HomeMy WebLinkAbout36436-ZTown of Southold Annex
54375 Ma'm Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
6/9/2011
No: 34993
Date: 6/9/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
52180 CR 48, Southold,
Sec/Block/Lot: 135.-3-20
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
6/1/2011 pursuant to which Building Permit No. 36436
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 6/1/2011
overhead electric service for cottage #3
The certificate is issued to
Levin Family Ltd Prtnrshp
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36436 6/6/11
Authorized Signature
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 #: 36436
Date: 611/2011
Permission is hereby granted to:
L?~in Family Ltd Prtnrshp
320 Mt Beulah Ave
Southold, NY 11971
To:
electric overhead service for cottage #3
At premises located at:
52180 CR 48, Southold
SCTM # 473889
Sec/Block/Lot # 135.-3-20
Pursuant to application dated
To expireon 11/30/2012.
Fees:
6/112011 and approved by the Building Inspector.
ELECTRIC
Total:
$90.00
$90.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (63 l) 765-1802
Fax (631) 76549502
ro.qer, richert~town.southold.n¥ us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Terrace Cottage Colony-cottage #3
Address: 52000 RT48 (aka 52180) City: Southold St: NY Zip: 11971
Building Permit #: ~[~,/.~"~ Section: 1 35 Block: 3 Lot: 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electric License No: 3897-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 GFCI Recpt
Main Panel AJC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: replace 100a overhead service
Ceiling Fixtures ~[~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: June 6 2011
81-Cert Electrical Compliance Form
Paul Bums Electric~d Contractors Inc 5838
Pol~x 106~1
PAY TO THE
ORDER OF
,'OD 58
DOLLARS
057
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:· (*Indicates required information)
*cross ~ ~',, ~,/.,~ ~.'
~ne No.: ~77-- /
P~E
T~.~p Di~i~: 1~0 . ~n: /~%~ ~ B~:
~RIEF DES~I~ION OF WORK (PI~ PHnt C~)
(Please Circle NI That Apply)
*Is job ready for inspection:
*Do-you need a Temp Certificate:
B2q;~quest ~3r InspectJ(m Fonm
Rough In
PAYMENT DUE WITH APPLICATION
Towg I-I~ Anne~
&4375 M~a Ro~
P.O. Bo~ 1179
S(~ld, NY 1
Tdeldmue (631) 765-1802
Name:
BUH ~I~C- DI~
TOWN OF 8OUTIIOI~
,,,APPLICATION FOR ELECTRICAL INSPECTION
*Cross Street:
*Phone No.:
Permit No.:
Tax. Map District:
JOBSITE INFORMATION: (*Indicates required information)
*Name: I~r~-~-c._ Co7~_.~_ ~n¥ - ~-~/~%~-
¥77 - / fao
1000 Section: ['~ 5 Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:.
· (Please Circle All That Apply)
*Is job ready for inspection:
*Do you nccd a Temp Certificate:
Tempi _~. ati~}
*SorvleaS~e: ~ 3Pha~e
Additienal Information:
/) NO
NO
Rough In Final
~ 150 200 30O 350 .40O Olher
Underground Number of Meters Change of Service ~
PAYMENT DUE WITH APPLICATION