HomeMy WebLinkAbout36394-Z6/22/2011
Town of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 34949
Date:
6/22/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
1250 Seawood Dr, Southold,
Sec/Block/Lot: 79.-8-6
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/17/2011 pursuant to which Building Permit No. 36394 dated 5/17/2011
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:
Overhead electrical service
The certificate is issued to
Higbee, David
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36394 6/17/11
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro.qer, richert~town.southo d ny us
BUILDING DEPARTMENT
TOWN OF ~IOUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: David Higbee
Address: 1250 Seawood Ddve City: Southold St: NY Zip: 11971
Building Permit #: ~"~ ~)j q Section: ~"~ t~ Block: ~ Lot: ~:~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: John Ludemann License No: 4643-me
SITE DETAILS
Office Use Only
Residential I~ Ind°°r l~ Basement ~ Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures [~1 HIDFixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~l Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures I~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~.~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures L~J TVSS
Other Equipment: 200a overhead service upgrade
Notes:
Inspector Signature:
Date: June 17 2011
81-Cer[ Electrical Compliance Form
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 #: 36394
Date: 5/17/2011
Permission is hereby granted to:
Higbee, David
1250 Seawood Dr
Southold, NY 11971
To:
Overhead electrical service
At premises located at:
1250 Seawood Dr, Southold
SCTM # 473889
Sec/Block/Lot # 79.-8-6
Pursuant to application dated
To expire on 1111512012.
Fees:
5/17/2011
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
spector
Town Hall Annex
54375 Main Road
P.O. Box 1 t79
Southold, NY 11971-0959
Telephone (631) 765-1802
ro.q e r. rich e r td~ (w(6~)s) o7 u~t~(~(~, ny. us
BUILDING DEPAR~
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Date:
3.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
(*Indicates required information)
7~ 5 ,~7g 7
TaxMap District: 1000 Section: ~ ,~
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot:
(Please Circle All That Apply)
*is job ready for inspection:
*Do you need a Temp Certificate:
Y~_~/NO
CYE / No
Rough In Final
Temp Information (If needed}
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
. _ O.l,~/ ,
82.Requestt~or Inspection Form
3Phase 100 150 ~ 300 350 400 Other
Underground Number of Meters Change of Service O~vverheaj~
PAYMENT DUE WITH APPLICATION ~4-3