN ELEC'I'KIC CO INC
~001
U ~
BUILDING DI~PAEI'MEIVF
' TOWN OF 80UTHOLD
APPLICATION FO~....ELECTRICAL INSPE(~TION
REQUESTED BY: ~' --"-" C' ,A ~ ~,,-., Date: .0 / ~ [ / O
company Name:
Name:
L~icense No.:
PboneNo.: .....~'3~ ' I'/~/-/~l~'~,' ........
JOgSITE INFORMATION: (*!ndi~,~tes required i~formatio~)
Pete No.:
Tax Map Di~: 1000 Se~lon:
*B'~EF DESCRIPTION OF WORK (Plea~ P~ Clea~y)
(Please Circle All That Apply)
*Is Job ready for inspect~on:
.*Do you need a Temp Certificate:
· YES / NO
Temp 'Information (If~,..f..f..f..f.~ed)
*Sen/ice Si~e: '~ 3Phase
*New Service: R~,,,.,~_.~t Underground
Addlt[o~al InfOrmation:
,
~NO
100 (~ 200
Rough In F hal
300 350 400 Olher
Numl~er of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATIO. N~