HomeMy WebLinkAbout36389-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
5/17/2011
CERTIFICATE OF OCCUPANCY
No: 34962 Date: 5/16/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1940 Mason Dr, Cutchogue, NY 11935,
SCTM #: 473889 Sec/Block/Lot: 104.-7-16.1
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/16/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36389 dated 5/16/2011
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 power to dock
The certificate is issued to
Ambrosio, Scott & Ambrosio, Susan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36389 5/4/11
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36389
Permission is hereby granted to:
Ambrosio, Scott & Ambrosio, Susan
Date: 5/16/2011
25 Brian Ln
To:
East Northport, NY 11731
electric power to dock
At premises located at:
1940 Mason Dr, Cutchogue? NY 11935
SCTM # 473889
Sec/Block/Lot # 104.-7-16.1
Pursuant to application dated
To expire on 11/14/2012.
Fees:
5/16~2011
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
Building Inspector
,5 t37,5 Main Il.ad
I'.O. Box 117!}
Somhold, N 5' I 1 !)7 I-(}959
Tclcphonc (631) 765-1802
Fax (631) 765-9502
ro.qer, richert~town.southold ny us
B1 :ILl)lNG I)I,~I'AI/TMI,;NT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Scott Ambrosio
Address: 1940 Mason Drive City: Cutchogue St: NY Zip: 11935
Building Permit#: '~Lc'~GJ section: 104 Block: 7
Lot:
16.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: home owner DBA: License No:
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 ~ Ceiling Fixtures ~ HID Fixtures ~s~
Service 3 ph Hot Water GFCl Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixtuml I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: POWER TO DOCK, l-light fixture
Inspector Signature:
Date: May 4 2011
81-Cert Electrical Compliance Form
WN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION ~] RRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)~ ELECTRICAL (FINAL)
REMARKS:
DATE ~//(
INSPECTOR<~~