HomeMy WebLinkAbout36395-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
6/9/2011
CERTIFICATE OF OCCUPANCY
No: 34992
Date: 6/9/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
305 Bayberry Rd, Southold,
Sec/Block/Lot: 76.-1-4
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/17/2011 pursuant to which Building Permit No. 36395
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:
Lot No.
filed in this officed dated
dated 5/17/2011
overhead electric service.
The certificate is issued to
Zukas, Michael
(OWNER)
of the aforesaid building.
SUI~'I~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36395
Authorized Signature
6/6/1I
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 southold.ny.us
BUILDING DEPARTMENT
TOWN O~' SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gary Zukas
Address: 305 Bayberry Road City: Southold St: NY Zip: 11971
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
;ontractor: DBA: Lademann Electric Inc License No: 4141-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
Service 3 ph Hot Water GFCl Recpt
Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixturel I Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ I Time Clocks
Disconnect Switches Twist Lock Exit Fixtures L.J TVSS
Other Equipment: 200a over head service change
Notes:
Inspector Signature:
Date: June 6 2011
81-Cert 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 #: 36395
Permission is hereby granted to:
Zukas, Michael
305 B.a_yberry Rd
PO BOX 860
To:
Southold, NY 11971
Date: 5/17/2011
Overhead electric service
At premises located at:
305 Ba~berry Rd, Southold
SCTM # 473889
Sec/Block/Lot # 76.-1-4
Pursuant to application dated
To expire on 1111512012.
Fees:
5/17/2011
and approved by the Building Inspector.
Total:
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro~ler, rich e r t d$~na.~s)oT~'~g(~ .ny. us
BUILDING DEPARTMENT
TOWN OF 80UTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
[.JESTED BY:
Company Name:
Name:
License No.:
Date:
NO..'
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
Lot:
Block: /
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed]
*Service Size: ~
*New Service: Re-connect
Additional Information:
82.Request for Inspection Form
(~/NO Rough In
(~/NO
3Phase 100 150 ~ 300 350 400 Other
Underground Number of Metem Change of Service~__.~~
PAYMENT DUE WITH APPLICATION